Korean Journal of Radiology

  • 제22권9호
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  • Pages.1525-1536
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  • 2021
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  • 1229-6929(pISSN)
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  • 2005-8330(eISSN)
대한영상의학회 (The Korean Society of Radiology)
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Feasibility of Three-Dimensional Balanced Steady-State Free Precession Cine Magnetic Resonance Imaging Combined with an Image Denoising Technique to Evaluate Cardiac Function in Children with Repaired Tetralogy of Fallot

  • YaFeng Peng (Diagnostic Imaging Center of Shanghai Children's Medical Center Affiliated with Shanghai Jiao Tong University School of Medicine) ;
  • XinYu Su (University of Shanghai for Science and Technology, Institute of Medical Imaging Engineering, School of Medical Instrument and Food Engineering) ;
  • LiWei Hu (Diagnostic Imaging Center of Shanghai Children's Medical Center Affiliated with Shanghai Jiao Tong University School of Medicine) ;
  • Qian Wang (Diagnostic Imaging Center of Shanghai Children's Medical Center Affiliated with Shanghai Jiao Tong University School of Medicine) ;
  • RongZhen Ouyang (Diagnostic Imaging Center of Shanghai Children's Medical Center Affiliated with Shanghai Jiao Tong University School of Medicine) ;
  • AiMin Sun (Diagnostic Imaging Center of Shanghai Children's Medical Center Affiliated with Shanghai Jiao Tong University School of Medicine) ;
  • Chen Guo (Diagnostic Imaging Center of Shanghai Children's Medical Center Affiliated with Shanghai Jiao Tong University School of Medicine) ;
  • XiaoFen Yao (Diagnostic Imaging Center of Shanghai Children's Medical Center Affiliated with Shanghai Jiao Tong University School of Medicine) ;
  • Yong Zhang (MR Research, GE Healthcare) ;
  • LiJia Wang (University of Shanghai for Science and Technology, Institute of Medical Imaging Engineering, School of Medical Instrument and Food Engineering) ;
  • YuMin Zhong (Diagnostic Imaging Center of Shanghai Children's Medical Center Affiliated with Shanghai Jiao Tong University School of Medicine)
  • 투고 : 2020.07.03
  • 심사 : 2021.03.13
  • 발행 : 2021.09.01
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초록

Objective: To investigate the feasibility of cine three-dimensional (3D) balanced steady-state free precession (b-SSFP) imaging combined with a non-local means (NLM) algorithm for image denoising in evaluating cardiac function in children with repaired tetralogy of Fallot (rTOF). Materials and Methods: Thirty-five patients with rTOF (mean age, 12 years; range, 7-18 years) were enrolled to undergo cardiac cine image acquisition, including two-dimensional (2D) b-SSFP, 3D b-SSFP, and 3D b-SSFP combined with NLM. End-diastolic volume (EDV), end-systolic volume (ESV), stroke volume (SV), and ejection fraction (EF) of the two ventricles were measured and indexed by body surface index. Acquisition time and image quality were recorded and compared among the three imaging sequences. Results: 3D b-SSFP with denoising vs. 2D b-SSFP had high correlation coefficients for EDV, ESV, SV, and EF of the left (0.959-0.991; p < 0.001) as well as right (0.755-0.965; p < 0.001) ventricular metrics. The image acquisition time ± standard deviation (SD) was 25.1 ± 2.4 seconds for 3D b-SSFP compared with 277.6 ± 0.7 seconds for 2D b-SSFP, indicating a significantly shorter time with the 3D than the 2D sequence (p < 0.001). Image quality score was better with 3D b-SSFP combined with denoising than with 3D b-SSFP (mean ± SD, 3.8 ± 0.6 vs. 3.5 ± 0.6; p = 0.005). Signal-to-noise ratios for blood and myocardium as well as contrast between blood and myocardium were higher for 3D b-SSFP combined with denoising than for 3D b-SSFP (p < 0.05 for all but septal myocardium). Conclusion: The 3D b-SSFP sequence can significantly reduce acquisition time compared to the 2D b-SSFP sequence for cine imaging in the evaluation of ventricular function in children with rTOF, and its quality can be further improved by combining it with an NLM denoising method.

키워드

과제정보

This work was supported by the National Key Research and Development Program of China (No.2018YFB110710), Shanghai Committee of Science and Technology (No.17411965400).

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