Real‐time geometric distortion correction for interventional imaging with echo‐planar imaging (EPI)

Many MR‐guided interventional procedures rely on fast imaging sequences for providing images in real‐time with a precise relation between the target position in the image and its true position. Echo‐planar imaging (EPI) methods are very fast but prone to geometric distortions. Here, we propose a correction method designed for real‐time conditions, adapting existing approaches based on dual EPI acquisition with varying echo times. The method is demonstrated with MR‐thermometry for guiding thermal therapies. The proposed approach imposes a small penalty in acquisition speed but adds negligible latency to data processing, an important element for interventions of mobile organs. Magn Reson Med, 2009. © 2009 Wiley‐Liss, Inc.     

Echo‐planar imaging with prospective slice‐by‐slice motion correction using active markers

Head motion is a fundamental problem in functional magnetic resonance imaging and is often a limiting factor in its clinical implementation. This work presents a rigid‐body motion correction strategy for echo‐planar imaging sequences that uses micro radiofrequency coil “active markers” for real‐time, slice‐by‐slice prospective correction. Before the acquisition of each echo‐planar imaging‐slice, a short tracking pulse‐sequence measures the positions of three active markers integrated into a headband worn by the subject; the rigid‐body transformation that realigns these markers to their initial positions is then fed back to dynamically update the scan‐plane, maintaining it at a fixed orientation relative to the head. Using this method, prospectively‐corrected echo‐planar imaging time series are acquired on volunteers performing in‐plane and through‐plane head motions, with results demonstrating increased image stability over conventional retrospective image‐realignment. The benefit of this improved image stability is assessed in a blood oxygenation level dependent functional magnetic resonance imaging application. Finally, a non‐rigid‐body distortion‐correction algorithm is introduced to reduce the remaining signal variation. Magn Reson Med, 2011. © 2011 Wiley‐Liss, Inc.     

Hybrid of opposite‐contrast MR angiography (HOP‐MRA) combining time‐of‐flight and flow‐sensitive black‐blood contrasts

For the purpose of visualizing low‐flow as well as high‐flow blood vessels without using contrast agents, we propose a new technique called a hybrid of opposite‐contrast MR angiography (HOP‐MRA). HOP‐MRA is a combination of standard time‐of‐flight (TOF) using a full first‐order velocity‐compensation for white‐blood (WB) and flow‐sensitive black‐blood (FSBB) techniques, which use motion‐probing gradients to introduce intravoxel flow dephasing. A dual‐echo three‐dimensional gradient echo sequence was used to reduce both imaging time and misregistration. HOP‐MRA images were obtained using a simple‐weighted subtraction (SWS) or a frequency‐weighted subtraction (FWS) applying different spatial filtering for WB and BB images. We then assessed the relationships among the contrast‐to‐noise ratios (CNR) of the blood‐to‐background signals for those three images. In both volunteer and clinical brain studies, low‐flow vessels were well visualized and the background signal was well suppressed by HOP‐MRA compared with standard TOF‐ or BB‐MRA. The FWS was better than the SWS when whole‐maximum intensity projection was performed on a larger volume including with different types of tissue. The proposed HOP‐MRA was proven to visualize low‐flow to high‐flow vessels and, therefore, demonstrates excellent potential to become a clinically useful technique, especially for visualizing collateral vessels which is difficult with standard TOF‐MRA. Magn Reson Med, 2009. © 2009 Wiley‐Liss, Inc.     

Spin‐echo micro‐MRI of trabecular bone using improved 3D fast large‐angle spin‐echo (FLASE)

