Abstract

Background High resolution 3D late gadolinium enhancement (LGE) imaging prior to RF ablation of atrial fibrillation (AF) is performed with single R-wave gating to reduce lengthy acquisition times [1]. However, this increases the sequence sensitivity to RR interval variations and missed cardiac triggers which cause variable magnetization recovery between sequence repeats, leading to ghosting of blood pool and unsuppressed fat, together with poor myocardial nulling. 3D LGE image quality in AF is consequently often poor. We have developed a dynamic inversion recovery (dynamic-TI) 3D LGE sequence which minimises variations in the longitudinal magnetisation (Mz) of myocardium throughout the acquisition [2] and have performed a study to assess its efficacy in 17 patients in persistent AF.

Highlights

  • High resolution 3D late gadolinium enhancement (LGE) imaging prior to RF ablation of atrial fibrillation (AF) is performed with single R-wave gating to reduce lengthy acquisition times [1]

  • The dynamic-TI algorithm adjusts the inversion time automatically from beat-to-beat based on the time since the last sequence repeat [2]

  • Navigator-gated 3D LGE imaging (32-36 slices, 1.5 × 1.5 × 4 mm, reconstructed to 64-72 slices, 0.7 × 0.7 × .2 mm) with single R-wave gating was performed on a Siemens Avanto 1.5T scanner 15 minutes after gadolinium administration in 17 patients with persistent AF

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Summary

Background

High resolution 3D late gadolinium enhancement (LGE) imaging prior to RF ablation of atrial fibrillation (AF) is performed with single R-wave gating to reduce lengthy acquisition times [1]. This increases the sequence sensitivity to RR interval variations and missed cardiac triggers which cause variable magnetization recovery between sequence repeats, leading to ghosting of blood pool and unsuppressed fat, together with poor myocardial nulling. We have developed a dynamic inversion recovery (dynamic-TI) 3D LGE sequence which minimises variations in the longitudinal magnetisation (Mz) of myocardium throughout the acquisition [2] and have performed a study to assess its efficacy in 17 patients in persistent AF

Methods
Results
Conclusions

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