Double-echo three-point-dixon method for fat suppression MRI

A double-echo two-excitation pulse sequence encoding fat and water signals for a phase-sensitive three-point Dixon-type analysis (DE-3PD) was developed and implemented on a 1.5 T MR imager. Data processing was performed using a previously developed two-dimensional (2D) region-growing algorithm, adapted to use double-echo data. Density-, T₁, and T₂-weighted fat suppression images were obtained from six volunteers using the new fat suppression method. The images were compared with corresponding images obtained using frequency-selective excitation fat suppression (FAT-SAT) and a single-echo three-point-Dixon method (SE-3PD). The results demonstrate that the DE-3PD sequence shortens the imaging time by one-third compared with the SE-3PD method, without loss in image quality. The data also show that a 2D region-growing algorithm effectively unwraps the phase of DE-3PD data sets, and that results of DE-3PD fat signal suppression are consistently better than those obtained using a standard FATSAT method. The authors conclude that the double-echo sequence provides density-, T₁, and T₂-weighted images that appear to be promising for routine clinical applications.     

Chemical Shift Imaging from Simultaneous Acquisition of a Primary and a Stimulated Echo

An imaging method is presented for obtaining chemical shift images from only one acquisition. Images are acquired with the same spatial resolution as in regular spin-echo imaging. The sequence is based on the simultaneous acquisition of a spin echo and a stimulated echo in a single pass. The use of 90° radiofrequency pulse flip angles results in the same proton density, T₂ and T₁ weighting for the two echoes. Application of this sequence to chemical shift imaging is discussed for three fat suppression techniques (chopper, CHESS, and hybrid). Imaging was performed on phantoms and volunteers. The image quality was the same as those obtained by the chopper and the hybrid methods and the acquisition time was reduced by a factor of two.     

Improved intracranial lesion characterization by tissue segmentation based on a 3D feature map

Our aim was to develop an accurate multispectral tissue segmentation method based on 3D feature maps. We utilized proton density (PD), T₂-weighted fast spin-echo (FSE), and T₁-weighted spin-echo images as inputs for segmentation. Phantom constructs, cadaver brains, an animal brain tumor model and both normal human brains and those from patients with either multiple sclerosis (MS) or primary brain tumors were analyzed with this technique. Initially, misregistration, RF inhomogeneity and image noise problems were addressed. Next, a qualified observer identified samples representing the tissues of interest. Finally, k-nearest neighbor algorithm (k-NN) was utilized to create a stack of color-coded segmented images. The inclusion of T₁ based images, as a third input, produced significant improvement in the delineation of tissues. In MS, our 3D technique was found to be far superior to that based on any combination of 2D feature maps (P < 0.001). We identified at least two distinctly different classes of lesions within the same MS plaque, representing different stages of the disease process. Further, we obtained the regional distribution of MS lesion burden and followed its changes over time. Neuropsychological aberrations were the clinical counterpart of the structural changes detected in segmentation. We could also delineate the margins of benign brain tumors. In malignant tumors, up to four abnormal tissues were identified: 1) a solid tumor core, 2) a cystic component, 3) edema in the white matter, and 4) areas of necrosis and hemorrhage. Subsequent neurosurgical exploration confirmed the distribution of tissues as predicted by this analysis.     

Separation of water and fat MR images in a single scan at .35 T using „sandwich”︁ echoes

A method was developed for separation of water and fat MR images in a single scan with correction of static field inhomogeneity. The imaging sequence uses a single radiofrequency (RF) echo that is ?sandwiched”? between two gradient echoes. The gradient echoes are used to determine the B_o distribution and to produce out-of-phase images after phase correction using the field map. An algorithm was developed to unwrap the phase images for quantitating the B_o inhomogeneity. To account for differences in geometric distortion between the RF echo image and the gradient echo images due to the reversal of the read gradients, methods were developed to correct the images before the calculation of the final water and fat images. The proposed technique was implemented at .35 T. Both phantom and human images were acquired using the method. It is shown that water- and fat-separated images can be obtained in a single scan using the ?sandwich”? echoes in the presence of a relatively large B_o inhomogeneity.     

