Reduction of respiratory motion artifacts in transverse relaxation rate (R2) images of the liver.

An empirical motion artifact suppression technique has been developed to reduce the respiratory motion artifacts in axial single spin-echo magnetic resonance (MR) images of the liver post-acquisition. The correction scheme is based on the observation that the dominant motion artifacts within abdominal MR images are ghosts that follow the profile and signal intensity of high signal intensity boundaries, such as those for the subcutaneous fat along the anterior abdominal wall. The technique is applied to the reduction of respiratory motion artifacts in a spin echo image series of the liver of an iron-loaded patient and of a manganese chloride phantom subject to respiratory motion. Subsequent improvements to transverse relaxation rate (R2) image analysis are then demonstrated on the motion-corrected spin echo images, illustrating the utility of the technique for application in the R2 image-based measurement and mapping of liver iron concentration.     

Phase-Encode reordering to minimize errors caused by motion

A new method for suppressing the effects of motion in MR images by reordering the acquisition of k space has been developed. Existing reordering methods suffer from image blurring. The method presented here applies specifically to translation along the phase-encoding direction, in which case it reduces both ghosting and blurring. The method is conceptually similar to a linear phase shift of k space, except that it has the advantage of not corrupting stationary structures inadvertently. The method is intended for anatomic sites in which substantial translational motion occurs along the phase-encoding direction, such as the cranial-caudal motion of the liver and kidneys. The reordering method is motivated from an analysis of factors affecting the severity of motion artifacts. The theory behind the reordering method is described and validated experimentally by imaging a moving phantom.     

Ineffectiveness of averaging for reducing motion artifacts in half-Fourier MR imaging.

Two data sets for half-Fourier imaging (HFI) can be collected in the same time as one data set for conventional full Fourier imaging (FFI). The hypothesis is that averaging twice as much data in HFI does not make ghost artifacts caused by motion have less signal intensity than in FFI. This hypothesis was tested with images of a human subject by measuring the standard deviation within regions of interest containing ghosts. The control experiment involved measuring the standard deviation on images from the same data reconstructed with FFI. The images were formed after averaging of one to eight data sets from a collection of nine data sets acquired sequentially. Background ghosts or those in other regions of low intensity were less intense on images from HFI after twice as much averaging as in FFI, but this was not the case for ghosts superimposed on anatomic structures. This observation is explained by showing that an image obtained by means of FFI can be expressed in terms of two images obtained by means of HFI applied to the top and bottom halves of the data. The use of HFI to allow twice as much averaging without prolonging data acquisition time is not advantageous for reducing ghost artifacts caused by motion.     

Improving MR image quality in the presence of motion by using rephasing gradients

Numerous techniques exist for suppressing ghosting artifacts due to respiratory motion on MR images. Although such methods can remove coherent ghosting artifacts, motion during gradient pulses also leads to poor image quality. This is due to phase variations at the echo caused by changes in velocity from one phase-encoding view to the next. The effect becomes severe for long sampling times and long TE values and can lead to low estimates of T2. We discuss general, robust modifications of the standard gradient or spin-echo sequences by using rephasing gradients that force the phase of constant-velocity moving spins to be zero at the echo. These sequences lead to a significant reduction in motion artifacts and hence improvement in image quality. They can be applied to multislice, multiecho, water/fat, and gating schemes as well. Since motion problems are universal, it would appear that these modified sequences should come into common usage for MR imaging.     

Dynamic image reconstruction: MR movies from motion ghosts.

It has been previously shown that an image with motion ghost artifacts can be decomposed into a ghost mask superimposed over a ghost-free image. The present study demonstrates that the ghost components carry useful dynamic information and should not be discarded. Specifically, ghosts of different orders indicate the intensity and phase of the corresponding harmonics contained in the quasi-periodically varying spin-density distribution. A summation of the ghosts weighted by appropriate temporal phase factors can give a time-dependent dynamic image that is a movie of the object motion. This dynamic image reconstruction technique does not necessarily require monitoring of the motion and thus is easy to implement and operate. It also has a shorter imaging time than point-by-point imaging of temporal variation, because the periodic motion is more efficiently sampled with a limited number of harmonics recorded in the motion ghosts. This technique was tested in both moving phantoms and volunteers. It is believed to be useful for dynamic imaging of time-varying anatomic structures, such as in the cardiovascular system.     

Direct monitoring of coronary artery motion with cardiac fat navigator echoes.

