ISMRM & SMRT Annual Meeting • 15-20 May 2021

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Weekend Course

Cardiovascular MRI: From Disease to Diagnosis

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Cardiovascular MRI: From Disease to Diagnosis
Weekend Course
ORGANIZERS: Moriel Vandsburger, Dana Peters
Saturday, 15 May 2021
Concurrent 1 13:45 -  14:30 Moderators: Daniel Kim & Maria Drangova
Skill Level: Basic to Intermediate
Session Number: WE-06
Parent Session: Cardiovascular MRI: From Disease to Diagnosis

Session Number: WE-06

Overview
This sessions seeks to introduce attendees to basic mechanisms of vascular and myocardial disease, diagnostic and evaluative imaging techniques, and results of multi-center imaging biomarker trials.

Target Audience
MR physics and engineering trainees and clinicians interested in MRI techniques for cardiovascular diseases.

Educational Objectives
As a result of attending this course, participants should be able to:
- Explain the pathophysiology of coronary artery disease, microvascular disease, and diseases of the myocardium;
- Recall current MR methods for imaging of perfusion, scar imaging, ventricular function and strain, and advanced tissue characterization techniques; and
- Retell current evidence-based assessments of CMR biomarkers.

    Cardiovascular Disease: Macro- & Micro-Vasculature
Christopher Francois
    Myocardial Disease: Pathophysiology & Unmet Diagnostic Needs
Andrew Arai
  Cardiac MRI of Myocardial Perfusion & Fibrosis - State of the Art

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Graham Wright, Nilesh Ghugre
Assessment of perfusion and fibrosis in the heart with MRI is central to a complete cardiac exam. The core clinical methods have focused on dynamic first pass of Gadolinium-based contrast for perfusion and late gadolinium enhancement for fibrosis. Newer methods have targeted improvements in spatial resolution and coverage with reductions in imaging time, and robustness in the presence of implanted devices. There is a growing emphasis on quantitatiion and the introduction of methods that do not require the injection of a contrast agent.  Clinical applications include management of ischemic and non-ischemic heart disease as well as complex arrhythmia management.
  Measuring Ventricular Microstructure & Strain

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Daniel Ennis
Cardiac structure and function are inextricably bound. MRI is an unrivaled technology for exploring and discovering the structure-function mechanisms of cardiac function and dysfunction. This talk reviews the basic microstructural constituents of the hearts (i.e. “myofibers” and “sheets”), two methods for measuring regional cardiac function (i.e. MRI tagging and cine DENSE), and the use of cardiac diffusion tensor MRI to measure microstructural organization in vivo. Methods to jointly integrate measures of structure and function to reveal microstructurally anchored measures of cardiac function (.e.g “myofiber” strain) are also described. 
  Tissue Characterization: Relaxometry & Exchange

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Weitian Chen
Relaxation time constant T1, T2, and T1rho are important parameters to characterize tissue properties. The spatial and temporary variation of the magnetic field due to dipolar coupling and molecular tumbling is a main source of the observed relaxation effect. Relaxation can also be affected by chemical exchange and magnetization transfer effect. These physical processes reflect the metabolites and macromolecules content in tissues. Thus, imaging methods based on the measurements of relaxation time can be used to probe the biochemical properties of tissues. 
    Outcomes of Trials for Quantitative CMR Biomarkers
Michael Salerno

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