T1 measurements in the human myocardium: The effects of magnetization transfer on the SASHA and MOLLI sequences

Purpose Quantitative mapping of the native T1 of the heart using the modified look-locker inversion recovery (MOLLI) technique provides high quality diagnostic information without requiring contrast agents. Previous work has considered the effects of T2 relaxation on MOLLI T1 measurements, finding t...

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Main Authors: Robson, MD, Piechnik, S, Tunnicliffe, E, Neubauer, S
Format: Journal article
Language:English
Published: 2013
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author Robson, MD
Piechnik, S
Tunnicliffe, E
Neubauer, S
author_facet Robson, MD
Piechnik, S
Tunnicliffe, E
Neubauer, S
author_sort Robson, MD
collection OXFORD
description Purpose Quantitative mapping of the native T1 of the heart using the modified look-locker inversion recovery (MOLLI) technique provides high quality diagnostic information without requiring contrast agents. Previous work has considered the effects of T2 relaxation on MOLLI T1 measurements, finding that the T1 measured by MOLLI is biased, and that Saturation-recovery single-Shot Acquisition generates a more precise T 1. However, despite detailed experiments and simulation the exact relaxation times observed in vivo remain unexplained, but might be due to magnetization transfer (MT). Methods We used an MT simulation based on the Bloch-McConnell equations to evaluate the most common MOLLI and saturation-recovery single-shot acquisition sequence variants. Results For myocardial tissue we find that the T1 measured by saturation-recovery single-shot acquisition is insensitive to MT and T2, whereas MT reduces the T1 measured by MOLLI (>10%) in addition to the effects due to T2 relaxation. Conclusions The consequences of this T 1 underestimation by MOLLI are relevant. Increases in the actual T1 and T2 and decreases in MT will all result in an increase in T1 measured by MOLLI. Myocardial infarction demonstrates increased native T1 and T2 and decreased MT, indicating that these biases enhance the sensitivity of MOLLI to detect this and possibly other cardiovascular disease states. Copyright © 2013 Wiley Periodicals, Inc.
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spelling oxford-uuid:eafa457d-db49-4fee-973c-5c78ae7853ea2022-03-27T11:06:10ZT1 measurements in the human myocardium: The effects of magnetization transfer on the SASHA and MOLLI sequencesJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:eafa457d-db49-4fee-973c-5c78ae7853eaEnglishSymplectic Elements at Oxford2013Robson, MDPiechnik, STunnicliffe, ENeubauer, SPurpose Quantitative mapping of the native T1 of the heart using the modified look-locker inversion recovery (MOLLI) technique provides high quality diagnostic information without requiring contrast agents. Previous work has considered the effects of T2 relaxation on MOLLI T1 measurements, finding that the T1 measured by MOLLI is biased, and that Saturation-recovery single-Shot Acquisition generates a more precise T 1. However, despite detailed experiments and simulation the exact relaxation times observed in vivo remain unexplained, but might be due to magnetization transfer (MT). Methods We used an MT simulation based on the Bloch-McConnell equations to evaluate the most common MOLLI and saturation-recovery single-shot acquisition sequence variants. Results For myocardial tissue we find that the T1 measured by saturation-recovery single-shot acquisition is insensitive to MT and T2, whereas MT reduces the T1 measured by MOLLI (>10%) in addition to the effects due to T2 relaxation. Conclusions The consequences of this T 1 underestimation by MOLLI are relevant. Increases in the actual T1 and T2 and decreases in MT will all result in an increase in T1 measured by MOLLI. Myocardial infarction demonstrates increased native T1 and T2 and decreased MT, indicating that these biases enhance the sensitivity of MOLLI to detect this and possibly other cardiovascular disease states. Copyright © 2013 Wiley Periodicals, Inc.
spellingShingle Robson, MD
Piechnik, S
Tunnicliffe, E
Neubauer, S
T1 measurements in the human myocardium: The effects of magnetization transfer on the SASHA and MOLLI sequences
title T1 measurements in the human myocardium: The effects of magnetization transfer on the SASHA and MOLLI sequences
title_full T1 measurements in the human myocardium: The effects of magnetization transfer on the SASHA and MOLLI sequences
title_fullStr T1 measurements in the human myocardium: The effects of magnetization transfer on the SASHA and MOLLI sequences
title_full_unstemmed T1 measurements in the human myocardium: The effects of magnetization transfer on the SASHA and MOLLI sequences
title_short T1 measurements in the human myocardium: The effects of magnetization transfer on the SASHA and MOLLI sequences
title_sort t1 measurements in the human myocardium the effects of magnetization transfer on the sasha and molli sequences
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AT tunnicliffee t1measurementsinthehumanmyocardiumtheeffectsofmagnetizationtransferonthesashaandmollisequences
AT neubauers t1measurementsinthehumanmyocardiumtheeffectsofmagnetizationtransferonthesashaandmollisequences