Spin‐echo magnetic resonance spectroscopic imaging at 7 T with frequency‐modulated refocusing pulses

Two approaches to high‐resolution SENSE‐encoded magnetic resonance spectroscopic imaging (MRSI) of the human brain at 7 Tesla (T) with whole‐slice coverage are described. Both sequences use high‐bandwidth radiofrequency pulses to reduce chemical shift displacement artifacts, SENSE‐encoding to reduce scan time, and dual‐band water and lipid suppression optimized for 7 T. Simultaneous B₀ and transmit B₁ mapping was also used for both sequences to optimize field homogeneity using high‐order shimming and determine optimum radiofrequency transmit level, respectively. One sequence (“Hahn‐MRSI”) used reduced flip angle (90°) refocusing pulses for lower radiofrequency power deposition, while the other sequence used adiabatic fast passage refocusing pulses for improved sensitivity and reduced signal dependence on the transmit‐B₁ level. In four normal subjects, adiabatic fast passage‐MRSI showed a signal‐to‐noise ratio improvement of 3.2 ± 0.5 compared to Hahn‐MRSI at the same spatial resolution, pulse repetition time, echo time, and SENSE‐acceleration factor. An interleaved two‐slice Hahn‐MRSI sequence is also demonstrated to be experimentally feasible. Magn Reson Med, 2013. © 2012 Wiley Periodicals, Inc.     

Optimization of alternating TR‐SSFP for fat‐suppression in abdominal images at 3T

Magnetic resonance imaging is widely used in the work‐up and monitoring of patients with Crohn's disease. Balanced steady‐state free precession sequences are an important part of the imaging protocol and until now primarily 1.5T scanners have been used in daily clinical practice. This is largely because running balanced steady‐state free precession sequences in 3T magnets has technical problems related to increased B₀ inhomogeneity and specific absorption rate (SAR) deposition. A modified form of alternating repetition time steady‐state free precession sequence is presented to acquire 3D‐isotropic abdominal images with fat‐suppression at 3T within a breath‐hold. The modifications include an adjusted radiofrequency pulse shape, suitable phase‐cycling scheme and TR₁/TR₂ ratio. Results show that the proposed sequence is successful in obtaining high contrast 3D‐isotropic abdominal images within a breath‐hold. Furthermore, the proposed methodology is easy to implement in a clinical setting and does not require any postprocessing steps. Magn Reson Med, 2012. © 2011 Wiley Periodicals, Inc.     

Influence of MT effects on T2 quantification with 3D balanced steady‐state free precession imaging

Signal from balanced steady‐state free precession is affected by magnetization transfer. To investigate the possible effects on derived T₂ values using variable nutation steady‐state free precession, magnetization transfer‐effects were modulated by varying the radiofrequency pulse duration only or in combination with variable pulse repetition time. Simulations reveal a clear magnetization transfer dependency of T₂ when decreasing radiofrequency pulse duration, reaching maximal deviation of 34.6% underestimation with rectangular pulses of 300 μs duration. The observed T₂ deviation evaluated in the frontal white matter and caudate nucleus shows a larger underestimation than expected by numerical simulations. However, this observed difference between simulation and measurement is also observed in an aqueous probe and can therefore not be attributed to magnetization transfer: it is an unexpected sensitivity of derived T₂ to radiofrequency pulse modulation. As expected, the limit of sufficiently long radiofrequency pulse duration to suppress magnetization transfer‐related signal modulations allows for proper T₂ estimation with variable nutation steady‐state free precession. Magn Reson Med, 2010. © 2010 Wiley‐Liss, Inc.     

Intrascanner and interscanner variability of magnetization transfer‐sensitized balanced steady‐state free precession imaging

Recently, a new and fast three‐dimensional imaging technique for magnetization transfer ratio (MTR) imaging has been proposed based on a balanced steady‐state free precession protocol with modified radiofrequency pulses. In this study, optimal balanced steady‐state free precession MTR protocol parameters were derived for maximum stability and reproducibility. Variability between scans was assessed within white and gray matter for nine healthy volunteers using two different 1.5 T clinical systems at six different sites. Intrascanner and interscanner MTR measurements were well reproducible (coefficient of variation: c_v < 0.012 and c_v < 0.015, respectively) and results indicate a high stability across sites (c_v < 0.017) for optimal flip angle settings. This study demonstrates that balanced steady‐state free precession MTR not only benefits from short acquisition time and high signal‐to‐noise ratio but also offers excellent reproducibility and low variability, and it is thus proposed for clinical MTR scans at individual sites as well as for multicenter studies. Magn Reson Med, 2010. © 2010 Wiley‐Liss, Inc.     

