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Abstract #1319

Real-Time Slice Tracking for Free-Breathing Cardiac MR Stress Perfusion After Physical Exercise

Tamer A. Basha1, Sbastien Roujol1, Kraig V. Kissinger1, Beth Goddu1, Sophie J. Berg1, Warren J. Manning1, 2, Reza Nezafat1

1Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, United States; 2Radiology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, United States

In patients with coronary artery disease, stress CMR perfusion allows assessment of the functional significance of stenosis. In this sequence, respiratory motion would adversely impact the image quality. In this study, we propose to use an optimal leading navigator, placed immediately before each 2D slice acquisition, for tracking of respiratory motion and updating the slice location in real-time for free-breathing CMR perfusion after physical stress.

Keywords

accelerated acquisition added adversely allows alternative amount applied approaches array artery artifacts asked assessment axis back beam beat benefit berg best beth block blood bore bottom breath breathing cardiac channel coil compensated consistency constant corner coronary dataset deaconess deep defect delay detected diagram diaphragm directly disease duration dynamics easily either encounter especially exams exercise feasibility frames free functional heart hold immediately impossible induced initial initiating instructed intensity interval known liver location magnet making materials measured medical medicine mitigate monitoring motion mounted navigator novel optimal patient patients pattern pencil perfusion person pharmacological physical physiologic placed positioned post prescription pressure propose proposed prospective protocol providing pulse quality radiology reach real recovery reduce representative required resistance resolution respiratory restore rhythm sample saturation scale scanner school selected selection selective sense shape short significance simulate slice slices slide spatial spatially starting step stress subject sufficient supine table tabletop take tamer target throughout tracking usually visualizing warren