2D multislice and 3D MRI sequences are often equally sensitive.

A simple theoretical model was developed to compare the sensitivities (i.e., signal-to-noise ratios per unit imaging time) of two-dimensional (2D) multislice and 3D imaging sequences. The model shows that the sensitivities of 3D and 2D multislice MRI sequences are usually similar. Sensitivities are identical in T2-weighted sequences when the T(R)s of the two sequences are the same. In T1-weighted gradient-echo sequences, sensitivities are very similar when Ernst angle excitation is used and the T(R) of the 2D sequence is less than T1. The predictions of the model are confirmed in phantom and animal experiments.     

Multislice 1H MRSI of the human brain at 7 T using dynamic B0 and B1 shimming

Proton MR spectroscopic imaging of the human brain at ultra-high field (≥7 T) is challenging due to increased radio frequency power deposition, increased magnetic field B(0) inhomogeneity, and increased radio frequency magnetic field inhomogeneity. In addition, especially for multislice sequences, these effects directly inhibit the potential gains of higher magnetic field and can even cause a reduction in data quality. However, recent developments in dynamic B(0) magnetic field shimming and dynamic multitransmit radio frequency control allow for new acquisition strategies. Therefore, in this work, slice-by-slice B(0) and B(1) shimming was developed to optimize both B(0) magnetic field homogeneity and nutation angle over a large portion of the brain. Together with a low-power water and lipid suppression sequence and pulse-acquire spectroscopic imaging, a multislice MR spectroscopic imaging sequence is shown to be feasible at 7 T. This now allows for multislice metabolic imaging of the human brain with high sensitivity and high chemical shift resolution at ultra-high field.     

CAIPIRINHA accelerated SSFP imaging

Exciting multiple slices at the same time, “controlled aliasing in parallel imaging results in higher acceleration” (CAIPIRINHA) and “phase‐offset multiplanar” have shown to be very effective techniques in 2D multislice imaging. Being provided with individual rf phase cycles, the simultaneously excited slices are shifted with respect to each other in the FOV and, thus, can be easily separated. For SSFP sequences, however, similar rf phase cycles are required to maintain the steady state, impeding a straightforward application of phase‐offset multiplanar or controlled aliasing in parallel imaging results in higher acceleration. In this work, a new flexible concept for applying the two multislice imaging techniques to SSFP sequences is presented. Linear rf phase cycles are introduced providing both in one, the required shift between the slices and steady state in each slice throughout the whole measurement. Consequently, the concept is also appropriate for real‐time and magnetization prepared imaging. Steady state properties and shifted banding behavior of the new phase cycles were investigated using simulations and phantom experiments. Moreover, the concept was applied to perform whole heart myocardial perfusion SSFP imaging as well as real‐time and cine SSFP imaging with increased coverage. Showing no significant penalties in SNR or image quality, the results successfully demonstrate the general applicability of the concept. Magn Reson Med, 2010. © 2010 Wiley‐Liss, Inc.     

Simultaneous echo refocusing in EPI.

A method to encode multiple two-dimensional Fourier transform (2D FT) images within a single echo train is presented. This new method, simultaneous echo refocusing (SER), is a departure from prior echo planar image (EPI) sequences which use repeated single-shot echo trains for multislice imaging. SER simultaneously acquires multiple slices in a single-shot echo train utilizing a shared refocusing process. The SER technique acquires data faster than conventional multislice EPI since it uses fewer gradient switchings and fewer preparation pulses such as diffusion gradients. SER introduces a new capability to simultaneously record multiple spatially separated sources of physiologic information in subsecond image acquisitions, which enables several applications that are dependent on temporal coherence in MRI data including velocity vector field mapping and brain activation mapping.     

MRI of heart morphology. Comparison of nongradient echo sequences with single- and multislice acquisition.