Off-resonance proton T1p dispersion imaging of 17O-enriched tissue phantoms

Proton T_1p dispersion imaging is a recently described method for indirect detection of ¹⁷O. However, clinical implementation of this technique is hindered by the requirement for a high-amplitude spin-locking field (γB₁ > 1 kHz) that exceeds current limitations in specific absorption rate (SAR). Here, a strategy is offered for circumventing high SAR in T_1p dispersion imaging of ¹⁷O through the use of low-amplitude off-resonance spin-locking pulses (γB₁ < 300 Hz). Proton spin-lattice relaxation times in the off-resonance rotating frame were measured in H₂¹⁷O-enriched tissue phantoms. On- and off-resonance T_1p dispersion imaging was implemented at 2 T using a spin-locking preparatory pulse cluster appended to a standard spin-echo sequence. On- and off-resonance dispersion images exhibited similar ¹⁷O-based image contrast. Magnetization transfer effects did not depend on ¹⁷O concentration and had no effect on image contrast. In conclusion, off-resonance proton T_1p dispersion imaging shows promise as a safe, sensitive technique for generating ¹⁷O-based T_1p contrast without exceeding SAR limitations.     

Removal of local field gradient artifacts in T2*-weighted images at high fields by gradient-echo slice excitation profile imaging

Development of high magnetic field MRI techniques is hampered by the significant artifacts produced by B₀ field inhomogeneities in the excited slices. A technique, gradient-echo slice excitation profile imaging (GESEPI), is presented for recovering the signal lost caused by intravoxel phase dispersion in T₂*-weighted images. This technique superimposes an incremental gradient offset on the slice refocusing gradient to sample Jr-space over the full range of spatial frequencies of the excitation profile. A third Fourier transform of the initial two-dimensional image set generates an image set in which the artifacts produced by the low-order B₀ inhomogeneity field gradients in the sample are separated and removed from the high-order microscopic field gradients responsible for T₂* contrast. Application to high field brain imaging, at 3.0 T for human and at 9.4 T for immature rat imaging demonstrates the significant improvement in quality of the T₂*-weighted contrast images.     

Alternate k-space sampling in EPI: Compensation for T2* and adjustable T2 weighting

In this work, preliminary results are described for a modification of the MBEST sampling scheme such that image resolution can be increased while preserving image contrast. In this new approach, a single spin-echo is used in sampling k-space. The basic idea relies on acquiring a conventional EPI image from the center of k-space and applying a ψ pulse to permit the acquisition of the two outer edges of k-space. Using this new approach, it is possible to obtain an enhancement in EPI image resolution, while reducing the extent of T₂* weighting. As a result, the resulting images possess reduced T₂* contrast and suffer less signal loss from T₂* effects such as spatial variations in susceptibility and field inhomogeneity.     

Small‐tip fast recovery imaging using non‐slice‐selective tailored tip‐up pulses and radiofrequency‐spoiling

Small‐tip fast recovery (STFR) imaging is a new steady‐state imaging sequence that is a potential alternative to balanced steady‐state free precession. Under ideal imaging conditions, STFR may provide comparable signal‐to‐noise ratio and image contrast as balanced steady‐state free precession, but without signal variations due to resonance offset. STFR relies on a tailored “tip‐up,” or “fast recovery,” radiofrequency pulse to align the spins with the longitudinal axis after each data readout segment. The design of the tip‐up pulse is based on the acquisition of a separate off‐resonance (B0) map. Unfortunately, the design of fast (a few ms) slice‐ or slab‐selective radiofrequency pulses that accurately tailor the excitation pattern to the local B0 inhomogeneity over the entire imaging volume remains a challenging and unsolved problem. We introduce a novel implementation of STFR imaging based on “non‐slice‐selective” tip‐up pulses, which simplifies the radiofrequency pulse design problem significantly. Out‐of‐slice magnetization pathways are suppressed using radiofrequency‐spoiling. Brain images obtained with this technique show excellent gray/white matter contrast, and point to the possibility of rapid steady‐state T₂/T₁‐weighted imaging with intrinsic suppression of cerebrospinal fluid, through‐plane vessel signal, and off‐resonance artifacts. In the future, we expect STFR imaging to benefit significantly from parallel excitation hardware and high‐order gradient shim systems. Magn Reson Med, 2013. © 2012 Wiley Periodicals, Inc.     

