Aim of this work was to evaluate the effect of flow on blood T1 measurement considering inflow of non-inverted spins. Experiments using a flow phantom demonstrate shorter T1 for increasing flow velocity, with high reproducibility. In-vivo measurements show major variations throughout the cardiac cycle, validating the flow sensitivity observed in phantom measurements.
A perfusion phantom with adjustable flow velocities was used for the flow dependent T1 measurement of gadolinium doped water (Fig. 1a). T1 and T1* measurements were performed using 5(3s)3 MOLLI[5] for bSSFP and GRE readouts (MOLLI / MOLLIGRE) with and without Look-Locker correction (MOLLI nLL / MOLLIGRE nLL) and SASHA with 2 and 3 parameter fit (SASHA 2P / SASHA). The common sequence parameters were FOV = 240 x 240 mm2, matrix size = 192 x 192, slice thickness = 8 mm, GRAPPA factor = 2, partial fourier = 6/8. For bSSFP readout TR/TE/α = 3.6 ms/1.8 ms/60° and for GRE readout TR/TE/α = 2.9 ms/1.7 ms/8° respectively. Inversion recovery turbo spin-echo measurements were performed as reference T1 and T2 quantification in the absence of flow. All sequences were acquired in anterior and posterior slice in the dialysis filter, yielding different amount of non-inverted spin in-flow despite identical through-plane flow velocities. Additionally, in-vivo T1 and T1* measurements for bSSFP (α = 45°) and GRE (α = 8°) readout were performed in six healthy subjects (26 ± 5 years, 66.6% male) in the descending aorta. Velocity encoded CINE measurements were performed to quantify the flow velocity in the dialysis filter and throughout the cardiac cycle. During systole more T1 maps were acquired due to quicker change in flow velocity compared with the diastole.
T1 times are decreased by increasing flow velocity due to inflow of non-inverted spins in positive flow direction in anterior slice and in negative flow direction in posterior slice. Flow sensitivity irrespective of the flow direction was only observed for slow velocities and when using a two-parameter model, or MOLLI without Look-Locker correction. This and the reduced flow sensitivity for reversed flow direction indicates that the effect of partially saturated spins by imaging pulses is largely compensated for using the Look-Locker correction.
In-vivo measurements confirmed the effect of decreasing T1 due to non-inverted inflowing spin at peak velocities. In 2 subjects in-plane saturation effect is measured in the absence of flow for T1 maps. T1* lacked in precision and high standard deviations due to fast and non homogeneous flow in the aorta compared to the dialysis filter.
Blood T1 times measured with myocardial T1 mapping sequences display major variation due to inflow of non-inverted spins. Flow-effects caused by partial saturation of spins in the imaging slice, seem to be compensated for using a Look-Locker correction or a 3 Parameter model for MOLLI and SASHA, respectively. These results demonstrate that the use of blood T1 times measured with conventional myocardial T1 mapping methods, might be confounded by factors varying the blood circulation, including the subjects stroke volume, total blood volume and size.
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