Chlorine and sodium chemical shift imaging during acute stroke in a rat model at 9.4 Tesla

Object

A triple-resonant coil setup with an ¹H linear resonator and a double-tuned ²³Na/³⁵Cl surface coil was used to study the evolution of T ₂ ^* and M ₀ for ³⁵Cl and ²³Na in a rat stroke model during the acute phase at 9.4 Tesla.

Materials and methods

In vivo measurements were performed 1.5–7 h after onset of stroke (n = 2), ten days after onset (n = 1) and on a healthy control rat by a chemical shift imaging sequence. Measurement times were 15 min (²³Na) and 57 min (³⁵Cl).

Results

The relaxation times ten days after onset [T ₂ ^*  = 14.3 ± 1.8 ms (²³Na) and 6.0 ± 1.3 ms (³⁵Cl)] are clearly prolonged in comparison to a healthy rat [T ₂ ^*  = 4.8 ± 0.6 ms (²³Na) and 2.1 ± 0.3 ms (³⁵Cl)] and the acute phase [T ₂ ^*  = 5.6 ± 0.2 ms (²³Na) and 1.9 ± 0.1 ms (³⁵Cl)].

Conclusion

M ₀ in the infarcted region clearly rises later and slower for chlorine than for sodium. To the best of our knowledge, these are the first combined proton, sodium, and chlorine measurements in an animal stroke model during the acute phase.     

Possibilities and limitations for high resolution small animal MRI on a clinical whole-body 3T scanner

Object

To investigate the potential of a clinical 3 T scanner to perform MRI of small rodents.

Materials and methods

Different dedicated small animal coils and several imaging sequences were evaluated to optimize image quality with respect to SNR, contrast and spatial resolution. As an application, optimal grey-white-matter contrast and resolution were investigated for rats. Furthermore, manganese-enhanced MRI was applied in mice with unilateral crush injury of the optic nerve to investigate coil performance on topographic mapping of the visual projection.

Results

Differences in SNR and CNR up to factor 3 and more were observed between the investigated coils. The best grey-white matter contrast was achieved with a high resolution 3D T ₂-weighted TSE (SPACE) sequence. Delineation of the retino-tectal projection and detection of defined visual pathway damage on the level of the optic nerve could be achieved by using a T ₁-weighted, 3D gradient echo sequence with isotropic resolution of (0.2?mm)³.

Conclusions

Experimental studies in small rodents requiring high spatial resolution can be performed by using a clinical 3 T scanner with appropriate dedicated coils.     

In vivo chlorine and sodium MRI of rat brain at 21.1 T

Object

MR imaging of low-gamma nuclei at the ultrahigh magnetic field of 21.1 T provides a new opportunity for understanding a variety of biological processes. Among these, chlorine and sodium are attracting attention for their involvement in brain function and cancer development.

Materials and methods

MRI of ³⁵Cl and ²³Na were performed and relaxation times were measured in vivo in normal rat (n = 3) and in rat with glioma (n = 3) at 21.1 T. The concentrations of both nuclei were evaluated using the center-out back-projection method.

Results

T ₁ relaxation curve of chlorine in normal rat head was fitted by bi-exponential function (T _1a = 4.8 ms (0.7) T _1b = 24.4 ± 7 ms (0.3) and compared with sodium (T ₁ = 41.4 ms). Free induction decays (FID) of chlorine and sodium in vivo were bi-exponential with similar rapidly decaying components of $ T_{{2{\text{a}}}}^{*} = 0.4 $  ms and $ T_{{2{\text{a}}}}^{*} = 0.53 $  ms, respectively. Effects of small acquisition matrix and bi-exponential FIDs were assessed for quantification of chlorine (33.2 mM) and sodium (44.4 mM) in rat brain.

Conclusion

The study modeled a dramatic effect of the bi-exponential decay on MRI results. The revealed increased chlorine concentration in glioma (~1.5 times) relative to a normal brain correlates with the hypothesis asserting the importance of chlorine for tumor progression.     

Quantitative T 2 * assessment of acute and chronic myocardial ischemia/reperfusion injury in mice

Object

Imaging of myocardial infarct composition is essential to assess efficacy of emerging therapeutics. T ₂ ^* mapping has the potential to image myocardial hemorrhage and fibrosis by virtue of its short T ₂ ^* . We aimed to quantify T ₂ ^* in acute and chronic myocardial ischemia/reperfusion (I/R) injury in mice.

