Abstract:Objectives To investigate the clinical feasibility and repeatability of a MLLSR [Modified Look-Locker FIESTA (Fast Imaging Employing Steady State Acquisition) Imaging with Saturation Recovery]-based quantitative T1 mapping technique in 3.0T CMR (Cardiac Magnetic Resonance) to evaluate the left ventricular myocardial T1native values in different segments. Methods Altogether 30 healthy volunteers were selected and scanned by CMR on the sequence of Cine imaging, T2WI and T1 mapping so as to perform quantitative measurement of ROI (Region of Interest) T1native values. Then, the independent-samples T test and ANOVA (Analysis of Variance) were deployed to analyze the difference of the T1native values in 17 segments of myocardium, different coronary arterial blood supply areas, age and gender. Results There were differences of the T1native values between some segmental myocardia(P<0.01). The mean myocardial T1native and T1native of blood pool were: (717.6±100.6) ms and (1208.9±224.2) ms at the base; (773.9±101.2) ms and (1281.2±251.7) ms in the middle; (955.4±191.1) ms and (1829.6±584.8) ms at the apex, respectively. Apical T1native values of myocardium and blood pool were higher than the basal and the middle (P<0.01). Also, statistically significant differences (F=47.862, P<0.01) existed in T1native values of different coronary arterial blood supply areas. Conclusion The CMR MLLSR T1 mapping technique had demonstrated its excellent feasibility and repeatability, which revealed segmented variations in evaluation of left ventricular myocardial T1native values.
刘明熙,张挽时,张子衡,周振宇,解立志,孟利民,徐先荣,田建伟,龚万沣,祝红线,刘洁. T1 mapping定量技术评价左室不同区域心肌初始T1值的初步研究[J]. 中国医疗设备, 2015, 30(6): 33-38.
LIU Ming-xi, ZHANG Wan-shi, ZHANG ZI-heng, ZHOU Zhen-yu, XIE Li-zhi, MENG Li-min, XU Xian-rong, TIAN Jian-wei, GONG Wan-feng,ZHU Hong-xian, LIU Jie. A Preliminary Study of the Quantitative T1 Mapping Technique in Evaluation of the Native Left Ventricular Myocardial T1 Value in Different Segments. China Medical Devices, 2015, 30(6): 33-38.
von Knobelsdorff-Brenkenhoff F,Prothmann M,Dieringer MA,et al.Myocardial T1 and T2 mapping at 3 T:reference values,influencing factors and implications[J].J Cardiovasc Magn Reson,2013,15(1):53.
[3]
Messroghli DR,Niendorf T,Schulz-Menger J,et al.T1 mapping in patients with acute myocardial infarction[J].J Cardiovasc Magn Reson,2003,5(2):353-359.
[9]
Sibley CT,Noureldin RA,Gai N,et al.T1 Mapping in cardiomyopathy at cardiac MR:comparison with endomyocardial biopsy[J].Radiology,2012,265(3):724-732.
[11]
Song T,Stainsby JA,Ho VB,et al.Flexible cardiac T1 mapping using a modified Look-Locker acquisition with saturation recovery[J].Magn Reson Med,2012,67(3):622-627.
[12]
Piechnik SK,Ferreira VM,Dall'Armellina E,et al.Shortened Modified Look-Locker Inversion recovery (ShMOLLI) for clinical myocardial T1-mapping at 1.5 and 3 T within a 9 heartbeat breathhold[J].J Cardiovasc Magn Reson,2010,12:69.
[4]
Messroghli DR,Walters K,Plein S,et al.Myocardial T1 mapping:application to patients with acute and chronic myocardial infarction[J].Mag Reson Med,2007,58(1):34-40.
[13]
Kawel N,Nacif M,Zavodni A,et al.T1 mapping of the myocardium:intra-individual assessment of post-contrast T1 time evolution and extracellular volume fraction at 3 T for Gd-DTPA and Gd-BOPTA[J].J Cardiovasc Magn Reson,2012,14:26.
[17]
Puntmann VO,Voigt T,Chen Z,et al.Native T1 mapping in differentiation of normal myocardium from diffuse disease in hypertrophic and dilated cardiomyopathy[J].JACC Cardiovasc Imaging,2013,6(4):475-484.
[1]
Dabir D,Child N,Kalra A,et al.Reference values for healthy human myocardium using a T1 mapping methodology:results from the International T1 Multicenter cardiovascular magnetic resonance study[J].J Cardiovasc Magn Reson,2014,16:69.
[6]
Dall'Armellina E,Piechnik SK,Ferreira VM,et al.Cardiovascular magnetic resonance by non contrast T1-mapping allows assessment of severity of injury in acute myocardial infarction[J].J Cardiovasc Magn Reson,2012,14:15.
[7]
Shah MA,Andrew L,Dennis TW,et al.Tissue injury characterization by pre-contrast T1 mapping post myocardial infarction[J].J Cardiovasc Magn Reson,2013,15(Suppl 1):E33.
Lee JJ,Liu S,Nacif MS,et al.Myocardial T1 and extracellular volume fraction mapping at 3 tesla[J].J Cardiovasc Magn Reson,2011,13:75.
[5]
Dall'Armellina E,Piechnik SK,Ferreira VM,et al.Characterization of acute myocardial infarction by pre-contrast T1 mapping[J].J Cardiovasc Magn Reson,2012,14(Suppl 1):P28.
[15]
Messroghli DR,Greiser A,Fr?hlich M,et al.Optimization and validation of a fully-integrated pulse sequence for modified look-locker inversion-recovery(MOLLI)T1 mapping of the heart[J].J Magn Reson Imaging,2007,26(4):1081-1086.
[18]
Liu CY,Liu YC,Wu C,et al.Evaluation of age-related interstitial myocardial fibrosis with cardiac magnetic resonance contrast-enhanced T1 mapping:MESA (Multi-Ethnic Study of Atherosclerosis)[J].J Am Coll Cardiol,2013,62(14):1280-1287.
[8]
Ugander M,Bagi PS,Oki AJ,et al.Myocardial edema as detected by pre-contrast T1 and T2 CMR delineates area at risk associated with acutemyocardial infarction[J].JACC Cardiovasc Imaging,2012,5(6):596-603.