Three-dimensional late gadolinium-enhanced mr imaging of the left atrium: A comparison of spiral versus Cartesian k-space trajectories.

Journal of magnetic resonance imaging : JMRI

PubMedID: 24006356

Knowles BR, Peters DC, Clough RE, Razavi R, Schaeffter T, Prieto C. Three-dimensional late gadolinium-enhanced mr imaging of the left atrium: A comparison of spiral versus Cartesian k-space trajectories. J Magn Reson Imaging. 2013;.
PURPOSE
To investigate the feasibility of high-resolution late gadolinium enhancement (LGE) imaging using a three-dimensional (3D) stack of spirals k-space trajectory for the detection of left atrial (LA) ablation lesions. LGE imaging inherently suffers from low SNR, so that improvements in spatial resolution and imaging time are challenging. The spiral trajectory offers greater acquisition efficiency, and this is used for increased spatial resolution.

MATERIALS AND METHODS
Nine healthy subjects and 10 pre/post pulmonary vein isolation patients underwent an MRI examination. A Cartesian 3D inversion-recovery gradient-echo sequence was performed followed by a 3D inversion-recovery gradient-echo with a spiral trajectory. Image quality, fat suppression and sharpness were graded by expert cardiologists.

RESULTS
No statistical significance was determined for SNR or image quality between the Cartesian and spiral images; however, fat suppression was significantly improved with the spiral approach (P?=?0.002). The enhancement in the Cartesian scan was found to have significantly higher CNR (P?=?0.02).

CONCLUSION
The feasibility of spiral LGE in the left atrium has been demonstrated. Similar image quality and sharpness were observed with both acquisitions. This spiral sequence has sub-millimeter spatial resolution improved fat suppression and maintains a comparable level of SNR compared with the Cartesian scan. J. Magn. Reson. Imaging 2013. © 2013 Wiley Periodicals, Inc.