SPLICE: Sub-second diffusion-sensitive MR imaging using a modified fast spin-echo acquisition mode

Recent human studies for measuring of the apparent diffusion coefficient in tissue by magnetic resonance imaging have been conducted by time-consuming standard spin-echo acquisition sequences and phase correction with navigator echoes. Diffusion-weighted echo-planar sequences have been shown to be rapid alternatives for brain imaging. Both methods show inherent disadvantages in applications on thoracic or abdominal sites. A new approach combining single-shot diffusion-weighted imaging with a modified fast spin-echo acquisition mode is reported here. The modification is necessary, because normal fast spin-echo acquisition requires a particular phase relation between the magnetization and the refocusing pulses. Unfortunately, this phase relation is not provided after diffusion sensitive preparation. Therefore, the split echo acquisition mode was developed and is shown to be insensitive to the phase of the magnetization. The advantages of both fast spin-echo acquisition and diffusion weighting can be combined in the SPLICE sequence (split aqcuisition of fast spin-echo signals for diffusion imaging). The applicability of the new technique is shown by series of sub-second diffusion-weighted images from different parts of the body.     

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.     

On the application of a non-CPMG single-shot fast spin-echo sequence to diffusion tensor MRI of the human brain.

The strong sensitivity of Carr-Purcell-Meiboom-Gill (CPMG) fast spin-echo (FSE) sequences, such as rapid acquisition with relaxation enhancement (RARE), to the phase of the prepared transverse magnetization means that artifact-free single-shot diffusion-weighted images can currently only be obtained with a 30-50% reduction in the signal-to-noise ratio (SNR). However, this phase sensitivity and signal loss can be addressed in FSE sequences that use quadratic phase modulation of the radiofrequency (RF) refocusing pulses to generate a sustained train of stable echoes. Here the first application of such a non-CPMG single-shot FSE (ssFSE) sequence to diffusion tensor MR imaging (DT-MRI) of the human brain is described. This approach provides high SNR diffusion-weighted images that have little or no susceptibility to poor B(0) magnetic field homogeneity and the strong eddy currents typically present in DT-MRI experiments.     

Parallel spectroscopic imaging with spin-echo trains.

A reduction in scan time in spectroscopic imaging (SI) can be achieved by both fast and reduced k-space sampling. This work presents an ultrafast SI technique that combines the two approaches. The synergy of multiple spin-echo (MSE) acquisition and sensitivity encoding (SENSE) enables high-resolution SI to be performed within a clinically acceptable scan time. MSE-SENSE-SI with echo train lengths ranging from one to four echoes is evaluated with respect to SNR and spatial response function by means of in vitro experiments. It is shown that acquiring two spin-echoes (SEs) per acquisition yields a good practical trade-off among scan time, SNR, and spatial response. The clinical feasibility of the technique is demonstrated in a patient with an astrocytoma, and SI data are obtained with an image matrix of 24 x 24 in just over 2 min.     

Phase insensitive preparation of single-shot RARE: Application to diffusion imaging in humans

Although RARE and GRASE can produce single-shot images of excellent quality, their utility has been restricted because preparation of the magnetization with interesting contrast before imaging can cause severe artifacts. These artifacts relate to the strong sensitivity of multiple spin echo sequences to the phase of the prepared magnetization. Modifications of the RARE sequence to eliminate these artifacts are discussed, and an approach that eliminates the artifact producing signals from the very first echo is presented. The approach is applied to diffusion imaging of the human brain in normal volunteers and one patient.     

Correction for eddy current induced Bo shifts in diffusion‐weighted echo‐planar imaging

The importance of diffusion‐weighted MRI in the assessment of acute stroke is well‐recognized, and quantitative maps of the apparent diffusion coefficient (ADC) are now widely used. Echo‐planar imaging provides a robust method of acquiring diffusion‐weighted images free of motion artifact. However, initial experience with clinical MRI systems indicates that calculation of artifact‐free ADC maps from a series of echo‐planar diffusion‐weighted images is not necessarily straight‐forward. One of the problems is that frequency shifts resulting from eddy currents can cause misregistration of base diffusion‐weighted images. In this study, an on‐line correction method that overcomes this problem is described, and phantom and human images that demonstrate the validity of the technique are presented. The method uses a non‐phase‐encoded reference scan to correct the phase of each echo in the echo train, and can provide ADC maps that are free of misregistration artifacts, without the need for off‐line postprocessing. Magn Reson Med 41:95‐102, 1999. © 1999 Wiley‐Liss, Inc.     