SWIFT‐CEST: A new MRI method to overcome T2 shortening caused by PARACEST contrast agents

The exchange of water molecules between the inner sphere of a paramagnetic chemical exchange saturation transfer (PARACEST) contrast agent and bulk water can shorten the bulk water T₂ through the T₂‐exchange (T_2ex) mechanism. The line‐broadening T_2ex effect is proportional to the agent concentration, the chemical shift of the exchanging water molecule, and is highly dependent on the water molecule exchange rate. A significant T_2ex contribution to the bulk water linewidth can make the regions of agent uptake appear dark when imaging with conventional sequences like gradient‐echo and fast spin‐echo. The minimum echo times for these sequences (1–10 ms) are not fast enough to capture signal from the regions of shortened T₂. This makes “Off” (saturation at ?Δω) minus “On” (saturation at +Δω) imaging of PARACEST agents difficult, because the regions of uptake are dark in both images. It is shown here that the loss of bulk water signal due to T_2ex can be reclaimed using the ultrashort echo times (<10 μs) achieved with the sweep imaging with Fourier transform pulse sequence. Modification of the sweep imaging with Fourier transform sequence for PARACEST imaging is first discussed, followed by parameter optimization using in vitro experiments. In vivo PARACEST studies comparing fast spin‐echo to sweep imaging with Fourier transform were performed using EuDOTA‐(gly) uptake in healthy mouse kidneys. The results show that the negative contrast caused by T_2ex can be overcome using the ultrashort echo time achieved with sweep imaging with Fourier transform, thereby enabling fast and sensitive in vivo PARACEST imaging. Magn Reson Med, 2011. © 2011 Wiley Periodicals, Inc.     

Dual contrast GRASE (gradient-spin echo) imaging using mixed bandwidth

Equal time spacing of RF pulses in the CPMG sequence imposes a constraint of equal signal read periods in spin-echo train imaging. GRASE imaging differs by using multiple read gradients in each π-π time interval, which are not constrained to be equal in number or duration. This additional degree of freedom is developed in dual contrast imaging. Closely spaced read periods are used for the PDW image to reduce T₂ decay effects, while fewer low-bandwidth read periods in each of several π-π intervals are used to raise the signal-to-noise ratio and avoid signal averaging in the T₂-weighted image. Key words: magnetic resonance imaging; gradient-spin echo; fast imaging.     

Angle‐sensitive MRI for quantitative analysis of fiber‐network deformations in compressed cartilage

Purpose

To demonstrate the feasibility of a novel experimental method to quantitatively analyze fiber‐network deformation in compressed cartilage by angle‐sensitive magnetic resonance imaging (MRI) of cartilage.

Methods

Three knee cartilage samples of an adult sheep were imaged in a high‐resolution MRI scanner at 7 T. Main fiber orientation and its “offset” from the direction perpendicular to the bone‐cartilage boundary were derived from MR images taken at different orientations with respect to B₀. Bending of the collagen fibers was determined from weight‐bearing MRI with the load (up to 1.0 MPa) applied over the whole sample surface. A “fascicle” model of the cartilage ultrastructure was assumed to analyze characteristic intensity variations in T₂‐weighted images under load.

Results

T₂‐weighted MR images showed a strong variation of the signal intensities with sample orientation. In the T₂‐weighted weight‐bearing series, regions of high signal intensity underwent shifts from the lateral to the central parts in all three cartilage samples. The bending of the collagen fibers was determined to be 27.2°, 35.4°, and 40.0° per MPa, respectively.

