Purpose: To determine sodium transverse relaxation (T 2 *) characteristics for myocardium, blood and cartilage in humans.Methods: T 2 * measurements were performed using a 3D ECG-gated spoiled gradient echo sequence. A 1.5 Tesla clinical scanner and a 23 Na heart surface coil were used to examine eight healthy volunteers. In biological tissue, the sodium 23 nucleus exhibits a two-component T 2 relaxation due to the spin 3/2 and its quadrupolar nature. The long T 2 * components of normal myocardium, blood, and cartilage were quantified. For myocardium, the T 2 * was determined separately for the septum, anterior wall, lateral wall, and posterior wall.
Results:The long T 2 * relaxation time components of 13.3 Ϯ 4.3 msec (septum 13.9 Ϯ 3.2 msec, anterior wall 13.8 Ϯ 5.4 msec, lateral wall 11.4 Ϯ 4.1 msec, posterior wall 14.1 Ϯ 3.7 msec), 19.3 Ϯ 3.3 msec, and 10.2 Ϯ 1.6 msec, were significantly different for myocardium, blood, and cartilage, respectively (P Ͻ 0.00001, Friedman's ANOVA).
Conclusion: Measurement of23 Na T 2 * relaxation times is feasible for different regions of the human heart muscle, which might be useful for the evaluation of cardiac pathologies.
Key
IN RECENT YEARS, there has been an increasing interest in human cardiac23 Na MRI, since in vivo and in vitro animal studies as well as preliminary clinical studies have demonstrated that 23 Na MRI can detect location and extent of myocardial infarction (1-5). With proton imaging, detection of late enhancement after Gd-DTPA is considered to be a robust method of identifying non-viable myocardium (5). However, 23 Na MRI has the potential to give additional insights into the pathophysiology of myocardial infarction, i.e., the changes of ion hemostasis. In comparison to 1 H, the 23 Na MR signal is more than 2 ϫ 10 4 times smaller. This is due to both lower MR sensitivity and smaller concentration of the 23 Na nucleus relative to the 1 H nucleus (6). Another fundamental difference is that the T 1 and T 2 relaxation times of 23 Na, as measured in animal studies (3), are substantially shorter than those of 1 H. The 23 Na nucleus has a complex MR behavior as a result of the spin quantum number 3/2 and its quadrupolar nature (7). Monoexponential as well as biexponential T 2 and T 2 * relaxation behavior was found for in vivo and in vitro animal (7)(8)(9)(10)(11)(12)14) and in vivo human studies (13-15). T 2 and T 2 * relaxation measurements in humans were performed for the brain (13,14), showing a monoexponential behavior for white matter, gray matter, and the vitreous humor. One study of the T 2 relaxation time of the human calf muscle demonstrated a long (28.4 msec) and a short component (2.2 msec) (15). According to a two-component relaxation behavior found in animal heart studies (3,12,16) and the results of signal-to-noise ratio (SNR) considerations in human heart (17), a two-component relaxation behavior will be assumed in human heart.For optimization of imaging sequences and examination protocols for dedicated anatomical areas the relaxation times T 1 ...