Fast large‐angle spin echo (FLASE) is a common pulse sequence designed for quantitative imaging of trabecular bone (TB) microarchitecture. However, imperfections in the nonselective phase‐reversal pulse render it prone to stimulated echo artifacts. The problem is further exacerbated at isotropic resolution. Here, a substantially improved RF‐spoiled FLASE sequence (sp‐FLASE) is described and its performance is illustrated with data at 1.5T and 3T. Additional enhancements include navigator echoes for translational motion sensing applied in a slice parallel to the imaging slab. Whereas recent work suggests the use of fully‐balanced FLASE (b‐FLASE) to be advantageous from a signal‐to‐noise ratio (SNR) point of view, evidence is provided here that the greater robustness of sp‐FLASE may outweigh the benefits of the minor SNR gain of b‐FLASE for the target application of TB imaging in the distal extremities, sites of exclusively fatty marrow. Results are supported by a theoretical Bloch equation analysis and the pulse sequence dependence of the effective T₂ of triglyceride protons. Last, sp‐FLASE images are shown to provide detailed and reproducible visual depiction of trabecular networks in three dimensions at both anisotropic (137 × 137 × 410 μm³) and isotropic (160 × 160 × 160 μm³) resolutions in the human distal tibia in vivo. Magn Reson Med, 2009. © 2009 Wiley‐Liss, Inc.     

Selective suppression of artifact‐generating echoes in cine DENSE using through‐plane dephasing

In displacement‐encoded imaging with stimulated echoes (DENSE), tissue displacement is encoded in the phase of the stimulated echo. However, three echoes generally contribute to the acquired signal (the stimulated echo, the complex conjugate of the stimulated echo, and an echo due to T₁ relaxation). It is usually desirable to suppress all except the stimulated echo, since otherwise the additional echoes will cause displacement measurement errors. Ideally, suppression of the artifact‐generating echoes would be independent of time, T₁, and displacement‐encoding frequency, and would not require additional acquisitions. In this study through‐plane gradients were used to selectively dephase artifact‐generating echoes without causing significant signal loss of the stimulated echo. A cine DENSE sequence was modified to include dephasing gradients and perform complementary spatial modulation of magnetization (CSPAMM). For single‐acquisition cine DENSE using dephasing alone, artifact suppression was similar to CSPAMM with two acquisitions. The use of dephasing with CSPAMM required two acquisitions, but demonstrated greater artifact suppression than CSPAMM alone or dephasing alone. Magn Reson Med, 2006. © 2006 Wiley‐Liss, Inc.     

A simple low‐SAR technique for chemical‐shift selection with high‐field spin‐echo imaging

We have discovered a simple and highly robust method for removal of chemical shift artifact in spin‐echo MR images, which simultaneously decreases the radiofrequency power deposition (specific absorption rate). The method is demonstrated in spin‐echo echo‐planar imaging brain images acquired at 7 T, with complete suppression of scalp fat signal. When excitation and refocusing pulses are sufficiently different in duration, and thus also different in the amplitude of their slice‐select gradients, a spatial mismatch is produced between the fat slices excited and refocused, with no overlap. Because no additional radiofrequency pulse is used to suppress fat, the specific absorption rate is significantly reduced compared with conventional approaches. This enables greater volume coverage per unit time, well suited for functional and diffusion studies using spin‐echo echo‐planar imaging. Moreover, the method can be generally applied to any sequence involving slice‐selective excitation and at least one slice‐selective refocusing pulse at high magnetic field strengths. The method is more efficient than gradient reversal methods and more robust against inhomogeneities of the static (polarizing) field (B₀). Magn Reson Med, 2010. © 2010 Wiley‐Liss, Inc.     

Absolute temperature MR imaging with thulium 1,4,7,10‐tetraazacyclododecane‐1,4,7,10‐tetramethyl‐1,4,7,10‐tetraacetic acid (TmDOTMA−)

MR thermometry based on the water ¹H signal provides high temporal and spatial resolution, but it has low temperature sensitivity (～0.01 ppm/°C) and requires monitoring of another weaker signal for absolute temperature measurements. The use of the paramagnetic lanthanide complex, thulium 1,4,7,10‐ tetraazacyclo‐dodecane‐1,4,7,10‐tetramethyl‐1,4,7,10‐tetraac‐ etate (TmDOTMA^?), which is ～60 times more sensitive to temperature than the water ¹H signal, is advanced to image absolute temperatures in vivo using water signal as a reference. The temperature imaging technique was developed using gradient echo and asymmetric spin echo imaging sequences on 9.4 Tesla (T) horizontal and vertical MR scanners. A comparison of regional temperatures measured with TmDOTMA^? and fiber‐optic probes showed that the accuracy of imaging temperature is <0.3°C. The temperature imaging technique was found to be insensitive to inhomogeneities in the main magnetic field. The feasibility of imaging temperature of intact rats at ～1.4 mmol/kg dose with ～1‐mm spatial resolution in only 3 min is demonstrated. TmDOTMA^? should prove useful for imaging absolute temperatures in deep‐seated organs in numerous biomedical applications. Magn Reson Med, 2009. © 2009 Wiley‐Liss, Inc.     