Materials and methods

I/R-injury was induced in C57BL/6 mice (n?=?9). Sham-operated mice (n?=?8) served as controls. MRI was performed at baseline, and 1, 7 and 28?days after surgery. MRI at 9.4?T consisted of Cine, T ₂ ^* mapping and late-gadolinium-enhancement (LGE). Mice (n?=?6) were histologically assessed for hemorrhage and collagen in the fibrotic scar.

Results

Baseline T ₂ ^* values were 17.1?±?2.0?ms. At day 1, LGE displayed a homogeneous infarct enhancement. T ₂ ^* in infarct (12.0?±?1.1?ms) and remote myocardium (13.9?±?0.8?ms) was lower than at baseline. On days 7 and 28, LGE was heterogeneous. T ₂ ^* in the infarct decreased to 7.9?±?0.7 and 6.4?±?0.7?ms, whereas T ₂ ^* values in the remote myocardium were 14.2?±?1.1 and 15.6?±?1.0?ms. Histology revealed deposition of iron and collagen in parallel with decreased T ₂ ^* .

Conclusion

T ₂ ^* values are dynamic during infarct development and decrease significantly during scar maturation. In the acute phase, T ₂ ^* values in infarcted myocardium differ significantly from those in the chronic phase. T ₂ ^* mapping was able to confirm the presence of a chronic infarction in cases where LGE was inconclusive. Hence, T ₂ ^* may be used to discriminate between acute and chronic infarctions.     

Quantitative T<Subscript>1</Subscript> and T<Subscript>2</Subscript> MRI signal characteristics in the human brain: different patterns of MR contrasts in normal ageing

Objective

The objective of this study was to examine age-dependent changes in both T₁-weighted and T₂-weighted image contrasts and spin-echo T₂ relaxation time in the human brain during healthy ageing.

Methods

A total of 37 participants between the ages of 49 and 87 years old were scanned with a 3 Tesla system, using T₁-weighted, T₂ weighted and quantitative spin-echo T₂ imaging. Contrast between image intensities and T₂ values was calculated for various regions, including between individual hippocampal subfields.

Results

The T₁ contrast-to-noise (CNR) and gray:white signal intensity ratio (GWR) did not change in the hippocampus, but it declined in the cingulate cortex with age. In contrast, T₂ CNR and GWR declined in both brain regions. T₂ relaxation time was almost constant in gray matter and most (but not all) hippocampal subfields, but increased substantially in white matter, pointing to an age effect on water relaxation in white matter.

Conclusions

Changes in T₁ and T₂ MR characteristics influence the appearance of brain images in later life and should be considered in image analyses of aged subjects. It is speculated that alterations at the cell biology level, with concomitant alterations to the local magnetic environment, reduce dephasing and subsequently prolong spin-echo T₂ through reduced diffusion effects in later life.

     

Blood longitudinal (T 1) and transverse (T 2) relaxation time constants at 11.7 Tesla

Object

The goal of the study was to determine blood T ₁ and T ₂ values as functions of oxygen saturation (Y), temperature (Temp) and hematocrit (Hct) at an ultrahigh MR field (11.7?T) and explore their impacts on physiological measurements, including cerebral blood flow (CBF), blood volume (CBV) and oxygenation determination.

Materials and methods

T ₁ and T ₂ were simultaneously measured. Temperature was adjusted from 25 to 40°C to determine Temp dependence; Hct of 0.17?C0.51 to evaluate Hct dependence at 25 and 37°C; and Y of 40?C100% to evaluate Y dependence at 25 and 37°C. Comparisons were made with published data obtained at different magnetic field strengths (B ₀).

Results

T ₁ was positively correlated with Temp, independent of Y, and negatively correlated with Hct. T ₂ was negatively correlated with Temp and Hct, but positively correlated with Y, in a non-linear fashion. T ₁ increased linearly with B ₀, whereas T ₂ decreased exponentially with B₀.

Conclusion

This study reported blood T ₁ and T ₂ measurements at 11.7?T for the first time. These blood relaxation data could have implications in numerous functional and physiological MRI studies at 11.7?T.     

Evaluation of a mobile NMR sensor for determining skin layers and locally estimating the T2eff relaxation time in the lower arm

Object

The nuclear magnetic resonance (NMR) mobile-universal-surface-explorer (MOUSE) was evaluated in a pilot study to determine its ability to detect physiological changes in human skin caused by physical or pharmacological interventions.

