The inability to return the heart to the same position for all breath-
holds during 2D coronary MR imaging can result in imaging different lo
cations than desired. This can lead to problems such as (i) missing a
whole vessel, or a part of it, (ii) misaligning segments of vessels im
aged in different breath-holds, and (iii) degrading image quality when
a single slice is acquired in multiple breath-holds. To reduce incons
istencies in the breath-hold level, we designed a respiratory feedback
monitor (RFM) that uses a bellows to monitor the circumference of the
subject's chest. When the circumference of the subject's chest is wit
hin preset limits, an audio signal alerts subjects to hold their breat
h at that position. Use of the RFM significantly reduces the problems
caused by inconsistent breath-holds and the number of breath-holds for
an examination in 2D coronary MR imaging.