Assessment of Myocardial B0 over the Cardiac Cycle at 7.0T: Implications for Susceptibility-based CMR Techniques
Teresa Serradas Duarte1, Till Huelnhagen1, and Thoralf Niendorf1,2

1Berlin Ultrahigh Field Facility (B.U.F.F.), Max Delbrück Center for Molecular Medicine in the Helmholtz Association, Berlin, Germany, 2Experimental and Clinical Research Center, a joint cooperation between the Charité Medical Faculty and the Max Delbrück Center in the Helmholtz Associaiton, Berlin, Germany

Synopsis

Magnetic susceptibility-based methods are an emerging technique in CMR for myocardial tissue characterization. Making use of UHF MRI, temporally resolved myocardial T2* mapping was recently demonstrated. Since susceptibility weighted MRI is highly dependent on main magnetic field homogeneity, B0 assessment is crucial for interpretation of results. This pioneering study investigates B0 variation in the heart over the cardiac cycle at 7.0T and its implications for myocardial T2* mapping in a cohort of healthy volunteers. Results show that septal macroscopic field inhomogeneities are minor regarding their effects on T2*. This provides encouragement for temporally resolved susceptibility-based CMR at UHF.

Purpose

Magnetic susceptibility-based methods are emerging cardiovascular MR (CMR) techniques for myocardial tissue characterization [1, 2]. The linear relationship between magnetic field strength and microscopic susceptibility effects [3], renders susceptibility weighted MRI at ultrahigh magnetic fields (B0 ≥ 7.0T) (UHF) conceptually appealing to pursue high spatial resolution temporally resolved T2* mapping [1]. Since T2* is highly dependent on main magnetic field (B0) homogeneity [4], meaningful interpretation of these results requires temporally resolved B0 assessment. Shah et al. [5] reported temporal variation of the main field to be negligible across the cardiac cycle at 1.5T, but B0 inhomogeneities are increased at UHF [3, 6]. For this reason, this pioneering study investigates B0 variation in the myocardium over the cardiac cycle at 7.0T and elucidates its implications for myocardial T2* mapping in healthy volunteers.

Methods

Three healthy volunteers were scanned using a 7.0T whole body MR system (Siemens Healthcare, Erlangen, Germany). A 16 channel transceiver array tailored for CMR at 7.0T was used for signal excitation/reception [7]. Volume selective B0 shimming adjusted to the heart was applied prior to T2* weighted acquisitions. CINE T2* and B0 mapping was carried out in mid-ventricular short axis (SAX) views employing a segmented, cardiac gated, breath-held, multi-shot multi-echo gradient echo technique [1] (spatial resolution=(1.4x1.4x4.0)mm3, TE=2.04-10.20ms, ΔTE=1.02ms) [1]. CINE four chamber views were acquired similarly to measure the through-plane B0 variation (TEs=3.06, 7.14ms, spatial resolution=(2.8x2.8x4.0)mm3). An MR stethoscope (MRI.TOOLS GmbH, Berlin, Germany) was used for cardiac triggering. Field maps were calculated offline in MATLAB (The Mathworks, Natick, MA) using a phase difference method [8]. The B0 maps were filtered using a Gaussian low-pass to reduce high frequency noise contributions while maintaining macroscopic B0 variations. Since susceptibility contrast is determined by intravoxel field gradients rather than by overall changes in B0, it is essential to investigate the change of these gradients. Intravoxel field gradients for mid-ventricular short axis views were calculated based on in-plane field variations together with through-plane gradients estimated from B0 profiles in the septum of the CINE four chamber views. Septal segments (8 and 9, [9]) are less prone to susceptibility artifacts than other myocardial segments [3] and hence commonly assessed in clinical routine. Therefore mean septal intravoxel gradients were analyzed for all cardiac phases. Finally, the expected T2* variations caused by macroscopic field gradients were estimated using an analytic approach. The post-processed data was averaged for all volunteers, while interpolation based on R-R interval duration was used to match cardiac phases of different volunteers.