Single-shot diffusion MRI of human brain on a conventional clinical instrument

A single-shot diffusion MRI technique on a standard clinical 1.5T scanner is presented. The method incorporates the following elements: (a) an inversion RF pulse followed by a delay of 1.3 s to null cerebral spinal fluid (CSF) signal, (b) a stimulated echo sequence (TE=56 ms, TM=100 ms) to obtain strong diffusion weighting, (c) a single-shot gradient- and spin-echo (GRASE) sequence for imaging with a modified k-space trajectory and Carr-Purcell Meiboom-Gill (CPMG)-phase cycle. The trace of the diffusion coefficient obtained with this approach is in good agreement with values reported for animal brain, and for recent human studies. It is demonstrated that single-shot diffusion imaging of human brain is feasible on an unmodified standard instrument without high-gradient slew rate or extreme field homogeneity.     

Erratum

Dynamic shimming has been implemented in three pulse sequences on a commercial GE Signa 1.5-T imaging system. Multi-slice field maps are acquired before the imaging sequence, and linear shim terms and center frequencies are calculated for each slice. During the imaging scan, the linear shim terms and center frequency are set before each pulse sequence repetition according to the current slice. Acquisition of multi-slice field maps and calculation of shim terms and center frequency for each slice are accomplished in a matter of seconds. Pulse sequences require only minimal modification to add dynamic shimming capability. Results are shown for a fat saturation spin-echo sequence, a single-shot echo-planar gradient-recalled echo sequence, and a spiral acquisition gradient-recalled echo sequence. In all cases, dynamic shimming with shim currents and center frequency optimized for each slice is shown to give better results than constant shim currents and a single center frequency optimized for the entire volume of interest.     

PROPELLER EPI: an MRI technique suitable for diffusion tensor imaging at high field strength with reduced geometric distortions.

A technique suitable for diffusion tensor imaging (DTI) at high field strengths is presented in this work. The method is based on a periodically rotated overlapping parallel lines with enhanced reconstruction (PROPELLER) k-space trajectory using EPI as the signal readout module, and hence is dubbed PROPELLER EPI. The implementation of PROPELLER EPI included a series of correction schemes to reduce possible errors associated with the intrinsically higher sensitivity of EPI to off-resonance effects. Experimental results on a 3.0 Tesla MR system showed that the PROPELLER EPI images exhibit substantially reduced geometric distortions compared with single-shot EPI, at a much lower RF specific absorption rate (SAR) than the original version of the PROPELLER fast spin-echo (FSE) technique. For DTI, the self-navigated phase-correction capability of the PROPELLER EPI sequence was shown to be effective for in vivo imaging. A higher signal-to-noise ratio (SNR) compared to single-shot EPI at an identical total scan time was achieved, which is advantageous for routine DTI applications in clinical practice.     

Reducing distortions in diffusion‐weighted echo planar imaging with a dual‐echo blip‐reversed sequence

The inherent distortions in echo‐planar imaging that arise due to inhomogeneities in the static magnetic field can lead to difficulties when attempting to obtain structurally accurate diffusion‐tensor imaging data. Parallel acceleration techniques can reduce the magnitude of these distortions but do not remove them entirely. Images can be corrected using a measured field map, but this is prone to error. One approach to correcting for these distortions, referred to here as “blip‐reversed” echo‐planar imaging, involves collecting a second set of images with the phase encoding reversed. Here, a novel approach to collecting blip‐reversed echo‐planar imaging data for diffusion‐tensor imaging is presented: a dual‐echo sequence is used in which the phase‐encoding direction of the second echo is swapped compared to the first echo. This allows benefits of the blip‐reversed approach to be exploited, with only a modest increase in scan time and, due to the extra data acquired, no significant loss of signal‐to‐noise efficiency. A novel approach to recombining blip‐reversed data is also presented, which involves refining the measured field map, using an algorithm to minimize the difference between the corrected images. The field map refinement is also applicable to conventionally acquired blip‐reversed sequences. Magn Reson Med, 2010. © 2010 Wiley‐Liss, Inc.     

Two-dimensional spatially-selective RF excitation pulses in echo-planar imaging.

