JCMR 2020; 22.54. Breath-hold and free-breathing quantitative assessment of biventricular volume and function using compressed SENSE: a clinical validation in children and young adults (CME)

Purpose/ Objective

Although the accuracy and reproducibility of CMR bSSFP for the measurement of ventricular volumes, function, and cardiac mass is well established, the requirement for repeated breath-holds remains a limitation, especially in children and sedated patients. Strategies to reduce breath-hold duration or elimination of breath-hold using novel techniques need to be clinically validated against clinical reference standard to study the potential side effects of such strategies. What is the ideal state/ if the problem is gone? Preferably reduction in breath-hold duration and ideally elimination of breath-holds to accommodate patients with impaired breath-holding capacity with comparable measurement of ventricular volumes, function, and cardiac mass along with diagnostic image quality for morphologic defects.

The comparison of the image quality and ventricular volumetric and functional indices using either breath-hold (BH) or free breathing (FB) cine bSSFP imaging using C-SENSE acceleration with BH SENSE cine bSSFP imaging will help practitioners determine judicious use of C-SENSE acceleration, to accommodate patients with impaired BH capacity.

To close the gap outlined above:

  1. While attempting to reduce or eliminate the breath-holds in cine acquisition for volumetric and functional assessment learners need to know about the tradeoffs of data under-sampling strategies with spatial and/or temporal fidelity, and differences in prospective versus retrospective gating.
  2. Learners need to know how to judiciously apply amount of acceleration depending on the underlying data under-sampling and reconstruction scheme to keep trade offs within clinically acceptable limits.
  3. Learners need to do perform assessment of differences in volumetric and functional indices along with image quality to determine optimal use of available acceleration for their target patient population.


Accreditation Statement
The Society for Cardiovascular Magnetic Resonance (SCMR) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.


Credit Designation Statement
The Society for Cardiovascular Magnetic Resonance (SCMR) designates this Journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 Credit (s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


Instructions for Claiming CME

  • Read and fully comprehend the article
  • Complete the post-activity evaluation
  • A certificate of completion will be available once the evaluation is submitted


Financial Disclosures

The planners and faculty for this activity did not have any relationships to disclose. 


Disclosure of Commercial Support


Please see the bibliography at the end of the journal article.

Course Information
Course Date:
October 05, 2020
Individual topic purchase: Selected
Accreditation Council For Continuing Medical Education
Total General Hours: 1.00
SCMR Member Price:$0.00
Non-Member Price:$10.00