Multislice first-pass myocardial perfusion imaging: Comparison of saturation recovery (SR)-TrueFISP-two-dimensional (2D) and SR-TurboFLASH-2D pulse sequences

Purpose To compare signal‐to‐noise ratio (SNR), contrast‐to‐noise (CNR) ratio, and diagnostic accuracy of a newly developed saturation recovery (SR)‐TrueFISP‐two‐dimensional (2D) sequence with an SR‐TurboFLASH‐2D sequence. Materials and Methods In seven healthy subjects and nine patients with corona...

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Veröffentlicht in:Journal of magnetic resonance imaging 2004-05, Vol.19 (5), p.555-563
Hauptverfasser: Fenchel, Michael, Helber, Uwe, Simonetti, Orlando P., Stauder, Norbert I., Kramer, Ulrich, Nguyen, Co-Nghi, Finn, J. Paul, Claussen, Claus D., Miller, Stephan
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container_end_page 563
container_issue 5
container_start_page 555
container_title Journal of magnetic resonance imaging
container_volume 19
creator Fenchel, Michael
Helber, Uwe
Simonetti, Orlando P.
Stauder, Norbert I.
Kramer, Ulrich
Nguyen, Co-Nghi
Finn, J. Paul
Claussen, Claus D.
Miller, Stephan
description Purpose To compare signal‐to‐noise ratio (SNR), contrast‐to‐noise (CNR) ratio, and diagnostic accuracy of a newly developed saturation recovery (SR)‐TrueFISP‐two‐dimensional (2D) sequence with an SR‐TurboFLASH‐2D sequence. Materials and Methods In seven healthy subjects and nine patients with coronary artery disease (CAD), contrast‐enhanced perfusion imaging (with Gd‐DTPA) was performed with SR‐TrueFISP and SR‐TurboFLASH sequences. Hypoperfused areas were assessed qualitatively (scale = 0–4). Furthermore, SNR and CNR were calculated and semiquantitative perfusion parameters were determined from signal intensity (SI) time curves. Standard of reference for patient studies was single‐photon emission computer tomography (SPECT) and angiography. Results The perception of perfusion deficits was superior in TrueFISP images (2.6 ± 1.0) than in TurboFLASH (1.4 ± 0.6) (P < 0.001). Phantom measurements yielded increased SNR (143 ± 34%) and CNR (158 ± 64%) values for TrueFISP. In patient/volunteer studies SNR was 61% to 100% higher and signal enhancement was 110% to 115% higher with TrueFISP than with TurboFLASH. Qualitative and semiquantitative assessment of perfusion defects yielded higher sensitivities for detection of perfusion defects with TrueFISP (68% to 78%) than with TurboFLASH (44% to 59%). Conclusion SR‐TrueFISP‐2D perfusion imaging provides superior SNR and CNR than TurboFLASH imaging. Moreover, the dynamic range of SIs was found to be higher with TrueFISP, resulting in an increased sensitivity for detection of perfusion defects. J. Magn. Reson. Imaging 2004;19:555–563. © 2004 Wiley‐Liss, Inc.
doi_str_mv 10.1002/jmri.20050
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Paul ; Claussen, Claus D. ; Miller, Stephan</creator><creatorcontrib>Fenchel, Michael ; Helber, Uwe ; Simonetti, Orlando P. ; Stauder, Norbert I. ; Kramer, Ulrich ; Nguyen, Co-Nghi ; Finn, J. Paul ; Claussen, Claus D. ; Miller, Stephan</creatorcontrib><description>Purpose To compare signal‐to‐noise ratio (SNR), contrast‐to‐noise (CNR) ratio, and diagnostic accuracy of a newly developed saturation recovery (SR)‐TrueFISP‐two‐dimensional (2D) sequence with an SR‐TurboFLASH‐2D sequence. Materials and Methods In seven healthy subjects and nine patients with coronary artery disease (CAD), contrast‐enhanced perfusion imaging (with Gd‐DTPA) was performed with SR‐TrueFISP and SR‐TurboFLASH sequences. Hypoperfused areas were assessed qualitatively (scale = 0–4). Furthermore, SNR and CNR were calculated and semiquantitative perfusion parameters were determined from signal intensity (SI) time curves. Standard of reference for patient studies was single‐photon emission computer tomography (SPECT) and angiography. Results The perception of perfusion deficits was superior in TrueFISP images (2.6 ± 1.0) than in TurboFLASH (1.4 ± 0.6) (P &lt; 0.001). Phantom measurements yielded increased SNR (143 ± 34%) and CNR (158 ± 64%) values for TrueFISP. In patient/volunteer studies SNR was 61% to 100% higher and signal enhancement was 110% to 115% higher with TrueFISP than with TurboFLASH. Qualitative and semiquantitative assessment of perfusion defects yielded higher sensitivities for detection of perfusion defects with TrueFISP (68% to 78%) than with TurboFLASH (44% to 59%). Conclusion SR‐TrueFISP‐2D perfusion imaging provides superior SNR and CNR than TurboFLASH imaging. Moreover, the dynamic range of SIs was found to be higher with TrueFISP, resulting in an increased sensitivity for detection of perfusion defects. J. Magn. Reson. Imaging 2004;19:555–563. © 2004 Wiley‐Liss, Inc.