Respiratory Bellows-gated Late Gadolinium Enhancement of the Left Atrium. Peters, D. C., Shaw, J. L., Knowles, B. R., Moghari, M. H., & Manning, W. J. Journal of magnetic resonance imaging : JMRI, 38(5):10.1002/jmri.23954, November, 2013.
Respiratory Bellows-gated Late Gadolinium Enhancement of the Left Atrium [link]Paper  doi  abstract   bibtex   
Purpose To compare bellows-gated late gadolinium enhancement (LGE) with standard navigator-gated (NAV-gated) LGE for left atrial (LA) imaging, to eliminate the inflow artifacts associated with NAV-gating. Materials and Methods Eleven subjects, including 6 patients with atrial fibrillation (AF), were imaged with a 3D free-breathing NAV-gated and bellows-gated LGE. Motion compensation was compared by blinded grading of image sharpness and motion ghosting (0=worst, 2=best). Inflow artifacts in the right inferior PV (RIPV) and right superior PV (RSPV) were characterized on the same scale (0=none, 2=prominent). In patients, each PV was divided into four quadrants circumferentially in order to assess agreement about scar presence on both image sets. Results Respiratory compensation was not different (1.7± 0.5 vs. 1.6± 0.5, sharpness, 1.6± 0.5 vs. 1.6± 0.5, ghosting, p=NS) for bellows- and NAV-gated images. For NAV-gated LGE, inflow artifacts were more prominent in the RSPV than the RIPV (1.2±0.8 vs. 0.7±0.5, p=0.046). Visually, inflow artifacts both obscured and mimicked the true scar. Disagreement on the presence of scar was found in 18% of the assessed quadrants, with 25% disagreement for RSPV quadrants (p=0.01). Conclusion Bellows-gated LGE provides similar respiratory compensation as NAV-gating, without inflow artifacts, leading to improved assessment of scar presence.
@article{peters_respiratory_2013,
	title = {Respiratory {Bellows}-gated {Late} {Gadolinium} {Enhancement} of the {Left} {Atrium}},
	volume = {38},
	issn = {1053-1807},
	url = {https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3812253/},
	doi = {10.1002/jmri.23954},
	abstract = {Purpose
To compare bellows-gated late gadolinium enhancement (LGE) with standard navigator-gated (NAV-gated) LGE for left atrial (LA) imaging, to eliminate the inflow artifacts associated with NAV-gating.

Materials and Methods
Eleven subjects, including 6 patients with atrial fibrillation (AF), were imaged with a 3D free-breathing NAV-gated and bellows-gated LGE. Motion compensation was compared by blinded grading of image sharpness and motion ghosting (0=worst, 2=best). Inflow artifacts in the right inferior PV (RIPV) and right superior PV (RSPV) were characterized on the same scale (0=none, 2=prominent). In patients, each PV was divided into four quadrants circumferentially in order to assess agreement about scar presence on both image sets.

Results
Respiratory compensation was not different (1.7± 0.5 vs. 1.6± 0.5, sharpness, 1.6± 0.5 vs. 1.6± 0.5, ghosting, p=NS) for bellows- and NAV-gated images. For NAV-gated LGE, inflow artifacts were more prominent in the RSPV than the RIPV (1.2±0.8 vs. 0.7±0.5, p=0.046). Visually, inflow artifacts both obscured and mimicked the true scar. Disagreement on the presence of scar was found in 18\% of the assessed quadrants, with 25\% disagreement for RSPV quadrants (p=0.01).

Conclusion
Bellows-gated LGE provides similar respiratory compensation as NAV-gating, without inflow artifacts, leading to improved assessment of scar presence.},
	number = {5},
	urldate = {2021-11-15},
	journal = {Journal of magnetic resonance imaging : JMRI},
	author = {Peters, Dana C. and Shaw, Jaime L. and Knowles, Benjamin R. and Moghari, Mehdi Hedjazi and Manning, Warren J.},
	month = nov,
	year = {2013},
	pmid = {23197465},
	pmcid = {PMC3812253},
	pages = {10.1002/jmri.23954},
}

Downloads: 0