Skip to main content

Advertisement

SpringerLink
Log in

Reliable 5-min real-time MR technique for left-ventricular-wall motion analysis

  • Cardiac
  • Published:
European Radiology Aims and scope Submit manuscript

Abstract

The aim of this study was to investigate the value of a real-time magnetic resonance imaging (MRI) approach for the assessment of left-ventricular-wall motion in patients with insufficient transthoracic echocardiography in terms of accuracy and temporal expenditure. Twenty-five consecutive patients were examined on a 1.5-Tesla whole-body MR system (ACS-NT, Philips Medical Systems, Best, NL) using a real-time and ECG-gated (the current gold standard) steady-state free-precession (SSFP) sequence. Wall motion was analyzed by three observers by consensus interpretation. In addition, the preparation, scanning, and overall examination times were measured. The assessment of the wall motion demonstrated a close agreement between the two modalities resulting in a mean κ coefficient of 0.8. At the same time, each stage of the examination was significantly shortened using the real-time MR approach. Real-time imaging allows for accurate assessment of left-ventricular-wall motion with the added benefit of decreased examination time. Therefore, it may serve as a cost-efficient alternative in patients with insufficient echocardiography.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Mahnken AH, Koos R, Katoh M et al (2005) Sixteen-slice spiral CT versus MR imaging for the assessment of left ventricular function in acute myocardial infarction. Eur Radiol 15(4):714–720

    Article  PubMed  Google Scholar 

  2. Gutberlet M, Frohlich M, Mehl S et al (2005) Myocardial viability assessment in patients with highly impaired left ventricular function: comparison of delayed enhancement, dobutamine stress MRI, end-diastolic wall thickness, and TI201-SPECT with functional recovery after revascularization. Eur Radiol 15:872–880

    Article  PubMed  CAS  Google Scholar 

  3. Belge B, Coche E, Pasquet A, Vanoverschelde JL, Gerber BL (2006) Accurate estimation of global and regional cardiac function by retrospectively gated multidetector row computed tomography: comparison with cine magnetic resonance imaging. Eur Radiol 16:1424–1433

    Article  PubMed  Google Scholar 

  4. Longmore DB, Klipstein RH, Underwood SR et al (1985) Dimensional accuracy of magnetic resonance in studies of the heart. Lancet 1:1360–1362

    Article  PubMed  CAS  Google Scholar 

  5. Rehr RB, Malloy CR, Filipchuk NG, Peshock RM (1985) Left ventricular volumes measured by MR imaging. Radiology 156:717–719

    PubMed  CAS  Google Scholar 

  6. Katz J, Milliken MC, Stray-Gundersen J et al (1988) Estimation of human myocardial mass with MR imaging. Radiology 169:495–498

    PubMed  CAS  Google Scholar 

  7. Katz J, Whang J, Boxt LM, Barst RJ (1993) Estimation of right ventricular mass in normal subjects and in patients with primary pulmonary hypertension by nuclear magnetic resonance imaging. J Am Coll Cardiol 21:1475–1481

    Article  PubMed  CAS  Google Scholar 

  8. Schiller NB, Shah PM, Crawford M et al (1989) Recommendations for quantitation of the left ventricle by two-dimensional echocardiography. American Society of Echocardiography Committee on Standards, Subcommittee on Quantitation of Two-Dimensional Echocardiograms. J Am Soc Echocardiogr 2:358–367

    PubMed  CAS  Google Scholar 

  9. Edwards WD, Tajik AJ, Seward JB (1981) Standardized nomenclature and anatomic basis for regional tomographic analysis of the heart. Mayo Clin Proc 56:479–497

    PubMed  CAS  Google Scholar 

  10. Schaeffter T, Weiss S, Eggers H, Rasche V (2001) Projection reconstruction balanced fast field echo for interactive real-time cardiac imaging. Magn Reson Med 46:1238–1241

    Article  PubMed  CAS  Google Scholar 

  11. Shankaranarayanan A, Simonetti OP, Laub G, Lewin JS, Duerk JL (2001) Segmented k-space and real-time cardiac cine MR imaging with radial trajectories. Radiology 221:827–836

    Article  PubMed  CAS  Google Scholar 

  12. Pruessmann KP, Weiger M, Scheidegger MB, Boesiger P (1999) SENSE: sensitivity encoding for fast MRI. Magn Reson Med 42:952–962

    Article  PubMed  CAS  Google Scholar 

  13. Yang PC, Kerr AB, Liu AC et al (1998) New real-time interactive cardiac magnetic resonance imaging system complements echocardiography. J Am Coll Cardiol 32:2049–2056