Conclusion

Assuming a “fascicle” model, the presented MRI method provides quantitative measures of structural adjustments in compressed cartilage. Our preliminary analysis suggests that cartilage fiber deformation includes both bending and crimping.     

Single‐shot T1 mapping using simultaneous acquisitions of spin‐ and stimulated‐echo‐planar imaging (2D ss‐SESTEPI)

The conventional stimulated‐echo NMR sequence only measures the longitudinal component while discarding the transverse component, after tipping up the prepared magnetization. This transverse magnetization can be used to measure a spin echo, in addition to the stimulated echo. Two‐dimensional single‐shot spin‐ and stimulated‐echo‐planar imaging (ss‐SESTEPI) is an echo‐planar‐imaging‐based single‐shot imaging technique that simultaneously acquires a spin‐echo‐planar image and a stimulated‐echo‐planar image after a single radiofrequency excitation. The magnitudes of the spin‐echo‐planar image and stimulated‐echo‐planar image differ by T₁ decay and diffusion weighting for perfect 90° radiofrequency and thus can be used to rapidly measure T₁. However, the spatial variation of amplitude of radiofrequency field induces uneven splitting of the transverse magnetization for the spin‐echo‐planar image and stimulated‐echo‐planar image within the imaging field of view. Correction for amplitude of radiofrequency field inhomogeneity is therefore critical for two‐dimensional ss‐SESTEPI to be used for T₁ measurement. We developed a method for amplitude of radiofrequency field inhomogeneity correction by acquiring an additional stimulated‐echo‐planar image with minimal mixing time, calculating the difference between the spin echo and the stimulated echo and multiplying the stimulated‐echo‐planar image by the inverse functional map. Diffusion‐induced decay is corrected by measuring the average diffusivity during the prescanning. Rapid single‐shot T₁ mapping may be useful for various applications, such as dynamic T₁ mapping for real‐time estimation of the concentration of contrast agent in dynamic contrast enhancement MRI. Magn Reson Med, 2010. © 2010 Wiley‐Liss, Inc.     

Theory of 1/T1 and 1/T2 NMRD profiles of solutions of magnetic nanoparticles

Organically coated iron oxide crystallites with diameters of 5–50 nm (“nanoparticles”) are potential magnetic resonance imaging contrast agents. 1/T₁ and 1/T₂ of solvent water protons are increased dramatically by magnetic interactions in the “outer sphere” environment of the nanoparticles; subsequent diffusive mixing distributes this relaxation throughout the solvent. Published theory, valid for the solute magnetic energy small compared with thermal energy, is applicable to small magnetic solutes (e.g., gadolinium and manganese diethylenetriaminopentaacetic acid, and nitroxide free radicals) at generally accessible fields (≤ 50 T). It fails for nanoparticles at fields above ?0.05 T, i.e., at most imaging fields. The authors have reformulated outer sphere relaxation theory to incorporate progressive magnetic saturation of solute nanoparticles and, in addition, indicate how to use empirical magnetization data for realistic particles when their magnetic properties are not ideal. It is important to handle the effects of rapid thermally induced reorientation of the magnetization of the nanoparticles (their “superparamagnetism”) effectively, including their sensitivity to particle size. The theoretical results are presented as the magnetic field dependence (NMRD profiles) of 1/T₁ and 1/T₂, normalized to Fe content, for three sizes of particles, and then compared with the limited data extant for well-characterized material.     