</description><identifier>ISSN: 1053-1807</identifier><identifier>EISSN: 1522-2586</identifier><identifier>DOI: 10.1002/jmri.20050</identifier><identifier>PMID: 15112304</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adult ; Aged ; CAD ; Coronary Artery Disease - physiopathology ; Coronary Circulation ; FLASH ; Heart - physiopathology ; heart MR ; Humans ; magnetic resonance (MR) ; magnetic resonance (MR) imaging ; magnetic resonance (MR) technology ; Magnetic Resonance Imaging - methods ; Male ; Middle Aged ; myocardial perfusion ; Phantoms, Imaging ; Reference Values ; Sensitivity and Specificity ; TrueFISP</subject><ispartof>Journal of magnetic resonance imaging, 2004-05, Vol.19 (5), p.555-563</ispartof><rights>Copyright © 2004 Wiley‐Liss, Inc.</rights><rights>Copyright 2004 Wiley-Liss, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4960-294c6bb4e45ae3062fd2bd4341ce639432a4645935557362e785b7e0556dec853</citedby><cites>FETCH-LOGICAL-c4960-294c6bb4e45ae3062fd2bd4341ce639432a4645935557362e785b7e0556dec853</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjmri.20050$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjmri.20050$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,1427,27901,27902,45550,45551,46384,46808</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15112304$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fenchel, Michael</creatorcontrib><creatorcontrib>Helber, Uwe</creatorcontrib><creatorcontrib>Simonetti, Orlando P.</creatorcontrib><creatorcontrib>Stauder, Norbert I.</creatorcontrib><creatorcontrib>Kramer, Ulrich</creatorcontrib><creatorcontrib>Nguyen, Co-Nghi</creatorcontrib><creatorcontrib>Finn, J. Paul</creatorcontrib><creatorcontrib>Claussen, Claus D.</creatorcontrib><creatorcontrib>Miller, Stephan</creatorcontrib><title>Multislice first-pass myocardial perfusion imaging: Comparison of saturation recovery (SR)-TrueFISP-two-dimensional (2D) and SR-TurboFLASH-2D pulse sequences</title><title>Journal of magnetic resonance imaging</title><addtitle>J. Magn. Reson. Imaging</addtitle><description>Purpose To compare signal‐to‐noise ratio (SNR), contrast‐to‐noise (CNR) ratio, and diagnostic accuracy of a newly developed saturation recovery (SR)‐TrueFISP‐two‐dimensional (2D) sequence with an SR‐TurboFLASH‐2D sequence. Materials and Methods In seven healthy subjects and nine patients with coronary artery disease (CAD), contrast‐enhanced perfusion imaging (with Gd‐DTPA) was performed with SR‐TrueFISP and SR‐TurboFLASH sequences. Hypoperfused areas were assessed qualitatively (scale = 0–4). Furthermore, SNR and CNR were calculated and semiquantitative perfusion parameters were determined from signal intensity (SI) time curves. Standard of reference for patient studies was single‐photon emission computer tomography (SPECT) and angiography. Results The perception of perfusion deficits was superior in TrueFISP images (2.6 ± 1.0) than in TurboFLASH (1.4 ± 0.6) (P &lt; 0.001). Phantom measurements yielded increased SNR (143 ± 34%) and CNR (158 ± 64%) values for TrueFISP. In patient/volunteer studies SNR was 61% to 100% higher and signal enhancement was 110% to 115% higher with TrueFISP than with TurboFLASH. Qualitative and semiquantitative assessment of perfusion defects yielded higher sensitivities for detection of perfusion defects with TrueFISP (68% to 78%) than with TurboFLASH (44% to 59%). Conclusion SR‐TrueFISP‐2D perfusion imaging provides superior SNR and CNR than TurboFLASH imaging. Moreover, the dynamic range of SIs was found to be higher with TrueFISP, resulting in an increased sensitivity for detection of perfusion defects. J. Magn. Reson. 