The effect of free-breathing on left ventricular rotational mechanics in normal subjects and patients with duchenne muscular dystrophy

Abstract

Reyhan et al. Journal of Cardiovascular Magnetic Resonance 2015, 17(Suppl 1):Q22 http://www.jcmr-online.com/content/17/S1/Q22 WALKING POSTER PRESENTATION Open Access The effect of free-breathing on left ventricular rotational mechanics in normal subjects and patients with duchenne muscular dystrophy Meral Reyhan 2,3 , Zhe Wang 2,1* , Hyun J Kim 2 , Nancy Halnon 4 , Paul J Finn 2 , Daniel B Ennis 2,1 From 18th Annual SCMR Scientific Sessions Nice, France. 4-7 February 2015 Background Patients with Duchenne Muscular Dystrophy (DMD) develop respiratory impairment and signs and symptoms of cardiac involvement at an early age. Quantitative mea- sures of cardiac function from MRI tagging can be used to stage disease progression and monitor the response to therapy. Traditional cardiac MRI exams, however, require repeated breath holding, which places a notable burden on patients with DMD and can impart intrathoracic pressure changes that alter cardiac function. The effect of free- breathing on quantitative measure of left ventricular (LV) rotational mechanics for DMD patients is incompletely understood. Objective: To evaluate differences in LV rota- tional mechanics acquired during breath holding (BH), free-breathing with averaging (AVG), and free-breathing with respiratory bellows gating (BEL). Methods 16 healthy volunteers (1 female, 27.8±3.9 years) and 5 DMD patients (all male, 11.3±3.7 years) were scanned on a 3.0T Siemens Scanner with BH, AVG and BEL. ORI-SPAMM (Reyhan. M et. al. JMRI 2014;39(2):339- 345) was used to acquire short-axis images at the base and apex of the heart. 280-330x280-330mm field-of- view, 6mm slice thickness, 192x192 acquisition matrix, 395 Hz/pixel receiver bandwidth, TE/TR =2.33-2.39/ 4.71-4.83 ms, 8 phase encode lines per segment, 12° imaging flip angle, 8 mm tag spacing, GRAPPA 2. LV Figure 1 Mean LV twist of (A) healthy volunteers and (B) patients with DMD for breath-held (BH, solid), free-breathing with averaging (AVG, dashed), and bellows gated (BEL, dash-dotted) methods. BH LV twist is generally higher compared to AVG or BEL, especially at its peak. Radiological Sciences, University of California Los Angeles, Los Angeles, CA, USA © 2015 Reyhan et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http:// creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.