Multi‐slice myelin water imaging for practical clinical applications at 3.0 T

Myelin water imaging is a promising, noninvasive technique for evaluating white matter diseases such as multiple sclerosis and other leukoencephalopathies (LE), and monitoring myelination in early childhood. Unfortunately, poor image quality and a long acquisition time are major obstacles to practical clinical applications. In this study, a novel postprocessing method with an efficient multi‐slice acquisition scheme, called T₂ spectrum analysis using a weighted regularized non‐negative least squares algorithm and nonlocal mean filter (T₂SPARC), is presented to overcome these obstacles and achieve a shorter acquisition time, higher image quality, and large volume coverage. In vivo results from healthy volunteers and a patient with LE showed that the T₂SPARC method can generate robust and high‐quality myelin water fraction maps of 10 slices within 11 min. This method also yields some useful byproducts such as intra‐ and extracellular water fraction and long T₂ tissue water fraction maps, which can quantify lesions in different brain diseases. Magn Reson Med 70:813–822, 2013. © 2012 Wiley Periodicals, Inc.     

Clinically compatible MRI strategies for discriminating bound and pore water in cortical bone

Advances in modern magnetic resonance imaging (MRI) pulse sequences have enabled clinically practical cortical bone imaging. Human cortical bone is known to contain a distribution of T₁ and T₂ components attributed to bound and pore water, although clinical imaging approaches have yet to discriminate bound from pore water based on their relaxation properties. Herein, two clinically compatible MRI strategies are proposed for selectively imaging either bound or pore water by utilizing differences in their T₁s and T₂s. The strategies are validated in a population of ex vivo human cortical bones, and estimates obtained for bound and pore water are compared to bone mechanical properties. Results show that the two MRI strategies provide good estimates of bound and pore water that correlate to bone mechanical properties. As such, the strategies for bound and pore water discrimination shown herein should provide diagnostically useful tools for assessing bone fracture risk, once applied to clinical MRI. Magn Reson Med, 2012. © 2012 Wiley Periodicals, Inc.     

T(2) -weighted STIR imaging of myocardial edema associated with ischemia-reperfusion injury: the influence of proton density effect on image contrast

Purpose

To investigate the contribution of proton density (PD) in T₂‐STIR based edema imaging in the setting of acute myocardial infarction (AMI).

Materials and Methods

Canines (n = 5), subjected to full occlusion of the left anterior descending artery for 3 hours, underwent serial magnetic resonance imaging (MRI) studies 2 hours postreperfusion (day 0) and on day 2. During each study, T₁ and T₂ maps, STIR (TE = 7.1 msec and 64 msec) and late gadolinium enhancement (LGE) images were acquired. Using T₁ and T₂ maps, relaxation and PD contributions to myocardial edema contrast (EC) in STIR images at both TEs were calculated.

Results

Edematous territories showed significant increase in PD (20.3 ± 14.3%, P < 0.05) relative to healthy territories. The contributions of T₁ changes and T₂ or PD changes toward EC were in opposite directions. One‐tailed t‐test confirmed that the mean T₂ and PD‐based EC at both TEs were greater than zero. EC from STIR images at TE = 7.1 msec was dominated by PD than T₂ effects (94.3 ± 11.3% vs. 17.6 ± 2.5%, P < 0.05), while at TE = 64 msec, T₂ effects were significantly greater than PD effects (90.8 ± 20.3% vs. 12.5 ± 11.9%, P < 0.05). The contribution from PD in standard STIR acquisitions (TE = 64 msec) was significantly higher than 0 (P < 0.05).

Conclusion

In addition to T₂‐weighting, edema detection in the setting of AMI with T₂‐weighted STIR imaging has a substantial contribution from PD changes, likely stemming from increased free‐water content within the affected tissue. This suggests that imaging approaches that take advantage of both PD as well as T₂ effects may provide the optimal sensitivity for detecting myocardial edema. J. Magn. Reson. Imaging 2011;33:962–967. © 2011 Wiley‐Liss, Inc.     

