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