3D Slicer cannot display cardiac LGE MRI volume correctly – only a single line/slice is shown after DICOM import

Hello everyone,

I am using 3D Slicer for cardiac MRI (LGE/PSIR) image analysis. My goal is to perform registration and ROI-based analysis between pre- and post-procedure LGE images.

However, I encountered an issue when importing a cardiac PSIR LGE DICOM series.

After loading the DICOM series, 3D Slicer does not display the complete 3D volume correctly.

The problems are:

  • The sagittal view shows part of the cardiac image;
  • The axial/coronal views only show a thin line or a single slice;
  • The 3D view does not display a normal cardiac volume.

It seems that the DICOM series may not have been reconstructed correctly as a 3D volume.

My workflow:

  1. Imported the DICOM folder using the DICOM module;
  2. Selected the PSIR 15 min LGE series;
  3. Loaded the volume into Slicer.

I would like to ask:

  1. Does this problem usually indicate that the DICOM series was not recognized correctly as a 3D volume?
  2. Could this be related to incorrect slice ordering, slice spacing, or missing/incorrect Image Position Patient information?
  3. What is the recommended workflow for importing short-axis cardiac PSIR LGE MRI datasets into 3D Slicer?
  4. Are there any specific DICOM settings or plugins required for cardiac MRI reconstruction?

I attached a screenshot of the issue.

Thank you very much for your help!

You can try enabling advanced mode and selecting on of the other plugins if the default selection is not working.

You can also try the ideas here: https://slicer.readthedocs.io/en/latest/user_guide/modules/dicom.html#troubleshooting

If you are able to share the data probably someone can help you figure it out.