Materials and methods

The left lower arm skin thicknesses of ten male subjects were measured five times using a Profile NMR-MOUSE^? (¹H, 19?MHz) before and after a venous occlusion manoeuvre. In five of the subjects, the T_2eff relaxation times were derived from a bi-exponential fitting and were determined in the dermis and subcutis before and after applying a salve containing capsaicin.

Results

The dermis (including the epidermis) showed rather homogeneous signal amplitudes. The subcutis was characterised by higher and more variable amplitudes. The full-skin thickness values were affirmed by ultrasound imaging. The NMR profiles did not show significant skin swelling due to venous occlusion. In the dermis, capsaicin caused significant (p?<?0.05) decreases in both components of T _2eff (100?±?19?ms?C19?±?10?ms; 9.5?±?0.5?ms?C7.2?±?1.6?ms). In the subcutis, the T _2eff was not affected.

Conclusion

In principle, NMR-MOUSE profiles are capable of detecting skin structure. However, precise measurements are jeopardised by poor reproducibility, long acquisition times, and incompatibility between the geometries of the sensitive area of the instrument and the non-planar structure of the skin. In the dermis, T _2eff contrast could be used to detect the changes in tissue composition caused by inflammatory reactions.     

Quantification and localization of contrast agents using delta relaxation enhanced magnetic resonance at 1.5?T

Object

Delta relaxation enhanced magnetic resonance (dreMR) is a new imaging technique based on the idea of cycling the magnetic field B ₀ during an imaging sequence. The method determines the field dependency of the relaxation rate (relaxation dispersion dR ₁/dB). This quantity is of particular interest in contrast agent imaging because the parameter can be used to determine contrast agent concentrations and increases the ability to localize the contrast agent.

Materials and methods

In this paper dreMR imaging was implemented on a clinical 1.5?T MR scanner combining conventional MR imaging with fast field-cycling. Two improvements to dreMR theory are presented describing the quantification of contrast agent concentrations from dreMR data and a correction for field-cycling with finite ramp times.

Results

Experiments demonstrate the use of the extended theory and show the measurement of contrast agent concentrations with the dreMR method. A second experiment performs localization of a contrast agent with a significant improvement in comparison to conventional imaging.

Conclusion

dreMR imaging has been extended by a method to quantify contrast agent concentrations and improved for field-cycling with finite ramp times. Robust localization of contrast agents using dreMR imaging has been performed in a sample where conventional imaging delivers inconclusive results.     

3D <Emphasis Type="Italic">T</Emphasis><Subscript>2</Subscript>-weighted imaging at 7T using dynamic k<Subscript>T</Subscript>-points on single-transmit MRI systems

Objectives

For turbo spin echo (TSE) sequences to be useful at ultra-high field, they should ideally employ an RF pulse train compensated for the B ₁ ⁺ inhomogeneity. Previously, it was shown that a single k_T-point pulse designed in the small tip-angle regime can replace all the pulses of the sequence (static k_T-points). This work demonstrates that the B ₁ ⁺ dependence of T ₂-weighted imaging can be further mitigated by designing a specific k_T-point pulse for each pulse of a 3D TSE sequence (dynamic k_T-points) even on single-channel transmit systems

Materials and methods

By combining the spatially resolved extended phase graph formalism (which calculates the echo signals throughout the sequence) with a gradient descent algorithm, dynamic k_T-points were optimized such that the difference between the simulated signal and a target was minimized at each echo. Dynamic k_T-points were inserted into the TSE sequence to acquire in vivo images at 7T.

Results

The improvement provided by the dynamic k_T-points over the static k_T-point design and conventional hard pulses was demonstrated via simulations. Images acquired with dynamic k_T-points showed systematic improvement of signal and contrast at 7T over regular TSE—especially in cerebellar and temporal lobe regions without the need of parallel transmission.

Conclusion

Designing dynamic k_T-points for a 3D TSE sequence allows the acquisition of T ₂-weighted brain images on a single-transmit system at ultra-high field with reduced dropout and only mild residual effects due to the B ₁ ⁺ inhomogeneity.