Spin‐locked balanced steady‐state free‐precession (slSSFP)

A spin‐locked balanced steady‐state free‐precession (slSSFP) pulse sequence is described that combines a balanced gradient‐echo acquisition with an off‐resonance spin‐lock pulse for fast MRI. The transient and steady‐state magnetization trajectory was solved numerically using the Bloch equations and was shown to be similar to balanced steady‐state free‐precession (bSSFP) for a range of T₂/T₁ and flip angles, although the slSSFP steady‐state could be maintained with considerably lower radio frequency (RF) power. In both simulations and brain scans performed at 7T, slSSFP was shown to exhibit similar contrast and signal‐to‐noise ratio (SNR) efficiency to bSSFP, but with significantly lower power. Magn Reson Med, 2009. © 2009 Wiley‐Liss, Inc.     

Fast three‐dimensional proton spectroscopic imaging of the human brain at 3 T by combining spectroscopic missing pulse steady‐state free precession and echo planar spectroscopic imaging

The combination of the principles of two fast spectroscopic imaging (SI) methods, spectroscopic missing pulse steady‐state free precession and echo planar SI (EPSI) is described as an approach toward fast 3D SI. This method, termed missing pulse steady‐state free precession echo planar SI, exhibits a considerably reduced minimum total measurement time T_min, allowing a higher temporal resolution, a larger spatial matrix size, and the use of k‐space weighted averaging and phase cycling, while maintaining all advantages of the original spectroscopic missing pulse steady‐state free precession sequence. The minor signal‐to‐noise ratio loss caused by using oscillating read gradients can be compensated by applying k‐space weighted averaging. The missing pulse steady‐state free precession echo planar SI sequence was implemented on a 3 T head scanner, tested on phantoms and applied to healthy volunteers. Magn Reson Med, 2011. © 2011 Wiley Periodicals, Inc.     

Consequences of T2 relaxation during half‐pulse slice selection for ultrashort TE imaging

A “half‐pulse” slice selection approach is used in the ultrashort echo time pulse sequence and is required to give minimal transverse relaxation in a two‐dimensional acquisition. This method splits the normal excitation radiofrequency pulse in half and acquires a pair of images, each using one of these half‐pulses. These half‐pulses are used without a refocusing gradient since summing the pair of images yields images with accurate slice selection. When the radiofrequency pulse duration is similar to the sample T₂, characteristics such as the effective echo time and choice of radiofrequency pulse require careful evaluation as some of the approximations in conventional slice selection do not apply. We derive a theory that includes relaxation during excitation using Pauly's excitation k‐space formalism. Further, this theory is tested on phantoms with a range of values of T₂ demonstrating the effect on the slice profile. We conclude that relaxation during excitation is significant and should be included in our estimate of the T₂ weighting of the sequence. In general, the T₂ weighting should be measured from the time of the centroid of the excitation pulse. Magn Reson Med, 2010. © 2010 Wiley‐Liss, Inc.     

Radiofrequency pulse designs for three‐dimensional MRI providing uniform tipping in inhomogeneous B1 fields

Although high‐field MRI offers increased signal‐to‐noise, the nonuniform tipping produced by conventional radiofrequency (RF) pulses leads to spatially dependent contrast and suboptimal signal‐to‐noise, thus complicating the interpretation of the MR images. For structural imaging, three‐dimensional sequences that do not make use of frequency‐selective RF pulses have become popular. Therefore, the aim of this research was to develop non‐slice‐selective (NSS) RF pulses with immunity to both amplitude of (excitation) RF field (B₁) inhomogeneity and resonance offset. To accomplish this, an optimization routine based on optimal control theory was used to design new NSS pulses with desired ranges of immunity to B₁ inhomogeneity and resonance offset. The design allows the phase of transverse magnetization produced by the pulses to vary. Although the emphasis is on shallow tip designs, new designs for 30°, 60°, 90°, and 180° NSS RF pulses are also provided. These larger tip angle pulses are compared with recently published NSS pulses. Evidence is presented that the pulses presented in this article have equivalent performance but are shorter than the recently published pulses. Although the NSS pulses generate higher specific absorption rates and larger magnetization transfer effects than the rectangular pulses they replace, they nevertheless show promise for three‐dimensional MRI experiments at high field. Magn Reson Med, 2011. © 2011 Wiley Periodicals, Inc.     

