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Bài giảng Multiparametric Cardiac MR

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Fully sampled FIESTA Cine | Breathhold Short Axis FIESTA Cine 200 x 224 3:17min Whole Heart Coverage (12 Slices) 17 secslice 2CH FIESTA Cine 200 x 224 15 sec | single slice 4CH FIESTA Cine 200 x 224 15 sec | single slice 3CH FIESTA Cine 200 x 224 17 sec | single slice LVOT FIESTA Cine 200 x 224 17 sec | single slic Sonic DL™ FIESTA Cine | Breathhold Short Axis FIESTA Cine Sonic DL™ | 3 Heartbeat 224 x 262 0:46 min Whole Heart Coverage (12 Slices) 8s BH with 3 slices each 2CH FIESTA Cine Sonic DL™ | 3 Heartbeat 272 x 224 3 sec | single slice 4CH FIESTA Cine Sonic DL™ | 3 Heartbeat 272 x 252 3 sec | single slice 3CH FIESTA Cine Sonic DL™ | 3 Heartbeat 280 x 262 4 sec | single slice LVOT FIESTA Cine Sonic DL™ | 3 Heartbeat 280 x 262 4 sec | single slice

Multiparametric Cardiac MR GE Cardiac MR Powered by DL Cardiovascular Clinical Applications 1RR 3RR Function Assessment 1RR 3RR Sonic™ DL MOLLI SSh MDE 2D PS MDE Late Gadolinium SSh MDE, 2D PS MDE AIR™ Recon DL ECV Tissue Characterization AIR™ Recon DL T2 Map , T1 Map , ECV Map Morphology AIR™ Recon DL Wideband MDE AIR™ Recon DL 4D Flow Strain Analysis 3D Heart Nav AIR™ Recon DL Perfusion MoCo AIR™ Recon DL +/- Stress 3D MDE FS Nav AIR™ Recon DL Leveraging Deep Learning Based Recon AIR™ Coil AIR™ Recon DL Sonic DL™ © 2023 GE HealthCare GE is a trademark of General Electric Company used under trademark license 3rd Generation of AIR Recon DL Ortho Neuro Cardiovascular • 2D Festa • 2D Spin Echo • 2D Black Blood • 2D Dual Echo • 2D SSH-(PS)-MDE • Time Course DL Recon 1st Gen • 2D Spin Echo • 2D T2* GRE • Single Shot Spin Echo DL Recon 2nd Gen • 2D EPI DWI (including FOCUS) • 2D EPI DWI (including FOCUS) • 2D PROPELLER • 2D PROPELLER • 2D PROPELLER • 3D MDE with RT • 3D CUBE • 3D CUBE • 3D LAVA/VIBRANT • 3D Heart • 3D T1 MPRAGE/BRAVO • 3D GRE • 3D MRCP • 3D IFIR • 2D FSE-Flex (Orbits, H&N) • 2D FSE-Flex • 2D FSE-Flex • MoCo MOLLI &T1Map DTI (Oncology) • CartiGram • SSH PS MDE FreeBreathing with RT MR30 Reconstruction speed: 63,000 images/second No change in reconstruction time Challenge the others! Body/Onco DL Recon 3rd Gen • • 2D Spin Echo © 2023 GE HealthCare GE is a trademark of General Electric Company used under trademark license 30-Minute CMR For Common Clinical Indications* Heart Failure or Cardiomyopathy SIGNA Substrate For LV Arrhythmia Ischemic & Viable Myocardium Patient Prep Non-Ischemic vs Ischemic Injury/ Myocarditis Power Injector ECG Leads IV Line AIR™ Coil AIR™ Recon DL Localizer Cardiac Function 3-CH, 4-CH, 2-CH T1 Map Native 5(3)3 T2 Map Perfusion +/Stress Cardiac Function SAX Late Gd – Enhancement TI Scot - SAX SSh PS MDE Late Gd – Enhancement 3-CH, 2-CH, 4-CH SSh PS MDE Scan Time 01:00 01:20 01:15 05:00 05:30 01:30 01:35 0:00 – 5:00 06:00 07:20 08:35 13:35 19:05 20:35 22:10 Gd Contrast Injection * Reference: Raman SV, et al JCMR 2022: “30-minute CMR for common clinical indications: a SCMR white paper” © 2023 GE HealthCare GE is a trademark of General Electric Company used under trademark license Myocardial Mapping https://doi.org/10.1186/s12968-017-0389-8 Myocardial Mapping https://doi.org/10.1186/s12968-017-0389-8 Multiparametric CMR with A.I Calculates ECV T1 Map | MOLLI T1 Map | SMART1 T2 Map Quantitative assessment of T1 relaxation time of myocardium Quantitative assessment of T1 relaxation time of myocardium independent of heart rate Quantitative assessment of T2 relaxation time of myocardium AIR Recon DL Motion Correction – Free Breathing T2* Map Quantitative measurement to assess iron overload Polar Map T2 Polar Map T1 Native Multiparametric CMR with A.I Native T1 Map 1421 ms T2 Map 77 ms © 2023 GE HealthCare GE is a trademark of General Electric Company used under trademark license Multiparametric CMR with A.I EF Analysis Strain Analysis © 2023 GE HealthCare GE is a trademark of General Electric Company used under trademark license Multiparametric CMR with A.I Delayed enhancement 2D Single Shot slice per BH (10-15 slices) 2D MDE High resolution Fat Sat 2D PS-MDE Less sensitive to sub-optimal TI 3D Fast & Robust Whole heart in 1-2 BH possible free-breathing 2D SSh MDE Robust, free-breathing 2D SSh PS-MDE Robust, less sensitive to TI Free-breathing Fast & Robust Whole heart in 1-2 BH possible free-breathing 3D MDE BH