Navigator echoes (NAVs) provide an effective means of monitoring physiological motion in magnetic resonance imaging (MRI). Motion artifacts can be suppressed by adjusting the data acquisition accordingly. The standard pencil-beam NAV has been used to detect diaphragm motion; however, it does not monitor cardiac motion effectively. Here we report a navigator approach that directly measures coronary artery motion by exciting the surrounding epicardial fat and sampling the signal with a k-space trajectory sensitized to various motion parameters. The present preliminary human study demonstrates that superior-inferior (SI) respiratory motion of the coronary arteries detected by the cardiac fat NAV highly correlates with SI diaphragmatic motion detected by the pencil-beam NAV. In addition, the cardiac fat navigator gating is slightly more effective than the diaphragmatic navigator gating in suppressing motion artifacts in free-breathing 3D coronary MR angiography (MRA).     

Artifact suppression in imaging of myocardial infarction using B1-weighted phased-array combined phase-sensitive inversion recovery.

Regions of the body with long T1, such as cerebrospinal fluid (CSF), may create ghost artifacts on gadolinium-hyperenhanced images of myocardial infarction when inversion recovery (IR) sequences are used with a segmented acquisition. Oscillations in the transient approach to steady state for regions with long T1 may cause ghosts, with the number of ghosts being equal to the number of segments. B1-weighted phased-array combining provides an inherent degree of ghost artifact suppression because the ghost artifact is weighted less than the desired signal intensity by the coil sensitivity profiles. Example images are shown that illustrate the suppression of CSF ghost artifacts by the use of B1-weighted phased-array combining of multiple receiver coils.     

Compensation for effects of linear motion in MR imaging

Various compensation methods for different types of motion during MR image acquisition have been proposed. Presented here is a postprocessing scheme for eliminating artifacts due to linear, intra-slice motion of known velocity. The data for each phase encoding or "view" acquired from a moving object are shown to differ from those which would be measured from the stationary object by a phase factor which depends on the object's displacement from a reference point. This derivation is then used to propose a correction scheme for linear motion in which all phase encodings measured at different positions of the moving object are collapsed onto the same reference position. After subsequent reconstruction, the object appears perfectly "focused." By selection of different reference positions, the method permits positioning of the compensated object as desired within the field of view of the image. This property allows the method to be extended to create sequences of corrected images with smooth object motion between frames of the sequence. The basic correction scheme and its variations were tested experimentally in phantom studies with velocities as large as 8 cm/s.     

Extended field-of-view imaging with table translation and frequency sweeping.

A new method for MRI of an extended field of view (FOV) has been developed and validated. The method employs concurrent MR data acquisition and patient table motion. Table motion-induced image artifacts are minimized by sweeping the frequency of the receiver at a rate matching the table's speed. Multiple regional images are collected and combined to reconstruct the full FOV. The imaging parameters and table speed are chosen to ensure that each regional image of the subject is collected while the corresponding anatomy is in the useable imaging volume of the scanner. Additional strategies are applied to further reduce field inhomogeneity-induced artifacts, especially distortions due to gradient field nonlinearity. The method is robust and can be easily incorporated into most multislice 2D and volumetric 3D imaging pulse sequences. It is anticipated that this technique will be useful for a variety of applications, including angiographic runoffs, whole-body screening, and short-magnet imaging.     

Kinematic MR imaging of the knee

This is an overview of the "cine magnetic resonance (MR) imaging" system and rapid (ultra-fast) MR imaging of the knee for evaluation of injury of the cruciate ligament including its function during flexion and extension. Cine MR imaging using a gating system and a cine acquisition delineates alterations of the signal and shape of the cruciate ligaments and menisci. Rapid (ultra-fast) MR images with a single acquisition time of half second or less using a mobile knee brace and a flexible surface coil has enabled rapid acquisition of moving knee motion in multi-image frames. Visualization of the moving normal and torn anterior cruciate ligaments indicates that kinematic MR imaging of the moving knee is advantageous in evaluating the continuity and tension in the cruciate ligaments.     

Radial turbo spin echo imaging

Fast MR imaging methods should provide a familiar contrast behavior at a reduced scan time. The multi-spin echo approach (TSE) is one of the most promising techniques satisfying this condition. Although the data acquisition time is significantly reduced, image quality may still suffer from artifacts due to patient motion and flow. The radial turbo spin echo (rTSE) approach combines TSE methods and projection reconstruction (PR) techniques. In PR images, artifacts induced by patient motion or flow are known to have a different appearance with lower level of intensity. The contrast and artifact behavior of the rTSE approach has been investigated. The new technique has been applied to abdominal imaging with acquisition times shorter than 30 s and to heart imaging in combination with cardiac triggering.     

