Aortic annular dimensions by non-contrast MRI using k-t accelerated 3D cine b-SSFP in pre-procedural assessment for transcatheter aortic valve implantation: a technical feasibility study.

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Tytuł:: Aortic annular dimensions by non-contrast MRI using k-t accelerated 3D cine b-SSFP in pre-procedural assessment for transcatheter aortic valve implantation: a technical feasibility study.
Autorzy:: Aouad P; Department of Radiology, Department of Medicine, Feinberg School of Medicine, Northwestern University, 676 N St Clair (Arkes) suite 800, Chicago, IL, 60611, USA. .
Jarvis KB; Department of Radiology, Department of Medicine, Feinberg School of Medicine, Northwestern University, 676 N St Clair (Arkes) suite 800, Chicago, IL, 60611, USA.
Botelho MF; Department of Radiology, Department of Medicine, Feinberg School of Medicine, Northwestern University, 676 N St Clair (Arkes) suite 800, Chicago, IL, 60611, USA.
Serhal A; Department of Radiology, Department of Medicine, Feinberg School of Medicine, Northwestern University, 676 N St Clair (Arkes) suite 800, Chicago, IL, 60611, USA.
Blaisdell J; Department of Radiology, Department of Medicine, Feinberg School of Medicine, Northwestern University, 676 N St Clair (Arkes) suite 800, Chicago, IL, 60611, USA.
Collins L; Department of Radiology, Department of Medicine, Feinberg School of Medicine, Northwestern University, 676 N St Clair (Arkes) suite 800, Chicago, IL, 60611, USA.
Giri S; Siemens Healthcare, Chicago, IL, USA.
Kim D; Department of Radiology, Department of Medicine, Feinberg School of Medicine, Northwestern University, 676 N St Clair (Arkes) suite 800, Chicago, IL, 60611, USA.
Markl M; Department of Radiology, Department of Medicine, Feinberg School of Medicine, Northwestern University, 676 N St Clair (Arkes) suite 800, Chicago, IL, 60611, USA.
Ricciardi MJ; Department of Cardiology, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Davidson CJ; Department of Cardiology, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Collins J; Department of Radiology, Department of Medicine, Feinberg School of Medicine, Northwestern University, 676 N St Clair (Arkes) suite 800, Chicago, IL, 60611, USA.
Carr J; Department of Radiology, Department of Medicine, Feinberg School of Medicine, Northwestern University, 676 N St Clair (Arkes) suite 800, Chicago, IL, 60611, USA.
Źródło:: The international journal of cardiovascular imaging [Int J Cardiovasc Imaging] 2021 Feb; Vol. 37 (2), pp. 651-661. Date of Electronic Publication: 2020 Sep 23.
Typ publikacji:: Comparative Study; Journal Article
Język:: English
Imprint Name(s):: Publication: [New York] : Springer
Original Publication: Boston : Kluwer Academic Publishers, c2001-
MeSH Terms:: Computed Tomography Angiography*
Coronary Angiography*
Magnetic Resonance Imaging, Cine*
Transcatheter Aortic Valve Replacement*/instrumentation
Aortic Valve/*diagnostic imaging
Aortic Valve Stenosis/*diagnostic imaging
Adult ; Aged ; Aortic Valve/physiopathology ; Aortic Valve/surgery ; Aortic Valve Stenosis/physiopathology ; Aortic Valve Stenosis/surgery ; Case-Control Studies ; Clinical Decision-Making ; Feasibility Studies ; Heart Valve Prosthesis ; Humans ; Middle Aged ; Observer Variation ; Predictive Value of Tests ; Prospective Studies ; Prosthesis Design ; Reproducibility of Results ; Severity of Illness Index ; Young Adult
References:: La Manna A, Sanfilippo A, Capodanno D, Salemi A, Polizzi G, Deste W et al (2011) Cardiovascular magnetic resonance for the assessment of patients undergoing transcatheter aortic valve implantation: a pilot study. J Cardiovasc Magn Reson 13:82. (PMID: 10.1186/1532-429X-13-82)
Paelink BP, Van Herck PL, Rodrigus I, Claeys MJ, Laborde J-C, Parizel PM (2011) Comparison of magnetic resonance imaging of aortic valve stenosis and aortic root to multimodality imaging for selection of transcatheter aortic valve implantation candidates. Am J Cardiol 108:92–98. (PMID: 10.1016/j.amjcard.2011.02.348)
Jabbour A, Ismail TF, Moat N, Gulati A, Roussin I, Alprendurada F et al (2011) Multimodality imaging in transcatheter aortic valve implantation and post-procedural aortic regurgitation comparison among cardiovascular magnetic resonance, cardiac computed tomography, and echocardiography. J Am Coll Cardiol 58(21):2165–2173. (PMID: 10.1016/j.jacc.2011.09.010)
Cannaò PM, Muscogiuri G, Schoepf UJ, De Cecco CN, Suranyi P, Lesslie VW et al (2017) Technical feasibility of a combined noncontrast magnetic resonance protocol for preoperative transcatheter aortic valve replacement evaluation. J Thoracic Imaging 00:1–8.
Ruile P, Blanke P, Krauss T, Dorfs S, Jung B, Jander N (2016) Pre-procedural assessment of aortic annulus dimensions for transcatheter aortic valve replacement: comparison of a non-contrast 3D MRA protocol with contrast-enhanced cardiac dual-source CT angiography. Eur Heart J Cardiovasc Imaging 17:458–466. (PMID: 10.1093/ehjci/jev188)
Koos R, Altiok E, Mahnken AH, Neizel M, Dohmen G, Marx N et al (2012) Evaluation of aortic root for definition of prosthesis size by magnetic resonance imaging and cardiac computed tomography: implications for transcatheter aortic valve implantation. Int J Cardiol 158:353–358. (PMID: 10.1016/j.ijcard.2011.01.044)
Gopal A, Grayburn PA, Mack M, Chacon I, Kim R, Montenegro D et al (2015) Noncontrast 3D CMR imaging for aortic valve annulus sizing in TAVR. JACC Cardiovasc Imaging 8:375–378. (PMID: 10.1016/j.jcmg.2014.11.011)
Renker M, Varga-Szemes A, Schoepf UJ, Baumann S, Piccini D, Zenge MO et al (2016) A non-contrast self-navigated 3-dimensional MR technique for aortic root and vascular access route assessment in the context of transcatheter aortic valve replacement: proof of concept. Eur Radiol 26:951–958. (PMID: 10.1007/s00330-015-3906-x)
Jung B, Ullmann P, Honal M, Bauer S, Hennig J, Markl M (2008) Parallel MRI with extended and averaged GRAPPA Kernels (PEAK-GRAPPA): optimized spatiotemporal dynamic imaging. J Magn Reson Imaging 28:1226–1232. (PMID: 10.1002/jmri.21561)
Huang F, Akao J, Vijayakumar S, Duensing GR, Limkeman M (2005) K-t GRAPPA: A k-space Implementation for dynamic MRI with high reduction factor. Magn Reson Med 54:1172–1184. (PMID: 10.1002/mrm.20641)
Scheffler K, Lehnhardt S (2003) Principles and applications of balanced SSFP techniques. Eur Radiol 13:2409–2418. (PMID: 10.1007/s00330-003-1957-x)
Markl M, Leupold J (2012) Gradient echo imaging. J Magn Reson Imaging 35:1274–1289. (PMID: 10.1002/jmri.23638)
Griswold MA, Jakob PM, Heidemann RM, Nittka M, Jellus V, Wang J, Kiefer B, Haase A (2002) Generalized autocalibrating partially parallel acquisitions (GRAPPA). Magn Reson Med 47:1202–1210. (PMID: 10.1002/mrm.10171)
Schnell S, Markl M, Entezari P, Mahadewia RJ, Semaan E, Stankovic Z et al (2014) K-t GRAPPA accelerated four-dimensional flow MRI in the aorta: effect on scan time, image quality, and quantification of flow and wall shear stress. Magn Reson Med 72:522–533. (PMID: 10.1002/mrm.24925)
Bollache E, Barker AJ, Dolan RS, Carr JC, Ooij PV, Ahmadian R (2018) k-t accelerated aortic 4D flow MRI in under two minutes: Feasibility and impact of resolution, k-space sampling patterns, and respiratory navigator gating on hemodynamic measurements. Magn Reson Med 79:195–207. (PMID: 10.1002/mrm.26661)
Grant Information:: T32 HL134633 United States HL NHLBI NIH HHS; grant numbers NHLBI T32 HL134633 United States HL NHLBI NIH HHS
Contributed Indexing:: Keywords: Computed tomography angiography; Non-contrast magnetic resonance imaging; Severe aortic stenosis; Transcatheter aortic valve replacement; k–t acceleration
Entry Date(s):: Date Created: 20200924 Date Completed: 20210607 Latest Revision: 20220202
Update Code:: 20240105
PubMed Central ID:: PMC8130004
DOI:: 10.1007/s10554-020-02038-6
PMID:: 32968888
: Czasopismo naukowe