A multispectral analysis of brain tissues

With the increasing use of three-dimensional MRI techniques it is becoming necessary to explore automated techniques for locating pathology in the volume images. The suitability of a specific technique to locate and identify healthy tissues of the brain was examined as a first step toward eventually identifying pathology in images. This technique, called multispectral image segmentation, is based on the classification of tissue types in an image according to their characteristics in various spectral regions. The spectral regions chosen for this study were the hydrogen spin-lattice relaxation time T₁ spin-spin relaxation time T₂, and spin density, ?. Single-echo, spin-echo magnetic resonance images of axial slices through the brain at the level of the lateral ventricles were recorded on a 1.5 Tesla imager from 20 volunteers ranging in age from 17 to 72 years. These images were used to calculate the T₁, T₂, and ? images used for the classification. Tissue classification was performed by locating clusters of pixels in a threedimensional T₁-¹-T₂-¹-ρ histogram. Gray matter, white matter, cerebrospinal fluid, meninges, muscle, and adipose tissues were readily classified in magnetic resonance images of the volunteers with a single set of T₁, T₂, and ρ values. Cluster characteristics, such as size, shape, and location, provided information on the imaging procedure and tissue characteristics.     

Increased flexibility in GRASE imaging by k space-banded phase encoding

GRASE (GRadient and Spin Echo) is an echo train imaging technique that combines gradient and RF refocusing. Although overall signal decay is with T₂ and field inhomogeneity phase errors do not accumulate, the small residual phase errors are periodic with echo number. The echo order described previously eliminates the phase error periodicity in k space but instead creates periodicity in the T₂ modulation function that can also cause artifacts. In addition, with this order, the effective TE must be half the echo train time, and asymmetric Fourier sampling is difficult to implement. A new method is described that greatly reduces artifacts due to T₂ decay, permits greater control of T₂ contrast, and lends itself to asymmetric Fourier sampling. Different time segments of the echo train are encoded with different bands of spatial frequency in k space (hence “k banding”). Both computer simulations and experimental results demonstrate improvements in GRASE images acquired by this method.     

T1 corrected B1 mapping using multi‐TR gradient echo sequences

This work presents a new approach toward a fast, simultaneous amplitude of radiofrequency field (B₁) and T₁ mapping technique. The new method is based on the “actual flip angle imaging” (AFI) sequence. However, the single pulse repetition time (TR) pair used in the standard AFI sequence is replaced by multiple pulse repetition time sets. The resulting method was called “multiple TR B₁/T₁ mapping” (MTM). In this study, MTM was investigated and compared to standard AFI in simulations and experiments. Feasibility and reliability of MTM were proven in phantom and in vivo experiments. Error propagation theory was applied to identify optimal sequence parameters and to facilitate a systematic noise comparison to standard AFI. In terms of accuracy and signal‐to‐noise ratio, the presented method outperforms standard AFI B₁ mapping over a wide range of T₁. Finally, the capability of MTM to determine T₁ was analyzed qualitatively and quantitatively, yielding good agreement with reference measurements. Magn Reson Med, 2010. © 2010 Wiley‐Liss, Inc.     

One component? Two components? Three? The effect of including a nonexchanging “free” water component in multicomponent driven equilibrium single pulse observation of T1 and T2

Quantitative myelin content imaging provides novel and pertinent information related to underlying pathogenetic mechanisms of myelin‐related disease or disorders arising from aberrant connectivity. Multicomponent driven equilibrium single pulse observation of T₁ and T₂ is a time‐efficient multicomponent relaxation analysis technique that provides estimates of the myelin water fraction, a surrogate measure of myelin volume. Unfortunately, multicomponent driven equilibrium single pulse observation of T₁ and T₂ relies on a two water‐pool model (myelin‐associated water and intra/extracellular water), which is inadequate within partial volume voxels, i.e., containing brain tissue and ventricle or meninges, resulting in myelin water fraction underestimation. To address this, a third, nonexchanging “free‐water” component was introduced to the multicomponent driven equilibrium single pulse observation of T₁ and T₂ model. Numerical simulations and experimental in vivo data show that the model to perform advantageously within partial volume regions while providing robust and reproducible results. It is concluded that this model is preferable for future studies and analysis. Magn Reson Med, 2013. © 2012 Wiley Periodicals, Inc.