Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
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Comparison between Three-Dimensional Navigator-Gated Whole-Heart MRI and Two-Dimensional Cine MRI in Quantifying Ventricular Volumes

  • Goo, Hyun Woo (Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center)
  • Received : 2017.08.02
  • Accepted : 2018.01.19
  • Published : 2018.08.01
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Abstract

Objective: To test whether the method utilizing three-dimensional (3D) whole-heart MRI has an additional benefit over that utilizing conventional two-dimensional (2D) cine MRI in quantifying ventricular volumes. Materials and Methods: In 110 patients with congenital heart disease, a navigator-gated, 3D whole-heart MRI during end-systole (ES) and end-diastole (ED), 2D short-axis cine MRI, and phase contrast MRI of the great arteries were acquired. Ventricular volumes were measured by using a 3D threshold-based segmentation for 3D whole-heart MRI and by using a simplified contouring for 2D cine MRI. The cardiac trigger delays of 3D whole-heart MRI were compared with those of a 2D cine MRI. The stroke volumes calculated from the ventricular volumes were compared with the arterial flow volumes, measured by phase contrast MRI. Results: The ES and ED trigger delays of whole-heart MRI were significantly less than cine MRI for both the left ventricle ($-16.8{\pm}35.9ms$ for ES, $-59.0{\pm}90.4ms$ for ED; p < 0.001) and the right ventricle ($-58.8{\pm}30.6ms$ for ES, $-104.9{\pm}92.7ms$ for ED; p < 0.001). Compared with the arterial flow volumes, 2D cine MRI significantly overestimated the left ventricular stroke volumes ($8.7{\pm}8.9mL$, p < 0.001) and the 3D whole-heart MRI significantly underestimated the right ventricular stroke volumes ($-22.7{\pm}22.9mL$, p < 0.001). Conclusion: Three-dimensional whole-heart MRI is often subject to early timing of the ED phase, potentially leading to the underestimation of the right ventricular stroke volumes.

Keywords

References

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