Fast High resolution Low SNR 3D MDE Nav Free-breathing Very high resolution Low SNR Multiparametric CMR with A.I Conventional AIR™ Recon DL Short Axis Post contrast 2.6 x 3.0 x mm, 2:53 Conventional AIR™ Recon DL chamber Post contrast 2.6 x 3.1 x mm, 0:10 © 2023 GE HealthCare GE is a trademark of General Electric Company used under trademark license 11 Multiparametric CMR with A.I Single Shot PS MDE with TI set for myocardium Single Shot PS MDE with TI set for blood pool SNR challenges Single Shot PS MDE with TI set for blood pool SNR challenges AIR™ Recon DL © 2023 GE HealthCare GE is a trademark of General Electric Company used under trademark license 12 Multiparametric CMR with A.I Short Axis cine FIESTA Voxel size 1.8 x 1.4 x Long Axis cine FIESTA Voxel size 1.9 x 1.7 x Short Axis SSh MDE Voxel size 1.9 x 1.9 x 16 slices - 47s Long Axis SSh MDE Voxel size 2.0 x 2.0 x slices - 12s Free Breathing Free Breathing © 2023 GE HealthCare GE is a trademark of General Electric Company used under trademark license 13 4D Flow Comprehensive Cardiac Solutions For Complicated Exams What is it? • 3D Cine (EFGRE) • Capture data in dimensions • Valvular Disease Shunts in space, in time, and in velocity direction Benefits • Non-invasive 3D cardiac anatomy, function, and flow in free-breathing, scan • Unsupervised cardiac imaging – no expertise or clinician guidance needed • Faster cardiac exams help to shorten backlog scheduling times • Cloud-based or on-premise visualization and reporting attracts new referrals Aortic Disease Congenital Heart Disease © 2023 GE HealthCare GE is a trademark of General Electric Company used under trademark license 4D Flow Velocity Vector Flow Visualization SVC connection to RPA IVC Connection to PA Free Breathing 4D FLOW TR/TE(ms): / 2.2 Matrix: 180 x 180 | S.TH: 1.1 Scan Time: 06:35 © 2023 GE HealthCare GE is a trademark of General Electric Company used under trademark license 15 MR30 : New Cardiac MRI Applications Sonic DL™ Cine Sonic DL™ - 8x 3RR/slice | 5BH x 6s Free-Breathing PS MDE w/ AIR™ Recon DL Courtesy University of Chicago Fat-Sat Free-Breathing 3D MDE w/ AIR™ Recon DL Courtesy Hospital Clinic Barcelona 3D Heart w/ AIR™ Recon DL Courtesy Centro Cardiologico Monzino © 2023 GE HealthCare GE is a trademark of General Electric Company used under trademark license 16 AIR™ Recon DL | 3D HEART Improve image quality for better assessment of coronary arteries without contrast injection LAD LCX RCA LAD= Left Anterior Descending LCX= Left Circumflex Artery LCX LAD RCA RCA= Right Coronary Artery 3D HEART | Free Breathing AIR™ Recon DL AIR™ MP 20MM Voxel size 1.6 x 1.6 x 1.0 Scan Time | 03:38 Data & images are courtesy of Centro Cardiologico Monzino Milan - Italy © 2023 GE HealthCare GE is a trademark of General Electric Company used under trademark license Sonic DL™ * Cardiac Cine * Not yet CE marked Not available for sale in all regions © 2023 GE HealthCare GE is a trademark of General Electric Company used under trademark license 18 Sonic DL™ * | Life-speed imaging Deep-learning accelerated FIESTA Cine for rapid assessment of heart function, volumes, mass and structure Reduce scan time while preserving image quality Free breathing or breath–hold Retrospective cardiac triggering Up to 12x acceleration As fast as heart-beat per slice ASSET - 2x 8RR/slice | 10BH x 9s Sonic DL™ - 6x 6RR/slice | 10BH x 6s * Not yet CE marked Not available for sale in all regions Sonic DL™ - 8x 3RR/slice | 5BH x 6s Sonic DL™ - 12x 1RR/slice | 3BH x 6s © 2023 GE HealthCare GE is a trademark of General Electric Company used under trademark license 19 Sonic DL™ * | Life-speed imaging Productivity in a beat Innovation in a flash Rapid imaging reduces motion artifacts for the patient who cannot follow breath hold command Higher spatial and temporal resolutions 30 frames 00:10 sec 58 frames 00:07 sec whole heart coverage 1:42 Paced for patients Where simplicity meets swiftness Accommodating patient challenges with free breathing Improve clarity despite arrhythmia Whole heart coverage 2:10 Breath-hold Whole heart coverage 00:51 sec Free breathing * Not yet CE marked Not available for sale in all regions whole heart coverage 1:45 whole heart coverage 00:59 sec whole heart coverage 00:24 sec © 2023 GE HealthCare GE is a trademark of General Electric Company used under trademark license 20

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