First-pass myocardial perfusion imaging with whole-heart coverage using L1-SPIRiT accelerated variable density spiral trajectories

Magn Reson Med. 2016 Nov;76(5):1375-1387. doi: 10.1002/mrm.26014. Epub 2015 Nov 5.

Abstract

Purpose: To design and evaluate two-dimensional (2D) L1-SPIRiT accelerated spiral pulse sequences for first-pass myocardial perfusion imaging with whole heart coverage capable of measuring eight slices at 2 mm in-plane resolution at heart rates up to 125 beats per minute (BPM).

Methods: Combinations of five different spiral trajectories and four k-t sampling patterns were retrospectively simulated in 25 fully sampled datasets and reconstructed with L1-SPIRiT to determine the best combination of parameters. Two candidate sequences were prospectively evaluated in 34 human subjects to assess in vivo performance.

Results: A dual density broad transition spiral trajectory with either angularly uniform or golden angle in time k-t sampling pattern had the largest structural similarity and smallest root mean square error from the retrospective simulation, and the L1-SPIRiT reconstruction had well-preserved temporal dynamics. In vivo data demonstrated that both of the sampling patterns could produce high quality perfusion images with whole-heart coverage.

Conclusion: First-pass myocardial perfusion imaging using accelerated spirals with optimized trajectory and k-t sampling pattern can produce high quality 2D perfusion images with whole-heart coverage at the heart rates up to 125 BPM. Magn Reson Med 76:1375-1387, 2016. © 2015 International Society for Magnetic Resonance in Medicine.

Keywords: L1-SPIRiT; cardiac MRI; compressed sensing; k-t sampling pattern; myocardial perfusion; spiral pulse sequences.

Publication types

  • Evaluation Study

MeSH terms

  • Algorithms
  • Coronary Circulation
  • Coronary Vessels / diagnostic imaging*
  • Coronary Vessels / physiopathology*
  • Humans
  • Image Enhancement / methods
  • Image Interpretation, Computer-Assisted / methods*
  • Information Storage and Retrieval / methods*
  • Magnetic Resonance Angiography / methods*
  • Myocardial Perfusion Imaging / methods*
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Signal Processing, Computer-Assisted*