High-resolution Free-breathing late gadolinium enhancement Cardiovascular magnetic resonance to diagnose myocardial injuries following COVID-19 infection
Autor: | Aurélien Bustin, Matthias Stuber, Alexandre Ouattara, Didier Gruson, Hubert Cochet, Nahema Issa, Pierre Gravinay, Arnaud Desclaux, Renaud Prevel, Pierre Coste, Soumaya Sridi, Fabrice Bonnet, Edouard Gerbaud, François Laurent, Alexandre Boyer, Benoit Legghe, Fabrice Camou, Hadrien Rozé, Philippe Gosse, Michel Montaudon |
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Přispěvatelé: | Admin, Oskar, Equipements d'excellence - Plateforme multi-modale d'exploration en cardiologie - - MUSIC2011 - ANR-11-EQPX-0030 - EQPX - VALID, IHU-LIRYC, Université Bordeaux Segalen - Bordeaux 2-CHU Bordeaux [Bordeaux], CHU Bordeaux [Bordeaux], Bordeaux population health (BPH), Université de Bordeaux (UB)-Institut de Santé Publique, d'Épidémiologie et de Développement (ISPED)-Institut National de la Santé et de la Recherche Médicale (INSERM), Centre de recherche Cardio-Thoracique de Bordeaux [Bordeaux] (CRCTB), Université Bordeaux Segalen - Bordeaux 2-CHU Bordeaux [Bordeaux]-Institut National de la Santé et de la Recherche Médicale (INSERM), Agence Nationale de la Recherche, ANR-11-EQPX-0030,MUSIC,Plateforme multi-modale d'exploration en cardiologie(2011) |
Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Male
Magnetic Resonance Spectroscopy Heart disease Image quality [SDV.IB.IMA]Life Sciences [q-bio]/Bioengineering/Imaging Contrast Media Gadolinium 030204 cardiovascular system & hematology MINOCA Myocardial infarction with non-obstructed coronary arteries HR-LGE High-resolution late gadolinium enhancement 030218 nuclear medicine & medical imaging 0302 clinical medicine [SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases Cardiac Magnetic Resonance Imaging [SDV.MHEP.ME] Life Sciences [q-bio]/Human health and pathology/Emerging diseases TTE Transthoracic echocardiography [SDV.MHEP.ME]Life Sciences [q-bio]/Human health and pathology/Emerging diseases biology medicine.diagnostic_test ECG Electrocardiogram General Medicine Magnetic Resonance Imaging CMR Cardiovascular magnetic resonance [SDV.MHEP.CSC] Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system medicine.anatomical_structure EF Ejection fraction Cohort embryonic structures Cardiology [SDV.MHEP.MI] Life Sciences [q-bio]/Human health and pathology/Infectious diseases High-resolution medicine.medical_specialty 3D Three-dimensional Myocarditis Late Gadolinium Enhancement Magnetic Resonance Imaging Cine BMI Body mass index TI Inversion time LV Left ventricle Article RV Right ventricular 03 medical and health sciences [SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system Cardiac magnetic resonance imaging Predictive Value of Tests Internal medicine medicine Humans Radiology Nuclear Medicine and imaging cardiovascular diseases ROI Regions-of-interest business.industry SARS-CoV-2 LGE Late gadolinium enhancement COVID-19 Magnetic resonance imaging medicine.disease Troponin Coronary arteries LR-LGE Low-resolution late gadolinium enhancement [SDV.IB.IMA] Life Sciences [q-bio]/Bioengineering/Imaging biology.protein PCR Polymerase chain reaction business |
Zdroj: | European Journal of Radiology European Journal of Radiology, Elsevier, 2021, 144, pp.109960. ⟨10.1016/j.ejrad.2021.109960⟩ |
ISSN: | 0720-048X |
Popis: | International audience; PURPOSE: High-resolution free-breathing late gadolinium enhancement (HR-LGE) was shown valuable for the diagnosis of acute coronary syndromes with non-obstructed coronary arteries. The method may be useful to detect COVID-related myocardial injuries but is hampered by prolonged acquisition times. We aimed to introduce an accelerated HR-LGE technique for the diagnosis of COVID-related myocardial injuries. METHOD: An undersampled navigator-gated HR-LGE (acquired resolution of 1.25 mm(3)) sequence combined with advanced patch-based low-rank reconstruction was developed and validated in a phantom and in 23 patients with structural heart disease (test cohort; 15 men; 55 ± 16 years). Twenty patients with laboratory-confirmed COVID-19 infection associated with troponin rise (COVID cohort; 15 men; 46 ± 24 years) prospectively underwent cardiovascular magnetic resonance (CMR) with the proposed sequence in our center. Image sharpness, quality, signal intensity differences and diagnostic value of free-breathing HR-LGE were compared against conventional breath-held low-resolution LGE (LR-LGE, voxel size 1.8x1.4x6mm). RESULTS: Structures sharpness in the phantom showed no differences with the fully sampled image up to an undersampling factor of x3.8 (P > 0.5). In patients (N = 43), this acceleration allowed for acquisition times of 7min21s ± 1min12s at 1.25 mm(3) resolution. Compared with LR-LGE, HR-LGE showed higher image quality (P = 0.03) and comparable signal intensity differences (P > 0.5). In patients with structural heart disease, all LGE-positive segments on LR-LGE were also detected on HR-LGE (80/391) with 21 additional enhanced segments visible only on HR-LGE (101/391, P |
Databáze: | OpenAIRE |
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