Abstract

Background High-resolution late gadolinium enhancement (LGE) MRI is used to assess fibrosis of the left atrium (LA) and visualize post-ablation scar in patients with atrial fibrillation (AF). Only few centers with advanced expertise in cardiac MR (CMR) have shown successful and good quality LGE-MRI of the LA. In this work, we assess the dependence of image quality of LGE images on the number of patients imaged in the centers participating in the multi-center trial DECAAF (Delayed Enhancement - MRI determinant of successful Catheter Ablation of Atrial Fibrillation). Also, main causes of poor image quality were determined. Methods Fifteen centers with different degrees of CMR expertise and typical MRI hardware participated in DECAAF.

Highlights

  • High-resolution late gadolinium enhancement (LGE) MRI is used to assess fibrosis of the left atrium (LA) and visualize post-ablation scar in patients with atrial fibrillation (AF)

  • We assess the dependence of image quality of LGE images on the number of patients imaged in the centers participating in the multi-center trial DECAAF (Delayed Enhancement - MRI determinant of successful Catheter Ablation of Atrial Fibrillation)

  • It was found that the average image quality score for centers that had imaged more than 20 patients (2.35 ± 0.23) was statistically significantly higher than the centers that had imaged less than or equal to 20 patients (1.88 ± 0.49) with p < 0.05

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Summary

Open Access

Dependence of image quality of late gadolinium enhancement MRI of left atrium on number of patients imaged: results of multi-center trial DECAAF. Sathya Vijayakumar1,2*, Eugene G Kholmovski, Mark M Haslam, Nathan Burgon, Nassir F Marrouche. From 17th Annual SCMR Scientific Sessions New Orleans, LA, USA. From 17th Annual SCMR Scientific Sessions New Orleans, LA, USA. 16-19 January 2014

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