Synopsis
This work examines the relationship of ventricular septal
wall thickness and T2* at 7.0T in healthy
volunteers. Results show, that T2* changes periodically
over the cardiac cycle, increasing in systole and decreasing in diastole. A
strong correlation between mean septal T2* and wall
thickness was found. Temporally resolved field mapping showed that macroscopic
magnetic field fluctuations can be excluded as source of the observed changes. While
T2* is often regarded as surrogate for tissue oxygenation,
the found systolic increase of T2* cannot be explained by
increased oxygenation. Instead changes in blood volume fraction are assumed to
be responsible for the observed T2* fluctuations.Purpose
Magnetic susceptibility weighted cardiovascular MR (CMR)
is an emerging (pre)clinical application in myocardial tissue characterization [1,2]. T
2* weighted CMR is usually
limited to single phase end diastolic acquisitions. Dynamic mapping of
myocardial T
2* allows probing the myocardium in different
physiological states and holds the promise to facilitate distinction of healthy
and pathologic tissue. High spatially and temporally resolved T
2*
mapping has been demonstrated in the in vivo human heart at 7.0T [
3]. Myocardial BOLD contrast or T
2*
are commonly regarded as a surrogate for myocardial tissue oxygenation [2], but the factors influencing effective transversal relaxation
times are numerous [4-6]. For meaningful interpretation of myocardial T
2*,
it is essential to identify influential factors and their contributions to T
2*.
This study examines the relationship of cardiac morphology and T
2*,
and demonstrates that T
2* in the ventricular septum correlates
with septal wall thickness across the cardiac cycle in healthy volunteers at
7.0T.
Methods
Ten healthy volunteers (7 male,age=40.8±15.6,BMI=22.8±3.2kg/m
2)
were examined 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]. For
CINE T
2* mapping a cardiac triggered interleaved multi-echo
gradient-echo technique (TE=(2.04-10.20)ms,spatial resolution=(1.1x1.1x4.0)mm
3)
was employed. Midventricular short axis views were acquired. Acoustic triggering
(MRI.TOOLS GmbH,Berlin,Germany) was applied for detecting
the onset of the cardiac cycle. T
2* sensitized images
were de-noised [8]
and co-registered.
The left ventricular myocardium was manually segmented for each cardiac phase
and wall thickness was measured. T
2* mapping was
conducted using a mono-exponential signal decay model. R
2 and T
2*
fit standard deviation (T
2*-STD, [9]) were
used as goodness of fit measures. Fitting results with R
2<0.7,T
2*-STD>3ms
or (0ms>T
2*>50ms) were excluded from further analysis
to account for image artifacts. Only septal segments (segment 8,9 [10]) were
evaluated since they have been shown to provide most reliable T
2*
[11]. Cardiac
phases were unified to allow for averaging between
subjects. Correlation of mean septal T
2* and wall
thickness was assessed employing Pearson correlation coefficient. To
investigate macroscopic magnetic field fluctuations, temporally
resolved field maps were calculated from phase images obtained by the pulse sequence used for T
2*
mapping for three volunteers in short axis and 4 chamber views.
Results
Figure 1 illustrates T
2* maps of
a mid-ventricular short axis view of one volunteer overlaid onto anatomical FLASH
images over the cardiac cycle. Septal T
2* was found to
change across the cardiac cycle increasing in systole and decreasing in
diastole. Mean septal wall thickness was found to be 7.4±1.6mm, mean T
2*
was 14.2±1.4ms. Mean end-systolic septal wall thickness and T
2*
were 9.1±1.3mm and 14.7±1.5ms. Mean end diastolic values were 6.1±1.0mm and T
2*=13.7±1.3ms.
The mean T
2* variation over the cardiac cycle was 3.5±1.0ms.
Figure 2a shows the time course of mean septal T
2* and
wall thickness averaged per cardiac phase for all volunteers. Figure 2b shows
the same values in a scatter plot. A significant positive correlation was found
between mean septal T
2* and wall thickness (R=0.92,p<0.001).
The mean temporal variation of the macroscopic intra-voxel magnetic field
gradient in the septum was found to be 1.9±0.5Hz/voxel.
Discussion
This study investigated ventricular septal T
2* and wall thickness at 7.0T with high spatio-temporal resolution in
healthy volunteers. Cyclic changes of mean T
2* were found over the cardiac cycle with an increase in
systole and a decrease in diastole. This is in line with previous reports about
myocardial BOLD signal intensity changes reporting increased
BOLD signal in systole [12,13]. The found macroscopic magnetic field fluctuations can be considered minor and excluded as source of the
observed T
2* changes. While T
2* is often regarded
as surrogate for tissue oxygenation, the found systolic increase of T
2*
cannot be explained by increased oxygenation. Instead it is
potentially dominated by changes in relative myocardial
blood volume. When the ventricular muscle contracts
in systole, ventricular myocardial wall stress is massively increased. This temporarily
ceases blood influx into the left ventricular myocardium [14]. At the same time blood is squeezed out of it [14] thereby decreasing the blood volume fraction and the
amount of deoxygenized blood per voxel, which induces a T
2* increase. Another possible confounder could be mesoscopic variations in
magnetic field homogeneity induced by changes of myocardial morphology during
contraction and relaxation.
Conclusion
Ventricular septal T
2* changes
periodically during the cardiac cycle in healthy volunteers at 7.0T; increasing
in systole and decreasing in diastole. Septal T
2* correlates
with septal wall thickness. Our findings suggest that blood volume fraction
plays an important role in myocardial T
2*. Temporally
resolved MR relaxation mapping could be beneficial for understanding cardiac
(patho)physiology in vivo.
Acknowledgements
No acknowledgement found.References
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