Flow Imaging
Data Acquisition
Ecg-Triggering Strategies
Prospective Triggering
•
Measures less than entire cardiac cycle
•
Very sensitive to arrhythmias and variable heartrates
•
Acquisition Window manually adjusted
•
Cine frame-rate determined by # of measured segments
Retrospective Triggering
•
Measures through entire cardiac cycle
•
Arrhythmia rejection is available
•
Acquisition Window automatically adjusted
•
Interpolates to any desired cine frame-rate
Most Common
Ecg-Triggering Strategies
ECG
Trigger Pulses
Measured
Echoes
Retrospective
(most common)
Prospective
a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
1
2
3
4
5
N 1
6 .........
interpolated frames
1 2 3 4 5 6.......
measured frames
2
3
4
5
6 .........
N
interpolated frames
N
1 2 3 4 56.......
N
measured frames
Undersampled cardiac cycle = 10-20%
Temporal Resolution
•
•
Insufficient temporal resolution causes inaccurate velocity and flow
Always keep temporal resolution (TR) small as possible
Lotz, J. et al. Radiographics 2002;22:651-671
Copyright ©Radiological Society of North America, 2002
K-space Segmentation
• Multiple k-space lines measured per cardiac phase (segment)
• More lines/segment = faster scan, but larger TR (worse temporal resolution)
ECG
Trigger
Acquisition Window
Acquisition Window
TR
Echoes
Cardiac Phases
aaaaaaaaaa
. ..
aaaaa
a a a a a a a a aa
1234512345
. . .
12345
6 7 8 9 10 6 7 8 9 10
1
2
Echoes 1-5
N
1
. ..
..
2
Echoes 6-10
a a aa
a
6 7 8 9 10
N
repeat to
fill K-space
Multiple VENC’s
• Multiple velocity-encodings measured per cardiac phase (segment)
• More encodings/segment = more velocity info, but larger TR (worse temporal resolution)
ECG
Cardiac Phases
1
2
3
4
rx
rx
rx
rx
5
rx
1
2
3
rxyz
rxyz
rxyz
6
rx
7 8
rx
rx
4
rxyz
9 10 11 12 13 14 15 16 17
rx
5
rxyz
rx
6
rxyz
rx
rx
7
rxyz
rx
rx
8
rxyz
rx
9
rxyz
rx
1 Venc
rx
10
rxyz
3 VENC’s
TR
r = reference (zero) velocity encoding
x= velocity encoding in x direction
y= velocity encoding in y direction
z= velocity encoding in z direction
Single VENC
1 velocity in 1 direction
Rephased Images
Phase Images
VENC Scout
3 velocities in 1 direction
Rephased
VENC 150
VENC 90
VENC 200
aliasing
3-D VENC
1 velocity in 3 directions
Rephased
Right-Left
Ant-Post
Through-Plane
3-D VENC
1 velocity in 3 directions
Rephased
Head>Foot
H >> F
Through-Plane
Ant-Post
Typical Retrospective Triggering
1 VENC
3 VENC‘s
Calc Phases 25
Calc Phases 20
TR 39 ms
or
TR 59 ms
Segments 3
Segments 2
Time 20 sec
Time 30 sec
3x more velocity info
but.....
less temporal resolution
and.....
longer scan time