RATIONALE AND OBJECTIVES: A large variety of cardiac MRI sequences have been introduced for heart morphology evaluation. The aim of this study was to establish a practicable and robust examination protocol for standard high-field systems applying nongradient echo sequences with single- and multi-slice acquisition. METHODS: Fifty-one patients received electrocardiogramgated MRI of the heart with "black-blood" preparation, comparing three single-slice and three multislice sequences with a T1-weighted turbo spin echo reference sequence. Demarcation of the left ventricular myocardium and cavity and the extent of flow and motion artifacts were assessed. RESULTS: The myocardium and left ventricular cavity were depicted best with the single-slice T1- and T2-weighted turbo spin echo sequence. The nonbreath-hold multislice sequences produced marked artifacts and therefore were of poor diagnostic value. The TIRM haste sequence was best suited for fat suppression. The T2-weighted breath-hold single-shot sequence with half-Fourier imaging proved to be most appropriate for multislice imaging. CONCLUSIONS: Sufficient depiction of heart morphology with comprehensive evaluation of signal changes can be achieved using nongradient spin echo and turbo spin echo sequences with breath-holding. For rational imaging of myocardial and heart chamber morphology, multislice and single-slice sequences should be combined.     

Simultaneous multislice acquisition with arterial-flow tagging (SMART) using echo planar imaging (EPI)

Arterial spin tagging techniques have been used to image tissue perfusion in MR without contrast injection or ionizing radiation. Currently, spin tagging studies are performed primarily using single-slice imaging sequences, which are time consuming. This note reports a multislice echo-planar arterial spin tagging technique (Simultaneous Multislice Acquisition with aRterial-flow Tagging, or “SMART”). Multiband RF encoding (Hadamard) is used to provide simultaneous multislice acquisition capability for spin tagging techniques (such as echo planar imaging signal targeting with alternating radio frequency and flow-sensitive alternative inversion recovery). The method is illustrated with a two-slice pulse sequence that was implemented using the FAIR technique to generate two perfusion weighted images simultaneously. Compared with single-slice sequences, this two-slice sequence provided similar image quality, signal-to-noise ratio, and twice the spatial coverage compared with the single-slice technique within the same scan time.     

Comparison of gated and non-gated fast multislice black-blood carotid imaging using rapid extended coverage and inflow/outflow saturation techniques

PURPOSE: To comparatively analyze two fast in vivo multislice black-blood carotid artery vessel wall imaging techniques with and without cardiac gating. MATERIALS AND METHODS: Eight subjects with carotid artery atherosclerosis, and four healthy subjects were studied using two black-blood multislice techniques: rapid extended coverage double inversion recovery (REX-DIR), and inflow/outflow saturation band (IOSB) rapid acquisition with relaxation enhancement (RARE) multislice acquisitions. Quantitative, qualitative, and morphometric analyses were performed on images. RESULTS: Gating produced significantly lower values for the REX-DIR sequence with respect to signal intensity in muscle and the carotid artery wall, whereas it had no effect on flow suppression compared to non-gated images. For the IOSB sequences, gating had no significant effect on signal intensity of muscle and the carotid artery wall, but worsened flow suppression. REX-DIR and IOSB sequences were statistically different with respect to signal intensity of muscle (with REX-DIR sequences having lower values), while no statistical significance was observed for flow suppression and wall delineation. A morphologic analysis of the vessel wall and lumen comparing REX-DIR gated, IOSB gated, REX-DIR non-gated, and IOSB non-gated sequences revealed no significant differences between the acquisition techniques tested. CONCLUSION: Non-gated sequences may be used instead of gated sequences in atherosclerotic vessel wall imaging without compromising image quality. This may shorten examination time and improve patient comfort.     

MR imaging of the adrenals: correlation with computed tomography

The purpose of this study was to evaluate the role of magnetic resonance (MR) imaging in adrenal disease based on correlative imaging with CT. Fifty lesions in 36 patients with a variety of adrenal diseases were evaluated, at 0.5 T using spin echo (SE) multislice short repetition time (TR) and SE multislice multiecho long TR sequences. It is concluded that MR is capable of identifying most adrenal abnormalities previously detected by CT. The results suggest that MR has a greater specificity for mass lesions and might be useful to differentiate nonfunctioning adenomas from functioning adenomas, metastasis, pheochromocytomas, cysts, and intraadrenal hemorrhage. Magnetic resonance imaging also has the potential to detect aldosteronomas by increased signal intensity in addition to contour distortion using long TR/echo time sequences. The ability to perform multiplanar imaging and the presence of superior contrast as compared with CT are useful for the assessment of origin and extension of large lesions and the detection of pheochromocytomas in complex cases. Considering MR's limitations, we believe that at present its major role in evaluation of adrenal disease should be complementary to CT.     

