Fast, precise, and accurate myocardial T1 mapping using a radial MOLLI sequence with FLASH readout

Magn Reson Med. 2018 Mar;79(3):1387-1398. doi: 10.1002/mrm.26795. Epub 2017 Jul 3.

Abstract

Purpose: Quantitative cardiac MRI, and more particularly T1 mapping, has become a most important modality to characterize myocardial tissue. In this work, the value of a radial variant of the conventional modified Look-Locker inversion recovery sequence (raMOLLI) is demonstrated.

Methods: The raMOLLI acquisition scheme consisted of five radial echo trains of 80 spokes acquired using either a fast low-angle shot (FLASH) or a true fast imaging with steady-state-precession (TrueFISP) readout at different time points after a single magnetization inversion. View sharing combined with a compressed sensing algorithm allowed the reconstruction of 50 images along the T1 relaxation recovery curve, to which a dictionary-fitting approach was applied to estimate T1 . The sequence was validated on a nine-vial phantom, on 19 healthy subjects, and one patient suffering from dilated cardiomyopathy.

Results: The raMOLLI sequence allowed a significant decrease of myocardial T1 map acquisition time down to five heartbeats, while exhibiting a higher degree of accuracy and a comparable precision on T1 value estimation than the conventional modified Look-Locker inversion recovery sequence. The FLASH readout demonstrated a better robustness to B0 inhomogeneities than TrueFISP, and was therefore preferred for in vivo acquisitions.

Conclusions: This sequence represents a good candidate for ultrafast acquisition of myocardial T1 maps. Magn Reson Med 79:1387-1398, 2018. © 2017 International Society for Magnetic Resonance in Medicine.

Keywords: MOLLI; myocardial T1 mapping; radial; tissue characterization.

MeSH terms

  • Adult
  • Cardiac Imaging Techniques / methods*
  • Cardiomyopathy, Dilated / diagnostic imaging
  • Computer Simulation
  • Female
  • Heart / diagnostic imaging*
  • Heart Rate / physiology
  • Humans
  • Image Processing, Computer-Assisted / methods*
  • Magnetic Resonance Imaging / methods*
  • Male
  • Phantoms, Imaging
  • Young Adult