Contiguous‐slice zonally oblique multislice (CO‐ZOOM) diffusion tensor imaging: Examples of in vivo spinal cord and optic nerve applications

Purpose

To describe and demonstrate a new technique that allows diffusion tensor imaging of small structures such as the spinal cord (SC) and optic nerve (ON) with contiguous slices and reduced image distortions using a narrow field of view (FOV).

Materials and Methods

Images were acquired with a modified single‐shot echo‐planar imaging (EPI) sequence that contains a refocusing radio frequency (RF) pulse in the presence of the phase‐encoding (rather than slice‐select) gradient. As a result, only a narrow volume may be both excited and refocused, removing the problem of signal aliasing for narrow FOVs. Two variants of this technique were developed: cardiac gating is included in the study of the SC to reduce pulsation artifacts, whereas inversion‐recovery (IR) cerebrospinal fluid (CSF) suppression is utilized in the study of the ON to eliminate partial volume effects. The technique was evaluated with phantoms, and mean diffusivity (MD) and fractional anisotropy (FA) measurements were made in the SC and ON of two healthy volunteers.

Results

The technique provides contiguous‐slice, reduced‐FOV images that do not suffer from aliasing and have reduced magnetic susceptibility artifacts. MD and FA values determined here lie within the ranges quoted in the literature.

Conclusion

Contiguous‐slice zonally orthogonal multislice (CO‐ZOOM‐EPI is a new technique for diffusion‐weighted imaging of small structures such as the ON and SC with high resolution and reduced distortions due to susceptibility variations. This technique is able to acquire contiguous slices that may allow further nerve‐tracking analyses. J. Magn. Reson. Imaging 2009;29:454–460. © 2009 Wiley‐Liss, Inc.     

Susceptibility gradient mapping (SGM): A new postprocessing method for positive contrast generation applied to superparamagnetic iron oxide particle (SPIO)‐labeled cells

Local susceptibility gradients result in a dephasing of the precessing magnetic moments and thus in a fast decay of the NMR signals. In particular, cells labeled with superparamagnetic iron oxide particles (SPIOs) induce hypointensities, making the in vivo detection of labeled cells from such a negative image contrast difficult. In this work, a new method is proposed to selectively turn this negative contrast into a positive contrast. The proposed method calculates the susceptibility gradient and visualizes it in a parametric map directly from a regular gradient‐echo image dataset. The susceptibility gradient map is determined in a postprocessing step, requiring no dedicated pulse sequences or adaptation of the sequence before and during image acquisition. Phantom experiments demonstrated that local susceptibility differences can be quantified. In vivo experiments showed the feasibility of the method for tracking of SPIO‐labeled cells. The method bears the potential also for usage in other applications, including the detection of contrast agents and interventional devices as well as metal implants. Magn Reson Med 60:595–603, 2008. © 2007 Wiley‐Liss, Inc.     

