single-cardiac-cycle phase sensitive inversion recovery

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Single-cardiac-cycle phase sensitive inversion recovery (PSIR) method for cardiac MRI Unmet Need Magnetic Resonance Imaging (MRI) is a safe, non-invasive test that creates detailed images of organs and tissues. In a typical MRI procedure, the subject is positioned in a strong magnetic field, and the nuclear spins in the tissue align with the field. Radio-frequency (RF) excitation pulses are directed into the tissue to excite nuclear magnetic resonances, and subsequent relaxation of the magnetization generates signals that are reconstructed into the final image. One use of MRI is in the setting of heart disease to visualize myocardial damage. Phase-sensitive inversion-recovery (PSIR) is a technique commonly used in cardiac MRI to enhance the contrast between normal and infarcted heart tissue while nulling signals from blood and fat. In PSIR, two datasets are acquired, a conventional image and a reference phase dataset. The phase information in these datasets is then compared to reconstruct the final image. These datasets are acquired during two consecutive heartbeats but at the same time point in the cardiac cycle and this presents several technical challenges. First, spatial misregistration of the two datasets caused by poor breath holding or free breathing results in imaging artifacts. Second, when combining PSIR with respiratory navigation during free breathing, which is done for 3D imaging, the acquisition of paired datasets takes even longer than two heartbeats and makes scan time so excessive that 3D PSIR is hardly used in clinical practice. Therefore, it would be desirable to have an improved technique that overcomes these drawbacks and allows PSIR imaging of tissue affected by cardiovascular pulsatile motion. Technology Duke researchers have developed an improved MRI method and system that can overcome limitations associated with standard phase-sensitive inversion recovery (PSIR) imaging and similar MR imaging techniques by collecting paired reference and inversion recovery datasets within a shortened time frame. The rationale is based on the observation that the heart’s shape and location are very similar and often identical in mid-diastole and in the beginning of each cardiac cycle. Therefore, combing data sets from these different cardiac Duke File (IDF) # T-005183 Inventor(s) Jenista, Elizabeth Chen, Enn-Ling Kim, Raymond Rehwald, Wolfgang Links From Duke Cardiovascular Magnetic Resonance Center College School of Medicine (SOM) For more information please contact Chang Villacreses, David 9196683401 [email protected]

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Page 1: Single-cardiac-cycle phase sensitive inversion recovery

Single-cardiac-cycle phasesensitive inversion recovery (PSIR)method for cardiac MRI

Unmet Need

Magnetic Resonance Imaging (MRI) is a safe, non-invasive testthat creates detailed images of organs and tissues. In a typicalMRI procedure, the subject is positioned in a strong magneticfield, and the nuclear spins in the tissue align with the field.Radio-frequency (RF) excitation pulses are directed into thetissue to excite nuclear magnetic resonances, and subsequentrelaxation of the magnetization generates signals that arereconstructed into the final image. One use of MRI is in thesetting of heart disease to visualize myocardial damage.Phase-sensitive inversion-recovery (PSIR) is a techniquecommonly used in cardiac MRI to enhance the contrastbetween normal and infarcted heart tissue while nullingsignals from blood and fat. In PSIR, two datasets are acquired,a conventional image and a reference phase dataset. Thephase information in these datasets is then compared toreconstruct the final image. These datasets are acquiredduring two consecutive heartbeats but at the same time pointin the cardiac cycle and this presents several technicalchallenges. First, spatial misregistration of the two datasetscaused by poor breath holding or free breathing results inimaging artifacts. Second, when combining PSIR withrespiratory navigation during free breathing, which is done for3D imaging, the acquisition of paired datasets takes evenlonger than two heartbeats and makes scan time so excessivethat 3D PSIR is hardly used in clinical practice. Therefore, itwould be desirable to have an improved technique thatovercomes these drawbacks and allows PSIR imaging of tissueaffected by cardiovascular pulsatile motion.

Technology

Duke researchers have developed an improved MRI methodand system that can overcome limitations associated withstandard phase-sensitive inversion recovery (PSIR) imagingand similar MR imaging techniques by collecting pairedreference and inversion recovery datasets within a shortenedtime frame. The rationale is based on the observation that theheart’s shape and location are very similar and often identicalin mid-diastole and in the beginning of each cardiac cycle.Therefore, combing data sets from these different cardiac

Duke File (IDF) #

T-005183

Inventor(s)

Jenista, ElizabethChen, Enn-LingKim, RaymondRehwald, Wolfgang

Links

From Duke CardiovascularMagnetic Resonance Center

College

School of Medicine (SOM)

For more informationplease contact

Chang Villacreses, [email protected]

Page 2: Single-cardiac-cycle phase sensitive inversion recovery

phases results in good spatial registration. This insight allowstaking both datasets during one heartbeat and minimizesrespiration-related misregistration. In addition, the inventorshave confirmed that the spatial resolution of the referencedataset can be lowered without compromising resolution ofthe reconstructed PSIR image while further loweringacquisition time. The system has been tested on the Siemensclinical MRI scanner and shown to deliver the anticipatedsignificant reduction in misregistration artifacts. Thistechnology is only available for non-exclusive licensing.

Advantages

Dataset acquisition time is less than the one cardiaccycle durationNo artifacts resulting from misregistration errorsbetween datasetsHas been successfully tested on a Siemens clinical MRIscanner

Publications

A novel single-cardiac-cycle phase sensitive inversionrecovery (PSIR) method improves free breathing singleshot flow independent dark blood delayed enhancement(FIDDLE) (Proceedings from the 20th annual SCMRscientific sessions, 2017)Patent (10,591,568)

Patents

Patent Number: 10,591,568Title: SYSTEMS AND METHODS FOR PHASE-SENSITIVEINVERSION RECOVERY MR IMAGING WITH REDUCEDSENSITIVITY TO CARDIAC MOTIONCountry: United States of America

Patent Number: 10,591,568Title: SYSTEMS AND METHODS FOR PHASE-SENSITIVEINVERSION RECOVERY MR IMAGING WITH REDUCEDSENSITIVITY TO CARDIAC MOTIONCountry: United States of America