Two-dimensional spatially-selective RF (2DRF) excitation pulses were developed for single-shot echo-planar imaging (EPI) with reduced field of view (FOV) in the phase-encoding direction. The decreased number of k-space lines significantly shortens the length of the EPI echo train. Thus, both gradient-echo and spin-echo 2DRF-EPI images of the human brain at 2.0 T exhibit markedly reduced susceptibility artifacts in regions close to major air cavities. Based on a blipped-planar trajectory, implementation of a typical 2DRF pulse resulted in a 26-ms pulse duration, a 5-mm section thickness, a 40-mm FOV along the phase-encoding direction, and a 200-mm distance of the unavoidable side excitations from the center of the FOV. For the above conditions and at 2 x 2 mm(2) resolution, 2DRF-EPI yielded an echo train length of only 21 ms, as opposed to 102 ms for conventional EPI. This gain in time may be used to achieve higher spatial resolution. For example, spin-echo 2DRF-EPI of a 40-mm FOV at 1 x 1 mm(2) resolution led to an echo train of 66 ms. Although the current implementation still lacks user-friendliness, 2DRF pulses are likely to become a useful addition to the arsenal of advanced MRI tools. .     

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.     

Multishot diffusion-weighted SPLICE PROPELLER MRI of the abdomen.

Multishot FSE (fast spin echo)-based diffusion-weighted (DW)-PROPELLER (periodically rotated overlapping parallel lines with enhanced reconstruction) MRI offers the potential to reduce susceptibility artifacts associated with single-shot DW-EPI (echo-planar imaging) approaches. However, DW-PROPELLER in the abdomen is challenging due to the large field-of-view and respiratory motion during DW preparation. Incoherent signal phase due to motion will violate the Carr-Purcell-Meiboom-Gill (CPMG) conditions, leading to destructive interference between spin echo and stimulated echo signals and consequent signal cancellation. The SPLICE (split-echo acquisition of FSE signals) technique can mitigate non-CPMG artifacts in FSE-based sequences. For SPLICE, spin echo and stimulated echo are separated by using imbalanced readout gradients and extended acquisition window. Two signal families each with coherent phase properties are acquired at different intervals within the readout window. Separate reconstruction of these two signal families can avoid destructive phase interference. Phantom studies were performed to validate signal phase properties with different initial magnetization phases. This study evaluated the feasibility of combining SPLICE and PROPELLER for DW imaging of the abdomen. It is demonstrated that DW-SPLICE-PROPELLER can effectively mitigate non-CPMG artifacts and improve DW image quality and apparent diffusion coefficient (ADC) map homogeneity.     

Single-shot GRASE imaging with short effective TEs

A new phase-encoding scheme for gradient- and spin-echo (GRASE) imaging giving a short effective TE is described. Unlike previous orders, phase encoding is centric rather than sequential. The sequence is a development of k-banded GRASE that uses different time segments of the echo train to encode different bands of k space. This phase-encoding order has been implemented in single-shot sequences on an imager with high performance gradients. Approximately 144 phase-encoding lines can be acquired in an echo train time of 390 ms. With centric phase encoding, the effective TE is 8 ms, compared with 75 ms for sequential encoding, and signal-to-noise ratios (SNRs) in brain tissue are 50 to 70% higher. The sequence can be employed in, for example, diffusion and velocity imaging.     

Turboprop+: Enhanced turboprop diffusion‐weighted imaging with a new phase correction

Faster periodically rotated overlapping parallel lines with enhanced reconstruction (PROPELLER) diffusion‐weighted imaging acquisitions, such as Turboprop and X‐prop, remain subject to phase errors inherent to a gradient echo readout, which ultimately limits the applied turbo factor (number of gradient echoes between each pair of radiofrequency refocusing pulses) and, thus, scan time reductions. This study introduces a new phase correction to Turboprop, called Turboprop+. This technique employs calibration blades, which generate 2‐D phase error maps and are rotated in accordance with the data blades, to correct phase errors arising from off‐resonance and system imperfections. The results demonstrate that with a small increase in scan time for collecting calibration blades, Turboprop+ had a superior immunity to the off‐resonance‐related artifacts when compared to standard Turboprop and recently proposed X‐prop with the high turbo factor (turbo factor = 7). Thus, low specific absorption rate and short scan time can be achieved in Turboprop+ using a high turbo factor, whereas off‐resonance related artifacts are minimized. Magn Reson Med 70:497–503, 2013. © 2012 Wiley Periodicals, Inc.     

Resolution enhancement in lung 1H imaging using parallel imaging methods.

Resolution in (1)H lung imaging is limited mainly by the acquisition time. Today, half-Fourier acquisition single-shot turbo spin-echo (HASTE) sequences, with short echo time (TE) and short interecho spacing (T(inter)) have found increased use in lung imaging. In this study, a HASTE sequence was used in combination with a partially parallel acquisition (PPA) strategy to increase the spatial resolution in single-shot (1)H lung imaging. To investigate the benefits of using a combination of single-shot sequences and PPA, five healthy volunteers were examined. Compared to conventional imaging methods, substantially increased resolution is obtained using the PPA approach. Representative in vivo (1)H lung images acquired with a HASTE sequence in combination with the generalized autocalibrating partially parallel acquisition (GRAPPA) method, up to an acceleration factor of three, are presented.     

