Document Detail


Estimation of perfusion and arterial transit time in myocardium using free-breathing myocardial arterial spin labeling with navigator-echo.
MedLine Citation:
PMID:  20865753     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Arterial spin labeling (ASL) provides noninvasive measurement of tissue blood flow, but sensitivity to motion has limited its application to imaging of myocardial blood flow. Although different cardiac phases can be synchronized using electrocardiography triggering, breath holding is generally required to minimize effects of respiratory motion during ASL scanning, which may be challenging in clinical populations. Here a free-breathing myocardial ASL technique with the potential for reliable clinical application is presented, by combining ASL with a navigator-gated, electrocardiography-triggered TrueFISP readout sequence. Dynamic myocardial perfusion signals were measured at multiple delay times that allowed simultaneous fitting of myocardial blood flow and arterial transit time. With the assist of a nonrigid motion correction program, the estimated mean myocardial blood flow was 1.00 ± 0.55 mL/g/min with a mean transit time of ∼ 400 msec. The intraclass correlation coefficient of repeated scans was 0.89 with a mean within subject coefficient of variation of 22%. Perfusion response during mild to moderate stress was further measured. The capability for noninvasive, free-breathing assessment of myocardial blood flow using ASL may offer an alternative approach to first-pass perfusion MRI for clinical evaluation of patients with coronary artery disease.
Authors:
Danny J J Wang; Xiaoming Bi; Brian B Avants; Tongbai Meng; Sven Zuehlsdorff; John A Detre
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Magnetic resonance in medicine : official journal of the Society of Magnetic Resonance in Medicine / Society of Magnetic Resonance in Medicine     Volume:  64     ISSN:  1522-2594     ISO Abbreviation:  Magn Reson Med     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-10-28     Completed Date:  2011-03-08     Revised Date:  2011-12-16    
Medline Journal Info:
Nlm Unique ID:  8505245     Medline TA:  Magn Reson Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1289-95     Citation Subset:  IM    
Copyright Information:
© 2010 Wiley-Liss, Inc.
Affiliation:
Department of Neurology, Ahmanson-Lovelace Brain Mapping Center, University of California at Los Angeles, Los Angeles, California 90095-7085, USA. jwang71@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Algorithms*
Cardiac-Gated Imaging Techniques / methods*
Computer Simulation
Coronary Circulation / physiology*
Female
Humans
Image Enhancement / methods*
Image Interpretation, Computer-Assisted / methods*
Male
Middle Aged
Models, Cardiovascular*
Myocardial Perfusion Imaging / methods*
Reproducibility of Results
Respiratory Mechanics
Sensitivity and Specificity
Spin Labels
Young Adult
Grant Support
ID/Acronym/Agency:
MH080892/MH/NIMH NIH HHS; P41 RR002305-20S10061/RR/NCRR NIH HHS; P41 RR002305-236856/RR/NCRR NIH HHS; P41 RR002305-246007/RR/NCRR NIH HHS; P41 RR002305-255538/RR/NCRR NIH HHS; R01 MH080892-01A2/MH/NIMH NIH HHS; R01 MH080892-01A2S1/MH/NIMH NIH HHS; R01 MH080892-03/MH/NIMH NIH HHS; R01 MH080892-04/MH/NIMH NIH HHS; RR002305/RR/NCRR NIH HHS
Chemical
Reg. No./Substance:
0/Spin Labels

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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