ISMRM & ISMRT Annual Meeting & Exhibition • 03-08 June 2023 • Toronto, ON, Canada

ISMRM & ISMRT Annual Meeting & Exhibition

ISMRT Oral

1st, 2nd, & 3rd Place Clinical Abstract Winner Presentations

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1st, 2nd, & 3rd Place Clinical Abstract Winner Presentations
ISMRT Oral
Saturday, 03 June 2023
Constitution Hall 106
11:30 -  12:00
Session Number: ISMRT-CW
CE Credit

11:30 5429.
The clinical benefit of high-resolution 3D proton density at 3T in the discrimination between intracranial aneurysm and normal variants
Angela Borella1, Glenda McLean1, and Lee-Anne Slater1
1Diagnostic Imaging, Monash Health, Melbourne, Australia

At 3T, a three-dimensional proton density (3D PD) weighted sequence plays a supplementary role to the time-of-flight MR angiography (TOF MRA) to improve diagnosis and significantly decreases indeterminate findings for aneurysm. This leads to better patient care and a measurable decrease in the likelihood for the patient to undergo surveillance or more invasive tests that use ionising radiation and intravenous contrast media like Computed Tomography Angiography (CTA) and Digital Subtraction Angiography (DSA). The anxiety and stress that patients experience due to inconclusive findings and ongoing surveillance has been significantly alleviated since the inclusion of the 3D PD to the protocol.

11:40 5430.
Comparison of compressed sensing accelerated MR elastography to standard breath-hold gradient recalled echo MRE for estimating liver stiffness Scott Hipko1, Dmitriy Akselrod2, and Jiming Zhang3
1University of Vermont, Burlington, VT, United States, 2Radiology, University of Vermont Medical Center, Burlington, VT, United States, 3Radiology Oncology & Medical Physics, University of Vermont Medical Center, Burlington, VT, United States
The standard MRE(sMRE) uses four breath-hold, each of 14–22 s, to stage liver fibrosis. The long breath-hold time challenges most children and adult patients with limited breath-hold capability. The compressed sensing (CS) technique was used to accelerate the MRE (csMRE) acquisition to shorten the breath-hold duration (~10s). The preliminary results showed that the LS estimated from csMRE strongly correlated to sMRE and showed strong agreement in the normal to mild liver fibrosis stage. However, it underestimates the liver stiffness in the elevated liver stiffness. The confident available area for LS estimation in csMRE increased 38% compared to sMRE.
11:50 5431.
Prognostic role of right ventricular late gadolinium enhancement in patients with Tetralogy of Fallot undergoing pulmonary valve replacement
Moreno Zanardo1, Caterina Beatrice Monti1, Davide Capra1, Emilia Giambersio1, Giulia Lastella2, Gianluca Guarnieri1, Gaetano Amato1, Francesco Secchi3, and Francesco Sardanelli4
1Università degli Studi di Milano, Milan, Italy, 2ASST Nord Milano, Milan, Italy, 3Università degli Studi di Milano - IRCCS Policlinico San Donato, Milano, Italy, 4Università degli Studi di Milano - IRCCS Policlinico San Donato, Milan, Italy
Our purpose was to evaluate the correlations between right ventricular (RV) late gadolinium enhancement (LGE) at cardiac magnetic resonance (CMR) in patients with Tetralogy of Fallot (ToF) scheduled for pulmonary valve replacement (PVR) and post-PVR functional data. After assessing a semiquantitative LGE scoring for the RV, we observed a correlation between such score and RV post-PVR outcomes appraised at CMR. The assessment of RV LGE before PVR may provide prognostic insights on post-PVR functional outcomes, potentially facilitating a patient-tailored treatment pathway.

 

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