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Abstract #3848

Respiration-Resolved Ventricular Function Evaluation Using a 5D Cardiac MRI Technique

Holden H. Wu1, 2, Dwight G. Nishimura2, Michael V. McConnell1, 2, Bob S. Hu2, 3

1Cardiovascular Medicine, Stanford University, Stanford, CA, United States; 2Electrical Engineering, Stanford University, Stanford, CA, United States; 3Palo Alto Medical Foundation, Palo Alto, CA, United States

Conventional MRI methods for evaluating cardiac function seek to suspend or counteract respiratory motion to avoid artifacts. However, in many disease states, including pericardial constriction and heart failure with preserved ejection fraction (HFpEF), it is precisely the changes in cardiac function associated with changes in respiration-induced intra-thoracic pressure that can reflect the pathophysiology. In this work, we employ a respiration-resolved 5D cardiac MRI technique in combination with controllable modulation of the intra-thoracic pressure to provide a more comprehensive assessment of ventricular function.

Keywords

ability acceleration accommodate altered altering alto array artifacts assessing assessment axis became bellows biased breathe breathing cardiac cardiovascular channel characterization cine combination combined comprehensive cone cones connected considerable consistent constrained constriction continuous controllable controlled counteract covered cycle cycles dataset datasets depended determined determining developed device diagnosis diaphragm diastole difficult disease displays duration dynamic electrical elucidate encoded engineering evaluation excite experimental expiration facilitate failure fixed fold foundation fraction free function healthy heart important improve improving individual induced instructed intra invasive local maneuver manner many mask matching matrix medical modulate modulation monitoring motion normally noted novel oversampling pattern patterns peripheral physiologic position positive potential preserved pressure pulse quantify quantitative rapid readout readouts recently reconstructed reconstruction recorded reduced reduction reflect reformatted relationship reproduce reproducible resolution resolved respect respiration respiratory retrospective retrospectively robust short sleep slice spatial strategy subject subjects subsequent suspend system temporal thoracic throughout trajectory ultrasound utilize variations ventricle ventricular volume volumetric volunteer