Phase‐sensitive sodium B1 mapping

Quantitative sodium MRI requires accurate knowledge of factors affecting the sodium signal. One important determinant of sodium signal level is the transmit B₁ field strength. However, the low signal‐to‐noise ratio typical of sodium MRI makes accurate B₁ mapping in reasonable scan times challenging. A new phase‐sensitive B₁ mapping technique has recently been shown to work better than the widely used dual‐angle method in low‐signal‐to‐noise ratio situations and over a broader range of flip angles. In this work, the phase‐sensitive B₁ mapping technique is applied to sodium, and its performance compared to the dual‐angle method through both simulation and phantom studies. The phase‐sensitive method is shown to yield higher quality B₁ maps at low signal‐to‐noise ratio and greater consistency of measurement than the dual‐angle method. An in vivo sodium B₁ map of the human breast is also shown, demonstrating the phase‐sensitive method's feasibility for human studies. Magn Reson Med, 2010. © 2010 Wiley‐Liss, Inc.     

Rapid magnetic resonance quantification on the brain: Optimization for clinical usage

A method is presented for rapid simultaneous quantification of the longitudinal T₁ relaxation, the transverse T₂ relaxation, the proton density (PD), and the amplitude of the local radio frequency B₁ field. All four parameters are measured in one single scan by means of a multislice, multiecho, and multidelay acquisition. It is based on a previously reported method, which was substantially improved for routine clinical usage. The improvements comprise of the use of a multislice spin‐echo technique, a background phase correction, and a spin system simulation to compensate for the slice‐selective RF pulse profile effects. The aim of the optimization was to achieve the optimal result for the quantification of magnetic resonance parameters within a clinically acceptable time. One benchmark was high‐resolution coverage of the brain within 5 min. In this scan time the measured intersubject standard deviation (SD) in a group of volunteers was 2% to 8%, depending on the tissue (voxel size = 0.8 × 0.8 × 5 mm). As an example, the method was applied to a patient with multiple sclerosis in whom the diseased tissue could clearly be distinguished from healthy reference values. Additionally it was shown that, using the approach of synthetic MRI, both accurate conventional contrast images as well as quantification maps can be generated based on the same scan. Magn Reson Med 60:320–329, 2008. © 2008 Wiley‐Liss, Inc.     

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.     

A phase‐sensitive method of flip angle mapping

A radiofrequency (RF) excitation scheme is presented in which flip angle is encoded in the phase of the resulting excitation. This excitation is implemented with nonselective hard pulses, and is used to give flip angle maps over three‐dimensional volumes. This phase‐sensitive B1 mapping excitation can be combined with various acquisition methods such as gradient recalled echo (GRE) and echo‐planar (EP) readouts. Imaging time depends primarily on the readout method, and is roughly equivalent to the imaging time of conventional double‐angle techniques for three‐dimensional acquisition. The phase‐sensitive method allows imaging over a much wider range of flip angles than double‐angle methods. Phantom and in vivo results are presented comparing the phase‐sensitive method with the conventional double‐angle method, demonstrating the ability of the phase‐sensitive method to measure a wider range of flip angles than double‐angle methods. Magn Reson Med 60:889–894, 2008. © 2008 Wiley‐Liss, Inc.     

Novel method for rapid, simultaneous T1, T*2, and proton density quantification.

An imaging method called "quantification of relaxation times and proton density by twin-echo saturation-recovery turbo-field echo" (QRAPTEST) is presented as a means of quickly determining the longitudinal T(1) and transverse T(2) (*) relaxation time and proton density (PD) within a single sequence. The method also includes an estimation of the B(1) field inhomogeneity. High-resolution images covering large volumes can be achieved within clinically acceptable times of 5-10 min. The range of accuracy for determining T(1), T(2) (*), and PD values is flexible and can be optimized relative to any anticipated values. We validated the experimental results against existing methods, and provide a clinical example in which quantification of the whole brain using 1.5 mm(3) voxels was achieved in less than 8 min.     

