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dc.rights.licenseopenen_US
hal.structure.identifierCentre de recherche Cardio-Thoracique de Bordeaux [Bordeaux] [CRCTB]
dc.contributor.authorTOUPIN, Solenn
dc.contributor.authorPEZEL, Theo
hal.structure.identifierCentre de recherche Cardio-Thoracique de Bordeaux [Bordeaux] [CRCTB]
dc.contributor.authorBUSTIN, Aurelien
hal.structure.identifierCentre de recherche Cardio-Thoracique de Bordeaux [Bordeaux] [CRCTB]
dc.contributor.authorCOCHET, Hubert
dc.date.accessioned2022-10-12T09:48:23Z
dc.date.available2022-10-12T09:48:23Z
dc.date.issued2021-06-21
dc.identifier.issn1053-1807en_US
dc.identifier.urioai:crossref.org:10.1002/jmri.27732
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/153688
dc.description.abstractEnIn cardiovascular magnetic resonance, late gadolinium enhancement (LGE) has become the cornerstone of myocardial tissue characterization. It is widely used in clinical routine to diagnose and characterize the myocardial tissue in a wide range of ischemic and nonischemic cardiomyopathies. The recent growing interest in imaging left atrial fibrosis has led to the development of novel whole-heart high-resolution late gadolinium enhancement (HR-LGE) techniques. Indeed, conventional LGE is acquired in multiple breath-holds with limited spatial resolution: ~1.4–1.8 mm in plane and 6–8 mm slice thickness, according to the Society for Cardiovascular Magnetic Resonance standardized guidelines. Such large voxel size prevents its use in thin structures such as the atrial or right ventricular walls. Whole-heart 3D HR-LGE images are acquired in free breathing to increase the spatial resolution (up to 1.3 × 1.3 × 1.3 mm3) and offer a better detection and depiction of focal atrial fibrosis. The downside of this increased resolution is the extended scan time of around 10 min, which hampers the spread of HR-LGE in clinical practice. Initially introduced for atrial fibrosis imaging, HR-LGE interest has evolved to be a tool to detect small scars in the ventricles and guide ablation procedures. Indeed, the detection of scars, nonvisible with conventional LGE, can be crucial in the diagnosis of myocardial infarction with nonobstructed coronary arteries, in the detection of the arrhythmogenic substrate triggering ventricular arrhythmia, and improve the confidence of clinicians in the challenging diagnoses such as the arrhythmogenic right ventricular cardiomyopathy. HR-LGE also offers a precise visualization of left ventricular scar morphology that is particularly useful in planning ablation procedures and guiding them through the fusion of HR-LGE images with electroanatomical mapping systems. In this narrative review, we attempt to summarize the technical particularities of whole-heart HR-LGE acquisition and provide an overview of its clinical applications with a particular focus on the ventricles.
dc.description.sponsorshipL'Institut de Rythmologie et modélisation Cardiaque - ANR-10-IAHU-0004en_US
dc.description.sponsorshipPlateforme multi-modale d'exploration en cardiologie - ANR-11-EQPX-0030en_US
dc.language.isoENen_US
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/us/*
dc.sourcecrossref
dc.subject.enCardiovascular magnetic resonance
dc.subject.enLate gadolinium enhancement
dc.subject.enWhole-heart
dc.subject.enMyocardial infarction with non-obstructed coronary arteries
dc.title.enWhole‐Heart High‐Resolution Late Gadolinium Enhancement: Techniques and Clinical Applications
dc.typeArticle de revueen_US
dc.identifier.doi10.1002/jmri.27732en_US
dc.subject.halSciences de l'ingénieur [physics]en_US
dc.identifier.pubmed34155715en_US
dc.description.sponsorshipEuropeElectrostructural Tomography - Towards Multiparametric Imaging of Cardiac Electrical Disordersen_US
bordeaux.journalJournal of Magnetic Resonance Imagingen_US
bordeaux.page967-987en_US
bordeaux.volume55en_US
bordeaux.hal.laboratoriesCentre de Recherche Cardio-Thoracique de Bordeaux (CRCTB) - U 1045en_US
bordeaux.issue4en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
bordeaux.identifier.funderIDAgence Nationale de la Rechercheen_US
bordeaux.identifier.funderIDEuropean Research Councilen_US
bordeaux.import.sourcedissemin
hal.identifierhal-03811920
hal.version1
hal.date.transferred2022-10-12T09:48:26Z
hal.exporttrue
workflow.import.sourcedissemin
dc.rights.ccPas de Licence CCen_US
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