Simultaneous spin-echo refocusing.

A new approach to spin-echo imaging is presented in which the 180 degrees RF pulse refocuses two or more spin-echoes at different positions in the readout period. When simultaneous echo refocusing (SER) is implemented using multiple 180 degrees pulses, an undesirable mixing of stimulated echoes and primary echoes from different slices can occur. A novel periodic gradient spoiler scheme eliminates this potential source of artifacts without spoiling the correctly timed stimulated echoes, which, similar to RARE (TSE) sequences, add coherently to the primary echoes. Comparisons show equivalent artifact elimination using phase cycling, periodic spoiling, and a previously developed spoiling scheme for non-Carr-Purcell-Meiboom-Gill sequences. A comparison of head images at 1.5 T acquired with SER-TSE and conventional TSE T1-weighted sequences show no degradation in image quality nor SNR. T2-weighted imaging is not achievable with the current implementation, but possible solutions are proposed. The proposed technique might prove especially beneficial at higher field strengths, where the reduced number of refocusing pulses for multislice SER-TSE decreases RF power deposition. SER spin-echo imaging offers an approach that is very different from low flip angle imaging to mitigate RF heating limitations in high-field clinical imaging.     

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.     

Magnetic resonance imaging in acute head injury

Using cardiorespiratory monitoring and support equipment compatible with a low field (0.15 T) system, magnetic resonance imaging (MRI) of patients suffering acute head injuries proved to be both feasible and safe. An abnormality was demonstrated by magnetic resonance imaging in 46 of 50 patients examined within 7 days of head injury using T2 weighted (SE2200/80) and T1 weighted (IR2000/600/40) multislice sequences. IN contrast, computed tomography (CT) demonstrated abnormalities in only 31 of the 50 patients. Intracranial extracerebral space-occupying collections of blood were well shown by magnetic resonance imaging which provided especially clear definition in the posterior fossa, subtemporal and subfrontal regions. Magnetic resonance imaging was more sensitive to cerebral abnormalities associated with traumatic unconsciousness and detected parenchymal lesions both in patients in coma and in those who had lost consciousness for only a few minutes. Lesions seen with MRI but not with CT included non-haemorrhagic contusions and abnormalities thought to reflect shearing injuries of white matter and intracerebral vessels. Magnetic resonance imaging is an effective alternative to CT; the additional information it can provide should be valuable in increasing the understanding of the early effects and late consequences of a head injury.     

MRT sequences. Part I

When magnetic resonance tomography is used in clinical practice a large number of different imaging techniques (sequences) are applied for the imaging. Despite this large number of sequences, which is often difficult to keep track of, all types of sequence work largely according to the same or very similar principles. In this continuing education course these principles are elaborated and the elements that make up a sequence are explained. These elements working together make it possible to assign the signals received from the receiver coil to their point of origin within the body. This first part of the further training is devoted largely to basic observations on spatial encoding of the signals, but also to the difference between 2D and 3D sequences. In addition, the techniques generally used in clinical practice for multislice imaging with 2D images are discussed in some detail.     

Functional NMR imaging using fast spin echo at 1.5 T

Functional NMR imaging of the brains response to a simple visual task has been performed using a fast spin echo (FSE) imaging sequence at 1.5 T. The FSE method refocuses dephasing effects induced by large-scale susceptibility variations, and permits imaging in regions where macroscopic field gradients produce artifacts in gradient echo sequences. At 1.5 T, gradient echo (GRE) sequences are sensitive to the effects of brain activation, but relatively large effects may arise from large vessels and veins, and these may dominate the effects produced by smaller capillaries. Spin echo (SE) sequences with short echo times are relatively immune to large vessel effects and emphasize the susceptibility induced losses from small capillaries, but the imaging time for these sequences is prohibitive for most functional brain studies. We demonstrate that multislice functional brain imaging may be performed in reasonable imaging times at 1.5 T using an FSE imaging sequence. The FSE sequence with short echo spacing but long effective TE is sensitive to susceptibility induced effects at the capillary level. It is not sensitive to larger scale in homogeneities such as those found in veins and can be used in regions near tissuelair boundaries. Results are shown comparing conventional GRE and FSE images in activation of the visual cortex and these are supported by theoretical calculations and phantom experiments.     