Comparison of respiratory triggering and gating techniques for the removal of respiratory artifacts in MR imaging

Respiratory movement degrades magnetic resonance (MR) images of the chest and abdomen by increasing noise through the production of "ghost" artifacts and by decreasing edge sharpness in moving structures. Respiratory gating, which limits data acquisition to end-expiration, is successful in restoring edge sharpness and reducing ghosts but increases imaging time two to three times, which limits its use to sequences with short repetition times (TRs). To overcome this limitation, an alternative technique, respiratory triggering, was developed, which triggers the acquisition of an MR section at a fixed point on the respiratory cycle. This technique restores edge sharpness and reduces ghosts, but unlike gating, it can be used to produce an image at any phase of the respiratory cycle. Triggering requires long TRs since the TR is limited to the respiratory period (TP) or one-half of TP, depending on whether the same section is triggered once or twice during a single respiratory cycle. Gating and triggering were evaluated and compared for single-section and multi-section imaging of both volunteers and patients. The authors conclude that when a chest or abdominal survey is required, triggering takes less time than gating if TRs are required that exceed one-fifth of TP.     

Theoretical aspects of motion sensitivity and compensation in echo-planar imaging.

Magnetic resonance (MR) imaging can be performed on or below the time scale of most anatomic motion via echo-planar imaging (EPI) techniques and their derivatives. The goal is to image rapidly and reduce artifacts that typically result from view-to-view changes in the spatial distribution of spins due to motion. However, the required time-dependent magnetic field gradient waveforms remain sensitive to the dephasing effects of motion. Sources of motion artifact are simulated for spins moving along the imaging axes and are shown to be an important source of reduced image quality in EPI. A novel method of EPI is proposed that (a) refocuses single or multiple derivatives of motion at all echoes and (b) prevents accumulation of velocity (or higher derivative)--induced dephasing along the phase-encoding axis by moment nulling all phase-encoding-step waveforms about a single instant of time. Theoretical EPI sequences with considerable reductions in ghosts, blurring, and signal loss due to motion sensitivity are produced and compared with other EPI methods. Their time efficiency is presented as a function of available (relative) gradient strength for a variety of sequence waveforms.     

Regularized iterative reconstruction for undersampled BLADE and its applications in three‐point Dixon water–fat separation

In MRI, the suppression of fat signal is very important for many applications. Multipoint Dixon based water–fat separation methods are commonly used due to its robustness to B₀ homogeneity compared with other fat suppression methods, such as spectral fat saturation. The traditional Cartesian k‐space trajectory based multipoint Dixon technique is sensitive to motion, such as pulsatile blood flow, resulting in artifacts that compromise image quality. This work presents a three‐point Dixon water–fat separation method using undersampled BLADE (aka PROPELLER) for motion robustness and speed. A regularized iterative reconstruction method is then proposed for reducing the streaking artifacts coming from undersampling. In this study, the performance of the regularized iterative reconstruction method is first tested by simulations and on MR phantoms. The performance of the proposed technique is then evaluated in vivo by comparing it with conventional fat suppression methods on the human brain and knee. Experiments show that the presented method delivers reliable water–fat separation results. The reconstruction method suppresses streaking artifacts typical for undersampled BLADE acquisition schemes without missing fine structures in the image. Magn Reson Med, 2011. © 2011 Wiley‐Liss, Inc.     

The effect of residual Nyquist ghost in quantitative echo-planar diffusion imaging.

Single-shot diffusion-weighted echo-planar imaging (EPI) is typically used for most clinical diffusion studies due to its low sensitivity to patient motion. Although the Nyquist ghost artifact in EPI can be substantially reduced, there is frequently a residual ghost with low signal intensity. As reported in this study, this residual ghost can produce severe artifacts when maps of the apparent diffusion coefficient (ADC) are calculated from single-shot echo-planar images. The artifacts presented in this paper appear as regions of apparently low ADC which simulate regions of reduced diffusion, but are in fact generated by b-value dependent Nyquist ghosts of the orbits. Data acquired in vivo were used to demonstrate that these artifacts can be avoided by including standard methods of spatial presaturation or fluid-suppression in the diffusion-weighted EPI protocol. In addition, phantom studies were used to illustrate how phase and amplitude variations in the ghost generate the artifacts and theoretical expressions, derived elsewhere, were used to provide a detailed understanding of the artifacts observed in vivo. The level of Nyquist ghost reported for the current generation of commercial scanners suggests that this is a general phenomenon which should be a consideration in all EPI-based diffusion studies. Magn Reson Med 42:385-392, 1999.     

Fat suppression in MR imaging: techniques and pitfalls.