To evaluate k-t accelerated 3D cine b-SSFP (balanced steady state free precession) as magnetic resonance imaging (MRI) technique for aortic annular area measurement in transcatheter aortic valve replacement (TAVR) planning compared to computed tomography angiography (CTA) and other non-contrast MRI sequences with reduced imaging time and without contrast administration. 6 volunteers and 7 TAVR candidates were prospectively enrolled. The volunteers underwent an MRI while TAVR candidates underwent an MRI and CTA. The following non-contrast MRI sequences were obtained at the level of the aortic root: 2D cine b-SSFP [GRAPPA (GeneRalized Autocalibrating Partially Parallel Acquisitions), R = 2], 3D cine b-SSFP [GRAPPA R = 2], navigator triggered 3D b-SSFP MRA [GRAPPA, R = 2] and k-t accelerated 3D cine b-SSFP [PEAK GRAPPA, R = 5]. Qualitative analysis and aortic annular area measurements in systole and diastole were obtained. k-t accelerated 3D cine b-SSFP provided image quality that is acceptable for confident diagnosis with very good interrater agreement. There was no statistically significant difference in aortic annular measurements between k-t accelerated 3D cine b-SSFP and CTA or other MRI sequences (p > 0.05). Bland-Altman analysis showed no systemic difference of annular area measurements between k-t accelerated 3D cine b-SSFP and each of the other techniques. There was excellent inter-rater agreement on aortic annular area measurements during systolic (ICC = 0.976, p < 0.001) and diastolic (ICC = 0.971, p < 0.001) phases using k-t accelerated 3D cine b-SSFP. K-t accelerated 3D cine b-SSFP is a promising alternative for the assessment of annular sizing in pre-TAVR evaluation while offering a reasonable combination of imaging parameters during one breath-hold.

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