Phase enhancement for time‐of‐flight and flow‐sensitive black‐blood MR angiography

A magnitude‐based MR angiography method of standard time‐of‐flight (TOF) employing a three‐dimensional gradient‐echo sequence with flow rephasing is widely used. A recently proposed flow‐sensitive black‐blood (FSBB) method combining three‐dimensional gradient‐echo sequence with a flow‐dephasing gradient and a hybrid technique, called hybrid of opposite‐contrast, allow depiction of smaller blood vessels than does standard TOF. To further enhance imaging of smaller vessels, a new enhancement technique combining phase with magnitude is proposed. Both TOF and FSBB pulse sequences were used with only 0th‐order gradient moment nulling, and suitable dephasing gradients were added to increase the phase shift introduced mainly by flow. Magnitude‐based vessel‐to‐background contrast‐to‐noise ratios in TOF and FSBB were further enhanced to increase the dynamic range between positive and negative signals through the use of cosine‐function‐based filters for white‐ and black‐blood imaging. The proposed phase‐enhancement processing both improved visualization of slow‐flow vessels in the brains of volunteer subjects with shorter echo time in TOF, FSBB, and hybrid of opposite‐contrast and reduced wraparound artifacts with smaller b values without sacrificing vessel‐to‐background contrast in FSBB. This method of enhancement processing has excellent potential to become clinically useful. Magn Reson Med, 2011. © 2011 Wiley‐Liss, Inc.     

Contrast‐enhanced MR angiography using time resolved interleaved projection sampling with three‐dimensional cartesian phase and slice encoding (TRIPPS)

Undersampled projection reconstruction (PR) techniques provide contrast enhanced MR angiography (CE‐MRA) with high temporal resolution, but sensitivity to eddy current, gradient error and off‐resonance effects. It is desirable to combine the time efficiency of undersampled PR acquisition with the robustness of Cartesian imaging. In this work we present a technique designed to do this termed time resolved projection sampling with three‐dimensional (3D) Cartesian phase and slice encoding (TRIPPS), where 3D Cartesian k‐space is partitioned into multiple half projections in the ky‐kz plane. The phase and slice encoding are performed along predefined center‐out radial trajectories. The whole set of half projections is interleaved into multiple groups of half projections, with each group sparsely but uniformly covering the ky‐kz space. A view sharing sliding window reconstruction algorithm is adapted to reconstruct the dynamic images. The feasibility of the TRIPPS technique for CE‐MRA was demonstrated on the renal, pulmonary, and intracranial vasculatures of healthy volunteers with a high temporal resolution of 2 s/frame. Magn Reson Med, 2009. © 2009 Wiley‐Liss, Inc.     

Short echo‐time 3D radial gradient‐echo MRI using concurrent dephasing and excitation

Ultrashort echo‐time imaging and sweep imaging with Fourier transformation are powerful techniques developed for imaging ultrashort T₂ species. However, it can be challenging to implement them on standard clinical MRI systems due to demanding hardware requirements. In this article, the limits of what is possible in terms of the minimum echo‐time and repetition time with 3D radial gradient‐echo sequences, which can be readily implemented on a standard clinical scanner, are investigated. Additionally, a new 3D radial gradient‐echo sequence is introduced, called COncurrent Dephasing and Excitation (CODE). The unique feature of CODE is that the initial dephasing of the readout gradient is performed during RF excitation, which allows CODE to effectively achieve echo‐times on the order of ～0.2 ms and larger in a clinical setting. The minimum echo‐time achievable with CODE is analytically described and compared with a standard 3D radial gradient‐echo sequence. CODE was implemented on a clinical 3 T scanner (Siemens 3 T MAGNETOM Trio), and both phantom and in vivo human knee images are shown for demonstration. Magn Reson Med, 2012. © 2011 Wiley Periodicals, Inc.     

High‐resolution fMRI with higher‐order generalized series imaging and parallel imaging techniques (HGS‐parallel)

Purpose

To develop a novel approach for high‐resolution functional MRI (fMRI) using the conventional gradient‐echo sequence.

Materials and Methods

Echo‐planar imaging (EPI) techniques have generally been used for fMRI studies due to their fast imaging time. However, it is difficult for studying brain function at the submillimeter level using this sequence. In addition, EPI techniques have some drawbacks, such as Nyquist ghosts and geometric distortions in the reconstructed images, and subsequently require additional postprocessing to reduce these artifacts. One way of solving these problems is to acquire fMRI data by means of a conventional gradient‐echo imaging sequence instead of EPI. To provide a fast imaging time, the proposed method combines higher‐order generalized series (HGS) imaging with a parallel imaging technique which is called the HGS‐parallel technique.

