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Feb 15, 2010

Hybrid Ultrasound MRI for Improved Cardiac Imaging

and Real-Time Respiration Control

David A. Feinberg,1–3* Daniel Giese,6 D. Andre Bongers,4 Sudhir Ramanna,1

Maxim Zaitsev,6 Michael Markl,6 and Matthias Gu¨ nther1,4,5

Magnetic Resonance in Medicine 63:290–296 (2010)

A hybridized dual-imaging system combining real-time ultra-

sound imaging and MRI was utilized for cardiac imaging at

1.5 T and 3 T. The ultrasound scanner with a programmable

software interface was connected via computer to the MRI

scanner. Electronic noise was eliminated with electromagnetic

shielding and grounding to the screen room. At 3 T, real-time

prospective motion compensation in dynamic cine cardiac

imaging was implemented using B-mode ultrasound imaging.

The ultrasound technique avoided drawbacks such as signal

saturation or steady-state interruption of the MR navigator

gating. At 1.5 T, a low-latency real-time feedback to balanced

steady state free precision MR imaging was performed in

three normal volunteers. Results showed active tracking of

the heart during respiratory motion and improvement in time-

averaged cardiovascular images. Future studies can fully

exploit the potential of the high-frequency position informa-

tion provided by the ultrasound system for more advanced

applications in real-time organ tracking.

Key words: ultrasound; MRI; cardiac MRI; navigator echo

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