     

Measurement techniques for magnetic resonance imaging of fast relaxing nuclei

In this review article, techniques for sodium (²³Na) magnetic resonance imaging (MRI) are presented. These techniques can also be used to image other nuclei with short relaxation times (e.g., ³⁹K, ³⁵Cl, ¹⁷O). Twisted projection imaging, density-adapted 3D projection reconstruction, and 3D cones are preferred because of uniform k-space sampling and ultra-short echo times. Sampling density weighted apodization can be applied if intrinsic filtering is desired. This approach leads to an increased signal-to-noise ratio compared to postfiltered acquisition in cases of short readout durations relative to T ₂ ^* relaxation time. Different MR approaches for anisotropic resolution are presented, which are important for imaging of thin structures such as myocardium, cartilage, and skin. The third part of this review article describes different methods to put more weighting either on the intracellular or the extracellular sodium signal by means of contrast agents, relaxation-weighted imaging, or multiple-quantum filtering.     

Topography of brain sodium accumulation in progressive multiple sclerosis

Object

Sodium accumulation is involved in neuronal injury occurring in multiple sclerosis (MS). We aimed to assess sodium accumulation in progressive MS, known to suffer from severe neuronal injury.

Materials and methods

3D-²³Na-MRI was obtained on a 3T-MR-scanner in 20 progressive MS patients [11 primary-progressive (PPMS) and nine secondary-progressive (SPMS)] and 15 controls. Total sodium concentrations (TSC) within grey matter (GM), normal-appearing white matter (WM) and lesions were extracted. Statistical mapping analyses of TSC abnormalities were also performed.

Results

Progressive MS patients presented higher GM–TSC values (48.8 ± 3.1 mmol/l wet tissue vol, p < 0.001) and T₂lesions-TSC values (50.9 ± 2.2 mmol/l wet tissue vol, p = 0.01) compared to GM and WM of controls. Statistical mapping analysis showed TSC increases in PPMS patients confined to motor and somatosensory cortices, prefrontal cortices, pons and cerebellum. In SPMS, TSC increases were associated with areas involving: primary motor, premotor and somatosensory cortices; prefrontal, cingulate and visual cortices; the corpus callosum, thalami, brainstem and cerebellum. Anterior prefrontal and premotor cortices TSC were correlated with disability.

Conclusion

Sodium accumulation is present in progressive MS patients, more restricted to the motor system in PPMS and more widespread in SPMS. Local brain sodium accumulation appears as a promising marker to monitor patients with progressive MS.     

The impact of fibre orientation on <Emphasis Type="Italic">T</Emphasis><Subscript>1</Subscript>-relaxation and apparent tissue water content in white matter

Objective

Recent MRI studies have shown that the orientation of nerve fibres relative to the main magnetic field affects the R₂*(= 1/T₂*) relaxation rate in white matter (WM) structures. The underlying physical causes have been discussed in several studies but are still not completely understood. However, understanding these effects in detail is of great importance since this might serve as a basis for the development of new diagnostic tools and/or improve quantitative susceptibility mapping techniques. Therefore, in addition to the known angular dependence of R₂*, the current study investigates the relationship between fibre orientation and the longitudinal relaxation rate, R₁ (= 1/T₁), as well as the apparent water content.

Materials and methods

For a group of 16 healthy subjects, a series of gradient echo, echo-planar and diffusion weighted images were acquired at 3T from which the decay rates, the apparent water content and the diffusion direction were reconstructed. The diffusion weighted data were used to determine the angle between the principle fibre direction and the main magnetic field to examine the angular dependence of R₁ and apparent water content.

Results

The obtained results demonstrate that both parameters depend on the fibre orientation and exhibit a positive correlation with the angle between fibre direction and main magnetic field.

Conclusion

These observations could be helpful to improve and/or constrain existing biophysical models of brain microstructure by imposing additional constraints resulting from the observed angular dependence R₁ and apparent water content in white matter.

     

Single spin-echo T 2 relaxation times of cerebral metabolites at 14.1 T in the in vivo rat brain

Object

To determine the single spin-echo T ₂ relaxation times of uncoupled and J-coupled metabolites in rat brain in vivo at 14.1 T and to compare these results with those previously obtained at 9.4 T.

Materials and methods

Measurements were performed on five rats at 14.1 T using the SPECIAL sequence and TE-specific basis-sets for LCModel analysis.