High resolution diffusion‐weighted imaging using readout‐segmented echo‐planar imaging,parallel imaging and a two‐dimensional navigator‐based reacquisition

Single‐shot echo‐planar imaging (EPI) is well established as the method of choice for clinical, diffusion‐weighted imaging with MRI because of its low sensitivity to the motion‐induced phase errors that occur during diffusion sensitization of the MR signal. However, the method is prone to artifacts due to susceptibility changes at tissue interfaces and has a limited spatial resolution. The introduction of parallel imaging techniques, such as GRAPPA (GeneRalized Autocalibrating Partially Parallel Acquisitions), has reduced these problems, but there are still significant limitations, particularly at higher field strengths, such as 3 Tesla (T), which are increasingly being used for routine clinical imaging. This study describes how the combination of readout‐segmented EPI and parallel imaging can be used to address these issues by generating high‐resolution, diffusion‐weighted images at 1.5T and 3T with a significant reduction in susceptibility artifact compared with the single‐shot case. The technique uses data from a 2D navigator acquisition to perform a nonlinear phase correction and to control the real‐time reacquisition of unusable data that cannot be corrected. Measurements on healthy volunteers demonstrate that this approach provides a robust correction for motion‐induced phase artifact and allows scan times that are suitable for routine clinical application. Magn Reson Med, 2009. © 2009 Wiley‐Liss, Inc.     

Inherent correction of motion-induced phase errors in multishot spiral diffusion-weighted imaging

Multishot spiral imaging is a promising alternative to echo‐planar imaging for high‐resolution diffusion‐weighted imaging and diffusion tensor imaging. However, subject motion in the presence of diffusion‐weighting gradients causes phase inconsistencies among different shots, resulting in signal loss and aliasing artifacts in the reconstructed images. Such artifacts can be reduced using a variable‐density spiral trajectory or a navigator echo, however at the cost of a longer scan time. Here, a novel iterative phase correction method is proposed to inherently correct for the motion‐induced phase errors without requiring any additional scan time. In this initial study, numerical simulations and in vivo experiments are performed to demonstrate that the proposed method can effectively and efficiently correct for spatially linear phase errors caused by rigid‐body motion in multishot spiral diffusion‐weighted imaging of the human brain. Magn Reson Med, 2012. © 2011 Wiley Periodicals, Inc.     

Optimized outer volume suppression for single-shot fast spin-echo cardiac imaging

Among the ultrafast MRI techniques, the single-shot fast spin-echo sequence offers a robust alternative to echo planar imaging, essentially because of a much reduced sensitivity to B₀ inhomogeneity. This property is particularly appealing in situations in which B₀ in-homogeneities can be severe and difficult to correct, such as in cardiac imaging. With single-shot cardiac imaging, however, achieving high resolution over the necessarily large field of views without introducing back-folding artifacts is problematic. One option is to use multishot sequences. However, then issues related to cardiac gating arise. Another solution is to use, optimized presaturation slabs with quadratic phase pulses generated by the Shinnar-LeRoux algorithm. These can be set to reduce the field of view in the phase-encoding direction, resulting in a reduction in the number of phase-encoding steps. For instance, for a 1 × 2-mm spatial resolution, over a rectangular, 250 × 125-mm field of view, and using a half Fourier acquisition, an echo-train length of only 40 is required. With a 4.5-msec echo spacing, the total imaging time is ≈? 180 msec. The efficacy of this solution on phantoms and volunteers is demonstrated. Multislice short-axis examinations of the whole heart, realized within a single short breath-hold of ～ 10 seconds, are shown. The possibility of investigating not only cardiac anatomy but also both contractility and myocardial perfusion is discussed.     

Single-shot,motion insensitive cardiac imaging on a standard clinical system

The overall goal of this study was the development and application of a less motion sensitive, single-shot MRI technique for use on a standard clinical system in a dynamic imaging setting, such as cardiac scanning. Time encoding, a single-shot line scanning technique, has been used to produce single-shot, small field-of-view cardiac images without the use of presaturation pulses. The major advantages of this method are: (1) as a line scanning technique, time encoding is minimally sensitive to motion when compared with 2D Fourier methods, and (2) aliasing will not occur if the object being imaged extends beyond the field of view.