Compressed sensing acceleration of cardiac cine imaging allows reliable and reproducible assessment of volumetric and functional parameters of the left and right atrium
Objectives To compare volumetric and functional parameters of the atria derived from highly accelerated compressed sensing (CS)–based cine sequences in comparison to conventional (Conv) cine imaging. Methods CS and Conv cine sequences were acquired in 101 subjects (82 healthy volunteers (HV) and 19...
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creator | Altmann, Sebastian Halfmann, Moritz C. Abidoye, Ibukun Yacoub, Basel Schmidt, Michaela Wenzel, Philip Forman, Christoph Schoepf, U. Joseph Xiong, Fei Dueber, Christoph Kreitner, Karl-Friedrich Varga-Szemes, Akos Emrich, Tilman |
description | Objectives
To compare volumetric and functional parameters of the atria derived from highly accelerated compressed sensing (CS)–based cine sequences in comparison to conventional (Conv) cine imaging.
Methods
CS and Conv cine sequences were acquired in 101 subjects (82 healthy volunteers (HV) and 19 patients with heart failure with reduced ejection fraction (HFrEF)) using a 3T MR scanner in this single-center study. Time-volume analysis of the left (LA) and right atria (RA) were performed in both sequences to evaluate atrial volumes and function (total, passive, and active emptying fraction). Inter-sequence and inter- and intra-reader agreement were analyzed using correlation, intraclass correlation (ICC), and Bland-Altman analysis.
Results
CS-based cine imaging led to a 69% reduction of acquisition time. There was significant difference in atrial parameters between CS and Conv cine, e.g., LA minimal volume (LAVmin) (Conv 24.0 ml (16.7–32.7), CS 25.7 ml (19.2–35.2),
p
0.934) agreement for both techniques. CS-based parameters (PEF AUC = 0.965, LAVmin AUC = 0.864) showed equivalent diagnostic ability compared to Conv cine imaging (PEF AUC = 0.989, LAVmin AUC = 0.859) to differentiate between HV and HFrEF.
Conclusion
Atrial volumetric and functional evaluation using CS cine imaging is feasible with relevant reduction of acquisition time, therefore strengthening the role of CS in clinical CMR for atrial imaging.
Key Points
•
Reliable assessment of atrial volumes and function based on compressed sensing cine imaging is feasible.
•
Compressed sensing reduces scan time and has the potential to overcome obstacles of conventional cine imaging.
•
No significant differences for subjective image quality, inter- and intra-rater agreement, and ability to differentiate healthy volunteers and heart failure patients were detected between conventional and compressed sensing cine imaging. |
doi_str_mv | 10.1007/s00330-021-07830-z |
format | Article |
fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8452582</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2574561200</sourcerecordid><originalsourceid>FETCH-LOGICAL-c540t-97460f8a215848b64f23e463e84ea68dcffdc0b400f29f0ba3fef444928af8803</originalsourceid><addsrcrecordid>eNp9kstu1TAQhiMEoqeFF2CBLLFhExhfkjgbJHQEFKkSG1hbjjPOceXEBzspok_EY-KclHJZsPLY883vGfsvimcUXlGA5nUC4BxKYLSERubo9kGxo4KzkoIUD4sdtFyWTduKs-I8pWsAaKloHhdnnDdNK2m1K37sw3iMmBL2JOGU3DQQbQx6jHp2YSLBEqNj77Qhxk1I3KiHE-R9-JZIRO9055Hoqc-bYwz9YtzpIGumNOI0rxo3wS8jztGZE2mXyazy2pOjjjpnMKaVmw9IPNp503PDIUe5ahmfFI-s9gmf3q0XxZf37z7vL8urTx8-7t9elaYSMJdtI2qwUjNaSSG7WljGUdQcpUBdy95Y2xvoBIBlrYVOc4tWCNEyqa2UwC-KN5vucelG7E3uP2qvjjEPHr-roJ36OzO5gxrCjZKiYpVkWeDlnUAMXxdMsxpdyg_q9YRhSYpVUFe0reoqoy_-Qa_DEvOjrFQjqpoyWDtiG2ViSCmivW-GglqNoDYjqGwEdTKCus1Fz_8c477k189ngG9AyqlpwPj77v_I_gTlpcQb</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2574561200</pqid></control><display><type>article</type><title>Compressed sensing acceleration of cardiac cine imaging allows reliable and reproducible assessment of volumetric and functional parameters of the left and right atrium</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Altmann, Sebastian ; Halfmann, Moritz C. ; Abidoye, Ibukun ; Yacoub, Basel ; Schmidt, Michaela ; Wenzel, Philip ; Forman, Christoph ; Schoepf, U. Joseph ; Xiong, Fei ; Dueber, Christoph ; Kreitner, Karl-Friedrich ; Varga-Szemes, Akos ; Emrich, Tilman</creator><creatorcontrib>Altmann, Sebastian ; Halfmann, Moritz C. ; Abidoye, Ibukun ; Yacoub, Basel ; Schmidt, Michaela ; Wenzel, Philip ; Forman, Christoph ; Schoepf, U. Joseph ; Xiong, Fei ; Dueber, Christoph ; Kreitner, Karl-Friedrich ; Varga-Szemes, Akos ; Emrich, Tilman</creatorcontrib><description>Objectives
To compare volumetric and functional parameters of the atria derived from highly accelerated compressed sensing (CS)–based cine sequences in comparison to conventional (Conv) cine imaging.
