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. 2017 Jun 16;22(4):415–430. doi: 10.1007/s10741-017-9627-2

Table 1.

Overview of salient T1 mapping sequences comparing building plans, strengths, and limitationsa

Sequence Building plan: 3 integral parts Strength Limitation Reference
T1 preparation Imaging readout Respiratory motion compensation
Original MOLLI IR pulse over multiple heartbeats Single-shot end-diastolic bSSFP Single breath-hold – High-quality T1 maps
– Good precision (noise resilience)
– Widely available
– High inter-center reproducibility
– T1 time dependence on T2, MT, and sequence parameters
– HR dependence
[6]
Fixed-recovery MOLLI IR pulse over multiple heartbeats Single-shot end-diastolic bSSFP Single 11-s breath-hold – Little HR variability
– Separate optimization allows precision for both native and post-GBCA regimes
– Requires different protocols for native and post-GBCA scans [7]
ShMOLLI IR pulse over multiple heartbeats Single-shot end-diastolic bSSFP Single short 9-s breath-hold – Short breath-holds via short rest periods of 1 heartbeat
– Incomplete magnetization recovery compensated for by conditional data fit
– Unified sequence for pre-/post-GBCA scanning
– Little HR variability
– Low number of fit images available for use especially in native mapping
– Vulnerable to mistriggering as sampling sparse
[8]
FLASH-MOLLI IR pulse over multiple heartbeats Single-shot end-diastolic FLASH Single 11-s breath-hold – Avoids off-resonance artifacts (good for high-field strengths)
– No T2 dependence
– Tailored fitting compensates for disruption of relaxation by FLASH pulses improving accuracy compared to original MOLLI
– Decreased SNR compared to SSFP schemes
– Elaborate post-processing limits availability
[9]
TRASSI IR pulse over multiple heartbeats Radial golden-angle FLASH Single short 5-s breath-hold – Inherent properties of the radial acquisition, short breath-hold, and HR-adaptable acquisition window provide high resilience to motion artifacts
– Tailored fit improves accuracy
– Potential blurring due to view-sharing across heartbeats
– Little baseline data
– Elaborate post-processing limits availability
[10]
SASHA SR preparation over multiple heartbeats Single-shot bSSFP Single 10-s breath-hold – Excellent accuracy as invariant to T2, MT, and inversion efficiency
– Alternative reconstruction scheme has been proposed to trade off accuracy against precision
– High-contrast imaging scheme available for free-breathing applications
– Still low precision compared to MOLLI
– Low SNR baseline images more prone to artifacts
– Low blood-myocardial imaging contrast makes post-processing with image registration challenging
[11]
SMART1 MAP A series of single-point SR experiments Single-shot bSSFP Single breath-hold (13 heartbeats) – Intra-scan heart rate insensitivity by adapting recovery time to changing heart rates by measuring heartbeats in real time
– Good accuracy compared to MOLLI
– Limited data on in vivo clinical applicability; has yet to be validated at scale and on other vendor platforms [12, 13]
SAPPHIRE Hybrid SR/IR over multiple heartbeats Single-shot bSSFP Single 10-s breath-hold – Good accuracy compared to MOLLI
– Improved precision compared to SASHA
– Lower precision compared to MOLLI
– Low SNR images are prone to artifacts
[14]
STONE IR pulse over multiple heartbeats Single-shot bSSFP Interleaved multi (5)-slice 55 s free-breathing + registration + real-time slice tracking – No rest periods between breath-holds as free-breathing improves patient comfort
– Improved accuracy due to slice-interleaved scanning
– Potential for slice-tracking failure in heavy breathing patients
– Perturbation of blood T1 times due to crosstalk between slices
[15]
ANGIE IR pulse over multiple heartbeats Segmented bSSFP 41 s free-breathing + diaphragmatic navigator gating – No rest periods between breath-holds as free-breathing improves patient comfort
– Enables high-resolution scans
– Motion compensation robust to heavy breathing
– Accuracy comparable to MOLLI (not superior)
– Elaborate compressed sensing reconstruction needed before the fit which limits availability
[16]

ANGIE Accelerated and Navigator-Gated Look-Locker Imaging for cardiac T1 Estimation, bSSFP balanced steady-state free precession, FLASH fast low-angle shot, GBCA gadolinium-based contrast agents, HR heart rate, IR inversion recovery, MOLLI MOdified Look-Locker Inversion Recovery, MT magnetization transfer, s second(s), SAPPHIRE SAturation Pulse Prepared Heart-Rate Independent Inversion REcovery Sequence, SASHA SAturation Recovery Single SHot Acquisition, ShMOLLI shortened MOLLI, SNR signal-to-noise ratio, SR saturation recovery, STONE slice-interleaved T1 mapping

aList of T1 mapping sequences is not exhaustive—more variants exist in the published literature that may not be recapitulated here