TY - JOUR A1 - Becker, Meike A1 - Frauenrath, Tobias A1 - Hezel, Fabian A1 - Krombach, Gabriele A. A1 - Kremer, Ute A1 - Koppers, Benedikt A1 - Butenweg, Christoph A1 - Goemmel, Andreas A1 - Utting, Jane F. A1 - Schulz-Menger, Jeanette A1 - Niendorf, Thoralf T1 - Comparison of left ventricular function assessment using phonocardiogram- and electrocardiogram-triggered 2D SSFP CINE MR imaging at 1.5 T and 3.0 T JF - European Radiology N2 - Objective: As high-field cardiac MRI (CMR) becomes more widespread the propensity of ECG to interference from electromagnetic fields (EMF) and to magneto-hydrodynamic (MHD) effects increases and with it the motivation for a CMR triggering alternative. This study explores the suitability of acoustic cardiac triggering (ACT) for left ventricular (LV) function assessment in healthy subjects (n=14). Methods: Quantitative analysis of 2D CINE steady-state free precession (SSFP) images was conducted to compare ACT’s performance with vector ECG (VCG). Endocardial border sharpness (EBS) was examined paralleled by quantitative LV function assessment. Results: Unlike VCG, ACT provided signal traces free of interference from EMF or MHD effects. In the case of correct Rwave recognition, VCG-triggered 2D CINE SSFP was immune to cardiac motion effects—even at 3.0 T. However, VCG-triggered 2D SSFP CINE imaging was prone to cardiac motion and EBS degradation if R-wave misregistration occurred. ACT-triggered acquisitions yielded LV parameters (end-diastolic volume (EDV), endsystolic volume (ESV), stroke volume (SV), ejection fraction (EF) and left ventricular mass (LVM)) comparable with those derived fromVCG-triggered acquisitions (1.5 T: ESVVCG=(56± 17) ml, EDVVCG=(151±32)ml, LVMVCG=(97±27) g, SVVCG=(94± 19)ml, EFVCG=(63±5)% cf. ESVACT= (56±18) ml, EDVACT=(147±36) ml, LVMACT=(102±29) g, SVACT=(91± 22) ml, EFACT=(62±6)%; 3.0 T: ESVVCG=(55±21) ml, EDVVCG=(151±32) ml, LVMVCG=(101±27) g, SVVCG=(96±15) ml, EFVCG=(65±7)% cf. ESVACT=(54±20) ml, EDVACT=(146±35) ml, LVMACT= (101±30) g, SVACT=(92±17) ml, EFACT=(64±6)%). Conclusions: ACT’s intrinsic insensitivity to interference from electromagnetic fields renders KW - Magnetic resonance imaging (MRI) KW - MR-stethoscope KW - Magnetic field strength KW - Left ventriular function KW - Cardiovascular MRI Y1 - 2010 U6 - http://dx.doi.org/10.1007/s00330-009-1676-z SN - 1432-1084 (Onlineausgabe) SN - 0938-7994 (Druckausgabe) VL - 20 SP - 1344 EP - 1355 PB - Springer CY - Berlin ER - TY - JOUR A1 - Frauenrath, Tobias A1 - Hezel, Fabian A1 - Heinrichs, Uwe A1 - Kozerke, Sebastian A1 - Utting, Jane A1 - Kob, Malte A1 - Butenweg, Christoph A1 - Boesiger, Peter A1 - Niendorf, Thoralf T1 - Feasibility of Cardiac Gating Free of Interference With Electro-Magnetic Fields at 1.5 Tesla, 3.0 Tesla and 7.0 Tesla Using an MR-Stethoscope JF - Investigative Radiology KW - phonocardiogram KW - electrocardiogram KW - cardiac gating KW - high field MR imaging KW - cardiovascular MR imaging Y1 - 2009 U6 - http://dx.doi.org/10.1097/RLI.0b013e3181b4c15e SN - 1536-0210 (online) SN - 0020-9996 (gedruckt) VL - 44 IS - 9 SP - 539 EP - 547 PB - Lippincott Williams & Wilkins ; (via Ovid) CY - Philadelphia, Pa ER -