Breath-hold imaging of the coronary arteries using quiescent-interval slice-selective (qiss) magnetic resonance angiography - pilot study at 1.5 tesla and 3 tesla
Journal of Cardiovascular Magnetic Resonance volume 18, Article number: P69 (2016)
Coronary magnetic resonance angiography (MRA) is usually obtained with a free-breathing navigator-gated 3D acquisition. Our aim was to develop an alternative breath-hold approach that would allow the coronary arteries to be evaluated in a much shorter time and without risk of degradation by respiratory motion artifacts. For this purpose, we implemented a breath-hold, non-contrast-enhanced, quiescent-interval slice-selective (QISS) 2D technique. Sequence performance was compared at 1.5 and 3 Tesla using both radial and Cartesian k-space trajectories.
The left coronary circulation was imaged in six healthy subjects and one patient with coronary artery disease. Breath-hold QISS was compared with T2-prepared 2D balanced steady-state free-precession (bSSFP) and free-breathing, navigator-gated 3D bSSFP.
Approximately 10 2.1-mm thick slices were acquired in a single 20-sec breath-hold using two-shot QISS, and 20 slices using single-shot QISS. QISS contrast-to-noise ratio (CNR) was 1.5-fold higher at 3 Tesla than at 1.5 Tesla. Cartesian QISS provided the best coronary-to-myocardium CNR, whereas radial QISS provided the sharpest coronary images. QISS image quality exceeded that of free-breathing 3D coronary MRA with few artifacts at either field strength. Compared with T2-prepared 2D bSSFP, multi-slice capability was not restricted by the specific absorption rate at 3 Tesla and pericardial fluid signal was better suppressed. In addition to depicting the coronary arteries, QISS could image intra-cardiac structures, pericardium, and the aortic root in arbitrary slice orientations.
Breath-hold QISS is a simple, versatile, and time-efficient method for coronary MRA that provides excellent image quality at both 1.5 and 3 Tesla. Image quality exceeded that of free-breathing, navigator-gated 3D MRA in a much shorter scan time. QISS also allowed rapid multi-slice bright-blood, diastolic phase imaging of the heart, which may have complementary value to multi-phase cine imaging. We conclude that, with further clinical validation, QISS might provide an efficient alternative to commonly used free-breathing coronary MRA techniques.
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Edelman, R.R., Giri, S., Pursnani, A. et al. Breath-hold imaging of the coronary arteries using quiescent-interval slice-selective (qiss) magnetic resonance angiography - pilot study at 1.5 tesla and 3 tesla. J Cardiovasc Magn Reson 18 (Suppl 1), P69 (2016). https://doi.org/10.1186/1532-429X-18-S1-P69