Results and conclusion

The T ₂ of singlets ranged from 98 to 148 ms and T ₂ of J-coupled metabolites ranged from 72 ms (glutamate) to 97 ms (myo-inositol). When comparing the T ₂s of the metabolites measured at 14.1 T with those previously measured at 9.4 T, a decreasing trend was found (p < 0.0001). We conclude that the modest shortening of T ₂ at 14.1 T has a negligible impact on the sensitivity of the ¹H MRS when performed at TE shorter than 10 ms.     

Direct cerebral and cardiac 17O-MRI at 3 Tesla: initial results at natural abundance

Purpose

To establish direct ¹⁷O-magnetic resonance imaging (MRI) for metabolic imaging at a clinical field strength of 3 T.

Methods

An experimental setup including a surface coil and transmit/receive switch was constructed. Natural abundance in vivo brain images of a volunteer were acquired with a radial three-dimensional (3D) sequence in the visual cortex and in the heart with electrocardiogram (ECG)-gating.

Results

In the brain, a signal-to-noise ratio of 36 was found at a nominal resolution of (5.6 mm)³, and a transverse relaxation time of T₂* = (1.9 ± 0.2) ms was obtained. In the heart ¹⁷O images were acquired with a temporal resolution of 200 ms.

Conclusion

Cerebral and cardiac ¹⁷O-MRI at natural abundance is feasible at 3 T.     

Magnetic resonance imaging of solid dental restoration materials using 3D UTE sequences: visualization and relaxometry of various compounds

Object

Due to an increasing scientific interest in MR-imaging of carious lesions and teeth, an accurate signal characterization of dental restoration materials is necessary for optimization of MR sequence protocols and evaluation of material degradation. Therefore, signal yield and relaxation behavior of common dental restoration materials in comparison to those of dentine of extracted human teeth were assessed in vitro by ultrashort echo time (UTE) sequences.

Materials and methods

Eighteen material samples and dentine of two freshly extracted human teeth were investigated on a 3T whole-body clinical MR-scanner. Transverse (T2*) and longitudinal relaxation times (T1) were quantified using a recently published modified Ernst equation that takes relevant in-pulse relaxation effects into account.

Results

All investigated samples could be successfully visualized but maximum signal yield was highly variable between samples. T1-values of the investigated dental restoration materials ranged between 28 and 365 ms, whereas T2*-values ranged between 96 and 917 μs. In contrast, T1-values of dentine (T1 = 545 ms ± 299 ms) were higher, while T2*-values (T2* = 478 μs ± 271 μs) showed similar values.

Conclusions

Dental restoration materials and dentine of extracted human teeth can be visualized by UTE sequences and show a broad range of signal yield and relaxation times.     

Quantitative effects of acquisition duration and temporal resolution on the measurement accuracy of prostate dynamic contrast-enhanced MRI data: a phantom study

Objectives

The aim of this study was to investigate the effect of the temporal resolution (T _res) and acquisition duration (AD) on the measurement accuracy of contrast concentration–time curves (CTCs), and derived phenomenological and pharmacokinetic parameter values, in a dynamic contrast-enhanced MRI experiment using a novel phantom test device.

Materials and methods

‘Ground truth’ CTCs were established using a highly precise optical imaging system. These precisely known CTCs were produced in an anthropomorphic environment, which mimicked the male pelvic region, and presented to the MRI scanner for measurement. The T _res was varied in the range [2–24.4 s] and the AD in the range [30–600 s], and the effects on the measurement accuracy were quantified.

Results

For wash-in parameter measurements, large underestimation errors (up to 40%) were found using T _res values ≥16.3 s; however, the measured wash-out rate did not vary greatly across all T _res values tested. Errors in derived K ^trans and v _e values were below 14 and 12% for acquisitions with {T _res ≤ 8.1 s, AD ≥ 360 s} and {T _res ≤ 16.3 s, AD ≥ 360 s}, respectively, but increased dramatically outside these ranges.

Conclusions

Errors in measured wash-in, wash-out, K ^trans, and v _e parameters were minimised using T _res ≤ 8.1 s and AD ≥ 360 s, with large errors recorded outside of this range.

     

T 2 relaxometry measurements in low spatial frequency brain regions differ between fast spin-echo and multiple-echo spin-echo sequences

Object

Dual-echo fast spin-echo (FSE) sequences are used in T ₂ relaxometry studies of neurological disorders because of shorter clinical scanning times and protocol simplicity. However, FSE sequences have possible spatial frequency-dependent effects, and derived T ₂ values may include errors that depend on the spatial frequency characteristics of the brain region of interest.

