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Erschienen in: The International Journal of Cardiovascular Imaging 3/2017

04.11.2016 | Review Paper

Cardiovascular magnetic resonance in patients with magnetic resonance conditional pacemaker systems at 1.5 T: influence of pacemaker related artifacts on image quality including first pass perfusion, aortic and mitral valve assessment, flow measurement, short tau inversion recovery and T1-weighted imaging

verfasst von: Oliver Klein-Wiele, Marietta Garmer, Martin Busch, Serban Mateiescu, Rhyan Urbien, Gianluca Barbone, Kaffer Kara, Michael Schulte-Hermes, Frauke Metz, Birgit Hailer, Dietrich Grönemeyer

Erschienen in: The International Journal of Cardiovascular Imaging | Ausgabe 3/2017

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Abstract

There are only limited data on the impact of device-related artifacts on image quality in cardiovascular magnetic resonance imaging (CMR) in patients with pacemakers (PM). Adenosine stress perfusion, T1-weighted imaging and flow measurement as well as valve characterization have not been evaluated previously concerning artifact burden. We aimed to assess image quality in all routinely used CMR sequences. We analyzed 2623 myocardial segments in CMR scans of 61 patients with MR conditional PM (mean age 72.1 ± 11.5 years), 23 (37.7%) with right sided, 38 (62.3%) with left-sided devices. There were no relevant artifacts in patients with right-sided devices irrespective of the imaging sequence. In left-sided implants no PM-induced artifacts were found in first pass perfusion sequence, flow analysis and T1 weighted imaging. Only few patients with left-sided devices showed significant PM-artifacts in aortic (3/38, 7.9%)/mitral (n = 2/38, 5.3%) valve imaging and STIR (n = 3/35, 8.6%). In STIR only 14/805 (1.7%) segments were involved. In left-sided PM SSFP cine sequences had more artifact burden than LGE with 377/1505 (25.0%) vs. 162/1505 (10.8%) myocardial segments involved by relevant artifacts respectively (p < 0.001). Apart from cine and LGE imaging in anterior myocardial segments with left-sided implants presence of MRI conditional pacemakers does not affect CMR image quality in multimodal CMR examinations to a significant extent. Our data supports evidence that reduced image quality does not need to be a major concern in PM patients undergoing CMR.
Literatur
2.
Zurück zum Zitat von Knobelsdorff-Brenkenhoff F, Schulz-Menger J (2016) Role of cardiovascular magnetic resonance in the guidelines of the European Society of Cardiology. J Cardiovasc Magn Reson 18:6CrossRef von Knobelsdorff-Brenkenhoff F, Schulz-Menger J (2016) Role of cardiovascular magnetic resonance in the guidelines of the European Society of Cardiology. J Cardiovasc Magn Reson 18:6CrossRef
3.
Zurück zum Zitat Hundley WG, Bluemke DA, Finn JP, Flamm SD, Fogel MA et al (2010) ACCF/ACR/AHA/NASCI/SCMR 2010 expert consensus document on cardiovascular magnetic resonance: a report of the American College of Cardiology Foundation Task Force on Expert Consensus Documents. J Am Coll Cardiol 55:2614–2662CrossRefPubMed Hundley WG, Bluemke DA, Finn JP, Flamm SD, Fogel MA et al (2010) ACCF/ACR/AHA/NASCI/SCMR 2010 expert consensus document on cardiovascular magnetic resonance: a report of the American College of Cardiology Foundation Task Force on Expert Consensus Documents. J Am Coll Cardiol 55:2614–2662CrossRefPubMed
4.
Zurück zum Zitat Schulz-Menger J, Bluemke DA, Bremerich J, Flamm SD, Fogel MA, Friedrich MG et al (2013) Standardized image interpretation and post processing in cardiovascular magnetic resonance: society for cardiovascular magnetic resonance (SCMR) board of trustees task force on standardized post processing. J Cardiovasc Magn Reson 15:35CrossRefPubMedPubMedCentral Schulz-Menger J, Bluemke DA, Bremerich J, Flamm SD, Fogel MA, Friedrich MG et al (2013) Standardized image interpretation and post processing in cardiovascular magnetic resonance: society for cardiovascular magnetic resonance (SCMR) board of trustees task force on standardized post processing. J Cardiovasc Magn Reson 15:35CrossRefPubMedPubMedCentral