T1ρ and T2 mapping reveal the in vivo extracellular matrix of articular cartilage

Purpose:

To determine the relationship between changes in the extracellular matrix (ECM) and T_1ρ and T₂ values in vivo. The ECM is composed of proteoglycan (PG), collagen, and water. It has been unclear which of the ECM constituents affects T_1ρ and T₂ mapping in living human cartilage.

Materials and Methods:

Sagittal T_1ρ and T₂ maps were preoperatively obtained from 20 knee osteoarthritis patients. Osteochondral samples harvested from the resected tibial plateaus during total knee arthroplasty were consistent with the MRIs of the patients' knees. Parameters that included histological grading of cartilage degeneration, glycosaminoglycan (GAG) content (which constitutes PG), presence of collagen anisotropy and water content were evaluated along with T_1ρ and T₂ values, and statistical analysis was performed using multiple regression analysis.

Results:

T_1ρ and T₂ values were significantly correlated with the degree of cartilage degeneration (β = 0.397 and 0.357, respectively) and the GAG content (β = ?0.340 and ?0.244, respectively).

Conclusion:

The present study demonstrated that T_1ρ and T₂ values reflect the GAG content of the cartilage and can indicate cartilage degeneration in vivo. Use of these parameters can facilitate the noninvasive diagnosis and evaluation of cartilage degeneration. J. Magn. Reson. Imaging 2012;35:147‐155. © 2011 Wiley Periodicals, Inc.

     

Actual flip-angle imaging in the pulsed steady state: a method for rapid three-dimensional mapping of the transmitted radiofrequency field.

A new method has been developed for fast image-based measurements of the transmitted radiofrequency (RF) field. The method employs an actual flip-angle imaging (AFI) pulse sequence that consists of two identical RF pulses followed by two delays of different duration (TR(1) < TR(2)). After each pulse, a gradient-echo (GRE) signal is acquired. It has been shown theoretically and experimentally that if delays TR(1) and TR(2) are sufficiently short and the transverse magnetization is completely spoiled, the ratio r = S(2)/S(1) of signal intensities S(1) and S(2), acquired at the beginning of the time intervals TR(1) and TR(2), depends on the flip angle (FA) of applied pulses as r = (1 + n * cos(FA))/(n + cos(FA)), where n = TR(2)/TR(1). The method allows fast 3D implementation and provides accurate B(1) measurements that are highly insensitive to T(1). The unique feature of the AFI method is that it uses a pulsed steady-state signal acquisition. This overcomes the limitation of previous methods that required long relaxation delays between sequence repetitions. The method has been shown to be useful for time-efficient whole-body B(1) mapping and correction of T(1) maps obtained using a variable FA technique in the presence of nonuniform RF excitation.     

Effects of B1 inhomogeneity correction for three-dimensional variable flip angle T1 measurements in hip dGEMRIC at 3 T and 1.5 T

Delayed gadolinium-enhanced MRI of cartilage is a technique for studying the development of osteoarthritis using quantitative T(1) measurements. Three-dimensional variable flip angle is a promising method for performing such measurements rapidly, by using two successive spoiled gradient echo sequences with different excitation pulse flip angles. However, the three-dimensional variable flip angle method is very sensitive to inhomogeneities in the transmitted B(1) field in vivo. In this study, a method for correcting for such inhomogeneities, using an additional B(1) mapping spin-echo sequence, was evaluated. Phantom studies concluded that three-dimensional variable flip angle with B(1) correction calculates accurate T(1) values also in areas with high B(1) deviation. Retrospective analysis of in vivo hip delayed gadolinium-enhanced MRI of cartilage data from 40 subjects showed the difference between three-dimensional variable flip angle with and without B(1) correction to be generally two to three times higher at 3 T than at 1.5 T. In conclusion, the B(1) variations should always be taken into account, both at 1.5 T and at 3 T.     

