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Self-gating MR imaging of the fetal heart: comparison with real cardiac triggering

  • Magnetic Resonance
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Abstract

Purpose

To investigate the self-gating technique for MR imaging of the fetal heart in a sheep model.

Material and Methods

MR images of 6 fetal sheep heart were obtained at 1.5T. For self-gating MRI of the fetal heart a cine SSFP in short axis, two and four chamber view was used. Self-gated images were compared with real cardiac triggered MR images (pulse-wave triggering). MRI of the fetal heart was performed using both techniques simultaneously. Image quality was assessed and the left ventricular volume and function were measured and compared.

Results

Compared with pulse-wave triggering, the self-gating technique produced slightly inferior images with artifacts. Especially the atrial septum could not be so clearly depicted. The contraction of the fetal heart was shown in cine sequences in both techniques. The average blood volumes could be measured with both techniques with no significant difference: at end-systole 3.1 ml (SD± 0.2), at end-diastole 4.9 ml (±0.2), with ejection fractions at 38.6%, respectively 39%.

Conclusion

Both self-gating and pulse-wave triggered cardiac MRI of the fetal heart allowed the evaluation of anatomical structures and functional information. Images obtained by self-gating technique were slightly inferior than the pulse-wave triggered MRI.

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References

  1. Blondin D, Schaper J, Klee D et al (2008) Evaluation of malformations of the fetal central nervous system using fetal MRI. Rofo 180:715–721

    CAS  PubMed  Google Scholar 

  2. Coakley FV, Glenn OA, Qayyum A, Barkovich AJ, Goldstein R, Filly RA (2004) Fetal MRI: a developing technique for the developing patient. AJR Am J Roentgenol 182:243–252

    PubMed  Google Scholar 

  3. Coakley FV, Hricak H, Filly RA, Barkovich AJ, Harrison MR (1999) Complex fetal disorders: effect of MR imaging on management–preliminary clinical experience. Radiology 213:691–696

    CAS  PubMed  Google Scholar 

  4. Huisman TA, Wisser J, Martin E, Kubik-Huch R, Marincek B (2002) Fetal magnetic resonance imaging of the central nervous system: a pictorial essay. Eur Radiol 12:1952–1961

    PubMed  Google Scholar 

  5. Guo WY, Wong TT (2003) Screening of fetal CNS anomalies by MR imaging. Childs Nerv Syst 19:410–414

    Article  PubMed  Google Scholar 

  6. Guo Y, Luo BN (2006) The state of the art of fetal magnetic resonance imaging. Chin Med J (Engl) 119:1294–1299

    Google Scholar 

  7. Chang CH, Yu CH, Chang FM, Ko HC, Chen HY (2003) Volumetric assessment of normal fetal lungs using three-dimensional ultrasound. Ultrasound Med Biol 29:935–942

    Article  PubMed  Google Scholar 

  8. Chang CH, Yu CH, Chang FM, Ko HC, Chen HY (2003) Three-dimensional ultrasound in the assessment of normal fetal thigh volume. Ultrasound Med Biol 29:361–366

    Article  PubMed  Google Scholar 

  9. Meyer-Wittkopf M (2002) Interventional fetal cardiac therapy – possible perspectives and current shortcomings. Ultrasound Obstet Gynecol 20:527–531

    Article  CAS  PubMed  Google Scholar 

  10. Meyer-Wittkopf M, Cook A, McLennan A, Summers P, Sharland GK, Maxwell DJ (1996) Evaluation of three-dimensional ultrasonography and magnetic resonance imaging in assessment of congenital heart anomalies in fetal cardiac specimens. Ultrasound Obstet Gynecol 8:303–308

    Article  CAS  PubMed  Google Scholar 

  11. Deng J, Rodeck CH (2006) Current applications of fetal cardiac imaging technology. Curr Opin Obstet Gynecol 18:177–184

    Article  PubMed  Google Scholar 

  12. Deng J, Rodeck CH (2004) New fetal cardiac imaging techniques. Prenat Diagn 24:1092–1103

    Article  PubMed  Google Scholar 

  13. Yamamura J, Schnackenburg B, Kooijmann H, Frisch M, Hecher K, Adam G, Wedegärtner U (2009) High resolution MR imaging of the fetal heart with cardiac triggering: a feasibility study in the sheep fetus. Eur Radiol 19(10):2383–90

    Article  PubMed  Google Scholar 

  14. Gharib AM, Herzka DA, Ustun AO et al (2007) Coronary MR angiography at 3T during diastole and systole. J Magn Reson Imaging 26:921–926

    Article  PubMed  Google Scholar 

  15. Gharib AM, Ho VB, Rosing DR et al (2008) Coronary artery anomalies and variants: technical feasibility of assessment with coronary MR angiography at 3T. Radiology 247:220–227