5.
Zurück zum Zitat Taylor J (2012) ESC/EACTS Guidelines on the management of valvular heart disease. Eur Heart J 33:2371–2372CrossRefPubMed Taylor J (2012) ESC/EACTS Guidelines on the management of valvular heart disease. Eur Heart J 33:2371–2372CrossRefPubMed
6.
Zurück zum Zitat Nandalur KR, Dwamena BA, Choudhri AF, Nandalur MR, Carlos RC (2007) Diagnostic performance of stress cardiac magnetic resonance imaging in the detection of coronary artery disease: a meta-analysis. J Am Coll Cardiol 50:1343–1353CrossRefPubMed Nandalur KR, Dwamena BA, Choudhri AF, Nandalur MR, Carlos RC (2007) Diagnostic performance of stress cardiac magnetic resonance imaging in the detection of coronary artery disease: a meta-analysis. J Am Coll Cardiol 50:1343–1353CrossRefPubMed
7.
Zurück zum Zitat Authors/Task FORCE m, Windecker S, Kolh P, Alfonso F, Collet JP, Cremer J et al (2014) ESC/EACTS Guidelines on myocardial revascularization: the TASK FORCE ON MYOCARDIAL REVASCULARIZATION OF THE EUROPEAN SOCIETY OF CARDIOLOGY (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS) Developed with the special contribution of the European Association of Percutaneous Cardiovascular Interventions (EAPCI). Eur Heart J 35:2541–619. doi:10.1093/eurheartj/ehu278 CrossRef Authors/Task FORCE m, Windecker S, Kolh P, Alfonso F, Collet JP, Cremer J et al (2014) ESC/EACTS Guidelines on myocardial revascularization: the TASK FORCE ON MYOCARDIAL REVASCULARIZATION OF THE EUROPEAN SOCIETY OF CARDIOLOGY (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS) Developed with the special contribution of the European Association of Percutaneous Cardiovascular Interventions (EAPCI). Eur Heart J 35:2541–619. doi:10.​1093/​eurheartj/​ehu278 CrossRef
8.
Zurück zum Zitat Li M, Zhou T, Yang LF, Peng ZH, Ding J, Sun G (2014) Diagnostic accuracy of myocardial magnetic resonance perfusion to diagnose ischemic stenosis with fractional flow reserve as reference: systematic review and meta-analysis. JACC Cardiovasc Imaging 7:1098–1105CrossRefPubMed Li M, Zhou T, Yang LF, Peng ZH, Ding J, Sun G (2014) Diagnostic accuracy of myocardial magnetic resonance perfusion to diagnose ischemic stenosis with fractional flow reserve as reference: systematic review and meta-analysis. JACC Cardiovasc Imaging 7:1098–1105CrossRefPubMed
9.
Zurück zum Zitat Hundley WG, Hamilton CA, Thomas MS, Herrington DM, Salido TB, Kitzman DW et al (1999) Utility of fast cine magnetic resonance imaging and display for the detection of myocardial ischemia in patients not well suited for second harmonic stress echocardiography. Circulation 100:1697–1702CrossRefPubMed Hundley WG, Hamilton CA, Thomas MS, Herrington DM, Salido TB, Kitzman DW et al (1999) Utility of fast cine magnetic resonance imaging and display for the detection of myocardial ischemia in patients not well suited for second harmonic stress echocardiography. Circulation 100:1697–1702CrossRefPubMed
10.
Zurück zum Zitat Shinbane JS, Colletti PM, Shellock FG (2011) Magnetic resonance imaging in patients with cardiac pacemakers: era of “MR Conditional” designs. J Cardiovasc Magn Reson 13:63CrossRefPubMedPubMedCentral Shinbane JS, Colletti PM, Shellock FG (2011) Magnetic resonance imaging in patients with cardiac pacemakers: era of “MR Conditional” designs. J Cardiovasc Magn Reson 13:63CrossRefPubMedPubMedCentral
11.
Zurück zum Zitat Wollmann CG, Thudt K, Kaiser B, Salomonowitz E, Mayr H, Globits S (2014) Safe performance of magnetic resonance of the heart in patients with magnetic resonance conditional pacemaker systems: the safety issue of the ESTIMATE study. J Cardiovasc Magn Reson 16:30CrossRefPubMedPubMedCentral Wollmann CG, Thudt K, Kaiser B, Salomonowitz E, Mayr H, Globits S (2014) Safe performance of magnetic resonance of the heart in patients with magnetic resonance conditional pacemaker systems: the safety issue of the ESTIMATE study. J Cardiovasc Magn Reson 16:30CrossRefPubMedPubMedCentral