Combined T1-T2 mapping of human femoro-tibial cartilage with turbo-mixed imaging at 1.5T

PURPOSE: To evaluate the influence of Gd-DTPA on cartilage T2 mapping using turbo-mixed (tMIX) imaging, and to show the possible usefulness of the tMIX technique for simultaneously acquiring T1 and T2 information in cartilage. MATERIALS AND METHODS: Twenty volunteers underwent MRI of the knee using the tMIX sequence before and after gadolinium administration. T1 and T2 maps were calculated. The mean T1 was determined on the pre- and postcontrast T1 maps. T2 relaxation values before and after gadolinium administration were statistically analyzed. RESULTS: The obtained relaxation values are in correspondence with previously published data. The mean T1 before gadolinium administration was 449 msec +/- 34.2 msec (SD), and after gadolinium administration it was 357 msec +/- 55.8 msec (SD). The postcontrast T1 relaxation range was 221.5-572.8 msec. The mean T2 of the precontrast T2 maps was 34.2 msec +/- 3.1 msec (SD), and the mean T2 of the postcontrast T2 maps was 32.5 msec +/- 3.1 msec (SD). These are statistically significant different values. A correction for the postcontrast T2 values, using a back-calculation algorithm, yielded a 98% correlation with the precontrast T2 values. CONCLUSION: The absolute difference of pre- and postcontrast T2 is very small and is ruled out using the back-calculation algorithm. Combined T1-T2 tMIX cartilage mapping is a valuable alternative for separate T1 and T2 cartilage mapping.     

Slice profile correction for transmit sensitivity mapping using actual flip angle imaging

To enable clinical use of parallel transmission technology, it is necessary to rapidly produce transmit sensitivity (σ) maps. Actual flip angle imaging is an efficient mapping technique, which is accurate when used with 3D encoding and nonselective RF pulses. Mapping single slices is quicker, but 2D encoding leads to systematic errors due to slice profile effects. By simulating steady‐state slice profiles, we computed the relationship between σ and the signals received from the actual flip angle imaging sequence for arbitrarily chosen slice selective RF pulses. Pulse specific lookup tables were then used for reconstruction. The resulting σ‐maps are sensitive to T₁ in a manner that depends strongly on the specific pulse, for example a precision of ±3% can be achieved by using a 3‐lobe sinc pulse. The method is applicable to any RF pulse; simulations must be performed once and thereafter fast reconstruction of σ‐maps is possible. Magn Reson Med, 2011. © 2010 Wiley‐Liss, Inc.     

High-resolution T1 and T2 mapping of the brain in a clinically acceptable time with DESPOT1 and DESPOT2.

Variations in the intrinsic T(1) and T(2) relaxation times have been implicated in numerous neurologic conditions. Unfortunately, the low resolution and long imaging time associated with conventional methods have prevented T(1) and T(2) mapping from becoming part of routine clinical evaluation. In this study, the clinical applicability of the DESPOT1 and DESPOT2 imaging methods for high-resolution, whole-brain, T(1) and T(2) mapping was investigated. In vivo, 1-mm(3) isotropic whole-brain T(1) and T(2) maps of six healthy volunteers were acquired at 1.5 T with an imaging time of <17 min each. Isotropic maps (0.34 mm(3)) of one volunteer were also acquired (time <21 min). Average signal-to-noise within the 1-mm(3) T(1) and T(2) maps was approximately 20 and approximately 14, respectively, with average repeatability standard deviations of 46.7 ms and 6.7 ms. These results demonstrate the clinical feasibility of the methods in the study of neurologic disease.     

Three‐dimensional mapping of the B1 field using an optimized phase‐based method: Application to hyperpolarized 3He in lungs

A novel method is presented for the three‐dimensional mapping of the B₁‐field of a transmit radio‐frequency MR coil. The method is based on the acquisition of phase images, where the effective flip angle is encoded in the phase of the nonselective hard pulse excitation. The method involves the application of a rectangular composite pulse as excitation in a three‐dimensional gradient recall echo to produce measurable phase angle variation. However, such a pulse may significantly increase the radio‐frequency power deposition in excess of the standard acceptable SAR limits, imposing extremely long TRs (>100 msec), which would result in acquisition times significantly greater than a single breath‐hold. In this study, the phases of the radio‐frequency excitation are modified, resulting in a different pulse sequence scheme. It is shown that the new method increases sensitivity with respect to radio‐frequency inhomogeneities by up to 10 times, and reduces the total duration of the pulse so that three‐dimensional B₁ mapping is possible with ³He in lungs within a single breath‐hold. Computer simulations demonstrate the increase in sensitivity. Phantom results with ¹H MRI are used for validation. In vivo results are presented with hyperpolarized ³He in human lungs at 1.5T. Magn Reson Med, 2010. © 2010 Wiley‐Liss, Inc.     