An analytical description of balanced steady‐state free precession with finite radio‐frequency excitation

Conceptually, the only flaw in the standard steady‐state free precession theory is the assumption of quasi‐instantaneous radio‐frequency pulses, and 10–20% signal deviations from theory are observed for common balanced steady‐state free precession protocols. This discrepancy in the steady‐state signal can be resolved by a simple T₂ substitution taking into account reduced transverse relaxation effects during finite radio‐frequency excitation. However, finite radio‐frequency effects may also affect the transient phase of balanced steady‐state free precession, its contrast or its spin‐echo nature and thereby have an adverse effect on common steady‐state free precession magnetization preparation methods. As a result, an in‐depth understanding of finite radio‐frequency effects is not only of fundamental theoretical interest but also has direct practical implications. In this article, an analytical solution for balanced steady‐state free precession with finite radio‐frequency pulses is derived for the transient phase (under ideal conditions) and in the steady state demonstrating that balanced steady‐state free precession key features are preserved but revealing an unexpected dependency of finite radio‐frequency effects on relaxation times for the transient decay. Finally, the mathematical framework reveals that finite radio‐frequency theory can be understood as a generalization of alternating repetition time and fluctuating equilibrium steady‐state free precession sequence schemes. Magn Reson Med, 2011. © 2010 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.     

Finite RF pulse correction on DESPOT2

Magnetization transfer and finite radiofrequency (RF) pulses affect the steady state of balanced steady state free precession. As quantification of transverse relaxation (T₂) with driven equilibrium single pulse observation of T₂ is based on two balanced steady state free precession acquisitions, both effects can influence the outcome of this method: a short RF pulse per repetition time (T_RF/TR ? 1) leads to considerable magnetization transfer effects, whereas prolonged RF pulses (T_RF/TR > 0.2) minimize magnetization transfer effects, but lead to increased finite pulse effects. A correction for finite pulse effects is thus implemented in the driven equilibrium single pulse observation of T₂ theory to compensate for reduced transverse relaxation effects during excitation. It is shown that the correction successfully removes the driven equilibrium single pulse observation of T₂ dependency on the RF pulse duration. A reduction of the variation in obtained T₂ from over 50% to less than 10% is achieved. We hereby provide a means of acquiring magnetization transfer‐free balanced steady state free precession images to yield accurate T₂ values using elongated RF pulses. Magn Reson Med, 2011. © 2010 Wiley‐Liss, Inc.     

Radiofrequency pulses for simultaneous short T2 excitation and long T2 suppression

Magnetic resonance imaging of short T₂ musculoskeletal tissues such as ligaments, tendon, and cortical bone often requires specialized pulse sequences to detect sufficiently high levels of signal, as well as additional techniques to suppress unwanted long T₂ signals. We describe a specialized radiofrequency technique for imaging short T₂ tissues based on applying hard 180° radiofrequency excitation pulses to achieve simultaneous short T₂ tissue excitation and long T₂ tissue signal suppression for three‐dimensional ultrashort echo time applications. A criterion for the pulse duration of the 180° radiofrequency pulses is derived that allows simultaneous water and fat suppression. This opens up possibilities for direct imaging of short T₂ tissues, without the need for additional suppression techniques. Bloch simulations and experimental studies on short T₂ phantoms and specimen were used to test the sequence performance. Magn Reson Med, 2011. © 2010 Wiley‐Liss, Inc.     

