Effect of physiological Heart Rate variability on quantitative T2 measurement with ECG-gated Fast Spin Echo (FSE) sequence and its retrospective correction

Object

Quantitative T₂ measurement is applied in cardiac Magnetic Resonance Imaging (MRI) for the diagnosis and follow-up of myocardial pathologies. Standard Electrocardiogram (ECG)-gated fast spin echo pulse sequences can be used clinically for T₂ assessment, with multiple breath-holds. However, heart rate is subject to physiological variability, which causes repetition time variations and affects the recovery of longitudinal magnetization between TR periods.

Materials and methods

The bias caused by heart rate variability on quantitative T₂ measurements is evaluated for fast spin echo pulse sequence. Its retrospective correction based on an effective TR is proposed. Heart rate variations during breath-holds are provided by the ECG recordings from healthy volunteers. T₂ measurements were performed on a phantom with known T₂ values, by synchronizing the sequence with the recorded ECG. Cardiac T₂ measurements were performed twice on six volunteers. The impact of T₁ on T₂ is also studied.

Results

Maximum error in T₂ is 26% for phantoms and 18% for myocardial measurement. It is reduced by the proposed compensation method to 20% for phantoms and 10% for in vivo measurements. Only approximate knowledge of T₁ is needed for T₂ correction.

Conclusion

Heart rate variability may cause a bias in T2 measurement with ECG-gated FSE. It needs to be taken into account to avoid a misleading diagnosis from the measurements.