Purpose
The aim of this study is to develop and optimize an adiabatic normalT1normalρ$$ {\mathrm{T}}_{1\uprho} $$ (normalT1normalρ,adiab$$ {\mathrm{T}}_{1\uprho, \mathrm{adiab}} $$) mapping method for robust quantification of spin‐lock (SL) relaxation in the myocardium at 3T.
Methods
Adiabatic SL (aSL) preparations were optimized for resilience against normalB0$$ {\mathrm{B}}_0 $$ and normalB1+$$ {\mathrm{B}}_1^{+} $$ inhomogeneities using Bloch simulations. Optimized normalB0$$ {\mathrm{B}}_0 $$‐aSL, Bal‐aSL and normalB1$$ {\mathrm{B}}_1 $$‐aSL modules, each compensating for different inhomogeneities, were first validated in phantom and human calf. Myocardial normalT1normalρ$$ {\mathrm{T}}_{1\uprho} $$ mapping was performed using a single breath‐hold cardiac‐triggered bSSFP‐based sequence. Then, optimized normalT1normalρ,adiab$$ {\mathrm{T}}_{1\uprho, \mathrm{adiab}} $$ preparations were compared to each other and to conventional SL‐prepared normalT1normalρ$$ {\mathrm{T}}_{1\uprho} $$ maps (RefSL) in phantoms to assess repeatability, and in 13 healthy subjects to investigate image quality, precision, reproducibility and intersubject variability. Finally, aSL and RefSL sequences were tested on six patients with known or suspected cardiovascular disease and compared with LGE, normalT1$$ {\mathrm{T}}_1 $$, and ECV mapping.
Results
The highest normalT1normalρ,adiab$$ {\mathrm{T}}_{1\uprho, \mathrm{adiab}} $$ preparation efficiency was obtained in simulations for modules comprising 2 HS pulses of 30 ms each. In vivo normalT1normalρ,adiab$$ {\mathrm{T}}_{1\uprho, \mathrm{adiab}} $$ maps yielded significantly higher quality than RefSL maps. Average myocardial normalT1normalρ,adiab$$ {\mathrm{T}}_{1\uprho, \mathrm{adiab}} $$ values were 183.28 prefix±$$ \pm $$ 25.53 ms, compared with 38.21 prefix±$$ \pm $$ 14.37 ms RefSL‐prepared normalT1normalρ$$ {\mathrm{T}}_{1\uprho} $$. normalT1normalρ,adiab$$ {\mathrm{T}}_{1\uprho, \mathrm{adiab}} $$ maps showed a significant improvement in precision (avg. 14.47 prefix±$$ \pm $$ 3.71% aSL, 37.61 prefix±$$ \pm $$ 19.42% RefSL, p < 0.01) and reproducibility (avg. 4.64 prefix±$$ \pm $$ 2.18% aSL, 47.39 prefix±$$ \pm $$ 12.06% RefSL, p < 0.0001), with decreased inter‐subject variability (avg. 8.76 prefix±$$ \pm $$ 3.65% aSL, 51.90 prefix±$$ \pm $$ 15.27% RefSL, p < 0.0001). Among aSL preparations, normalB0$$ {\mathrm{B}}_0 $$‐aSL achieved the better inter‐subject variability. In patients, normalB1$$ {\mathrm{B}}_1 $$‐aSL preparations showed the best artifact resilience among the adiabatic preparations. normalT1normalρ,adiab$$ {\mathrm{T}}_{1\uprho, \mathrm{adiab}} $$ times show focal alteration colocalized with areas of hyper‐enhancement in the LGE images.
Conclusion
Adiabatic preparations enable robust in vivo quantification of myocardial SL relaxation times at 3T.