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James Moon
For scmr.org
Heart Hospital Imaging centre,
Heart Hospital, London UK
UCL
Sagittal Coronal
Transverse 1 Transverse 2
2a. Transverse Stack for anatomy
This is not necessary for LV volumes, but is important
Black blood (HASTE) or White blood (SSFP) can be used
Black blood
2b. Transverse Stack for anatomy
This is not necessary for LV volumes, but is important
Black blood (HASTE) or White blood (SSFP) can be used
White blood
3. Vertical Long axis (VLA) pilot
Using the VLA pilot acquired in step 2, position the slice bisecting
the mitral valve and apex
4 Chamber cine
7: Two chamber cine
And pilot the 2 chamber cine – through the apex and mid anterior
wall/mid inferior wall on the short axis slices – avoiding the LV
outflow tract
2ch
LVOT
4ch
2 Chamber cine
8: LVOT cine
Modify the 4 chamber using the basal SA pilot by twisting the plane until it
goes through the aortic valve into the ascending aorta. This is the LVOT view
(parasternal long axis or apical 3 chamber by echo)
2ch
LVOT
4ch
LVOT cine
9: LVOT coronal cine (optional)
A second LVOT view can be piloted perpendicular to the initial
LVOT view (LVOT coronal view)
LVOT cine
(coronal)
10: Short axis stack
Use the end-diastolic frames from the 2 and 4 chamber cines to plan
the first slice through the AV groove seen on both views. Then
acquire parallel slices; typically 7mm slice thickness with a 3mm
gap (or 8+2 or 10+0) until you have covered the entire ventricle.
SA stack
That’s it!