ECHO-PLANAR MRI OF THE HEART ON A STANDARD SYSTEM - VALIDATION OF MEASUREMENTS OF LEFT-VENTRICULAR FUNCTION AND MASS

Objective: Our goal was to validate cardiac measurements derived from multishot echo planar MRI (EPI) as compared with the well validated co nventional GRE technique. Method: Ten healthy subjects underwent breat h-hold EPI and non-breath-hold GRE imaging in the short axis orientati on of the left ventricle (LV) on a standard 1.5 T MR system. Ten secti on levels were obtained to encompass the entire LV. Measurements were obtained of end-diastolic volume (EDV), end-systolic volume (ESV), str oke volume (SV), ejection fraction (EF), LV mass, time to end-systole (TES), and peak filling rate (PFR). Analysis of variance was performed to determine agreement between GRE- and EPI-derived measurements. Res ults: The acquisition time for EPI was much shorter than that for GRE (2.5 vs. 15 min). Both imaging techniques yielded good quality images allowing LV volumetrics. Agreement between CRE and EPI was best for me asurements of EDV, SV, and LV mass; somewhat less agreement was found for ESV, EF, TES, and PFR. The intraobserver variability for measuring TES and PFR was higher for GRE than EPI (one sided F test; critical v alues at p = 0.05 were >3.18). Conclusion: Multishot EPI of the heart provides accurate measurements of LV function and mass in a time-effic ient manner.