Dual half‐echo phase correction for implementation of 3D radial SSFP at 3.0 T

Fat/water separation methods such as fluctuating equilibrium magnetic resonance and linear combination steady‐state free precession have not yet been successfully implemented at 3.0 T due to extreme limitations on the time available for spatial encoding with the increase in magnetic field strength. We present a method to utilize a three‐dimensional radial sequence combined with linear combination steady‐state free precession at 3.0 T to take advantage of the increased signal levels over 1.5 T and demonstrate high spatial resolution compared to Cartesian techniques. We exploit information from the two half‐echoes within each pulse repetition time to correct the accumulated phase on a point‐by‐point basis, thereby fully aligning the phase of both half‐echoes. The correction provides reduced sensitivity to static field (B₀) inhomogeneity and robust fat/water separation. Resultant images in the knee joint demonstrate the necessity of such a correction, as well as the increased isotropic spatial resolution attainable at 3.0 T. Results of a clinical study comparing this sequence to conventional joint imaging sequences are included. Magn Reson Med, 2010. © 2010 Wiley‐Liss, Inc.     

Fast radiofrequency flip angle calibration by Bloch–Siegert shift

In a recent work, we presented a novel method for B field mapping based on the Bloch–Siegert shift. Here, we apply this method to automated fast radiofrequency transmit gain calibration. Two off‐resonance radiofrequency pulses were added to a slice‐selective spin echo sequence. The off‐resonance pulses induce a Bloch–Siegert phase shift in the acquired signal that is proportional to the square of the radiofrequency field magnitude B₁². The signal is further spatially localized by a readout gradient, and the signal‐weighted average B₁ field is calculated. This calibration from starting system transmit gain to average flip angle is used to calculate the transmit gain setting needed to produce a desired imaging sequence flip angle. A robust implementation is demonstrated with a scan time of 3 s. The Bloch–Siegert‐based calibration was used to predict the transmit gain for a 90° radiofrequency pulse and gave a flip angle of 88.6 ± 3.42° when tested in vivo in 32 volunteers. Magn Reson Med, 2011. © 2011 Wiley Periodicals, Inc.     

Signal‐to‐noise optimization for sodium MRI of the human knee at 4.7 Tesla using steady state

Sodium magnetic resonance imaging of knee cartilage is a possible diagnostic method for osteoarthritis, but low signal‐to‐noise ratio yields low spatial resolution images and long scan times. For a given scan time, a steady‐state approach with reduced repetition time and increased averaging may improve signal‐to‐noise ratio and hence attainable resolution. However, repetition time reduction results in increased power deposition, which must be offset with increased radiofrequency pulse length and/or reduced flip angle to maintain an acceptable specific absorption rate. Simulations varying flip angle, repetition time, and radiofrequency pulse length were performed for constant power deposition corresponding to ～6 W/kg over the human knee at 4.7T. For 10% agar, simulation closely matched experiment. For healthy human knee cartilage, a 37% increase in signal‐to‐noise ratio was predicted for steady‐state over “fully relaxed” parameters while a 29% ± 4% increase was determined experimentally (n = 10). Partial volume of cartilage with synovial fluid, inaccurate relaxation parameters used in simulation, and/or quadrupolar splitting may be responsible for this disagreement. Excellent quality sodium images of the human knee were produced in 9 mins at 4.7T using the signal‐to‐noise ratio enhancing steady‐state technique. Magn Reson Med, 2011. © 2011 Wiley‐Liss, Inc.     

Gradient echo imaging

Magnetic resonance imaging (MRI) based on gradient echoes is used in a wide variety of imaging techniques and clinical applications. Gradient echo sequences form the basis for an essential group of imaging methods that find widespread use in clinical practice, particularly when fast imaging is important, as for example in cardiac MRI or contrast‐enhanced MR angiography. However, the term “gradient echo sequence” is somewhat unspecific, as even images acquired with the most common sequences employing the gradient echo for data acquisition can significantly differ in signal, contrast, artifact behavior, and sensitivity to, eg, flow. This is due to the different use of sequence timing and basic sequence building blocks such as spoiler gradients or specific radiofrequency (RF) pulse phase patterns. In this article the basic principles of gradient echo formation compared to spin echo imaging are reviewed and the properties of gradient echo imaging in its simplest form (TR ? T₂) are described. Further, the most common three variants of fast gradient echo sequences (TR < T₂), namely, unbalanced gradient echo, RF spoiled gradient echo, and balanced steady state free precession; are discussed. For each gradient echo sequence type, examples of applications exploiting the specific properties of the individual technique are presented. J. Magn. Reson. Imaging 2012;35:1274–1289. © 2012 Wiley Periodicals, Inc.     