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Paul ; Claussen, Claus D. ; Miller, Stephan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4960-294c6bb4e45ae3062fd2bd4341ce639432a4645935557362e785b7e0556dec853</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>Aged</topic><topic>CAD</topic><topic>Coronary Artery Disease - physiopathology</topic><topic>Coronary Circulation</topic><topic>FLASH</topic><topic>Heart - physiopathology</topic><topic>heart MR</topic><topic>Humans</topic><topic>magnetic resonance (MR)</topic><topic>magnetic resonance (MR) imaging</topic><topic>magnetic resonance (MR) technology</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Male</topic><topic>Middle Aged</topic><topic>myocardial perfusion</topic><topic>Phantoms, Imaging</topic><topic>Reference Values</topic><topic>Sensitivity and Specificity</topic><topic>TrueFISP</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fenchel, Michael</creatorcontrib><creatorcontrib>Helber, Uwe</creatorcontrib><creatorcontrib>Simonetti, Orlando P.</creatorcontrib><creatorcontrib>Stauder, Norbert I.</creatorcontrib><creatorcontrib>Kramer, Ulrich</creatorcontrib><creatorcontrib>Nguyen, Co-Nghi</creatorcontrib><creatorcontrib>Finn, J. Paul</creatorcontrib><creatorcontrib>Claussen, Claus D.</creatorcontrib><creatorcontrib>Miller, Stephan</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of magnetic resonance imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fenchel, Michael</au><au>Helber, Uwe</au><au>Simonetti, Orlando P.</au><au>Stauder, Norbert I.</au><au>Kramer, Ulrich</au><au>Nguyen, Co-Nghi</au><au>Finn, J. Paul</au><au>Claussen, Claus D.</au><au>Miller, Stephan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Multislice first-pass myocardial perfusion imaging: Comparison of saturation recovery (SR)-TrueFISP-two-dimensional (2D) and SR-TurboFLASH-2D pulse sequences</atitle><jtitle>Journal of magnetic resonance imaging</jtitle><addtitle>J. Magn. Reson. Imaging</addtitle><date>2004-05</date><risdate>2004</risdate><volume>19</volume><issue>5</issue><spage>555</spage><epage>563</epage><pages>555-563</pages><issn>1053-1807</issn><eissn>1522-2586</eissn><abstract>Purpose To compare signal‐to‐noise ratio (SNR), contrast‐to‐noise (CNR) ratio, and diagnostic accuracy of a newly developed saturation recovery (SR)‐TrueFISP‐two‐dimensional (2D) sequence with an SR‐TurboFLASH‐2D sequence. Materials and Methods In seven healthy subjects and nine patients with coronary artery disease (CAD), contrast‐enhanced perfusion imaging (with Gd‐DTPA) was performed with SR‐TrueFISP and SR‐TurboFLASH sequences. Hypoperfused areas were assessed qualitatively (scale = 0–4). Furthermore, SNR and CNR were calculated and semiquantitative perfusion parameters were determined from signal intensity (SI) time curves. Standard of reference for patient studies was single‐photon emission computer tomography (SPECT) and angiography. Results The perception of perfusion deficits was superior in TrueFISP images (2.6 ± 1.0) than in TurboFLASH (1.4 ± 0.6) (P &lt; 0.001). Phantom measurements yielded increased SNR (143 ± 34%) and CNR (158 ± 64%) values for TrueFISP. In patient/volunteer studies SNR was 61% to 100% higher and signal enhancement was 110% to 115% higher with TrueFISP than with TurboFLASH. Qualitative and semiquantitative assessment of perfusion defects yielded higher sensitivities for detection of perfusion defects with TrueFISP (68% to 78%) than with TurboFLASH (44% to 59%). Conclusion SR‐TrueFISP‐2D perfusion imaging provides superior SNR and CNR than TurboFLASH imaging. Moreover, the dynamic range of SIs was found to be higher with TrueFISP, resulting in an increased sensitivity for detection of perfusion defects. J. Magn. Reson. Imaging 2004;19:555–563. © 2004 Wiley‐Liss, Inc.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>15112304</pmid><doi>10.1002/jmri.20050</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
CAD
Coronary Artery Disease - physiopathology
Coronary Circulation
FLASH
Heart - physiopathology
heart MR
Humans
magnetic resonance (MR)
magnetic resonance (MR) imaging
magnetic resonance (MR) technology
Magnetic Resonance Imaging - methods
Male
Middle Aged
myocardial perfusion
Phantoms, Imaging
Reference Values
Sensitivity and Specificity
TrueFISP
title Multislice first-pass myocardial perfusion imaging: Comparison of saturation recovery (SR)-TrueFISP-two-dimensional (2D) and SR-TurboFLASH-2D pulse sequences
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