T2-Prepared SSFP Improves Diagnostic Confidence in Edema Imaging in Acute Myocardial Infarction Compared to Turbo Spin Echo


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Abstract

T2-weighted MRI of edema in acute myocardial infarction (MI) provides a means of differentiating acute and chronic MI, and assessing the area at risk of infarction. ConventionalT2-weighted imaging of edema uses a turbo spin-echo (TSE) readout with dark-blood preparation. Clinical applications of dark-blood TSE methods can be limited by artifacts such as posterior wall signal loss due to through-plane motion, and bright subendocardial artifacts due to stagnant blood. Single-shot imaging with aT2-prepared SSFP readout provides an alternative to dark-blood TSE and may be conducted during free breathing. We hypothesized thatT2-prepared SSFP would be a more reliable method than dark-blood TSE for imaging of edema in patients with MI. In patients with MI (22 acute and nine chronic MI cases),T2-weighted imaging with both methods was performed prior to contrast administration and delayed-enhancement imaging. TheT2-weighted images using TSE were nondiagnostic in three of 31 cases, while six additional cases rated as being of diagnostic quality yielded incorrect diagnoses. In all 31 cases theT2-prepared SSFP images were rated as diagnostic quality, correctly differentiated acute or chronic MI, and correctly determined the coronary territory. Free-breathingT2-prepared SSFP providesT2-weighted images of acute MI with fewer artifacts and better diagnostic accuracy than conventional dark-blood TSE. Magn Reson Med 57:891–897, 2007. Published 2007 Wiley-Liss, Inc.

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