Four-dimensional fetal cardiac imaging in a cohort of fetuses with suspected congenital heart disease
Background Fetal cardiac magnetic resonance imaging (MRI) requires high spatial and temporal resolution and robustness to random fetal motion to capture the dynamics of the beating fetal heart. Slice-to-volume reconstruction techniques can produce high-resolution isotropic images while compensating...
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Veröffentlicht in: | Pediatric radiology 2023-02, Vol.53 (2), p.198-209 |
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creator | Rubert, Nicholas C. Jategaonkar, Gaurav Plasencia, Jonathan D. Lindblade, Christopher L. Bardo, Dianna M. E. Goncalves, Luis F. |
description | Background
Fetal cardiac magnetic resonance imaging (MRI) requires high spatial and temporal resolution and robustness to random fetal motion to capture the dynamics of the beating fetal heart. Slice-to-volume reconstruction techniques can produce high-resolution isotropic images while compensating for random fetal motion.
Objective
The objective of this study was to evaluate image quality for slice-to-volume reconstruction of four-dimensional balanced steady-state free precession (bSSFP) imaging of the fetal heart.
Materials and methods
A cohort of 13 women carrying fetuses with congenital heart disease were imaged with real-time bSSFP sequences. Real-time bSSFP sequences were post-processed using a slice-to-volume reconstruction algorithm to produce retrospectively gated 4-D sequences with isotropic spatial resolution. Two radiologists evaluated slice-to-volume reconstruction image quality on a scale from 0 to 4 using 11 categories based on a segmental approach to defining cardiac anatomy and pathology. A score of 0 corresponded to cardiac structures not visualized at all and four corresponded to high quality and distinct appearance of structures.
Results
In 11 out of 13 cases, the average radiologist score of image quality across all categories was 3.0 or greater. In the remaining two cases, slice-to-volume reconstruction was not possible due to insufficient image quality in the acquisition.
Conclusion
Slice-to-volume reconstruction has the potential to produce isotropic images with high spatial and temporal resolution that can display the anatomy of the fetal heart in arbitrary imaging planes retrospectively. More rapid, motion-robust acquisitions may be necessary to successfully reconstruct the fetal heart in all patients. |
doi_str_mv | 10.1007/s00247-022-05500-w |
format | Article |
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Fetal cardiac magnetic resonance imaging (MRI) requires high spatial and temporal resolution and robustness to random fetal motion to capture the dynamics of the beating fetal heart. Slice-to-volume reconstruction techniques can produce high-resolution isotropic images while compensating for random fetal motion.
Objective
The objective of this study was to evaluate image quality for slice-to-volume reconstruction of four-dimensional balanced steady-state free precession (bSSFP) imaging of the fetal heart.
Materials and methods
A cohort of 13 women carrying fetuses with congenital heart disease were imaged with real-time bSSFP sequences. Real-time bSSFP sequences were post-processed using a slice-to-volume reconstruction algorithm to produce retrospectively gated 4-D sequences with isotropic spatial resolution. Two radiologists evaluated slice-to-volume reconstruction image quality on a scale from 0 to 4 using 11 categories based on a segmental approach to defining cardiac anatomy and pathology. A score of 0 corresponded to cardiac structures not visualized at all and four corresponded to high quality and distinct appearance of structures.
Results
In 11 out of 13 cases, the average radiologist score of image quality across all categories was 3.0 or greater. In the remaining two cases, slice-to-volume reconstruction was not possible due to insufficient image quality in the acquisition.
Conclusion
Slice-to-volume reconstruction has the potential to produce isotropic images with high spatial and temporal resolution that can display the anatomy of the fetal heart in arbitrary imaging planes retrospectively. More rapid, motion-robust acquisitions may be necessary to successfully reconstruct the fetal heart in all patients.</description><identifier>ISSN: 1432-1998</identifier><identifier>ISSN: 0301-0449</identifier><identifier>EISSN: 1432-1998</identifier><identifier>DOI: 10.1007/s00247-022-05500-w</identifier><identifier>PMID: 36198870</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Algorithms ; Anatomy ; Cardiovascular disease ; Congenital diseases ; Coronary artery disease ; Female ; Fetal Heart - diagnostic imaging ; Fetal Heart - pathology ; Fetus ; Fetuses ; Heart ; Heart Defects, Congenital - diagnostic imaging ; Heart diseases ; Humans ; Image acquisition ; Image Interpretation, Computer-Assisted - methods ; Image processing ; Image quality ; Image reconstruction ; Image resolution ; Imaging ; Magnetic resonance imaging ; Magnetic Resonance Imaging - methods ; Medical imaging ; Medicine ; Medicine & Public Health ; Neuroradiology ; Nuclear Medicine ; Oncology ; Original Article ; Pediatrics ; Radiology ; Real time ; Retrospective Studies ; Spatial discrimination ; Spatial resolution ; Temporal resolution ; Ultrasound</subject><ispartof>Pediatric radiology, 2023-02, Vol.53 (2), p.198-209</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2022. Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c305t-e4b66f01d8c4650426d6aee2e8c0e484ba03f0692e8fd8d739757d503d6c3caf3</citedby><cites>FETCH-LOGICAL-c305t-e4b66f01d8c4650426d6aee2e8c0e484ba03f0692e8fd8d739757d503d6c3caf3</cites><orcidid>0000-0002-0356-128X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00247-022-05500-w$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00247-022-05500-w$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36198870$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rubert, Nicholas C.</creatorcontrib><creatorcontrib>Jategaonkar, Gaurav</creatorcontrib><creatorcontrib>Plasencia, Jonathan D.</creatorcontrib><creatorcontrib>Lindblade, Christopher L.</creatorcontrib><creatorcontrib>Bardo, Dianna M. E.</creatorcontrib><creatorcontrib>Goncalves, Luis F.</creatorcontrib><title>Four-dimensional fetal cardiac imaging in a cohort of fetuses with suspected congenital heart disease</title><title>Pediatric radiology</title><addtitle>Pediatr Radiol</addtitle><addtitle>Pediatr Radiol</addtitle><description>Background
Fetal cardiac magnetic resonance imaging (MRI) requires high spatial and temporal resolution and robustness to random fetal motion to capture the dynamics of the beating fetal heart. Slice-to-volume reconstruction techniques can produce high-resolution isotropic images while compensating for random fetal motion.