    Article  PubMed  Google Scholar 

  16. Finn JP, Nael K, Deshpande V, Ratib O, Laub G (2006) Cardiac MR imaging: state of the technology. Radiology 241:338–354

    Article  PubMed  Google Scholar 

  17. Cury RC, Shash K, Nagurney JT et al (2008) Cardiac magnetic resonance with T2-weighted imaging improves detection of patients with acute coronary syndrome in the emergency department. Circulation 118:837–44

    Article  PubMed  Google Scholar 

  18. Ebeling Barbier C, Bjerner T, Hansen T, Nabaei SM (2007) Clinically unrecognized myocardial infarction detected at MR imaging may not be associated with atherosclerosis. Radiology 245:103–110

    Article  PubMed  Google Scholar 

  19. Nijm GM, Swiryn S, Larson AC, Sahakian AV (2008) Extraction of the magnetohydrodynamic blood flow potential from the surface electrocardiogram in magnetic resonance imaging. Med Biol Eng Comput 46:729–733

    Article  PubMed  Google Scholar 

  20. Larson AC, White RD, Laub G, McVeigh ER, Li D, Simonetti OP (2004) Self-gated cardiac cine MRI. Magn Reson Med 51:93–102

    Article  PubMed  Google Scholar 

  21. Crowe ME, Larson AC, Zhang Q et al (2004) Automated rectilinear self-gated cardiac cine imaging. Magn Reson Med 52:782–788

    Article  PubMed  Google Scholar 

  22. Holmes WM, McCabe C, Mullin JM, Condon B, Bain MM (2009) In ovo non-invasive quantification of the myocardial function and mass of chick embryos using magnetic resonance imaging. NMR Biomed 22(7):745–52

    Article  PubMed  Google Scholar 

  23. Nieman BJ, Szulc K, Turnbull DH (2009) Three-dimensional, in vivo MRI with self-gating and image coregistration in the mouse. Magn Reson Med 61:1148–1157

    Article  PubMed  Google Scholar 

  24. Gorincour G, Bourliere-Najean B, Bonello B et al (2007) Feasibility of fetal cardiac magnetic resonance imaging: preliminary experience. Ultrasound Obstet Gynecol 29:105–108

    Article  CAS  PubMed  Google Scholar 

  25. Saleem SN (2008) Feasibility of MRI of the fetal heart with balanced steady-state free precession sequence along fetal body and cardiac planes. AJR Am J Roentgenol 191:1208–1215

    Article  PubMed  Google Scholar 

  26. Manganaro L, Savelli S, Di Maurizio M et al (2008) Potential role of fetal cardiac evaluation with magnetic resonance imaging: preliminary experience. Prenat Diagn 28:148–156

    Article  PubMed  Google Scholar 

  27. Fogel MA, Wilson RD, Flake A et al (2005) Preliminary investigations into a new method of functional assessment of the fetal heart using a novel application of ‘real-time’ cardiac magnetic resonance imaging. Fetal Diagn Ther 20:475–480

    Article  PubMed  Google Scholar 

  28. Larson AC, White R, Laub G, McVeigh ER, Li D, Simonetti OP (2004) Self-gated cardiac cine MRI. Magn Reson Med 51:93–102

    Article  PubMed  Google Scholar 

  29. Spraggins TA (1990) Wireless retrospective gating: application to cine cardiac imaging. Magn Reson Imaging 8:675–681

    Article  CAS  PubMed  Google Scholar 

  30. Crowe ME, Larson A, Zhang Q, Carr J, White RD, Li D, Simonetti OP (2004) Automated rectilinear self-gated cardiac cine imaging. Magn Reson Med 52:782–788

    Article  PubMed  Google Scholar 

  31. Nijm GM, Sahakian A, Swiryn S, Carr JC, Sheehan JJ, Larson AC (2008) Comparison of self-gated cine MRI retrospective cardiac synchronization algorithms. J Magn Reson Imaging 28:767–772

    Article  PubMed  Google Scholar 

  32. Hiba B, Richard N, Thibault H, Janier M (2007) Cardiac and respiratory self-gated cine MRI in the mouse: comparison between radial and rectilinear techniques at 7T. Magn Reson Med 58:745–753

    Article  PubMed  Google Scholar 

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Correspondence to Jin Yamamura.

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Yamamura, J., Frisch, M., Ecker, H. et al. Self-gating MR imaging of the fetal heart: comparison with real cardiac triggering. Eur Radiol 21, 142–149 (2011). https://doi.org/10.1007/s00330-010-1911-7

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  • DOI: https://doi.org/10.1007/s00330-010-1911-7

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