--- title: "Self-gated fat-suppressed cardiac cine MRI. | Sutter Health" description: "The proposed self-gated ATR-SSFP sequence enables fat-suppressed cardiac cine imaging at 1.5 T without the need for ECG gating and without decreasing the imaging efficiency of ATR-SSFP." url: "https://www.sutterhealth.org/research/publications/self-gated-fat-suppressed-cardiac-cine-mri-1055312491" --- 1. [Home](https://www.sutterhealth.org/) / 2. [Research](https://www.sutterhealth.org/research) / 3. [Research publications](https://www.sutterhealth.org/research/publications) / 4. Self-gated fat-suppressed cardiac cine MRI. # Self-gated fat-suppressed cardiac cine MRI. Ingle RR, Santos JM, Overall WR, McConnell MV, Hu BS, & Nishimura DG. _Magn Reson Med. 73(5):1764-74. doi: 10.1002/mrm.25291. Epub 2014 May 7._ 2015-05-01 ## Abstract PURPOSE: To develop a self-gated alternating repetition time balanced steady-state free precession (ATR-SSFP) pulse sequence for fat-suppressed cardiac cine imaging. METHODS: Cardiac gating is computed retrospectively using acquired magnetic resonance self-gating data, enabling cine imaging without the need for electrocardiogram (ECG) gating. Modification of the slice-select rephasing gradients of an ATR-SSFP sequence enables the acquisition of a one-dimensional self-gating readout during the unused short repetition time (TR). Self-gating readouts are acquired during every TR of segmented, breath-held cardiac scans. A template-matching algorithm is designed to compute cardiac trigger points from the self-gating signals, and these trigger points are used for retrospective cine reconstruction. The proposed approach is compared with ECG-gated ATR-SSFP and balanced steady-state free precession in 10 volunteers and five patients. RESULTS: The difference of ECG and self-gating trigger times has a variability of 13 ± 11 ms (mean ± SD). Qualitative reviewer scoring and ranking indicate no statistically significant differences (P > 0.05) between self-gated and ECG-gated ATR-SSFP images. Quantitative blood-myocardial border sharpness is not significantly different among self-gated ATR-SSFP ( 0.61±0.15 mm -1), ECG-gated ATR-SSFP ( 0.61±0.15 mm -1), or conventional ECG-gated balanced steady-state free precession cine MRI ( 0.59±0.15 mm -1). CONCLUSION: The proposed self-gated ATR-SSFP sequence enables fat-suppressed cardiac cine imaging at 1.5 T without the need for ECG gating and without decreasing the imaging efficiency of ATR-SSFP. [PubMed abstract](http://www.ncbi.nlm.nih.gov/pubmed/24806049) ![Bob S Hu, M.D.](https://dyn.mktgcdn.com/p/OLtyV-80yDbOmh0GcQI3xnNzxEtgLP1RmJcZvvKP3u4/fit=crop,gravity=auto,dpr=2,width=188,height=250,quality=100) Bob S Hu, M.D. Principal investigator [View profile](https://www.sutterhealth.org/research/investigators/bob-s-hu-md-1049681033) ## Research topics - [Cardiovascular Diseases](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Cardiovascular+Diseases%5C%22%22) ## Related publications [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) - Publication ### [Home blood pressure monitoring among adults—American Heart Association Cardiovascular Health Consumer Survey, 2012](https://www.sutterhealth.org/research/publications/home-blood-pressure-monitoring-among-adults-1055312805) The Journal of Clinical Hypertension 2017 Jun 19 - Publication ### [No beneficial effects of pine bark extract on cardiovascular disease risk factors](https://www.sutterhealth.org/research/publications/pine-bark-extract-on-cardiovascular-disease-1055312556) Drieling RL, Gardner CD, Ma J, Ahn DK, Stafford RS. Arch Intern Med. 170(17):1541-7. doi: 10.1001/archinternmed.2010.310. 2010 Sep 27 - Publication ### [Investigation of 89 candidate gene variants for effects on all-cause mortality following acute coronary syndrome.](https://www.sutterhealth.org/research/publications/candidate-gene-variants-effect-mortality-acs-1055312963) Morgan TM, Xiao L, Lyons P, Bethany Kassebaum B, Krumholz HM, Spertus JA. BMC Medical Genetics 9:66 doi:10.1186/1471-2350-9-66 2008 Jul 12 - Publication ### [Antiplatelet therapy use after discharge among acute myocardial infarction patients with in-hospital bleeding.](https://www.sutterhealth.org/research/publications/antiplatelet-tx-post-discharge-ami-pts-1055312976) Wang TY, Xiao L, Alexander KP, Rao SV, Kosiborod MN, Rumsfeld JS, Spertus JA, Peterson ED. Circulation. 