Methods
CS and Conv cine sequences were acquired in 101 subjects (82 healthy volunteers (HV) and 19 patients with heart failure with reduced ejection fraction (HFrEF)) using a 3T MR scanner in this single-center study. Time-volume analysis of the left (LA) and right atria (RA) were performed in both sequences to evaluate atrial volumes and function (total, passive, and active emptying fraction). Inter-sequence and inter- and intra-reader agreement were analyzed using correlation, intraclass correlation (ICC), and Bland-Altman analysis.
Results
CS-based cine imaging led to a 69% reduction of acquisition time. There was significant difference in atrial parameters between CS and Conv cine, e.g., LA minimal volume (LAVmin) (Conv 24.0 ml (16.7–32.7), CS 25.7 ml (19.2–35.2),
p
< 0.0001) or passive emptying fraction (PEF) (Conv 53.9% (46.7–58.4), CS 49.0% (42.0–54.1),
p
< 0.0001). However, there was high correlation between the techniques, yielding good to excellent ICC (0.76–0.99) and small mean of differences in Bland-Altman analysis (e.g. LAVmin − 2.0 ml, PEF 3.3%). Measurements showed high inter- (ICC > 0.958) and intra-rater (ICC > 0.934) agreement for both techniques. CS-based parameters (PEF AUC = 0.965, LAVmin AUC = 0.864) showed equivalent diagnostic ability compared to Conv cine imaging (PEF AUC = 0.989, LAVmin AUC = 0.859) to differentiate between HV and HFrEF.
Conclusion
Atrial volumetric and functional evaluation using CS cine imaging is feasible with relevant reduction of acquisition time, therefore strengthening the role of CS in clinical CMR for atrial imaging.
Key Points
•
Reliable assessment of atrial volumes and function based on compressed sensing cine imaging is feasible.
•
Compressed sensing reduces scan time and has the potential to overcome obstacles of conventional cine imaging.
•
No significant differences for subjective image quality, inter- and intra-rater agreement, and ability to differentiate healthy volunteers and heart failure patients were detected between conventional and compressed sensing cine imaging.</description><identifier>ISSN: 0938-7994</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-021-07830-z</identifier><identifier>PMID: 33779815</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Acceleration ; Atria ; Cardiac ; Congestive heart failure ; Diagnostic Radiology ; Emptying ; Evaluation ; Heart Atria - diagnostic imaging ; Heart Failure ; Humans ; Image Interpretation, Computer-Assisted ; Image quality ; Imaging ; Internal Medicine ; Interventional Radiology ; Magnetic Resonance Imaging, Cine ; Medical imaging ; Medicine ; Medicine & Public Health ; Neuroradiology ; Parameters ; Patients ; Radiology ; Reduction ; Reproducibility of Results ; Sequences ; Stroke Volume ; Ultrasound</subject><ispartof>European radiology, 2021-10, Vol.31 (10), p.7219-7230</ispartof><rights>The Author(s) 2021</rights><rights>2021. The Author(s).</rights><rights>The Author(s) 2021. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c540t-97460f8a215848b64f23e463e84ea68dcffdc0b400f29f0ba3fef444928af8803</citedby><cites>FETCH-LOGICAL-c540t-97460f8a215848b64f23e463e84ea68dcffdc0b400f29f0ba3fef444928af8803</cites><orcidid>0000-0002-6096-3154</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/s00330-021-07830-z$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00330-021-07830-z$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33779815$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Altmann, Sebastian</creatorcontrib><creatorcontrib>Halfmann, Moritz C.</creatorcontrib><creatorcontrib>Abidoye, Ibukun</creatorcontrib><creatorcontrib>Yacoub, Basel</creatorcontrib><creatorcontrib>Schmidt, Michaela</creatorcontrib><creatorcontrib>Wenzel, Philip</creatorcontrib><creatorcontrib>Forman, Christoph</creatorcontrib><creatorcontrib>Schoepf, U. Joseph</creatorcontrib><creatorcontrib>Xiong, Fei</creatorcontrib><creatorcontrib>Dueber, Christoph</creatorcontrib><creatorcontrib>Kreitner, Karl-Friedrich</creatorcontrib><creatorcontrib>Varga-Szemes, Akos</creatorcontrib><creatorcontrib>Emrich, Tilman</creatorcontrib><title>Compressed sensing acceleration of cardiac cine imaging allows reliable and reproducible assessment of volumetric and functional parameters of the left and right atrium</title><title>European radiology</title><addtitle>Eur Radiol</addtitle><addtitle>Eur Radiol</addtitle><description>Objectives
To compare volumetric and functional parameters of the atria derived from highly accelerated compressed sensing (CS)–based cine sequences in comparison to conventional (Conv) cine imaging.
Methods
CS and Conv cine sequences were acquired in 101 subjects (82 healthy volunteers (HV) and 19 patients with heart failure with reduced ejection fraction (HFrEF)) using a 3T MR scanner in this single-center study. Time-volume analysis of the left (LA) and right atria (RA) were performed in both sequences to evaluate atrial volumes and function (total, passive, and active emptying fraction). Inter-sequence and inter- and intra-reader agreement were analyzed using correlation, intraclass correlation (ICC), and Bland-Altman analysis.
Results
CS-based cine imaging led to a 69% reduction of acquisition time. There was significant difference in atrial parameters between CS and Conv cine, e.g., LA minimal volume (LAVmin) (Conv 24.0 ml (16.7–32.7), CS 25.7 ml (19.2–35.2),
p
< 0.0001) or passive emptying fraction (PEF) (Conv 53.9% (46.7–58.4), CS 49.0% (42.0–54.1),
p
< 0.0001). However, there was high correlation between the techniques, yielding good to excellent ICC (0.76–0.99) and small mean of differences in Bland-Altman analysis (e.g. LAVmin − 2.0 ml, PEF 3.3%). Measurements showed high inter- (ICC > 0.958) and intra-rater (ICC > 0.934) agreement for both techniques. CS-based parameters (PEF AUC = 0.965, LAVmin AUC = 0.864) showed equivalent diagnostic ability compared to Conv cine imaging (PEF AUC = 0.989, LAVmin AUC = 0.859) to differentiate between HV and HFrEF.
Conclusion
Atrial volumetric and functional evaluation using CS cine imaging is feasible with relevant reduction of acquisition time, therefore strengthening the role of CS in clinical CMR for atrial imaging.
Key Points
•
Reliable assessment of atrial volumes and function based on compressed sensing cine imaging is feasible.
•
Compressed sensing reduces scan time and has the potential to overcome obstacles of conventional cine imaging.