Results

Figure 1 illustrates B0 field in-plane and through-plane maps of one volunteer for 6 out of 19 phases distributed along the cardiac cycle. Through-plane B0 gradients (mean=0.4±0.1Hz/mm; mean temporal range (max-min)=0.9±0.2Hz/mm) estimated from septal profiles in four chamber views (Figure 1 bottom) were small compared to in-plane septal gradients (mean=2.3±0.5Hz/mm; mean range=0.6±0.1Hz/mm). Intravoxel gradient maps are shown in Figure 2. Intravoxel gradients were comparable for all cardiac segments with exception of the antero- and inferolateral segments which showed higher values (compare Figure 2 center). End-systolic and end-diastolic intravoxel gradients, T2* and estimated gradient-induced ΔT2* maps of one volunteer are shown in Figure 3A. Figure 3B illustrates the intravoxel gradient evolution across the cardiac cycle averaged over all volunteers and its effect on T2*. The mean range (max-min) of the septal intravoxel B0 gradients was 1.9±0.5Hz throughout the cardiac cycle, while the mean gradient was ranging from 2.8-4.5Hz (black plot). Mean septal T2* was found to be 16.1±1.0ms (blue plot). The mean macroscopic gradient-induced ΔT2* (red plot) was estimated as -1.0±0.2ms and was varying in a range (max-min) of 1.0±0.6ms, which is small compared to the mean range of T2* changes found 3.8±1.2ms.

Discussion and Conclusion

This study investigated macroscopic B0 variation in the heart with focus on the intraventricular septum over the cardiac cycle at 7.0T and its effects on T2* mapping. B0 field variation was found to induce a nearly constant but minor offset in septal T2*. Consequently, macroscopic magnetic field variation across the cardiac cycle can be considered to be negligible for septal T2* mapping. This result provides encouragement for temporally resolved susceptibility sensitized CMR at UHF. Additionally, the T2* offset in each phase is small compared to their absolute value indicating that septal T2* mapping is reliable even at UHF. In conclusion, macroscopic B0 inhomogeneities and their temporal changes in the septum were found to be minor and the feasibility of septal dynamic T2* mapping at 7.0 T was demonstrated.

Acknowledgements

No acknowledgement found.

References

[1] Hezel et al. (2012) PLoS One 7(12):e52324. [2] Friedrich et al. (2013) Journal of Cardiovascular Magnetic Resonance 15(43). [3] Meloni et al. (2014) Magn Reson Med 71(6):2224. [4] Reeder et al. (1998) Magn Reson Med. 39(6):988. [5] S. Shah (2009) Proc. Intl. Soc. Mag. Reson. Med. 17. [6] Schar et al. (2010) Magn Reson Med 63(2):419. [7] Thalhammer et al. (2012) J Magn Reson Imaging 36(4):847. [8] Bryrant et al. (1984) Journal of Computer Assisted Tomography 8(4):588. [9] Cerqueira (2002) Circulation 105(4):539

Figures

Figure 1: B0 field maps in the heart over the cardiac cycle. Top: In-plane analysis performed in mid-ventricular short axis views. Bottom: Four chamber views used to measure through-plane variations. White box marks ROI where the SAX view is positioned. Arrow points to profile placement in one representative phase.

Figure 2: Intravoxel gradient maps of one volunteer across the cardiac cycle for a mid-ventricular short axis view in the whole heart and surroundings (top), left-ventricular myocardium (middle) and septum (bottom). Contrast adapted in the middle and bottom images. Septal B0 gradient variations are minor over the cardiac cycle.

Figure 3: End-systole and end-diastole gradient (top), T2* (middle) and macroscopic gradient-induced ΔT2* (bottom) maps. Septal segments highlighted by arrow. B) Mean septal T2* (blue), gradient (black) and ΔT2* (red) plots over the cardiac cycle, averaged for all volunteers. Macroscopic field changes are minor regarding their effects on T2*.



Proc. Intl. Soc. Mag. Reson. Med. 24 (2016)
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