Optimization of RF excitation to maximize signal and T2 contrast of tissues with rapid transverse relaxation

Ultrashort echo time MRI requires specialized pulse sequences to overcome the short T₂ of the MR signal encountered in tissues such as ligaments, tendon, or cortical bone. Theoretical work is presented, supported by simulations and experimental data on optimizing the radiofrequency excitation to maximize signal‐to‐noise ratio and contrast‐to‐noise ratio. The theoretical calculations and simulations are based on the classic Bloch equations and lead to a closed form expression for the optimal radiofrequency pulse parameters to maximize the MR signal in the presence of rapid T₂ decay. In the steady state, the spoiled gradient recalled echo signal amplitude in response to the radiofrequency excitation pulses is not maximized by the classic Ernst angle but by a more general criterion we call “generalized Ernst angle.” Finally, it is shown that T₂ contrast is maximized by flipping the magnetization at the Ernst angle with a radiofrequency pulse duration proportional to the targeted T₂. Experimental studies on short T₂ phantoms confirm these optimization criteria for both signal‐to‐noise ratio and contrast‐to‐noise ratio. Magn Reson Med, 2010. © 2010 Wiley‐Liss, Inc.     

Imaging iron‐loaded mouse glioma tumors with bSSFP at 3 T

The poor prognosis for patients with high‐grade glioma is partly due to the invasion of tumor cells into surrounding brain tissue. The goal of the present work was to develop a mouse model of glioma that included the potential to track cell invasion using MRI by labeling GL261 cells with iron oxide contrast agents prior to intracranial injection. Two types of agents were compared with several labeling schemes to balance between labeling with sufficient iron to curb the dilution effect of cell division while avoiding overwhelming signal loss that could prevent adequate visualization of tumor boundaries. The balanced steady‐state free precession (bSSFP) pulse sequence was evaluated for its suitability for imaging glioma tumors and compared to T₂‐weighted two‐dimensional fast spin echo (FSE) and T₁‐weighted spoiled gradient recalled echo (SPGR) at 3 T in terms of signal‐to‐noise ratio and contrast‐to‐noise ratio efficiencies. Ultimately, a three‐dimensional bSSFP protocol consisting of a set of two images with complementary contrasts was developed, allowing excellent tumor visualization with minimal iron contrast when using pulse repetition time = 6 ms and α = 40°, and extremely high sensitivity to iron when using pulse repetition time = 22 ms and α = 20°. Quantitative histologic analysis validated that the strong signal loss seen in balanced steady state free precession pulse sequence images of iron‐loaded tumors correlated well with the presence of iron. Magn Reson Med, 2010. © 2010 Wiley‐Liss, Inc.     

Reduction of fast spin echo cusp artifact using a slice‐tilting gradient

A “featherlike” artifact, termed a cusp artifact, is sometimes seen along the phase‐encoding direction in sagittal or coronal fast spin echo images. This artifact arises from the spins, at a location distant from the magnet isocenter, that are excited and aliased to the field of view because their precession frequency is similar to those at the isocenter. Such a situation is created due to a combination of excessive gradient nonlinearity and rapid change of the main magnetic field near the edge of the magnet where the artifact‐producing spins are located. A novel technique is proposed to reduce this artifact, in which a fast spin echo pulse sequence is modified to slightly tilt the slice selected by the radiofrequency excitation pulse away from the slice selected by the radiofrequency refocusing pulses. At the edge of the field of view, the incomplete overlap between the slices selected by the excitation and refocusing pulses effectively reduces the signals from the artifact‐prone region. In contrast, the slices overlap substantially within the field of view so that the signals are largely retained. This slice‐tilting technique has been implemented on two commercial MRI scanners operating at 3.0 T and 1.5 T, respectively, and evaluated on phantoms and human spine and extremities using clinical protocols. Both phantom and human results showed that the technique decreased the strength of the cusp artifact by at least 65% and substantially limited the spatial extent of the artifact. This technique, which can be further enhanced by a simple postprocessing step, offers significant advantages over a number of other techniques for reducing the fast spin echo cusp artifact. It can be implemented on virtually any scanner without hardware modification, complicated calibration, sophisticated image reconstruction, or patient‐handling alteration. Magn Reson Med, 2010. © 2010 Wiley‐Liss, Inc.