12.
Zurück zum Zitat Buendia F, Cano O, Sanchez-Gomez JM, Igual B, Osca J, Sancho-Tello MJ et al (2011) Cardiac magnetic resonance imaging at 1.5 T in patients with cardiac rhythm devices. Europace 13:533–538CrossRefPubMed Buendia F, Cano O, Sanchez-Gomez JM, Igual B, Osca J, Sancho-Tello MJ et al (2011) Cardiac magnetic resonance imaging at 1.5 T in patients with cardiac rhythm devices. Europace 13:533–538CrossRefPubMed
13.
Zurück zum Zitat Klein-Wiele O, Garmer M, Urbien R, Busch M, Kara K, Mateiescu S et al (2015) Feasibility and safety of adenosine cardiovascular magnetic resonance in patients with MR conditional pacemaker systems at 1.5 T. J Cardiovasc Magn Reson 17:112CrossRefPubMedPubMedCentral Klein-Wiele O, Garmer M, Urbien R, Busch M, Kara K, Mateiescu S et al (2015) Feasibility and safety of adenosine cardiovascular magnetic resonance in patients with MR conditional pacemaker systems at 1.5 T. J Cardiovasc Magn Reson 17:112CrossRefPubMedPubMedCentral
14.
Zurück zum Zitat Schwitter J, Kanal E, Schmitt M, Anselme F, Albert T, Hayes DL et al (2013) Impact of the Advisa MRI pacing system on the diagnostic quality of cardiac MR images and contraction patterns of cardiac muscle during scans: Advisa MRI randomized clinical multicenter study results. Heart Rhythm 10:864–872CrossRefPubMed Schwitter J, Kanal E, Schmitt M, Anselme F, Albert T, Hayes DL et al (2013) Impact of the Advisa MRI pacing system on the diagnostic quality of cardiac MR images and contraction patterns of cardiac muscle during scans: Advisa MRI randomized clinical multicenter study results. Heart Rhythm 10:864–872CrossRefPubMed
15.
Zurück zum Zitat Kaasalainen T, Kivisto S, Holmstrom M, Peltonen J, Pakarinen S, Hanninen H et al (2016) Cardiac MRI in patients with cardiac pacemakers: practical methods for reducing susceptibility artifacts and optimizing image quality. Acta Radiol 57:178–187CrossRefPubMed Kaasalainen T, Kivisto S, Holmstrom M, Peltonen J, Pakarinen S, Hanninen H et al (2016) Cardiac MRI in patients with cardiac pacemakers: practical methods for reducing susceptibility artifacts and optimizing image quality. Acta Radiol 57:178–187CrossRefPubMed
16.
Zurück zum Zitat Naehle CP, Kreuz J, Strach K, Schwab JO, Pingel S, Luechinger R et al (2011) Safety, feasibility, and diagnostic value of cardiac magnetic resonance imaging in patients with cardiac pacemakers and implantable cardioverters/defibrillators at 1.5 T. Am Heart J 161:1096–1105CrossRefPubMed Naehle CP, Kreuz J, Strach K, Schwab JO, Pingel S, Luechinger R et al (2011) Safety, feasibility, and diagnostic value of cardiac magnetic resonance imaging in patients with cardiac pacemakers and implantable cardioverters/defibrillators at 1.5 T. Am Heart J 161:1096–1105CrossRefPubMed
17.
Zurück zum Zitat Sasaki T, Hansford R, Zviman MM, Kolandaivelu A, Bluemke DA, Berger RD et al (2011) Quantitative assessment of artifacts on cardiac magnetic resonance imaging of patients with pacemakers and implantable cardioverter-defibrillators. Circ Cardiovasc Imaging 4:662–670CrossRefPubMedPubMedCentral Sasaki T, Hansford R, Zviman MM, Kolandaivelu A, Bluemke DA, Berger RD et al (2011) Quantitative assessment of artifacts on cardiac magnetic resonance imaging of patients with pacemakers and implantable cardioverter-defibrillators. Circ Cardiovasc Imaging 4:662–670CrossRefPubMedPubMedCentral
18.
Zurück zum Zitat Raphael CE, Vassiliou V, Alpendurada F, Prasad SK, Pennell DJ, Mohiaddin RH (2015) Clinical value of cardiovascular magnetic resonance in patients with MR-conditional pacemakers. Eur Heart J Cardiovasc Imaging Raphael CE, Vassiliou V, Alpendurada F, Prasad SK, Pennell DJ, Mohiaddin RH (2015) Clinical value of cardiovascular magnetic resonance in patients with MR-conditional pacemakers. Eur Heart J Cardiovasc Imaging