    Article  PubMed  CAS  Google Scholar 

  14. Weber OM, Eggers H, Spiegel MA, Scheidegger MB, Proksa R, Boesiger P (1999) Real-time interactive magnetic resonance imaging with multiple coils for the assessment of left ventricular function. J Magn Reson Imaging 10:826–832

    Article  PubMed  CAS  Google Scholar 

  15. Setser RM, Fischer SE, Lorenz CH (2000) Quantification of left ventricular function with magnetic resonance images acquired in real time. J Magn Reson Imaging 12:430–438

    Article  PubMed  CAS  Google Scholar 

  16. Nagel E, Schneider U, Schalla S et al (2000) Magnetic resonance real-time imaging for the evaluation of left ventricular function. J Cardiovasc Magn Reson 2:7–14

    PubMed  CAS  Google Scholar 

  17. Schalla S, Nagel E, Lehmkuhl H et al (2001) Comparison of magnetic resonance real-time imaging of left ventricular function with conventional magnetic resonance imaging and echocardiography. Am J Cardiol 87:95–99

    Article  PubMed  CAS  Google Scholar 

  18. Plein S, Smith WH, Ridgway JP et al (2001) Qualitative and quantitative analysis of regional left ventricular wall dynamics using real-time magnetic resonance imaging: comparison with conventional breath-hold gradient echo acquisition in volunteers and patients. J Magn Reson Imaging 14:23–30

    Article  PubMed  CAS  Google Scholar 

  19. Francone M, Dymarkowski S, Kalantzi M, Bogaert J (2005) Real-time cine MRI of ventricular septal motion: a novel approach to assess ventricular coupling. J Magn Reson Imaging 21:305–309

    Article  PubMed  Google Scholar 

  20. Narayan G, Nayak K, Pauly J, Hu B (2005) Single-breathhold, four-dimensional, quantitative assessment of LV and RV function using triggered, real-time, steady-state free precession MRI in heart failure patients. J Magn Reson Imaging 22:59–66

    Article  PubMed  Google Scholar 

  21. Boll DT, Merkle EM, Seaman DM et al (2004) Comparison of ECG-gated rectilinear vs. real-time radial K-space sampling schemes in cine True-FISP cardiac MRI. J Cardiovasc Magn Reson 6:793–802

    Article  PubMed  Google Scholar 

  22. McGowan JH, Cleland JG (2003) Reliability of reporting left ventricular systolic function by echocardiography: a systematic review of 3 methods. Am Heart J 146:388–397

    Article  PubMed  Google Scholar 

  23. Spuentrup E, Schroeder J, Mahnken AH et al (2003) Quantitative assessment of left ventricular function with interactive real-time spiral and radial MR imaging. Radiology 227:870–876

    Article  PubMed  Google Scholar 

  24. Kuhl HP, Spuentrup E, Wall A et al (2004) Assessment of myocardial function with interactive non-breath-hold real-time MR imaging: comparison with echocardiography and breath-hold cine MR imaging. Radiology 231:198–207

    Article  PubMed  Google Scholar 

  25. Spencer KT, Bednarz J, Mor-Avi V et al (2000) The role of echocardiographic harmonic imaging and contrast enhancement for improvement of endocardial border delineation. J Am Soc Echocardiogr 13:131–138

    PubMed  CAS  Google Scholar 

  26. Schalla S, Klein C, Paetsch I et al (2002) Real-time MR image acquisition during high-dose dobutamine hydrochloride stress for detecting left ventricular wall-motion abnormalities in patients with coronary arterial disease. Radiology 224:845–851

    Article  PubMed  Google Scholar 

  27. Fischer SE, Wickline SA, Lorenz CH (1999) Novel real-time R-wave detection algorithm based on the vectorcardiogram for accurate gated magnetic resonance acquisitions. Magn Reson Med 42:361–370

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Diagnostic Radiology, University Hospital RWTH Aachen, Pauwelsstrasse 30, 52057, Aachen, Germany

    Marcus Katoh, Elmar Spuentrup, Rolf W. Günther & Arno Buecker

  2. Medical Clinic I, University Hospital RWTH Aachen, Aachen, Germany

    Harald P. Kühl & Claudia S. A. Lipke

Authors
  1. Marcus Katoh
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Harald P. Kühl
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Elmar Spuentrup
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Claudia S. A. Lipke
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Rolf W. Günther
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Arno Buecker
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Marcus Katoh.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Katoh, M., Kühl, H.P., Spuentrup, E. et al. Reliable 5-min real-time MR technique for left-ventricular-wall motion analysis. Eur Radiol 17, 1836–1841 (2007). https://doi.org/10.1007/s00330-006-0551-4

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00330-006-0551-4

Keywords

Search

Navigation