The black blood concept is based on the signal void principle of the sequen
ces in Spin Echo, SE or FSE, which are very useful for studying the mediast
inum and heart. In this setting, new sequences are continuously introduced
to eliminate the artifacts caused by breathing and heart movements. One suc
h sequence is the Double-IR preparation Black Blood FSE. We report our expe
rience in 97 patients, using this new pulse sequence to evaluate cardiac pa
thology, and establish comparisons with the conventional Spin Echo sequence
s. The study comprises mediastinal disease and aorta and heart explorations
. We consider this new Double-IR preparation FSE sequence to be an excellen
t choice for evaluating chest, mediastinal and cardiac images. The sequence
offers improved spatial resolution of both the vessels and other chest str
uctures with respect to conventional Spin Echo imaging. With the exception
of patients presenting severe heart problems, or in the presence of intense
bradycardia, the required 16 cycles in apnea are well tolerated. The purpo
se of the present study is to present our initial results with this new pul
se sequence as applied to cardiac pathology, in comparison with conventiona
l Spin Echo imaging.