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  4. Free-running 5D whole-heart MRI for isotropic cardiac function measurements at 3T without contrast agents
 
research article

Free-running 5D whole-heart MRI for isotropic cardiac function measurements at 3T without contrast agents

Ogier, Augustin C.
•
Montón Quesada, Isabel
•
Sieber, Xavier
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June 1, 2025
Magnetic Resonance in Medicine

Purpose: To optimize and characterize an interrupted 5D free-running framework at 3 T for detailed cardiac function assessment without the use of breath holding or contrast agents. Methods: A free-running 3D radial gradient echo sequence was periodically interrupted with a (Formula presented.) preparation and a recovery module to optimize native blood-to-myocardium contrast at 3 T. Lipid signal was suppressed using a numerically optimized water-excitation RF pulse to reduce lipid streaking artifacts and to improve overall image quality. Optimal acquisition parameters were established for a 5-min scan time using extended phase graph simulations. A compressed sensing-based reconstruction incorporating cardiac and respiratory inter-bin deformation fields was employed to generate 5D images of the whole heart. The sharpness and contrast between the left ventricular blood pool and myocardium, along with the functional measurements of the left ventricle from the 5D datasets, were compared to routine 2D cine imaging in 16 healthy volunteers and three patients referred for clinically indicated CMR. Results: The proposed method resulted in lower contrast (Formula presented.) vs. (Formula presented.) and sharpness (Formula presented.) vs. (Formula presented.), but enabled similar left-ventricle ejection fraction assessment (Formula presented.), limits of (Formula presented.), intraclass correlation (Formula presented.) with high reproducibility compared to 2D cine. Conclusion: The proposed contrast-free, interrupted free-running 5D imaging provides left ventricular functional assessments comparable to 2D cine at 3 T, while offering an improved patient experience through shorter scan times and free breathing.

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Type
research article
DOI
10.1002/mrm.30469
Scopus ID

2-s2.0-86000271423

PubMed ID

40035180

Author(s)
Ogier, Augustin C.

Centre Hospitalier Universitaire Vaudois

Montón Quesada, Isabel

Centre Hospitalier Universitaire Vaudois

Sieber, Xavier

Centre Hospitalier Universitaire Vaudois

Calarnou, Pauline

Centre Hospitalier Universitaire Vaudois

Ledoux, Jean Baptiste

École Polytechnique Fédérale de Lausanne

Milani, Bastien

Centre Hospitalier Universitaire Vaudois

Antiochos, Panagiotis

Centre Hospitalier Universitaire Vaudois

Schwitter, Juerg

Centre Hospitalier Universitaire Vaudois

Roy, Christopher W.

Centre Hospitalier Universitaire Vaudois

Yerly, Jérôme  

École Polytechnique Fédérale de Lausanne

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Date Issued

2025-06-01

Publisher

Wiley

Published in
Magnetic Resonance in Medicine
Volume

93

Issue

6

Start page

2386

End page

2400

Subjects

3T

•

5D whole-heart MRI

•

compressed sensing

•

contrast-agent-free

•

free-running

•

non-rigid motion correction

•

T2 preparation pulse

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
EPFL  
Available on Infoscience
May 26, 2025
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/250497
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