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Abstract #1316

Optimized Respiratory Reference Position for 3D Self-Navigated Whole Heart Coronary MRA

Davide Piccini1, 2, Gabriele Bonanno2, Giulia Ginami2, 3, Arne Littmann4, Michael O. Zenge4, Matthias Stuber2

1Advanced Clinical Imaging Technology, Siemens Healthcare IM S AW, Lausanne, Switzerland; 2Department of Radiology, University Hospital (CHUV) and University of Lausanne (UNIL) / Center for Biomedical Imaging (CIBM), Lausanne, Switzerland; 3Department of Information Engineering, University of Padova, Padova, Italy; 4MR Application and Workflow Development, Healthcare Sector, Siemens AG, Erlangen, Bayern, Germany

In standard respiratory self-navigated (SN) whole heart coronary MRA, the reference position for motion correction is usually selected at the very beginning of the image data acquisition. In this work, the relationship between the choice of the reference and objective image quality was investigated. End-expiration, end-inspiration and mean respiratory position were considered as possible candidate reference respiratory positions for SN whole-heart coronary MRI and tested in 11 volunteers. Vessel sharpness of the mid segment of the left anterior descending coronary artery was computed for every dataset. End-expiration was found to significantly improve vessel sharpness, when compared to the end-inspiration.

Keywords

acquisition adapted addition advanced advantageous although among amounted anterior applied approaches approval assessment automatic avoided beginning biomedical blood board breathing choice choices chosen clear clinical computed context coronary corrected correction dataset datasets define described detection development deviation diastole direct directly ease easy engineering example excitation expiration explain extreme feedback final findings foundations free frequently furthermore general good healthy heart histogram identified improve improved improvement improves incorporating individual influence informed inspiration institutional interleave knowledge linear major measured motion navigated navigation navigator needed noticed objective occurs optimized original overall paired pauses percentage performances pixel pool position positions precession prepared prior protocol providing quality quantitative radial radiology random readout readouts reconstructed reconstruction reconstructions related relationship reported represent respect respectively respiration respiratory review section sector segment segmentation selected selection self sharpness short significantly similarity since slice sorted space spiral statistical statistically steady subsequently suitable superior temporal trajectory vector vessel visual volunteer volunteers whole worst zoomed