Logo Logo
Switch Language to German

Knobelsdorff-Brenkenhoff, Florian von; Reiter, Stephanie; Menini, Anne; Janich, Martin A.; Schunke, Tobias; Ziegler, Karl; Scheck, Roland; Höfling, Berthold and Pilz, Guenter (2021): Influence of motion correction on the visual analysis of cardiac magnetic resonance stress perfusion imaging. In: Magnetic Resonance Materials in Physics Biology and Medicine, Vol. 34, No. 5: pp. 757-766

Full text not available from 'Open Access LMU'.


Objective Image post-processing corrects for cardiac and respiratory motion (MoCo) during cardiovascular magnetic resonance (CMR) stress perfusion. The study analyzed its influence on visual image evaluation. Materials and methods Sixty-two patients with (suspected) coronary artery disease underwent a standard CMR stress perfusion exam during free-breathing. Image post-processing was performed without (non-MoCo) and with MoCo (image intensity normalization;motion extraction with iterative non-rigid registration;motion warping with the combined displacement field). Images were evaluated regarding the perfusion pattern (perfusion deficit, dark rim artifact, uncertain signal loss, and normal perfusion), the general image quality (non-diagnostic, imperfect, good, and excellent), and the reader's subjective confidence to assess the images (not confident, confident, very confident). Results Fifty-three (non-MoCo) and 52 (MoCo) myocardial segments were rated as 'perfusion deficit', 113 vs. 109 as 'dark rim artifacts', 9 vs. 7 as 'uncertain signal loss', and 817 vs. 824 as 'normal'. Agreement between non-MoCo and MoCo was high with no diagnostic difference per-patient. The image quality of MoCo was rated more often as 'good' or 'excellent' (92 vs. 63%), and the diagnostic confidence more often as very confident (71 vs. 45%) compared to non-MoCo. Conclusions The comparison of perfusion images acquired during free-breathing and post-processed with and without motion correction demonstrated that both methods led to a consistent evaluation of the perfusion pattern, while the image quality and the reader's subjective confidence to assess the images were rated more favorably for MoCo.

Actions (login required)

View Item View Item