Functional magnetic resonance imaging using non-Fourier, spatially selective radiofrequency encoding.

A new method for functional magnetic resonance imaging (fMRI) employing non-Fourier encoding using spatially selective radiofrequency (RF) excitation is presented. The method uses manipulation of spatially selective RF pulses to encode spins in the slice-select direction. The method has several advantages over standard multislice approaches. It provides a simple means for monitoring irregularly distributed sections throughout a volume without the need to encode the whole volume. It offers the potential for increased signal-to-noise ratio if an appropriate basis is used for encoding. With a unique design of excitation pulses, it also appears possible to significantly reduce in-flow effects. An interleaved echo-planar imaging (EPI) sequence was adapted for non-Fourier encoding in the slice-select direction and was implemented on a conventional 1.5-Telsa system. The method was then used for functional mapping of the visual and motor areas where significant reduction of in-flow effect was demonstrated. This approach can be adapted to other imaging sequences that are used for fMRI, such as single-shot EPI.     

Selective three-dimensional MR imaging of the spine

A recently developed selective three-dimensional (3D) Fourier transform imaging technique offers several advantages over conventional two-dimensional multislice magnetic resonance imaging of the spine. These advantages include improved signal-to-noise ratio, thinner slices without gaps, and shorter echo time/repetition time pulse sequences. Five normal volunteers and 30 patients with a variety of spinal pathology were examined using surface coils. The 3D technique appears very promising and could become the major method for imaging the spine.     

Incidental magnetization transfer contrast by fat saturation preparation pulses in multislice look‐locker echo planar imaging

In this study, it is demonstrated that fat saturation (FS) preparation (prep) pulses generate incidental magnetization transfer contrast (MTC) in multislice Look‐Locker (LL) imaging. It is shown that frequency‐selective FS prep pulses can invoke MTC through the exchange between free and motion‐restricted protons. Simulation reveals that the fractional signal loss by these MTC effects is more severe for smaller flip angles (FAs), shorter repetition times (TRs), and greater number of slices (SN). These incidental MTC effects result in a signal attenuation at a steady state (up to 30%) and a T₁ measurement bias (up to 20%) when using inversion recovery (IR) LL echo‐planar imaging (EPI) sequences. Furthermore, it is shown that water‐selective MRI using binomial pulses has the potential to minimize the signal attenuation and provide unbiased T₁ measurement without fat artifacts in MR images. Magn Reson Med, 2009. © 2009 Wiley‐Liss, Inc.     

MR cholangiopancreatography of pancreaticobiliary diseases: comparison of single-shot RARE and multislice HASTE sequences

AIMS: We prospectively compared two breath-hold magnetic resonance cholangiopancreatography (MRCP) sequences: single-shot rapid acquisition with relaxation enhancement (RARE) and multislice half-Fourier acquisition single-shot turbo spin echo (HASTE) in imaging the pancreaticobiliary system. PATIENTS AND METHODS: The diagnostic accuracy of single-shot RARE and multislice HASTE was studied in 34 subjects who had undergone conventional cholangiopancreatography. Overall image quality, duct conspicuity, image artifact, signal intensity and contrast-to-noise ratios were assessed independently by two radiologists who were unaware of the underlying diagnosis. RESULTS: Both sequences had comparable diagnostic accuracy regarding a normal biliary system, choledocholithiasis, extra-hepatic and intra-hepatic strictures. Single-shot RARE was superior to multislice HASTE in diagnosing a normal pancreatic system, pancreatic and intrahepatic duct strictures, while providing significantly better image quality (mean +/- SE 3.7 +/- 0.07 vs 3.3 +/- 0.08: P = 0.02) and significantly less image artifact (mean +/- SE 3.6 +/- 0.07 vs 3.2 +/- 0.08: P = 0.01). Single-shot RARE provided significantly better duct conspicuity regarding the pancreatic duct within the body (2.7 +/- 0.2 vs 2.1 +/- 0.2: P = 0.003) and tail (2.4 +/- 0.2 vs 1.6 +/- 0.2;P = 0.0001), as well as the intrahepatic ducts (3.0 +/- 0.1 vs 2.6 +/- 0.1: P = 0.004) but there was no significant difference regarding the remainder of the biliary tree. CONCLUSION: Single-shot RARE provides superior image quality, duct conspicuity with the added advantage of less image artifact and shorter acquisition time. However, volume averaging can cause common bile duct stones to be missed. Therefore, multislice HASTE sequences should still be acquired if choledocholithiasis is suspected. Larger studies are required to assess the diagnostic efficacy of single-shot RARE sequences in pancreatic duct and intra-hepatic duct disease.Morrin, M. M. (2000). Clinical Radiology55, 866-873.     

