Catheter-based Arterial Input Function Determination for Myocardial Perfusion Measurements.

Abstract:

:The quantification of myocardial perfusion with contrast agent (CA) tracers requires the precise knowledge of the arterial input function (AIF). In this study a method for MR-guided vascular interventions is evaluated that determines the AIF via an active tracking catheter during targeted CA injection. A phantom experiment with a dialysis filter was conducted to measure the AIF using an active catheter and a dynamic image series as reference. To compensate for dilution and coil sensitivity effects, correction methods were developed for the catheter-based AIF determination. From the dynamic MR measurements in the perfusion phantom quantitative perfusion maps were calculated by a deconvolution of the measured CA concentration with the AIF, and additional flow measurements were used to normalize the perfusion map. The signal-time-curves of the measured AIF using the catheter-based and imaging-based methods agree while the absolute values differ by a scaling factor of about 9. After normalization to the surrounding flow, both perfusion techniques are in excellent agreement. Catheter-based AIF measurements are feasible but require an additional normalization which can be determined from a flow measurement. The technique might enable faster perfusion measurements during cardiovascular interventions.

journal_name

Z Med Phys

authors

Stephan S,Reiss S,Lottner T,Özen AC,Bock M

doi

10.1016/j.zemedi.2020.07.004

subject

Has Abstract

pub_date

2020-08-29 00:00:00

eissn

0939-3889

issn

1876-4436

pii

S0939-3889(20)30090-8

pub_type

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