Purpose
To evaluate prospective motion correction using the pilot tone (PT) as a quantitative respiratory motion signal with high temporal resolution for cardiac cine images during free breathing.
Methods
Before cine data acquisition, a short prescan was performed, calibrating the PT to the respiratoryâinduced heart motion using respiratoryâresolved realâtime images. The calibrated PT was then applied for nearly realâtime prospective motion correction of cine MRI through slice tracking (ie, updating the slice position before every readout). Additionally, inâplane motion correction was performed retrospectively also based on the calibrated PT data. The proposed method was evaluated in a moving phantom and 10 healthy volunteers.
Results
The PT showed very good correlation to the phantom motion. In volunteer studies using a longâterm scan over 7.96 ± 1.40 min, the mean absolute error between registered and predicted motion from the PT was 1.44 ± 0.46 mm in headâfeet and 0.46 ± 0.07 mm in anteriorâposterior direction. Irregular breathing could also be corrected well with the PT. The PT motion correction leads to a significant improvement of contrastâtoânoise ratio by 68% (P †.01) between blood pool and myocardium and sharpness of endocardium by 24% (P = .04) in comparison to uncorrected data. The image score, which refers to the cine image quality, has improved with the utilization of the proposed PT motion correction.
Conclusion
The proposed approach provides respiratory motionâcorrected cine images of the heart with improved image quality and a high scan efficiency using the PT. The PT is independent of the MR acquisition, making this a very flexible motionâcorrection approach.