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 - https://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 - GEN A1 - Frauenrath, Tobias A1 - Renz, Wolfgang A1 - Rieger, Jan A1 - Gömmel, Andreas A1 - Butenweg, Christoph A1 - Niendorf, Thoralf T1 - High Spatial Resolution 3D MRI of the Larynx Using a Dedicated TX/RX Phased Array Coil at 7.0T T2 - 2010 ISMRM-ESMRMB joint annual meeting N2 - MRI holds great potential for elucidating laryngeal and vocal fold anatomy together with the assessment of physiological processes associated in human phonation. However, MRI of human phonation remains very challenging due to the small size of the targeted structures, interfering signal from fat, air between the vocal folds and surrounding muscles and physiological motion. These anatomical/physiological constraints translate into stringent technical requirements in balancing, scan time, image contrast, immunity to physiological motion, temporal resolution and spatial resolution. Motivated by these challenges and limitations this study is aiming at translating the sensitivity gain at ultra-high magnetic fields for enhanced high spatial resolution 3D imaging of the larynx and vocal tract. To approach this goal a dedicated two channel TX/RX larynx coil is being proposed. Y1 - 2010 SN - 1545-4428 N1 - ISMRM-ESMRMB joint annual meeting, 1 - 7 May 2010, Stockholm, Sweden ER - TY - GEN A1 - Hezel, Fabian A1 - Frauenrath, Tobias A1 - Renz, Wolfgang A1 - Schulz-Menger, Jeanette A1 - Niendorf, Thoralf T1 - Feasibility of CINE Myocardial T2* Mapping Using Susceptibility Weighted Gradient-Echo Imaging at 7.0 T T2 - 2010 ISMRM-ESMRMB joint annual meeting N2 - This study is designed to demonstrate the promise of susceptibility weighted 2D CINE FLASH and T2* Mapping of the heart at 7T. Y1 - 2010 SN - 1545-4428 N1 - ISMRM-ESMRMB joint annual meeting, 1 - 7 May 2010, Stockholm, Sweden ER - TY - GEN A1 - Frauenrath, Tobias A1 - Becker, Meike A1 - Hezel, Fabian A1 - Krombach, Gabriele A. A1 - Kremer, Ute A1 - Schulz-Menger, Jeanette A1 - Niendorf, Thoralf T1 - Comparison of Left Function Assessment Using Phonocardiogram and Electrocardiogram Triggered 2D SSFP CINE MR Imaging at 1.5 T and 3.0 T T2 - 2010 ISMRM-ESMRMB joint annual meeting N2 - As high-field cardiac MRI (CMR) becomes more widespread the propensity of ECG to distortions and mistriggering increases and with it the motivation for a cardiac triggering alternative. Hence, this study explores the suitability of acoustic cardiac triggering (ACT) for left ventricular (LV) function assessment in healthy subjects at 1.5T and 3.0T. Y1 - 2010 SN - 1545-4428 N1 - ISMRM-ESMRMB joint annual meeting, 1 - 7 May 2010, Stockholm, Sweden ER - TY - GEN A1 - Dieringer, Matthias A. A1 - Renz, Wolfgang A1 - Lindel, Tomasz A1 - Seifert, Frank A1 - Frauenrath, Tobias A1 - Waiczies, Helmar A1 - von Knobelsdorff-Brenkhoff, Florian A1 - Santoro, Davide A1 - Hoffmann, Werner A1 - Ittermann, Bernd A1 - Schulz-Menger, Jeanette A1 - Niendorf, Thoralf T1 - 4CH TX/RX Surface Coil for 7T: Design, Optimization and Application for Cardiac Function Imaging T2 - 2010 ISMRM-ESMRMB joint annual meeting N2 - Practical impediments of ultra high field cardiovascular MR (CVMR) can be catalogued in exacerbated magnetic field and radio frequency (RF) inhomogeneities, susceptibility and off-resonance effects, conductive and dielectric effects in tissue, and RF power deposition constraints, which all bear the potential to spoil the benefit of CVMR at 7T. Therefore, a four element cardiac transceive surface coil array was developed. Cardiac imaging provided clinically acceptable signal homogeneity with an excellent blood myocardium contrast. Subtle anatomic structures, such as pericardium, mitral and tricuspid valves and their apparatus, papillary muscles, and trabecles were accurately delineated. Y1 - 2010 SN - 1545-4428 N1 - ISMRM-ESMRMB joint annual meeting, 1 - 7 May 2010, Stockholm, Sweden ER - TY - JOUR A1 - Frauenrath, Tobias A1 - Hezel, Fabian A1 - Renz, Wolfgang A1 - de Geyer d'Orth, Thibaut A1 - Dieringer, Matthias A1 - von Knobelsdorf-Brenkenhoff, Florian A1 - Prothmann, Marcel A1 - Schulz-Menger, Jeanette A1 - Niendorf, Thoralf T1 - Acoustic cardiac triggering: a practical solution for synchronization and gating of cardiovascular magnetic resonance at 7 Tesla JF - Journal of Cardiovascular Magnetic Resonance N2 - Background To demonstrate the applicability of acoustic cardiac triggering (ACT) for imaging of the heart at ultrahigh magnetic fields (7.0 T) by comparing phonocardiogram, conventional vector electrocardiogram (ECG) and traditional pulse oximetry (POX) triggered 2D CINE acquisitions together with (i) a qualitative image quality analysis, (ii) an assessment of the left ventricular function parameter and (iii) an examination of trigger reliability and trigger detection variance derived from the signal waveforms. Results ECG was susceptible to severe distortions at 7.0 T. POX and ACT provided waveforms free of interferences from electromagnetic fields or from magneto-hydrodynamic effects. Frequent R-wave mis-registration occurred in ECG-triggered acquisitions with a failure rate of up to 30% resulting in cardiac motion induced artifacts. ACT and POX triggering produced images free of cardiac motion artefacts. ECG showed a severe jitter in the R-wave detection. POX also showed a trigger jitter of approximately Δt = 72 ms which is equivalent to two cardiac phases. ACT showed a jitter of approximately Δt = 5 ms only. ECG waveforms revealed a standard deviation for the cardiac trigger offset larger than that observed for ACT or POX waveforms. Image quality assessment showed that ACT substantially improved image quality as compared to ECG (image quality score at end-diastole: ECG = 1.7 ± 0.5, ACT = 2.4 ± 0.5, p = 0.04) while the comparison between ECG vs. POX gated acquisitions showed no significant differences in image quality (image quality score: ECG = 1.7 ± 0.5, POX = 2.0 ± 0.5, p = 0.34). Conclusions The applicability of acoustic triggering for cardiac CINE imaging at 7.0 T was demonstrated. ACT's trigger reliability and fidelity are superior to that of ECG and POX. ACT promises to be beneficial for cardiovascular magnetic resonance at ultra-high field strengths including 7.0 T. KW - Interval Time Series KW - Image Quality Score KW - Image Quality Assessment KW - Sound Pressure Level KW - Cardiovascular Magnetic Resonance Y1 - 2010 U6 - https://doi.org/10.1186/1532-429X-12-67 SN - 1532-429X VL - 12 IS - 1 PB - Elsevier CY - Amsterdam ER - TY - JOUR A1 - von Knobelsdorf-Brenkenhoff, Florian A1 - Frauenrath, Tobias A1 - Prothmann, Marcel A1 - Dieringer, Matthias A. A1 - Hezel, Fabian A1 - Renz, Wolfgang A1 - Kretschel, Kerstin A1 - Niendorf, Thoralf A1 - Schulz-Menger, Jeanette T1 - Cardiac chamber quantification using magnetic resonance imaging at 7 Tesla—a pilot study N2 - Objectives Interest in cardiovascular magnetic resonance (CMR) at 7 T is motivated by the expected increase in spatial and temporal resolution, but the method is technically challenging. We examined the feasibility of cardiac chamber quantification at 7 T. Methods A stack of short axes covering the left ventricle was obtained in nine healthy male volunteers. At 1.5 T, steady-state free precession (SSFP) and fast gradient echo (FGRE) cine imaging with 7 mm slice thickness (STH) were used. At 7 T, FGRE with 7 mm and 4 mm STH were applied. End-diastolic volume, end-systolic volume, ejection fraction and mass were calculated. Results All 7 T examinations provided excellent blood/myocardium contrast for all slice directions. No significant difference was found regarding ejection fraction and cardiac volumes between SSFP at 1.5 T and FGRE at 7 T, while volumes obtained from FGRE at 1.5 T were underestimated. Cardiac mass derived from FGRE at 1.5 and 7 T was larger than obtained from SSFP at 1.5 T. Agreement of volumes and mass between SSFP at 1.5 T and FGRE improved for FGRE at 7 T when combined with an STH reduction to 4 mm. Conclusions This pilot study demonstrates that cardiac chamber quantification at 7 T using FGRE is feasible and agrees closely with SSFP at 1.5 T. Y1 - 2010 U6 - https://doi.org/10.1007/s00330-010-1888-2 SN - 0938-7994 VL - 20 SP - 2844 EP - 2852 PB - Springer CY - Berlin, Heidelberg ER -