•
No significant differences for subjective image quality, inter- and intra-rater agreement, and ability to differentiate healthy volunteers and heart failure patients were detected between conventional and compressed sensing cine imaging.</description><subject>Acceleration</subject><subject>Atria</subject><subject>Cardiac</subject><subject>Congestive heart failure</subject><subject>Diagnostic Radiology</subject><subject>Emptying</subject><subject>Evaluation</subject><subject>Heart Atria - diagnostic imaging</subject><subject>Heart Failure</subject><subject>Humans</subject><subject>Image Interpretation, Computer-Assisted</subject><subject>Image quality</subject><subject>Imaging</subject><subject>Internal Medicine</subject><subject>Interventional Radiology</subject><subject>Magnetic Resonance Imaging, Cine</subject><subject>Medical imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neuroradiology</subject><subject>Parameters</subject><subject>Patients</subject><subject>Radiology</subject><subject>Reduction</subject><subject>Reproducibility of Results</subject><subject>Sequences</subject><subject>Stroke Volume</subject><subject>Ultrasound</subject><issn>0938-7994</issn><issn>1432-1084</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kstu1TAQhiMEoqeFF2CBLLFhExhfkjgbJHQEFKkSG1hbjjPOceXEBzspok_EY-KclHJZsPLY883vGfsvimcUXlGA5nUC4BxKYLSERubo9kGxo4KzkoIUD4sdtFyWTduKs-I8pWsAaKloHhdnnDdNK2m1K37sw3iMmBL2JOGU3DQQbQx6jHp2YSLBEqNj77Qhxk1I3KiHE-R9-JZIRO9055Hoqc-bYwz9YtzpIGumNOI0rxo3wS8jztGZE2mXyazy2pOjjjpnMKaVmw9IPNp503PDIUe5ahmfFI-s9gmf3q0XxZf37z7vL8urTx8-7t9elaYSMJdtI2qwUjNaSSG7WljGUdQcpUBdy95Y2xvoBIBlrYVOc4tWCNEyqa2UwC-KN5vucelG7E3uP2qvjjEPHr-roJ36OzO5gxrCjZKiYpVkWeDlnUAMXxdMsxpdyg_q9YRhSYpVUFe0reoqoy_-Qa_DEvOjrFQjqpoyWDtiG2ViSCmivW-GglqNoDYjqGwEdTKCus1Fz_8c477k189ngG9AyqlpwPj77v_I_gTlpcQb</recordid><startdate>20211001</startdate><enddate>20211001</enddate><creator>Altmann, Sebastian</creator><creator>Halfmann, Moritz C.</creator><creator>Abidoye, Ibukun</creator><creator>Yacoub, Basel</creator><creator>Schmidt, Michaela</creator><creator>Wenzel, Philip</creator><creator>Forman, Christoph</creator><creator>Schoepf, U. Joseph</creator><creator>Xiong, Fei</creator><creator>Dueber, Christoph</creator><creator>Kreitner, Karl-Friedrich</creator><creator>Varga-Szemes, Akos</creator><creator>Emrich, Tilman</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><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>7QO</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</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>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-6096-3154</orcidid></search><sort><creationdate>20211001</creationdate><title>Compressed sensing acceleration of cardiac cine imaging allows reliable and reproducible assessment of volumetric and functional parameters of the left and right atrium</title><author>Altmann, Sebastian ; Halfmann, Moritz C. ; Abidoye, Ibukun ; Yacoub, Basel ; Schmidt, Michaela ; Wenzel, Philip ; Forman, Christoph ; Schoepf, U. Joseph ; Xiong, Fei ; Dueber, Christoph ; Kreitner, Karl-Friedrich ; Varga-Szemes, Akos ; Emrich, Tilman</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c540t-97460f8a215848b64f23e463e84ea68dcffdc0b400f29f0ba3fef444928af8803</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Acceleration</topic><topic>Atria</topic><topic>Cardiac</topic><topic>Congestive heart failure</topic><topic>Diagnostic Radiology</topic><topic>Emptying</topic><topic>Evaluation</topic><topic>Heart Atria - diagnostic imaging</topic><topic>Heart Failure</topic><topic>Humans</topic><topic>Image Interpretation, Computer-Assisted</topic><topic>Image quality</topic><topic>Imaging</topic><topic>Internal Medicine</topic><topic>Interventional Radiology</topic><topic>Magnetic Resonance Imaging, Cine</topic><topic>Medical imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neuroradiology</topic><topic>Parameters</topic><topic>Patients</topic><topic>Radiology</topic><topic>Reduction</topic><topic>Reproducibility of Results</topic><topic>Sequences</topic><topic>Stroke Volume</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Altmann, Sebastian</creatorcontrib><creatorcontrib>Halfmann, Moritz C.