Abstract
High field MRI offers the high signal to noise ratio (SNR) that is much needed in CMR. SNR can be traded for speed using parallel imaging, improving the quality of fast imaging applications such as real time cine. SNR also allows for improved spatial resolution, making coronary MRA and vessel wall imaging feasible. The T1 of tissues increases at high field. CMR imaging techniques that exploit T1 differences between tissues such as LGE, first pass perfusion imaging, tagging, and contrast enhanced MR angiography have better T1 contrast at high field. The improved spectral resolution at high field is also potentially advantageous to MR spectroscopy. However, high field MRI also poses certain challenges to CMR applications. Banding artifact in bSSFP and off-resonance artifact in non-Cartesian trajectories get worse at high field due to increased field inhomogeneity. Fat suppression becomes less robust. At 3 T and above, transmit field inhomogeneity can lead to signal inhomogeneity and even local heating. The safety issues related to the concomitant increase in projectile force and SAR need to be considered. Increased sensitivity to susceptibility is unfavorable to EPI imaging. Technical advances such as better shimming, improved RF pulse design and parallel RF transmission systems have helped to alleviate some of the challenges and make high field MRI a practical technology for clinical CMR applications. More research is needed before novel CMR applications such as ASL, BOLD and MR spectroscopy will benefit fully from high field MRI.
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Chung, YC. (2015). High Field MRI for CMR. In: Syed, M., Raman, S., Simonetti, O. (eds) Basic Principles of Cardiovascular MRI. Springer, Cham. https://doi.org/10.1007/978-3-319-22141-0_6
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DOI: https://doi.org/10.1007/978-3-319-22141-0_6
Publisher Name: Springer, Cham
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