Materials and methods

Dual-echo FSE and multi-echo spin-echo (MESE) sequences were acquired in nine subjects. The T ₂ decay curves for FSE and MESE sequences were estimated and percent error maps were generated. T ₂ error values were obtained along each patient’s corticospinal tract (CST). Whole-brain white matter (WM) and gray matter (GM) T ₂ error values were also obtained. The paired t test was performed to evaluate differences in T ₂ values in the CST between FSE and MESE sequences.

Results

Histograms of error values in CST and in whole-brain WM and GM structures revealed systematic errors in FSE sequences. Significant differences (P < 0.001) in CST T ₂ values were also observed between FSE and MESE sequences.

Conclusion

Our findings indicate that T ₂ values derived from FSE sequences are prone to large errors, even in low spatial frequency regions such as the CST, when compared to MESE sequences. Future studies should be aware of this limitation of FSE sequences.     

Water exchange-minimizing DCE-MRI protocol to detect changes in tumor vascular parameters: effect of bevacizumab/paclitaxel combination therapy

Objective

The purpose of this study was to assess changes in the tumor microvasculature induced by combination antiangiogenic therapy in MCF-7 breast tumor mouse models, using a noninvasive DCE-MRI method that minimizes the effect of water exchange.

Materials and methods

3D quantitative DCE-MRI images were acquired with a heavily T ₁-weighted saturation recovery gradient echo sequence with a recovery delay of 20 ms. Tumor vascular volume (VV) and vascular permeability-surface area product (PS) were obtained through a linear regression of the albumin-Gd-DTPA-enhanced dynamic image intensity on MCF-7 breast tumor mouse models treated with combination bevacizumab/paclitaxel therapy.

Results

Measured tumor VV values were significantly higher than the values that have been reported previously using quantitative T ₁ mapping, and are in good agreement with micro-CT (computed tomography) results reported earlier from other tumor models. A trend of decreasing tumor PS was detected in the group of MCF-7 tumor bearing mice treated with the bevacizumab/paclitaxel combination regimen.

Conclusion

VV and PS maps obtained by a heavily T ₁-weighted acquisition protocol revealed the large peripheral blood vessels as well as the permeable areas within the tumor. A 12-day/three-dose combination treatment of bevacizumab and paclitaxel resulted in delayed tumor growth and a trend of decreasing tumor vascular permeability surface area product.     

Identification of myocardial diffuse fibrosis by 11 heartbeat MOLLI <Emphasis Type="Italic">T</Emphasis><Subscript>1</Subscript> mapping: averaging to improve precision and correlation with collagen volume fraction

Objectives

Our objectives involved identifying whether repeated averaging in basal and mid left ventricular myocardial levels improves precision and correlation with collagen volume fraction for 11 heartbeat MOLLI T ₁ mapping versus assessment at a single ventricular level.

Materials and methods

For assessment of T ₁ mapping precision, a cohort of 15 healthy volunteers underwent two CMR scans on separate days using an 11 heartbeat MOLLI with a 5(3)3 beat scheme to measure native T ₁ and a 4(1)3(1)2 beat post-contrast scheme to measure post-contrast T ₁, allowing calculation of partition coefficient and ECV. To assess correlation of T ₁ mapping with collagen volume fraction, a separate cohort of ten aortic stenosis patients scheduled to undergo surgery underwent one CMR scan with this 11 heartbeat MOLLI scheme, followed by intraoperative tru-cut myocardial biopsy. Six models of myocardial diffuse fibrosis assessment were established with incremental inclusion of imaging by averaging of the basal and mid-myocardial left ventricular levels, and each model was assessed for precision and correlation with collagen volume fraction.

Results

A model using 11 heart beat MOLLI imaging of two basal and two mid ventricular level averaged T ₁ maps provided improved precision (Intraclass correlation 0.93 vs 0.84) and correlation with histology (R ² = 0.83 vs 0.36) for diffuse fibrosis compared to a single mid-ventricular level alone. ECV was more precise and correlated better than native T ₁ mapping.

Conclusion

T ₁ mapping sequences with repeated averaging could be considered for applications of 11 heartbeat MOLLI, especially when small changes in native T ₁/ECV might affect clinical management.