Thin-section, three-dimensional (3D) gradient-echo magnetic resonance imaging of the coronary arteries was performed without and with retrospective respiratory gating in 12 healthy volunteers and one patient. In all examinations, results were improved with gating. In five of seven volunteer examinations, coronary artery delineation on images reconstructed by using the least-squares method for motion detection with navigator echoes was found to be equal to that obtained by using edge detection. Images in five other volunteers covered the entire heart with multiple overlapping 3D slabs. The arteries were segmented from the background and could be viewed from any orientation. The lengths of contiguously visible vessels were as follows: left main coronary artery, 11.5 mm +/- 0.4 (mean +/- standard deviation); left anterior descending branch, 115.9 mm +/- 19.7; left circumflex branch, 97.2 mm +/- 12.5; and right coronary artery, 125.9 mm +/- 18.8. This respiratory gating technique clearly improved depiction of the coronary arteries.

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MRI is an established method of imaging the cardiac blood pool in four dimensions and evaluating global cardiac function. However, segmentation of the cardiac blood pool from the myocardial wall continues to be a time-consuming task and is operator dependent. This has hampered the widespread use of cardiac MRI in evaluating global cardiac function. We propose the use of an adaptive threshold-based, three-dimensional region-growing technique to segment the cardiac blood pool from the myocardium and to compute left ventricular blood volumes. It uses a unique double segmentation approach incorporating information from the myocardium to help better detect the edges of the blood pool. The adaptive threshold segmentation technique was evaluated on four human subjects by comparing with manual segmentation. Further, it requires minimal operator input and is robust and user friendly. The conclusion is that adaptive thresholds and a multidimensional region-growing approach is an appropriate method to segment the left ventricular blood pool.