Modified Look‐Locker T1 evaluation using Bloch simulations: Human and phantom validation

Modified Look‐Locker imaging is frequently used for T₁ mapping of the myocardium. However, the specific effect of various MRI parameters (e.g., encoding scheme, modifications of flip angle, heart rate, T₂, and inversion times) on the accuracy of T₁ measurement has not been studied through Bloch simulations. In this work, modified Look‐Locker imaging was characterized through a numerical solution for Bloch equations. MRI sequence parameters that may affect T₁ accuracy were systematically varied in the simulation. For validation, phantoms were constructed with various T₂ and T₁ times and compared with Bloch equation simulations. Human volunteers were also evaluated with various pulse sequences parameters to assess the validity of the numerical simulations. There was close agreement between simulated T₁ times and T₁ times measured in phantoms and volunteers. Lower T₂ times (i.e., <30 ms) resulted in errors greater than 5% for T₁ determination. Increasing maximum inversion time value improved T₁ accuracy particularly for precontrast myocardial T₁. Balanced steady‐state free precession k space centric encoding improved accuracy for short T₁ times (post gadolinium), but linear encoding provided improved accuracy for precontrast T₁ values. Lower flip angles are preferred if the signal‐to‐noise ratio is sufficiently high. Bloch simulations for modified Look‐Locker imaging provide an accurate method to comprehensively quantify the effect of pulse sequence parameters on T₁ accuracy. As an alternative to otherwise lengthy phantom studies or human studies, such simulations may be useful to optimize the modified Look‐Locker imaging sequence and compare differences in T₁‐derived measurements from different scanners or institutions. Magn Reson Med, 2013. © 2012 Wiley Periodicals, Inc.     

Imaging biomarker with T1ρ and T2 mappings in osteoarthritis – In vivo human articular cartilage study

Introduction

Osteoarthritis (OA) of the knee is a common and disabling disease worldwide. Its prevalence is increasing in view of the aging population. Changes in collagen content, its orientation and GAG content in the articular cartilage with age are the major features in knee osteoarthritis. These changes in collagen and GAG contents show no manifestation in plain radiography and conventional magnetic resonance imaging (MRI). Nevertheless, early diagnosis of the knee osteoarthritis is of paramount importance clinically in view of the evolution of putative interventions in its early stage. The aim of this project is to identify the relationships between the two imaging biomarkers (i.e. T1ρ and T2 mappings) and the GAG concentration in living human symptomatic cartilage.

Methodology

28 patients with clinical diagnosis of knee osteoarthritis were enrolled. 7 males and 16 females were recruited and their mean age was 68.1 (ranges from 53 to 84). Conventional PD sequence, T1ρ and T2 mappings were performed for each subject within 1 week before total knee arthroplasty. Articular cartilage from the lateral tibial plateau was harvested and the GAG content in cartilage was determined by using dimethylmethylene blue method. T1ρ mean and T2 values were calculated and correlate with GAG concentration statistically.

Results

The mean value T1ρ was 40.3 ± 13.5 ms, ranging from 15.3 to 69.3 ms and the mean value T2 was 31.0 ± 10.5 ms, ranging from 16.1 to 46.9 ms. The mean value of GAG content was 80.1 ± 33.3 mg, ranging from 24.9 to 166.0 mg while the mean value of GAG concentration was 267.4 ± 165.9 mg/cm³, ranging from 91.3 to 760.5 mg/cm³. T2 values were inversely correlated with GAG concentration with R² = 0.375, p = 0.001 while T1ρ values were also inversely correlated with GAG concentration with R² = 0.200, p = 0.025.

Conclusion

This in vivo study confirmed that T1ρ and T2 values correlate with the GAG concentration in living human knee cartilages which corroborate with the previous works. The later (T2 values) is found more reliable in our study and less controversial in literatures. We postulate that T2 values can serve as a non-invasive imaging biomarker in the progress of knee osteoarthritis in terms of both disease diagnosis and treatment response monitoring.