Off-resonance positive contrast imaging of a passive endomyocardial catheter in swine.
The use of off-resonance methods in interventional MRI may be valuable since active devices that provide positive signal enhancements are currently not approved for human use. This study investigated the capacity of a low flip angle steady-state free precession (FLAPS) method for generating off-resonance positive contrast surrounding a susceptibility-shifted endomyocardial Stiletto catheter in excised swine hearts and in live swine. Consistent with theory, discernable positive contrast surrounding the interventional device was visualized under ex-vivo (CNR of 24 +/- 2.1 in the left ventricular (LV) chamber and 18 +/- 2.7 in LV myocardium) and in-vivo conditions (CNR of 22 +/- 3.9 in aorta, 16 +/- 4.1 in the LV chamber and 13 +/- 0.9 in LV myocardium). The findings show that off-resonance imaging with the FLAPS method may be used for passive device visualization with positive contrast. Further studies are necessary prior to clinical translation.
Dharmakumar
Rohan
R
Department of Radiology, Northwestern University, 737 N Michigan Ave, Suite 1616, Chicago, IL 60611, USA. rohandkumar@nortwestern.edu
Koktzoglou
Ioannis
I
Tang
Richard
R
Harris
Kathleen R
KR
Beohar
Nirat
N
Li
Debiao
D
D000818:Animals; D006328:Cardiac Catheterization / Q000295:instrumentation / Q000379:methods*; D003287:Contrast Media; D006352:Heart Ventricles / Q000473:pathology*; D008279:Magnetic Resonance Imaging / Q000295:instrumentation / Q000379:methods*; D009206:Myocardium / Q000473:pathology*; D012815:Signal Processing, Computer-Assisted / Q000295:instrumentation; D013552:Swine; D016277:Ventricular Function, Left / Q000502:physiology
D003287:Contrast Media