Results

The proposed HGS‐parallel technique achieves a 12.8‐fold acceleration in imaging time without the cost of spatial resolution. The proposed method was verified through the application of fMRI studies on normal subjects.

Conclusion

This study suggests that the proposed method can be used for high‐resolution fMRI studies without the geometric distortion and the Nyquist ghost artifacts compared to EPI. J. Magn. Reson. Imaging 2009;29:924–936. © 2009 Wiley‐Liss, Inc.     

Visualization of active devices and automatic slice repositioning (“SnapTo”) for MRI‐guided interventions

The accurate visualization of interventional devices is crucial for the safety and effectiveness of MRI‐guided interventional procedures. In this paper, we introduce an improvement to the visualization of active devices. The key component is a fast, robust method (“CurveFind”) that reconstructs the three‐dimensional trajectory of the device from projection images in a fraction of a second. CurveFind is an iterative prediction‐correction algorithm that acts on a product of orthogonal projection images. By varying step size and search direction, it is robust to signal inhomogeneities. At the touch of a key, the imaged slice is repositioned to contain the relevant section of the device (“SnapTo”), the curve of the device is plotted in a three‐dimensional display, and the point on a target slice, which the device will intersect, is displayed. These features have been incorporated into a real‐time MRI system. Experiments in vitro and in vivo (in a pig) have produced successful results using a variety of single‐ and multichannel devices designed to produce both spatially continuous and discrete signals. CurveFind is typically able to reconstruct the device curve, with an average error of approximately 2 mm, even in the case of complex geometries. Magn Reson Med 63:1070–1079, 2010. © 2010 Wiley‐Liss, Inc.     

Compatible dual‐echo arteriovenography (CODEA) using an echo‐specific K‐space reordering scheme

An improved dual‐echo sequence magentic resonance (MR) imaging technique was developed to simultaneously acquire a time‐of‐flight MR angiogram (MRA) and a blood oxygenation level‐dependent MR venogram (MRV) in a single MR acquisition at 3 T. MRA and MRV require conflicting scan conditions (e.g., excitation RF profile, flip angle, and spatial presaturation pulse) for their optimal image quality. This conflict was not well counterbalanced or reconciled in previous methods reported for simultaneous acquisition of MRA and MRV. In our dual‐echo sequence method, an echo‐specific K‐space reordering scheme was used to uncouple the scan parameter requirements for MRA and MRV. The MRA and MRV vascular contrast was enhanced by maximally separating the K‐space center regions acquired for the MRA and MRV, and by adjusting and applying scan parameters compatible between the MRA and MRV. As a preliminary result, we were able to acquire a simultaneous dual‐echo MRA and MRV with image quality comparable to that of the conventional single‐echo MRA and MRV that were acquired separately at two different sessions. Furthermore, integrated with tilted optimized nonsaturating excitation and multiple overlapping thin‐slab acquisition techniques, our dual‐echo MRA and MRV provided seamless vascular continuity over a large coverage volume of the brain anatomy. Magn Reson Med, 2009. © 2009 Wiley‐Liss, Inc.     

Spin‐echo MRI using π/2 and π hyperbolic secant pulses

Frequency‐modulated (FM) pulses have practical advantages for spin‐echo experiments, such as the ability to produce a broadband π rotation, with an inhomogeneous radiofrequency (RF) field. However, such use leads to a nonlinear phase of the transverse magnetization, which is why FM pulses like the hyperbolic secant (HS) pulse are not commonly used for multislice spin‐echo magnetic resonance imaging (MRI). Here, a general theory and methods are described for conventional spin‐echo imaging using a π HS pulse for refocusing. Phase profiles produced by the HS pulse are analytically described. The analysis is extended to yield the specific relationships between pulse parameters and gradients, which must be satisfied to compensate the nonlinear phase variation produced with a spin‐echo sequence composed of π/2 and π HS pulses (the π/2 HS ? π HS sequence). The latter offers advantages for multislice spin‐echo MRI, including excellent slice‐selection and partial compensation for RF inhomogeneity. Furthermore, it can be implemented with a shorter echo time and lower power deposition than a previously described method using a pair of π HS pulses. Magn Reson Med 61:175–187, 2009. © 2008 Wiley‐Liss, Inc.     

