Free-Breathing and Single-Breath Hold Compressed Sensing Real-Time MRI of Right Ventricular Function in Children with Congenital Heart Disease

(1) Purpose: to compare right ventricular (RV) functional parameters in children with surgically repaired congenital heart disease (CHD) using single/double breath hold (BH) and free-breathing (FB) real-time compressed sensing (CS) cine cardiac magnetic resonance (cMRI) with standard retrospective s...

Full description

Bibliographic Details
Main Authors: Christoph Treutlein, Martin Georg Zeilinger, Sven Dittrich, Jan-Peter Roth, Matthias Wetzl, Rafael Heiss, Wolfgang Wuest, Matthias Stefan May, Michael Uder, Oliver Rompel
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/13/14/2403
_version_ 1797589641804644352
author Christoph Treutlein
Martin Georg Zeilinger
Sven Dittrich
Jan-Peter Roth
Matthias Wetzl
Rafael Heiss
Wolfgang Wuest
Matthias Stefan May
Michael Uder
Oliver Rompel
author_facet Christoph Treutlein
Martin Georg Zeilinger
Sven Dittrich
Jan-Peter Roth
Matthias Wetzl
Rafael Heiss
Wolfgang Wuest
Matthias Stefan May
Michael Uder
Oliver Rompel
author_sort Christoph Treutlein
collection DOAJ
description (1) Purpose: to compare right ventricular (RV) functional parameters in children with surgically repaired congenital heart disease (CHD) using single/double breath hold (BH) and free-breathing (FB) real-time compressed sensing (CS) cine cardiac magnetic resonance (cMRI) with standard retrospective segmented multi breath hold (RMB) cine cMRI. (2) Methods: Twenty patients with CHD underwent BH and FB, as well as RMB cine cMRI, at 3T to obtain a stack of continuous axial images of the RV. Two radiologists independently performed qualitative analysis of the image quality (rated on a 5-point scale; 1 = non-diagnostic to 5 = excellent) and quantitative analysis of the RV volume measurements. (3) Results: The best image quality was provided by RMB (4.5; range 2–5) compared to BH (3.9; range 3–5; <i>p</i> = 0.04) and FB (3.6; range 3–5; <i>p</i> < 0.01). The RV functional parameters were comparable among BH, FB, and RMB with a difference of less than 5%. The scan times for BH (44 ± 38 s, <i>p</i> < 0.01) and FB (24 ± 7 s, <i>p</i> < 0.01) were significantly reduced compared to for RMB (261 ± 68 s). (4) Conclusions: CS-FB and CS-BH real-time cine cMRI in children with CHD provides diagnostic image quality with excellent accuracy for measuring RV function with a significantly reduced scan time compared to RMB.
first_indexed 2024-03-11T01:09:28Z
format Article
id doaj.art-254c8c8c5bb245a9b08b303b9ea656d1
institution Directory Open Access Journal
issn 2075-4418
language English
last_indexed 2024-03-11T01:09:28Z
publishDate 2023-07-01
publisher MDPI AG
record_format Article
series Diagnostics
spelling doaj.art-254c8c8c5bb245a9b08b303b9ea656d12023-11-18T18:58:19ZengMDPI AGDiagnostics2075-44182023-07-011314240310.3390/diagnostics13142403Free-Breathing and Single-Breath Hold Compressed Sensing Real-Time MRI of Right Ventricular Function in Children with Congenital Heart DiseaseChristoph Treutlein0Martin Georg Zeilinger1Sven Dittrich2Jan-Peter Roth3Matthias Wetzl4Rafael Heiss5Wolfgang Wuest6Matthias Stefan May7Michael Uder8Oliver Rompel9Institute of Radiology, University Hospital of Erlangen, Friedrich Alexander University Erlangen-Nürnberg, 91054 Erlangen, GermanyInstitute of Radiology, University Hospital of Erlangen, Friedrich Alexander University Erlangen-Nürnberg, 91054 Erlangen, GermanyDepartment of Pediatric Cardiology, University Hospital of Erlangen, Friedrich Alexander University Erlangen-Nürnberg, 91054 Erlangen, GermanyInstitute of Radiology, University Hospital of Erlangen, Friedrich Alexander University Erlangen-Nürnberg, 91054 Erlangen, GermanyInstitute of Radiology, University Hospital of Erlangen, Friedrich Alexander University Erlangen-Nürnberg, 91054 Erlangen, GermanyInstitute of Radiology, University Hospital of Erlangen, Friedrich Alexander University Erlangen-Nürnberg, 91054 Erlangen, GermanyMartha-Maria Hospital, 90491 Nuremberg, GermanyInstitute of Radiology, University Hospital of Erlangen, Friedrich Alexander University Erlangen-Nürnberg, 91054 Erlangen, GermanyInstitute of Radiology, University Hospital of Erlangen, Friedrich Alexander University Erlangen-Nürnberg, 91054 Erlangen, GermanyInstitute of Radiology, University Hospital of