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Myocardial tagging with steady state free precession techniques and semi-automatic postprocessing—impact on diagnostic value

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Abstract

Our aim was to determine the diagnostic value of myocardial tagging sequences with regard to the evaluable share of the cardiac cycle. Thirty-three patients were examined at 1.5 T using tagging sequences with gradient-echo (GRE) readout, 18 patients at 1.5 T with steady-state free precession (SSFP), and 11 patients at 3 T using GRE. Two observers graded image quality and determined the share of the cardiac cycle for which postprocessing could be performed (1, optimal; 2, little interaction; 3, whole cycle assessable; 4, diastole non-assessable; 5, systole incomplete; 6, non-diagnostic). With GRE at 1.5 T, median image quality was 4.0 (95% CI 4.0–5.0), while it was significantly better with 2.0 (2.0–3.0) using the SSFP technique and similar at 3 T with 2.9 (1.7–3.5). With GRE at 1.5 T, systole could be assessed in 69% of patients, and an evaluation of the whole cardiac cycle was not possible. With the SSFP sequence at 1.5 T and GRE at 3 T, an evaluation of the whole cardiac cycle was possible in 71% and 70% of the patients, respectively, and systole was assessable in all patients. Tagging sequences with SSFP readout at 1.5 T make a semi-automatic evaluation of the whole cardiac cycle feasible in a large share of patients.

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Acknowledgements

Significant parts of the data for this study were acquired by N. Bayrhof as parts of the research for their doctoral thesis at the Medical Faculty of the University of Munich.

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Authors and Affiliations

  1. Department of Clinical Radiology, Grosshadern Hospital, Ludwig-Maximilians-University, Munich, Germany

    Thorsten R. C. Johnson, Nicole Bayrhof, Armin Huber, Olaf Dietrich, Maximilian F. Reiser & Stefan O. Schoenberg

  2. Department of Clinical Physics and Medical Technology, VU University Medical Center, Amsterdam, The Netherlands

    Joost P. A. Kuijer

  3. Institute for Biomedical Engineering, University and ETH Zurich, Zurich, Switzerland

    Roger Luechinger

  4. Clinic for Diagnostic Radiology, Martin Luther University Halle-Wittenberg, Halle, Germany

    Dietrich Stoevesandt

  5. Danish Research Centre for Magnetic Resonance, Copenhagen University Hospital, Hvidovre, Denmark

    Dorthe Pedersen

  6. Department of Clinical Radiology, University of Munich—Grosshadern Campus, Marchioninistraße 15, 81377, Munich, Germany

    Thorsten R. C. Johnson

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  1. Thorsten R. C. Johnson
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  2. Nicole Bayrhof
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  3. Armin Huber
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  4. Joost P. A. Kuijer
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  5. Roger Luechinger
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  6. Olaf Dietrich
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  7. Dietrich Stoevesandt
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  9. Maximilian F. Reiser
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  10. Stefan O. Schoenberg
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Correspondence to Thorsten R. C. Johnson.

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Johnson, T.R.C., Bayrhof, N., Huber, A. et al. Myocardial tagging with steady state free precession techniques and semi-automatic postprocessing—impact on diagnostic value. Eur Radiol 17, 2218–2224 (2007). https://doi.org/10.1007/s00330-007-0639-5

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  • DOI: https://doi.org/10.1007/s00330-007-0639-5

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