118(21):2139-45. doi: 10.1161/CIRCULATIONAHA.108.787143. Epub 2008 Nov 3. 2008 Nov 18 - Publication ### [Commentary on Costello JM, et al. Predictions by clinicians of quality of life for children and adolescents with cardiac disease.](https://www.sutterhealth.org/research/publications/commentary-predictions-qol-childhd-cardiac-disease-1055312358) Patel M, Wilson SR. In: Cabana M ed. Year Book of Pediatrics 2016. Philadelphia PA: Elsevier; 2015: 199-202. ISBN: 978-0-323-44293-0. 2015 Dec 01 [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/self-gated-fat-suppressed-cardiac-cine-mri-1055312491#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"Self-gated fat-suppressed cardiac cine MRI."}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/self-gated-fat-suppressed-cardiac-cine-mri-1055312491#medicalscholarlyarticle","name":"Self-gated fat-suppressed cardiac cine MRI.","headline":"Self-gated fat-suppressed cardiac cine MRI.","abstract":"PURPOSE: To develop a self-gated alternating repetition time balanced steady-state free precession (ATR-SSFP) pulse sequence for fat-suppressed cardiac cine imaging. METHODS: Cardiac gating is computed retrospectively using acquired magnetic resonance self-gating data, enabling cine imaging without the need for electrocardiogram (ECG) gating. Modification of the slice-select rephasing gradients of an ATR-SSFP sequence enables the acquisition of a one-dimensional self-gating readout during the unused short repetition time (TR). Self-gating readouts are acquired during every TR of segmented, breath-held cardiac scans. A template-matching algorithm is designed to compute cardiac trigger points from the self-gating signals, and these trigger points are used for retrospective cine reconstruction. The proposed approach is compared with ECG-gated ATR-SSFP and balanced steady-state free precession in 10 volunteers and five patients. RESULTS: The difference of ECG and self-gating trigger times has a variability of 13 ± 11 ms (mean ± SD). Qualitative reviewer scoring and ranking indicate no statistically significant differences (P > 0.05) between self-gated and ECG-gated ATR-SSFP images. Quantitative blood-myocardial border sharpness is not significantly different among self-gated ATR-SSFP ( 0.61±0.15 mm -1), ECG-gated ATR-SSFP ( 0.61±0.15 mm -1), or conventional ECG-gated balanced steady-state free precession cine MRI ( 0.59±0.15 mm -1). CONCLUSION: The proposed self-gated ATR-SSFP sequence enables fat-suppressed cardiac cine imaging at 1.5 T without the need for ECG gating and without decreasing the imaging efficiency of ATR-SSFP.","description":"The proposed self-gated ATR-SSFP sequence enables fat-suppressed cardiac cine imaging at 1.5 T without the need for ECG gating and without decreasing the imaging efficiency of ATR-SSFP.","keywords":["Cardiovascular Diseases"],"datePublished":"2015-05-01","url":"https://www.sutterhealth.org/research/publications/self-gated-fat-suppressed-cardiac-cine-mri-1055312491","inLanguage":"en-US","identifier":[{"@type":"PropertyValue","propertyID":"PMID","value":"24806049"},{"@type":"PropertyValue","propertyID":"DOI","value":"10.1002/mrm.25291"}],"sameAs":["https://pubmed.ncbi.nlm.nih.gov/24806049/","https://doi.org/10.1002/mrm.25291"],"isPartOf":{"@type":"Periodical","name":"Magn Reson Med"},"author":[{"@type":"Person","name":"Ingle RR"},{"@type":"Person","name":"Santos JM"},{"@type":"Person","name":"Overall WR"},{"@type":"Person","name":"McConnell MV"},{"@type":"Person","@id":"https://www.sutterhealth.org/research/investigators/bob-s-hu-md-1049681033","name":"Hu BS","url":"https://www.sutterhealth.org/research/investigators/bob-s-hu-md-1049681033"},{"@type":"Person","name":"Nishimura DG"}],"sourceOrganization":{"@type":"MedicalOrganization","name":"Palo Alto Medical Foundation Research Institute"},"about":[{"@type":"DefinedTerm","name":"Cardiovascular Diseases","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Cardiovascular+Diseases%22%5D%7D%5D&verticalKey=research_publication"}],"mainEntityOfPage":{"@type":"WebPage","@id":"https://www.sutterhealth.org/research/publications/self-gated-fat-suppressed-cardiac-cine-mri-1055312491","breadcrumb":{"@id":"https://www.sutterhealth.org/research/publications/self-gated-fat-suppressed-cardiac-cine-mri-1055312491#breadcrumblist"}}} ```