19.
Zurück zum Zitat Alonso A, Jensen PN, Lopez FL, Chen LY, Psaty BM, Folsom AR et al (2014) Association of sick sinus syndrome with incident cardiovascular disease and mortality: the Atherosclerosis Risk in Communities study and Cardiovascular Health Study. PLoS One 9:e109662CrossRefPubMedPubMedCentral Alonso A, Jensen PN, Lopez FL, Chen LY, Psaty BM, Folsom AR et al (2014) Association of sick sinus syndrome with incident cardiovascular disease and mortality: the Atherosclerosis Risk in Communities study and Cardiovascular Health Study. PLoS One 9:e109662CrossRefPubMedPubMedCentral
20.
Zurück zum Zitat Hsueh CW, Lee WL, Chen YT, Ting CT (2001) The incidence of coronary artery disease in patients with symptomatic bradyarrhythmias. Jpn Heart J 42:417–423CrossRefPubMed Hsueh CW, Lee WL, Chen YT, Ting CT (2001) The incidence of coronary artery disease in patients with symptomatic bradyarrhythmias. Jpn Heart J 42:417–423CrossRefPubMed
21.
Zurück zum Zitat Brignole M, Auricchio A, Baron-Esquivias G, Bordachar P, Boriani G, Breithardt OA et al (2013) ESC Guidelines on cardiac pacing and cardiac resynchronization therapy: the Task Force on cardiac pacing and resynchronization therapy of the European Society of Cardiology (ESC). Developed in collaboration with the European Heart Rhythm Association (EHRA). Eur Heart J 34:2281–2329. doi:10.1093/eurheartj/eht150 CrossRefPubMed Brignole M, Auricchio A, Baron-Esquivias G, Bordachar P, Boriani G, Breithardt OA et al (2013) ESC Guidelines on cardiac pacing and cardiac resynchronization therapy: the Task Force on cardiac pacing and resynchronization therapy of the European Society of Cardiology (ESC). Developed in collaboration with the European Heart Rhythm Association (EHRA). Eur Heart J 34:2281–2329. doi:10.​1093/​eurheartj/​eht150 CrossRefPubMed
22.
Zurück zum Zitat Bruder O, Wagner A, Lombardi M, Schwitter J, van Rossum A, Pilz G et al (2013) European Cardiovascular Magnetic Resonance (EuroCMR) registry–multi national results from 57 centers in 15 countries. J Cardiovasc Magn Reson 15:9CrossRefPubMedPubMedCentral Bruder O, Wagner A, Lombardi M, Schwitter J, van Rossum A, Pilz G et al (2013) European Cardiovascular Magnetic Resonance (EuroCMR) registry–multi national results from 57 centers in 15 countries. J Cardiovasc Magn Reson 15:9CrossRefPubMedPubMedCentral
24.
Zurück zum Zitat Stevens SM, Tung R, Rashid S, Gima J, Cote S, Pavez G et al (2014) Device artifact reduction for magnetic resonance imaging of patients with implantable cardioverter-defibrillators and ventricular tachycardia: late gadolinium enhancement correlation with electroanatomic mapping. Heart Rhythm 11:289–298CrossRefPubMed Stevens SM, Tung R, Rashid S, Gima J, Cote S, Pavez G et al (2014) Device artifact reduction for magnetic resonance imaging of patients with implantable cardioverter-defibrillators and ventricular tachycardia: late gadolinium enhancement correlation with electroanatomic mapping. Heart Rhythm 11:289–298CrossRefPubMed
Metadaten
Titel
Cardiovascular magnetic resonance in patients with magnetic resonance conditional pacemaker systems at 1.5 T: influence of pacemaker related artifacts on image quality including first pass perfusion, aortic and mitral valve assessment, flow measurement, short tau inversion recovery and T1-weighted imaging
verfasst von
Oliver Klein-Wiele
Marietta Garmer
Martin Busch
Serban Mateiescu
Rhyan Urbien
Gianluca Barbone
Kaffer Kara
Michael Schulte-Hermes
Frauke Metz
Birgit Hailer
Dietrich Grönemeyer
Publikationsdatum
04.11.2016
Verlag
Springer Netherlands
Erschienen in
The International Journal of Cardiovascular Imaging / Ausgabe 3/2017
Print ISSN: 1569-5794
Elektronische ISSN: 1875-8312
DOI
https://doi.org/10.1007/s10554-016-1012-z

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