Cardiac Function Evaluation with Cine MRI of the Heart

Arthur E. Stillman1, Michael Jerosch‐Herold1

1 University of Minnesota, Minneapolis, Minnesota
Publication Name:  Current Protocols in Magnetic Resonance Imaging
Unit Number:  Unit A11.4
DOI:  10.1002/0471142719.mia1104s015
Online Posting Date:  June, 2008
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This unit describes how to determine hemodynamic parameters of cardiac function such as ejection fraction (EF), end diastolic volume (EDV), end systolic volume (ESV), stroke volume (SV), and cardiac mass, based on experience using a Siemens 1.5 T Sonata scanner. Briefly, cine loops are acquired over several heartbeats, synchronized with the heart cycle by gating of the encoding steps with the patients electrocardiogram (ECG). Recently, it has become feasible to acquire cine loops in real time, although the temporal resolution is not optimal. Options discussed in this unit include breath hold versus free breathing, prospective triggering versus retrospective gating, and volumetric data sets versus biplanar approaches. Patient parameters such as heart rate or rhythm, degree of functional impairment, the presence of valvular disease, and the need to assess for jets from shunts or valve dysfunction are also treated.

Keywords: cardiac function; cine loop; hemodynamic parameters

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Table of Contents

  • Commentary
  • Figures
  • Tables
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Literature Cited

Literature Cited
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Internet Resources
  The software package MASS (Magnetic Resonance Analytical Software System) has been developed for the quantitative analysis of multi‐slice/multi‐cardiac phase left and right ventricular function.
  Leonardo is an analysis software package from Siemens Medical Systems for evaluating cardiac magnetic resonance cine images and assessment of ventricular functions.
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