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Feasibility and reproducibility of biventricular volumetric assessment of cardiac function during exercise using real-time radial k-t SENSE magnetic resonance imaging

✍ Scribed by Philipp Lurz; Vivek Muthurangu; Silvia Schievano; Johannes Nordmeyer; Philipp Bonhoeffer; Andrew M. Taylor; Michael S. Hansen


Publisher
John Wiley and Sons
Year
2009
Tongue
English
Weight
509 KB
Volume
29
Category
Article
ISSN
1053-1807

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✦ Synopsis


Abstract

Purpose

To assess the feasibility and reproducibility of real‐time radial kt sensitivity encoding (SENSE) magnetic resonance imaging (MRI) for biventricular volumetric assessment during exercise.

Materials and Methods

In all, 12 healthy young adults underwent MRI at rest and during supine exercise at three different workload intensities. Biventricular volumes and function were assessed with 1) a radial kt SENSE real‐time sequence and 2) a scanner vendor supplied (standard) real‐time sequence. Global image quality, motion fidelity, and agreement in right ventricular (RV) and left ventricular (LV) stroke volume (SV) as a surrogate measure for accuracy were assessed. Exercise MR was repeated within 1 month for assessment of reproducibility.

Results

Imaging scores were superior for radial real‐time kt SENSE images (P < 0.001). Agreement in RV and LV SV during exercise was better with radial kt real‐time (SD of difference ±3.43 vs. ±8.97 mL; P < 0.001). Agreement in cardiac output (CO) in the same subject at two different imaging sessions was better for radial kt SENSE. This was significant for the CO calculated for the RV (SD of difference ±0.6 vs. ±0.95 L/min; P = 0.01) and LV (±0.45 vs. ±0.92 L/min; P < 0.001).

Conclusion

Radial kt SENSE real‐time imaging represents a feasible and reproducible imaging technique for biventricular assessment during exercise. J. Magn. Reson. Imaging 2009;29:1062–1070. © 2009 Wiley‐Liss, Inc.