Objective
The objective of this study was to evaluate image quality for slice-to-volume reconstruction of four-dimensional balanced steady-state free precession (bSSFP) imaging of the fetal heart.
Materials and methods
A cohort of 13 women carrying fetuses with congenital heart disease were imaged with real-time bSSFP sequences. Real-time bSSFP sequences were post-processed using a slice-to-volume reconstruction algorithm to produce retrospectively gated 4-D sequences with isotropic spatial resolution. Two radiologists evaluated slice-to-volume reconstruction image quality on a scale from 0 to 4 using 11 categories based on a segmental approach to defining cardiac anatomy and pathology. A score of 0 corresponded to cardiac structures not visualized at all and four corresponded to high quality and distinct appearance of structures.
Results
In 11 out of 13 cases, the average radiologist score of image quality across all categories was 3.0 or greater. In the remaining two cases, slice-to-volume reconstruction was not possible due to insufficient image quality in the acquisition.
Conclusion
Slice-to-volume reconstruction has the potential to produce isotropic images with high spatial and temporal resolution that can display the anatomy of the fetal heart in arbitrary imaging planes retrospectively. More rapid, motion-robust acquisitions may be necessary to successfully reconstruct the fetal heart in all patients.</description><subject>Algorithms</subject><subject>Anatomy</subject><subject>Cardiovascular disease</subject><subject>Congenital diseases</subject><subject>Coronary artery disease</subject><subject>Female</subject><subject>Fetal Heart - diagnostic imaging</subject><subject>Fetal Heart - pathology</subject><subject>Fetus</subject><subject>Fetuses</subject><subject>Heart</subject><subject>Heart Defects, Congenital - diagnostic imaging</subject><subject>Heart diseases</subject><subject>Humans</subject><subject>Image acquisition</subject><subject>Image Interpretation, Computer-Assisted - methods</subject><subject>Image processing</subject><subject>Image quality</subject><subject>Image reconstruction</subject><subject>Image resolution</subject><subject>Imaging</subject><subject>Magnetic resonance imaging</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Medical imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neuroradiology</subject><subject>Nuclear Medicine</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Pediatrics</subject><subject>Radiology</subject><subject>Real time</subject><subject>Retrospective Studies</subject><subject>Spatial discrimination</subject><subject>Spatial resolution</subject><subject>Temporal resolution</subject><subject>Ultrasound</subject><issn>1432-1998</issn><issn>0301-0449</issn><issn>1432-1998</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kctKAzEUhoMo1tsLuJABN25GTy6TmVmKWBUEN7oOaXKmTWlnas4Mxbc3td5w4SYJyXf-wPczdsrhkgOUVwQgVJmDEDkUBUC-3mEHXEmR87qudn-dR-yQaA4AsuByn42k5nVVlXDAcNwNMfdhiS2FrrWLrME-rc5GH6zLwtJOQzvNQpvZzHWzLvZZ12yggZCydehnGQ20QtejT0A7xTZsAmZoE-oDoSU8ZnuNXRCefO5H7GV8-3xznz8-3T3cXD_mTkLR56gmWjfAfeWULkAJ7bVFFFg5QFWpiQXZgK7TReMrX8q6LEpfgPTaSWcbecQutrmr2L0OSL1ZBnK4WNgWu4GMKIWQnFeFSuj5H3SeTCQBG6rkqtbAIVFiS7nYEUVszComJfHNcDCbEsy2BJNKMB8lmHUaOvuMHiZL9N8jX9YTILcApadkLP78_U_sO9Gakwo</recordid><startdate>20230201</startdate><enddate>20230201</enddate><creator>Rubert, Nicholas C.</creator><creator>Jategaonkar, Gaurav</creator><creator>Plasencia, Jonathan D.</creator><creator>Lindblade, Christopher L.</creator><creator>Bardo, Dianna M. E.</creator><creator>Goncalves, Luis F.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0356-128X</orcidid></search><sort><creationdate>20230201</creationdate><title>Four-dimensional fetal cardiac imaging in a cohort of fetuses with suspected congenital heart disease</title><author>Rubert, Nicholas C. ; Jategaonkar, Gaurav ; Plasencia, Jonathan D. ; Lindblade, Christopher L. ; Bardo, Dianna M. E. ; Goncalves, Luis F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c305t-e4b66f01d8c4650426d6aee2e8c0e484ba03f0692e8fd8d739757d503d6c3caf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Algorithms</topic><topic>Anatomy</topic><topic>Cardiovascular disease</topic><topic>Congenital diseases</topic><topic>Coronary artery disease</topic><topic>Female</topic><topic>Fetal Heart - diagnostic imaging</topic><topic>Fetal Heart - pathology</topic><topic>Fetus</topic><topic>Fetuses</topic><topic>Heart</topic><topic>Heart Defects, Congenital - diagnostic imaging</topic><topic>Heart diseases</topic><topic>Humans</topic><topic>Image acquisition</topic><topic>Image Interpretation, Computer-Assisted - methods</topic><topic>Image processing</topic><topic>Image quality</topic><topic>Image reconstruction</topic><topic>Image resolution</topic><topic>Imaging</topic><topic>Magnetic resonance imaging</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Medical imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neuroradiology</topic><topic>Nuclear Medicine</topic><topic>Oncology</topic><topic>Original Article</topic><topic>Pediatrics</topic><topic>Radiology</topic><topic>Real time</topic><topic>Retrospective Studies</topic><topic>Spatial discrimination</topic><topic>Spatial resolution</topic><topic>Temporal resolution</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rubert, Nicholas C.</creatorcontrib><creatorcontrib>Jategaonkar, Gaurav</creatorcontrib><creatorcontrib>Plasencia, Jonathan D.</creatorcontrib><creatorcontrib>Lindblade, Christopher L.</creatorcontrib><creatorcontrib>Bardo, Dianna M. 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E.</au><au>Goncalves, Luis F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Four-dimensional fetal cardiac imaging in a cohort of fetuses with suspected congenital heart disease</atitle><jtitle>Pediatric radiology</jtitle><stitle>Pediatr Radiol</stitle><addtitle>Pediatr Radiol</addtitle><date>2023-02-01</date><risdate>2023</risdate><volume>53</volume><issue>2</issue><spage>198</spage><epage>209</epage><pages>198-209</pages><issn>1432-1998</issn><issn>0301-0449</issn><eissn>1432-1998</eissn><abstract>Background
Fetal cardiac magnetic resonance imaging (MRI) requires high spatial and temporal resolution and robustness to random fetal motion to capture the dynamics of the beating fetal heart. Slice-to-volume reconstruction techniques can produce high-resolution isotropic images while compensating for random fetal motion.
Objective
The objective of this study was to evaluate image quality for slice-to-volume reconstruction of four-dimensional balanced steady-state free precession (bSSFP) imaging of the fetal heart.
Materials and methods
A cohort of 13 women carrying fetuses with congenital heart disease were imaged with real-time bSSFP sequences. Real-time bSSFP sequences were post-processed using a slice-to-volume reconstruction algorithm to produce retrospectively gated 4-D sequences with isotropic spatial resolution. Two radiologists evaluated slice-to-volume reconstruction image quality on a scale from 0 to 4 using 11 categories based on a segmental approach to defining cardiac anatomy and pathology. A score of 0 corresponded to cardiac structures not visualized at all and four corresponded to high quality and distinct appearance of structures.
Results
In 11 out of 13 cases, the average radiologist score of image quality across all categories was 3.0 or greater. In the remaining two cases, slice-to-volume reconstruction was not possible due to insufficient image quality in the acquisition.
Conclusion
Slice-to-volume reconstruction has the potential to produce isotropic images with high spatial and temporal resolution that can display the anatomy of the fetal heart in arbitrary imaging planes retrospectively. More rapid, motion-robust acquisitions may be necessary to successfully reconstruct the fetal heart in all patients.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>36198870</pmid><doi>10.1007/s00247-022-05500-w</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-0356-128X</orcidid></addata></record> |
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subjects | Algorithms Anatomy Cardiovascular disease Congenital diseases Coronary artery disease Female Fetal Heart - diagnostic imaging Fetal Heart - pathology Fetus Fetuses Heart Heart Defects, Congenital - diagnostic imaging Heart diseases Humans Image acquisition Image Interpretation, Computer-Assisted - methods Image processing Image quality Image reconstruction Image resolution Imaging Magnetic resonance imaging Magnetic Resonance Imaging - methods Medical imaging Medicine Medicine & Public Health Neuroradiology Nuclear Medicine Oncology Original Article Pediatrics Radiology Real time Retrospective Studies Spatial discrimination Spatial resolution Temporal resolution Ultrasound |
title | Four-dimensional fetal cardiac imaging in a cohort of fetuses with suspected congenital heart disease |
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