Facilitated acquisition of whole-heart coronary magnetic resonance angiography with visual feedback of respiration status

Three dimensional (3D) whole-heart (WH) coronary MR angiography (CMRA) requires an extended imaging time, but it may be reduced by providing a subject with visual feedback (VFB). Thirteen healthy volunteers were scanned and quality of 3D WH-CMRA images was compared among three scan conditions: free breathing (FB) with and without VFB (FB + VFB and FB − VFB, respectively) and multiple breath-holds with VFB (MBH + VFB). All but two subjects were able to complete all scans. The average scan times were 10.0 ± 2.2, 10.0 ± 2.5, and 8.2 ± 1.3 min for FB − VFB, FB + VFB, and MBH + VFB, respectively. In the MBH + VFB condition, scan time was significantly reduced by 18% compared with both FB scans. No significant difference in image quality was observed between the FB − VFB and MBH + VFB conditions, but scores were significantly deteriorated at some segments in the FB + VFB condition. The MBH + VFB scan can be performed with a shorter scan time without failure or impairment of image quality.