Three-dimensional imaging for the quantification of myocardial motion is a key step in the evaluation of cardiac disease. A tagged magnetic resonance imaging method that automatically tracks myocardial displacement in three dimensions is presented. Unlike other techniques, this method tracks both in-plane and through-plane motion from a single image plane without affecting the duration of image acquisition. A small z -encoding gradient is subsequently added to the refocusing lobe of the slice-selection gradient pulse in a slice following CSPAMM acquisition. An opposite polarity z -encoding gradient is added to the orthogonal tag direction. The additional z -gradients encode the instantaneous through plane position of the slice. The vertical and horizontal tags are used to resolve in-plane motion, while the added z-gradients is used to resolve through-plane motion. Postprocessing automatically decodes the acquired data and tracks the three-dimensional displacement of every material point within the image plane for each cine frame. Experiments include both a phantom and in vivo human validation. These studies demonstrate that the simultaneous extraction of both in-plane and through-plane displacements and pathlines from tagged images is achievable. The use of magnetic resonance (MR) imaging for the quantification of regional function in the heart has shown great promise. Myocardial tagging permits rapid imaging and visualization as well as fast, automatic computation of inplane-i.e., two-dimensional (2D)-motion measures (1). To account for the complex three-dimensional (3D) motion of the heart, 3D tracking is desired. Previous approaches to the problem of imaging and computing 3D myocardial motion using MR tagging techniques include the use of multiple orthogonal image planes (2-4) and fully 3D MR tagged imaging (5). As well, the use of phase contrast techniques for through-plane velocity imaging together with in-plane tagging has been proposed (6,7). Primary limiting factors in previous approaches include the need for tedious postprocessing procedures and the need for lengthy image acquisition protocols.In this article, we present a novel method, called zHARP, that combines tagged magnetic resonance imaging with through-plane displacement phase encoding and harmonic phase (HARP) postprocessing (1,8). zHARP addresses both of the limitations mentioned earlier. First, it uses an imaging pulse sequence that encodes both in-plane and through-plane motion without affecting the image acquisition speed. Second, it automatically tracks the 3D myocardial displacement of all points in the 2D image plane throughout all acquired cine frames. The zHARP method was validated using both phantom experiments and in-vivo imaging in five human subjects, demonstrating that rapid, automatic, and accurate imaging of myocardial motion in 3D is now feasible.
THEORYThe overall objective of zHARP is to measure the displacement over time-i.e., the pathlines-of any point in an image plane. In this section, we describe the theory of zHARP star...