BACKGROUND: Despite of being a common gating method for cardiovascular magnetic resonance (CMR), electrocardiogram (ECG) gating has its disadvantages and new gating strategies are desirable. An alternative CMR gating method is doppler ultrasound (DUS) gating, which detects blood flow and ventricular movement. The aim of this study was to prove the feasibility of DUS gating as a novel CMR gating method in a clinical patient population. METHODS: In this prospective study, patients underwent clinically indicated CMR. Balanced steady-state free precession two-dimensional (2D) cine sequences in short axis and 4-chamber views were acquired using ECG and DUS gating. DUS and ECG signal were recorded simultaneously. Time difference between R wave and DUS systolic trigger detection was defined as trigger delay, the standard deviation of trigger delays as trigger jitter. Left and right ventricular parameters were assessed: Left and right ventricular ejection fraction (LVEF, RVEF) and left and right ventricular end-diastolic volume index (LVEDVI, RVEDVI). Overall image quality was assessed using a 5-point Likert scale (5=excellent to 1=non-diagnostic). For statistical analysis, paired t-test, Wilcoxon test, Pearson Correlation and intraclass correlation coefficient (ICC) were employed. RESULTS: 21 patients (7 female) were included (age: 45.4±19.7 years
body mass index: 27.6±5.5kg/m CONCLUSION: CMR gating with DUS is feasible and can offer an equivalent performance to ECG regarding image quality and quantitative parameter assessment.