Fat suppression is commonly used in magnetic resonance (MR) imaging to suppress the signal from adipose tissue or detect adipose tissue. Fat suppression can be achieved with three methods: fat saturation, inversion-recovery imaging, and opposed-phase imaging. Selection of a fat suppression technique should depend on the purpose of the fat suppression (contrast enhancement vs tissue characterization) and the amount of fat in the tissue being studied. Fat saturation is recommended for suppression of signal from large amounts of fat and reliable acquisition of contrast material-enhanced images. The main drawbacks of this technique are sensitivity to magnetic field nonuniformity, misregistration artifacts, and unreliability when used with low-field-strength magnets. Inversion-recovery imaging allows homogeneous and global fat suppression and can be used with low-field-strength magnets. However, this technique is not specific for fat, and the signal intensity of tissue with a long T1 and tissue with a short T1 may be ambiguous. Opposed-phase imaging is a fast and readily available technique. This method is recommended for demonstration of lesions that contain small amounts of fat. The main drawback of opposed-phase imaging is unreliability in the detection of small tumors embedded in fatty tissue.     

Normalized gradient fields for nonlinear motion correction of DCE-MRI time series

Dynamic MR image recordings (DCE-MRI) of moving organs using bolus injections create two different types of dynamics in the images: (i) spatial motion artifacts due to patient movements, breathing and physiological pulsations that we want to counteract and (ii) signal intensity changes during contrast agent wash-in and wash-out that we want to preserve. Proper image registration is needed to counteract the motion artifacts and for a reliable assessment of physiological parameters. In this work we present a partial differential equation-based method for deformable multimodal image registration using normalized gradients and the Fourier transform to solve the Euler–Lagrange equations in a multilevel hierarchy. This approach is particularly well suited to handle the motion challenges in DCE-MRI time series, being validated on ten DCE-MRI datasets from the moving kidney. We found that both normalized gradients and mutual information work as high-performing cost functionals for motion correction of this type of data. Furthermore, we demonstrated that normalized gradients have improved performance compared to mutual information as assessed by several performance measures. We conclude that normalized gradients can be a viable alternative to mutual information regarding registration accuracy, and with promising clinical applications to DCE-MRI recordings from moving organs.     

Integrated PET/MR

Integrated whole‐body PET/MR hybrid imaging combines excellent soft tissue contrast and various functional imaging parameters provided by MR with high sensitivity and quantification of radiotracer metabolism provided by positron emission tomography (PET). While clinical evaluation now is under way, integrated PET/MR demands for new technologies and innovative solutions, currently subject to interdisciplinary research. Attenuation correction of human soft tissues and of hardware components has to be MR‐based to maintain quantification of PET imaging because computed tomography (CT) attenuation information is missing. This brings up the question of how to provide bone information with MR imaging. The limited field‐of‐view in MR imaging leads to truncations in body imaging and MR‐based attenuation correction. Another research field is the implementation of motion correction technologies to correct for breathing and cardiac motion in view of the relatively long PET data acquisition times. Initial clinical applications of integrated PET/MR in oncology, neurology, pediatric oncology, and cardiovascular disease are highlighted. The hybrid imaging workflow here has to be tailored to the clinical indication to maximize diagnostic information while minimizing acquisition time. PET/MR introduces new artifacts that need special observation and innovative solutions for correction. Finally, the rising need for appropriate phantoms and standardization efforts in PET/MR hybrid imaging is discussed. J. Magn. Reson. Imaging 2014;39:243–258 . © 2013 Wiley Periodicals, Inc .     

Two‐dimensional phase correction method for single and multi‐shot echo planar imaging

Ghost artifacts are a serious issue in single and multi‐shot echo planar imaging. Because of these coherent artifacts, it is essential to consistently suppress the ghosts. In this article, we present a phase correction algorithm that achieves excellent ghost suppression for single and multi‐shot echo planar imaging. The phase correction is performed along both the x (read) direction and y (phase) direction. To this end, we apply a double field of view prescan and compute the phase required for ghost suppression. This phase is fitted to a 2D polynomial. The fitted phase is used to correct the echo planar imaging images. The correction algorithm can be used with any readout gradient polarities and any number of shots. A flow chart of the correction method is provided to better clarify the full process. Finally, phantom and volunteer images demonstrate the improvement of artifact suppression obtained with this algorithm over conventional phase correction methods. Magn Reson Med, 2011. © 2011 Wiley Periodicals, Inc.     

Metal-induced artifacts in MRI

OBJECTIVE: The purpose of this article is to review some of the basic principles of imaging and how metal-induced susceptibility artifacts originate in MR images. We will describe common ways to reduce or modify artifacts using readily available imaging techniques, and we will discuss some advanced methods to correct readout-direction and slice-direction artifacts. CONCLUSION: The presence of metallic implants in MRI can cause substantial image artifacts, including signal loss, failure of fat suppression, geometric distortion, and bright pile-up artifacts. These cause large resonant frequency changes and failure of many MRI mechanisms. Careful parameter and pulse sequence selections can avoid or reduce artifacts, although more advanced imaging methods offer further imaging improvements.