Myocardial Iron Quantification


Purpose

Myocardial iron quantification

Tag(s)


Panel

Cardiac

Define-AI ID

19040028

Originator

Akos Varga-Szemes

Lead

Akos Varga-Szemes

Panel Chair

Carlo De Cecco

Panel Reviewers

Cardiac Panel

License

Creative Commons 4.0 

Status

Public Comment

RadElement Set RDES135 

Clinical Implementation


Value Proposition

T2* cardiovascular magnetic resonance (CMR) is an effective and robust non-invasive tool for tissue iron measurement. An algorithm that provides myocardial T2* values based on the 17-segment model would improve clinical workflow.

Narrative(s)

Patients with siderosis with suspected myocardial involvement undergo T2* mapping of the heart. Normally, T2* maps are analysed by placing ROIs in the myocardium. The algorithm should be able to fully automate the segmentation and T2 fitting process, without any user input. 

Workflow Description

  1. Patient undergoes T2* mapping of the heart, that is usually done in 3 short axis slices

  2. Algorithm receives inputs:

    1. Imaging dataset

  3. Algorithm executes: 

    1. Automatically segments LV myocardium based on the 17-segment model

    2. Calculates T2* using the known fitting algorithm

    3. Displays segmental T2* on a bulls-eye diagram and indicates pathologic values (<20ms)

Considerations for Dataset Development



Age

Varied

Sex at Birth

Male, Female

Blood disorders

varied

BMI

varied

Heart Rate

varied

Scanner Vendor

Varied

Field Strength

[0.2 T, 7T]

Pulse sequence type

{spin echo sequences, inversion recovery sequences, gradient echo sequences, diffusion weighted sequences, saturation recovery sequences, echo-planar pulse sequences, spiral pulse sequences}

Pulse sequence scheme

varied

Technical Specifications



Inputs

 

DICOM Study


Procedure

CMR

Views


Data Type

DICOM

Modality

MR

Body Region

Chest

Anatomic Focus

Heart



Primary Outputs

 

T2* Value

RadElement ID

RDE889

Definition

the inherent decay of transverse magnetisation caused by a combination of spin-spin relaxation and magnetic field inhomogeneity

Data Type

Numeric

Value Set

N/A

Units

ms



Secondary Outputs

 

Segmental T2*

 

RadElement ID

 

RDE889

 

Definition

 

display segmental T2* values on a bulls-eye diagram and indicate pathlogic values

 

Data Type

N/A

 

Value Set

N/A

 

Units

N/A