</creatorcontrib><creatorcontrib>Abidoye, Ibukun</creatorcontrib><creatorcontrib>Yacoub, Basel</creatorcontrib><creatorcontrib>Schmidt, Michaela</creatorcontrib><creatorcontrib>Wenzel, Philip</creatorcontrib><creatorcontrib>Forman, Christoph</creatorcontrib><creatorcontrib>Schoepf, U. Joseph</creatorcontrib><creatorcontrib>Xiong, Fei</creatorcontrib><creatorcontrib>Dueber, Christoph</creatorcontrib><creatorcontrib>Kreitner, Karl-Friedrich</creatorcontrib><creatorcontrib>Varga-Szemes, Akos</creatorcontrib><creatorcontrib>Emrich, Tilman</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Biological Science Journals</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Altmann, Sebastian</au><au>Halfmann, Moritz C.</au><au>Abidoye, Ibukun</au><au>Yacoub, Basel</au><au>Schmidt, Michaela</au><au>Wenzel, Philip</au><au>Forman, Christoph</au><au>Schoepf, U. Joseph</au><au>Xiong, Fei</au><au>Dueber, Christoph</au><au>Kreitner, Karl-Friedrich</au><au>Varga-Szemes, Akos</au><au>Emrich, Tilman</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Compressed sensing acceleration of cardiac cine imaging allows reliable and reproducible assessment of volumetric and functional parameters of the left and right atrium</atitle><jtitle>European radiology</jtitle><stitle>Eur Radiol</stitle><addtitle>Eur Radiol</addtitle><date>2021-10-01</date><risdate>2021</risdate><volume>31</volume><issue>10</issue><spage>7219</spage><epage>7230</epage><pages>7219-7230</pages><issn>0938-7994</issn><eissn>1432-1084</eissn><abstract>Objectives
To compare volumetric and functional parameters of the atria derived from highly accelerated compressed sensing (CS)–based cine sequences in comparison to conventional (Conv) cine imaging.
Methods
CS and Conv cine sequences were acquired in 101 subjects (82 healthy volunteers (HV) and 19 patients with heart failure with reduced ejection fraction (HFrEF)) using a 3T MR scanner in this single-center study. Time-volume analysis of the left (LA) and right atria (RA) were performed in both sequences to evaluate atrial volumes and function (total, passive, and active emptying fraction). Inter-sequence and inter- and intra-reader agreement were analyzed using correlation, intraclass correlation (ICC), and Bland-Altman analysis.
Results
CS-based cine imaging led to a 69% reduction of acquisition time. There was significant difference in atrial parameters between CS and Conv cine, e.g., LA minimal volume (LAVmin) (Conv 24.0 ml (16.7–32.7), CS 25.7 ml (19.2–35.2),
p
< 0.0001) or passive emptying fraction (PEF) (Conv 53.9% (46.7–58.4), CS 49.0% (42.0–54.1),
p
< 0.0001). However, there was high correlation between the techniques, yielding good to excellent ICC (0.76–0.99) and small mean of differences in Bland-Altman analysis (e.g. LAVmin − 2.0 ml, PEF 3.3%). Measurements showed high inter- (ICC > 0.958) and intra-rater (ICC > 0.934) agreement for both techniques. CS-based parameters (PEF AUC = 0.965, LAVmin AUC = 0.864) showed equivalent diagnostic ability compared to Conv cine imaging (PEF AUC = 0.989, LAVmin AUC = 0.859) to differentiate between HV and HFrEF.
Conclusion
Atrial volumetric and functional evaluation using CS cine imaging is feasible with relevant reduction of acquisition time, therefore strengthening the role of CS in clinical CMR for atrial imaging.
Key Points
•
Reliable assessment of atrial volumes and function based on compressed sensing cine imaging is feasible.
•
Compressed sensing reduces scan time and has the potential to overcome obstacles of conventional cine imaging.
•
No significant differences for subjective image quality, inter- and intra-rater agreement, and ability to differentiate healthy volunteers and heart failure patients were detected between conventional and compressed sensing cine imaging.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>33779815</pmid><doi>10.1007/s00330-021-07830-z</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-6096-3154</orcidid><oa>free_for_read</oa></addata></record> |
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language | eng |
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source | MEDLINE; SpringerLink Journals |
subjects | Acceleration Atria Cardiac Congestive heart failure Diagnostic Radiology Emptying Evaluation Heart Atria - diagnostic imaging Heart Failure Humans Image Interpretation, Computer-Assisted Image quality Imaging Internal Medicine Interventional Radiology Magnetic Resonance Imaging, Cine Medical imaging Medicine Medicine & Public Health Neuroradiology Parameters Patients Radiology Reduction Reproducibility of Results Sequences Stroke Volume Ultrasound |
title | Compressed sensing acceleration of cardiac cine imaging allows reliable and reproducible assessment of volumetric and functional parameters of the left and right atrium |
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