Feasibility of contrast-enhanced coronary artery magnetic resonance angiography using compressed sensing

J Cardiovasc Magn Reson. 2020 Feb 13;22(1):15. doi: 10.1186/s12968-020-0601-0.

Abstract

Background: Coronary magnetic resonance angiography (CMRA) is a promising technique for assessing the coronary arteries. However, a disadvantage of CMRA is the comparatively long acquisition time. Compressed sensing (CS) can considerably reduce the scan time. The aim of this study was to verify the feasibility of CS CMRA scanning during the waiting time between contrast injection and late gadolinium enhancement (LGE) scan in a clinical protocol.

Methods: Fifty clinical patients underwent contrast-enhanced CS CMRA and conventional CMRA on a 3 T CMR scanner. After contrast injection, CS CMRA was scanned during the waiting time for LGE CMR. A conventional CMRA scan was performed after LGE CMR. We assessed acquisition times and coronary artery image quality for each segment on a 4-point scale. Visible vessel length, sharpness and diameter of right (RCA), left anterior descending (LAD), and left circumflex (LCX) coronary arteries were also quantitatively compared among the scans.

Results: All CS CMRA scans were successfully performed within the LGE waiting time. The median total scan time was 207 s (163, 259 s) for CS and 785 s (698, 975 s) for conventional CMRA (p < 0.001). No significant differences were observed in image quality scores, vessel length measurements, sharpness, and diameter between CS and conventional CMRA.

Conclusions: We could achieve all CS CMRA scans within the LGE waiting time. Contrast-enhanced CS CMRA could considerably shorten the scan time while maintaining image quality compared with conventional CMRA.

Keywords: Cardiovascular magnetic resonance; Compressed sensing; Coronary magnetic resonance angiography.

Publication types

  • Multicenter Study

MeSH terms

  • Adult
  • Aged
  • Contrast Media / administration & dosage*
  • Coronary Angiography / methods*
  • Coronary Artery Disease / diagnostic imaging*
  • Coronary Vessels / diagnostic imaging*
  • Feasibility Studies
  • Female
  • Humans
  • Image Interpretation, Computer-Assisted*
  • Japan
  • Magnetic Resonance Angiography*
  • Magnetic Resonance Imaging, Cine*
  • Male
  • Middle Aged
  • Organometallic Compounds / administration & dosage*
  • Predictive Value of Tests
  • Prospective Studies
  • Reproducibility of Results
  • Time Factors
  • Workflow

Substances

  • Contrast Media
  • Organometallic Compounds
  • gadobutrol