3D High Resolution Imaging of Human Heart for Visualization of the Cardiac Structure

• Published in: Functional Imaging and Modeling of the Heart pp. 196 - 207
• Main Authors: Haliot, Kylian, Magat, Julie, Ozenne, Valéry, Abell, Emma, Dubes, Virginie, Bear, Laura, Gilbert, Stephen H., Trew, Mark L., Haissaguerre, Michel, Quesson, Bruno, Bernus, Olivier
• Format: Book Chapter
• Language: English
• Published: Cham Springer International Publishing 2019
• Series: Lecture Notes in Computer Science
• Subjects: Cardiac microstructure; Diffusion tensor; Helix angles; High field MRI; Sheetlet organization; Structure tensor
• ISBN: 3030219488; 9783030219482
• ISSN: 0302-9743; 1611-3349
• DOI: 10.1007/978-3-030-21949-9_22

Imaging of cardiac structure is thus essential for understanding both electrical propagation and efficient contraction in human models. The processing pipeline of diffusion tensor imaging (DTI) and structure tensor imaging (STI) is described and the first ex vivo demonstration of this approach in a human heart is provided at 9.4T. A human heart was fixed in formaldehyde with gadolinium then immersed in Fomblin. MRI acquisitions were performed at 9.4T/30 cm with a 7 elements transmit/receive coil. 3D spin-echo DTI at 600 × 600 × 600 µm3 and 3D FLASH echo image at 150 × 150 × 150 µm3 were produced. Tensor extraction and analysis were performed on both volumes. 3D gradient echo at 150 × 150 × 150 µm3 allows direct visualization of detailed structure of LV. Abrupt change in sheetlet orientation is observed in the LV and is confirmed with STI. The DTI helix angle has a smooth transmural change from endocardium to epicardium. Both the helix and transverse angles are shown to be similar between DTI and STI. The sheetlet organization between both acquisitions displays the same pattern even though local angle differences are demonstrated. In conclusion, these preliminary results are promising for investigating 3D structural characterization of normal/pathologic cardiac organization in human. It opens new perspectives to better understand the links between structural remodeling and electrical disorders of the heart.