Browsing by Author "Epstein, Frederick"

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    Assessing strain in arrhythmogenic right ventricular cardiomyopathy using cine DENSE MRI
    (BioMed Central Ltd, 2009) Ongori, Joash; Hendricks, Neil; Spottiswoode, Bruce; Meintjes, Ernesta; Epstein, Frederick; Mayosi, Bongani
    The kinematics of the right ventricle (RV) are not well understood due to its thin wall and asymmetric geometry. Cine displacement encoding with stimulated echoes (cine DENSE), which measures intramyocardial displacement and strain, has been adapted for RV analysis with encouraging preliminary results in normal subjects. This preliminary study evaluates cine DENSE MRI for detecting decreased myocardial strain in arrhythmogenic right ventricular cardiomyopathy (ARVC). ARVC is a unique heart muscle disease affecting predominantly the RV. The pathological hallmark of fibro-fatty replacement of the myocardium may result in localised aneurysms and wall motion abnormalities, detectable by cardiac magnetic resonance imaging.
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    Comparison of SNR efficiencies and strain for cine DENSE using conventional EPI, flyback EPI and spiral k-space trajectories
    (BioMed Central Ltd, 2011) Zhong, Xiaodong; Spottiswoode, Bruce; Meyer, Craig; Epstein, Frederick
    The original implementation of 2D cine DENSE (displacement encoding with stimulated echoes) employed a conventional EPI k-space trajectory for rapid data sampling. Follow-up studies used flyback EPI to reduce image artifacts. More recently a spiral k-space trajectory was utilized for improved SNR.
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    Comprehensive Cardiovascular magnetic resonance of myocardial mechanics in mice using three-dimensional cine DENSE
    (BioMed Central Ltd, 2011) Zhong, Xiaodong; Gibberman, Lauren; Spottiswoode, Bruce; Gilliam, Andrew; Meyer, Craig; French, Brent; Epstein, Frederick
    BACKGROUND: Quantitative noninvasive imaging of myocardial mechanics in mice enables studies of the roles of individual genes in cardiac function. We sought to develop comprehensive three-dimensional methods for imaging myocardial mechanics in mice. METHODS: A 3D cine DENSE pulse sequence was implemented on a 7T small-bore scanner. The sequence used three-point phase cycling for artifact suppression and a stack-of-spirals k-space trajectory for efficient data acquisition. A semi-automatic 2D method was adapted for 3D image segmentation, and automated 3D methods to calculate strain, twist, and torsion were employed. A scan protocol that covered the majority of the left ventricle in a scan time of less than 25 minutes was developed, and seven healthy C57Bl/6 mice were studied. RESULTS: Using these methods, multiphase normal and shear strains were measured, as were myocardial twist and torsion. Peak end-systolic values for the normal strains at the mid-ventricular level were 0.29 +/- 0.17, -0.13 +/- 0.03, and -0.18 +/- 0.14 for Err, Ecc, and Ell, respectively. Peak end-systolic values for the shear strains were 0.00 +/- 0.08, 0.04 +/- 0.12, and 0.03 +/- 0.07 for Erc, Erl, and Ecl, respectively. The peak end-systolic normalized torsion was 5.6 +/- 0.9degrees. CONCLUSIONS: Using a 3D cine DENSE sequence tailored for cardiac imaging in mice at 7 T, a comprehensive assessment of 3D myocardial mechanics can be achieved with a scan time of less than 25 minutes and an image analysis time of approximately 1 hour.
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    Mapping right ventricular myocardial mechanics using 3D cine DENSE cardiovascular magnetic resonance
    (BioMed Central Ltd, 2012) Auger, Daniel; Zhong, Xiaodong; Epstein, Frederick; Spottiswoode, Bruce
    BACKGROUND: The mechanics of the right ventricle (RV) are not well understood as studies of the RV have been limited. This is, in part, due to the RV's thin wall, asymmetric geometry and irregular motion. However, the RV plays an important role in cardiovascular function. This study aims to describe the complex mechanics of the healthy RV using three dimensional (3D) cine displacement encoding with stimulated echoes (DENSE) cardiovascular magnetic resonance (CMR). METHODS: Whole heart 3D cine DENSE data were acquired from five healthy volunteers. Tailored post-processing algorithms for RV mid-wall tissue tracking and strain estimation are presented. A method for sub-dividing the RV into four regions according to anatomical land marks is proposed, and the temporal evolution of strain was assessed in these regions. RESULTS: The 3D cine DENSE tissue tracking methods successfully capture the motion and deformation of the RV at a high spatial resolution in all volunteers. The regional Lagrangian peak surface strain and time to peak values correspond with previous studies using myocardial tagging, DENSE and strain encoded CMR. The inflow region consistently displays lower peak strains than the apical and outflow regions, and the time to peak strains suggest RV mechanical activation in the following order: inflow, outflow, mid, then apex. CONCLUSIONS: Model-free techniques have been developed to study the myocardial mechanics of the RV at a high spatial resolution using 3D cine DENSE CMR. The consistency of the regional RV strain patterns across healthy subjects is encouraging and the techniques may have clinical utility in assessing disrupted RV mechanics in the diseased heart.