ISSN# 1545-4428 | Published date: 19 April, 2024
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At-A-Glance Session Detail
   
Advanced Cardiovascular MRI Techniques
Weekend Course
Sunday, 05 May 2024
Room 331-332
13:15 -  17:05
Moderators: Andreas Schuster & Nicole Seiberlich
Skill Level: Intermediate to Advanced
Session Number: WE-29
CME Credit

Session Number: WE-29

Overview
This session will discuss advanced applications of novel cardiac MRI technologies. It describes the interplay between unmet clinical needs and the tailoring of novel sequence design, image reconstruction techniques, and image processing techniques to meet these clinical needs.

Target Audience
Physicians with an interest in translational research in cardiac MRI and scientists with interest in developing new technical solutions to improve clinical cardiac care.

Educational Objectives
As a result of attending this course, participants should be able to:
- Describe recent technological developments in the field of translational cardiac MRI;
- Explain the technical barriers to implementation of novel technologies to routine clinical practice; and
- Identify areas within clinical cardiology care that may benefit from advanced developments in cardiovascular MRI techniques.

13:15 Regional Function & Strain
Frederick Epstein
13:40 Real-Time & Free-Breathing Techniques
Haikun Qi

Keywords: Cardiovascular: Cardiac function, Image acquisition: Fast imaging, Image acquisition: Reconstruction

Motivation: Real-time MRI can resolve cardiac and respiratory motion and has unique advantages for cardiac imaging. An overview of this active research area is necessary.

Goal(s): Introduce various reconstruction methods of accelerated real-time imaging and highlight its applications.

Approach: Undersampled real-time MRI reconstruction techniques improving the spatial-temporal resolution are covered, including k-t methods, parallel imaging, compressed sensing and low-rank methods, and recent advances that enable extreme acceleration.

Results: Real-imaging imaging has demonstrated superior performance in cardiac function evaluation, flow analysis, and tissue characterization, and MR-guided treatment.

Impact: The audience can grasp basic and advanced reconstruction techniques of real-time MRI and its potential applications.

14:05Cardiac MRI During Exercise
Manuel Morales

Keywords: Cardiovascular: Cardiovascular

This educational talk presents an overview of cardiac MRI during exercise, highlighting its challenges and recent advancements. We explore technical specifications for optimal imaging during exercise and advancements in Ex-CMR sequences and image reconstruction techniques. The aim is to shed light on the complexities of capturing accurate cardiac images during physical stress and the potential of these techniques in diagnosing and managing cardiovascular diseases.
14:30 Multiparametric & Fingerprinting in Cardiac MRI: Everything All at Once
Claudia Prieto
14:55 Break & Meet the Teachers
15:25 Cardiac MRI to Characterize Diastolic Function
Masaki Ishida

Keywords: Cardiovascular: Cardiac, Cardiovascular: Cardiac function, Cardiovascular: Myocardium

Diastolic dysfunction, a significant contributor to HFpEF, presents a formidable diagnostic challenge due to its diverse etiologies and complex pathophysiology. While cardiac catheterization is currently considered the reference standard for assessing LV diastolic function, it has inherent limitations, notably its invasiveness. Cardiac MRI offers a range of non-invasive, objective, and reproducible measures of diastolic function, including ventricular and atrial volumes, myocardial strain, native T1 and ECV, 4D flow, and exercise real-time cine index. These advanced CMR techniques substantially enhance noninvasive and objective evaluation of diastolic function and refine clinical management strategies for patients with diastolic dysfunction and HFpEF.
15:50 AI-Driven CMR
Chen Qin

Keywords: Image acquisition: Machine learning, Cardiovascular: Cardiac

Artificial intelligence (AI) is making a significant impact on all aspects of cardiovascular magnetic resonance (CMR) imaging. In this talk, we will focus on discussing the recent development of DL in CMR imaging workflow, from the reconstruction of accelerated signals to automatic quantification of clinically useful information. Specifically, we will describe how DL methods can be used for reconstruction of accelerated dynamic cine CMR imaging. We will also show the utility of DL for CMR analysis, with a particular focus on CMR segmentation and motion tracking. Finally, we will briefly discuss about their current limitations, challenges, and future opportunities.
16:15 Radiomics in CMR
Reza Nezafat
16:404D Flow MRI
Susanne Schnell

Keywords: Cardiovascular: Hemodynamics, Contrast mechanisms: Flow, Image acquisition: Quantification

Phase-contrast MRI is an angiography technique that uses bipolar gradients to encode tissue or fluid motion into the MRI signal phase. If measured in 2D with 1-directional encoding this is termed 2D Phase-Contrast MRI. Extended to a time-resolved heart or pulse rate-triggered 3D sequence with 3-directional velocity encoding, this is termed 4D flow MRI. Error sources will be described throughout the course as well as data analysis and quantification approaches. Further extensions such as dual- and multi-venc, and 5D flow MRI will be described. Finally, applications in the thorax, head, and abdomen will be introduced.