Erlangen, Friedrich Alexander University Erlangen-Nürnberg, 91054 Erlangen, Germany(1) Purpose: to compare right ventricular (RV) functional parameters in children with surgically repaired congenital heart disease (CHD) using single/double breath hold (BH) and free-breathing (FB) real-time compressed sensing (CS) cine cardiac magnetic resonance (cMRI) with standard retrospective segmented multi breath hold (RMB) cine cMRI. (2) Methods: Twenty patients with CHD underwent BH and FB, as well as RMB cine cMRI, at 3T to obtain a stack of continuous axial images of the RV. Two radiologists independently performed qualitative analysis of the image quality (rated on a 5-point scale; 1 = non-diagnostic to 5 = excellent) and quantitative analysis of the RV volume measurements. (3) Results: The best image quality was provided by RMB (4.5; range 2–5) compared to BH (3.9; range 3–5; <i>p</i> = 0.04) and FB (3.6; range 3–5; <i>p</i> < 0.01). The RV functional parameters were comparable among BH, FB, and RMB with a difference of less than 5%. The scan times for BH (44 ± 38 s, <i>p</i> < 0.01) and FB (24 ± 7 s, <i>p</i> < 0.01) were significantly reduced compared to for RMB (261 ± 68 s). (4) Conclusions: CS-FB and CS-BH real-time cine cMRI in children with CHD provides diagnostic image quality with excellent accuracy for measuring RV function with a significantly reduced scan time compared to RMB.https://www.mdpi.com/2075-4418/13/14/2403cardiac magnetic resonance imagingchildrencompressed sensing
spellingShingle Christoph Treutlein
Martin Georg Zeilinger
Sven Dittrich
Jan-Peter Roth
Matthias Wetzl
Rafael Heiss
Wolfgang Wuest
Matthias Stefan May
Michael Uder
Oliver Rompel
Free-Breathing and Single-Breath Hold Compressed Sensing Real-Time MRI of Right Ventricular Function in Children with Congenital Heart Disease
Diagnostics
cardiac magnetic resonance imaging
children
compressed sensing
title Free-Breathing and Single-Breath Hold Compressed Sensing Real-Time MRI of Right Ventricular Function in Children with Congenital Heart Disease
title_full Free-Breathing and Single-Breath Hold Compressed Sensing Real-Time MRI of Right Ventricular Function in Children with Congenital Heart Disease
title_fullStr Free-Breathing and Single-Breath Hold Compressed Sensing Real-Time MRI of Right Ventricular Function in Children with Congenital Heart Disease
title_full_unstemmed Free-Breathing and Single-Breath Hold Compressed Sensing Real-Time MRI of Right Ventricular Function in Children with Congenital Heart Disease
title_short Free-Breathing and Single-Breath Hold Compressed Sensing Real-Time MRI of Right Ventricular Function in Children with Congenital Heart Disease
title_sort free breathing and single breath hold compressed sensing real time mri of right ventricular function in children with congenital heart disease
topic cardiac magnetic resonance imaging
children
compressed sensing
url https://www.mdpi.com/2075-4418/13/14/2403
work_keys_str_mv AT christophtreutlein freebreathingandsinglebreathholdcompressedsensingrealtimemriofrightventricularfunctioninchildrenwithcongenitalheartdisease
AT martingeorgzeilinger freebreathingandsinglebreathholdcompressedsensingrealtimemriofrightventricularfunctioninchildrenwithcongenitalheartdisease
AT svendittrich freebreathingandsinglebreathholdcompressedsensingrealtimemriofrightventricularfunctioninchildrenwithcongenitalheartdisease
AT janpeterroth freebreathingandsinglebreathholdcompressedsensingrealtimemriofrightventricularfunctioninchildrenwithcongenitalheartdisease
AT matthiaswetzl freebreathingandsinglebreathholdcompressedsensingrealtimemriofrightventricularfunctioninchildrenwithcongenitalheartdisease
AT rafaelheiss freebreathingandsinglebreathholdcompressedsensingrealtimemriofrightventricularfunctioninchildrenwithcongenitalheartdisease
AT wolfgangwuest freebreathingandsinglebreathholdcompressedsensingrealtimemriofrightventricularfunctioninchildrenwithcongenitalheartdisease
AT matthiasstefanmay freebreathingandsinglebreathholdcompressedsensingrealtimemriofrightventricularfunctioninchildrenwithcongenitalheartdisease
AT michaeluder freebreathingandsinglebreathholdcompressedsensingrealtimemriofrightventricularfunctioninchildrenwithcongenitalheartdisease
AT oliverrompel freebreathingandsinglebreathholdcompressedsensingrealtimemriofrightventricularfunctioninchildrenwithcongenitalheartdisease