Simultaneous single‐quantum and triple‐quantum‐filtered MRI of 23Na (SISTINA)

The low MR sensitivity of the sodium nucleus and its low concentration in the human body constrain acquisition time. The use of both single‐quantum and triple‐quantum sodium imaging is, therefore, restricted. In this work, we present a novel MRI sequence that interleaves an ultra‐short echo time radial projection readout into the three‐pulse triple‐quantum preparation. This allows for simultaneous acquisition of tissue sodium concentration weighted as well as triple‐quantum filtered images. Performance of the sequence is shown on phantoms. The method is demonstrated on six healthy informed volunteers and is applied to three cases of brain tumors. A comparison with images from tumor specific O‐(2‐[18F]fluoroethyl)‐L ‐tyrosine positron emission tomography and standard MR images is presented. The combined information of the triple‐quantum‐filtered images with single‐quantum images may enable a better understanding of tissue viability. Future studies can benefit from the evaluation of both contrasts with shortened acquisition times. Magn Reson Med, 2013. © 2012 Wiley Periodicals, Inc.     

Efficient fat suppression by slice‐selection gradient reversal in twice‐refocused diffusion encoding

Most diffusion imaging sequences rely on single‐shot echo‐planar imaging (EPI) for spatial encoding since it is the fastest acquisition available. However, it is sensitive to chemical‐shift artifacts due to the low bandwidth in the phase‐encoding direction, making fat suppression necessary. Often, spectral‐selective RF pulses followed by gradient spoiling are used to selectively saturate the fat signal. This lengthens the acquisition time and increases the specific absorption rate (SAR). However, in pulse sequences that contain two slice‐selective 180° refocusing pulses, the slice‐selection gradient reversal (SSGR) method of fat suppression can be implemented; i.e., using slice‐selection gradients of opposing polarity for the two refocusing pulses. We combined this method with the twice‐refocused spin‐echo sequence for diffusion encoding and tested its performance in both phantoms and in vivo. Unwanted fat signal was entirely suppressed with this method without affecting the water signal intensity or the slice profile. Magn Reson Med 60:1256–1260, 2008. © 2008 Wiley‐Liss, Inc.     

On the dual contrast enhancement mechanism in frequency‐selective inversion‐recovery magnetic resonance angiography (IRON‐MRA)

The susceptibility of blood changes after administration of a paramagnetic contrast agent that shortens T₁. Concomitantly, the resonance frequency of the blood vessels shifts in a geometry‐dependent way. This frequency change may be exploited for incremental contrast generation by applying a frequency‐selective saturation prepulse prior to the imaging sequence. The dual origin of vascular enhancement depending first on off‐resonance and second on T₁ lowering was investigated in vitro, together with the geometry dependence of the signal at 3T. First results obtained in an in vivo rabbit model are presented. Magn Reson Med, 2009. © 2009 Wiley‐Liss, Inc.     

Passive tracking exploiting local signal conservation: the white marker phenomenon.

This article presents a novel approach to passive tracking of paramagnetic markers during endovascular interventions, exploiting positive contrast of the markers to their background, so-called "white marker tracking." The positive contrast results from dephasing of the background signal with a slice gradient, while near the marker the signal is conserved because a dipole field induced by the marker compensates the dephasing gradient. Theoretical investigation shows that a local gradient induced by the local dipole field will nearly always cancel the dephasing gradient somewhere, regardless of marker composition, gradient strength, orientation, and acquisition parameters. The actual appearance of the white marker is determined by the marker strength, echo-time, slice thickness, and gradient strength, as shown both theoretically and experimentally. The novel concept is demonstrated by tracking experiments in a flow phantom and in pig models and is shown to allow reliable and robust depiction of paramagnetic markers with positive contrast and significant suppression of the background signal.