Simultaneous spatial and spectral selective excitation

Using a k-space interpretation of small-tip excitation, a single excitation pulse has been designed that is simultaneously selective in space and resonant frequency. An analytic expression for the response of this pulse has been derived. The pulse has been implemented on a 1.5-T imaging system. The pulse has been applied to a rapid gradient-echo imaging sequence that forms both water and fat images within a breath-holding interval. These rapid images are free of the chemical shift artifacts at organ boundaries that typically afflict conventional rapid images. The pulse can be applied to a variety of other sequences, such as multislice water/fat sequences and rapid k-space scanning sequences.     

Comparison of MR imaging sequences for liver and head and neck interventions: is there a single optimal sequence for all purposes?

RATIONALE AND OBJECTIVES: To compare the appropriate pulse sequences for interventional device guidance during magnetic resonance (MR) imaging at 0.2 T and to evaluate the dependence of sequence selection on the anatomic region of the procedure. MATERIALS AND METHODS: Using a C-arm 0.2 T system, four interventional MR sequences were applied in 23 liver cases and during MR-guided neck interventions in 13 patients. The imaging protocol consisted of: multislice turbo spin echo (TSE) T2w, sequential-slice fast imaging with steady precession (FISP), a time-reversed version of FISP (PSIF), and FISP with balanced gradients in all spatial directions (True-FISP) sequences. Vessel conspicuity was rated and contrast-to-noise ratio (CNR) was calculated for each sequence and a differential receiver operating characteristic was performed. RESULTS: Liver findings were detected in 96% using the TSE sequence. PSIF, FISP, and True-FISP imaging showed lesions in 91%, 61%, and 65%, respectively. The TSE sequence offered the best CNR, followed by PSIF imaging. Differential receiver operating characteristic analysis also rated TSE and PSIF to be the superior sequences. Lesions in the head and neck were detected in all cases by TSE and FISP, in 92% using True-FISP, and in 84% using PSIF. True-FISP offered the best CNR, followed by TSE imaging. Vessels appeared bright on FISP and True-FISP imaging and dark on the other sequences. CONCLUSION: In interventional MR imaging, no single sequence fits all purposes. Image guidance for interventional MR during liver procedures is best achieved by PSIF or TSE, whereas biopsies in the head and neck are best performed using FISP or True-FISP sequences.     

Steady pulsed imaging and labeling scheme for noninvasive perfusion imaging

Purpose: A steady pulsed imaging and labeling (SPIL) scheme is proposed to obtain high‐resolution multislice perfusion images of mice brain using standard preclinical MRI equipment. Theory and Methods: The SPIL scheme repeats a pulsed arterial spin labeling (PASL) module together with a short mixing time to extend the temporal duration of the generated PASL bolus to the total experimental time. Multislice image acquisition takes place during the mixing times. The mixing time is also used for magnetization recovery following image acquisition. The new scheme is able to yield multislice perfusion images rapidly. The perfusion kinetic curve can be measured by a multipulsed imaging and labeling (MPIL) scheme, i.e., acquiring single‐slice ASL signals before reaching steady‐state in the SPIL sequence. Results: When applying the SPIL method to normal mice, and to mice with unilateral ischemia, high‐resolution multislice (five slices) CBF images could be obtained in 8 min. Perfusion data from ischemic mice showed clear CBF reductions in ischemic regions. The SPIL method was also applied to postmortem mice, showing that the method is free from magnetization transfer confounds. Conclusion: The new SPIL scheme provides for robust measurement of CBF with multislice imaging capability in small animals. Magn Reson Med 75:238–248, 2016. © 2015 Wiley Periodicals, Inc.