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.     

Phase‐sensitive,dual‐acquisition,single‐slab, 3D,turbo‐spin‐echo pulse sequence for simultaneous T2‐weighted and fluid‐attenuated whole‐brain imaging

Conventional T₂‐weighted turbo/fast spin echo imaging is clinically accepted as the most sensitive method to detect brain lesions but generates a high signal intensity of cerebrospinal fluid (CSF), yielding diagnostic ambiguity for lesions close to CSF. Fluid‐attenuated inversion recovery can be an alternative, selectively eliminating CSF signals. However, a long time of inversion, which is required for CSF suppression, increases imaging time substantially and thereby limits spatial resolution. The purpose of this work is to develop a phase‐sensitive, dual‐acquisition, single‐slab, three‐dimensional, turbo/fast spin echo imaging, simultaneously achieving both conventional T₂‐weighted and fluid‐attenuated inversion recovery–like high‐resolution whole‐brain images in a single pulse sequence, without an apparent increase of imaging time. Dual acquisition in each time of repetition is performed, wherein an in phase between CSF and brain tissues is achieved in the first acquisition, while an opposed phase, which is established by a sequence of a long refocusing pulse train with variable flip angles, a composite flip‐down restore pulse train, and a short time of delay, is attained in the second acquisition. A CSF‐suppressed image is then reconstructed by weighted averaging the in‐ and opposed‐phase images. Numerical simulations and in vivo experiments are performed, demonstrating that this single pulse sequence may replace both conventional T₂‐weighted imaging and fluid‐attenuated inversion recovery. Magn Reson Med 63:1422–1430, 2010. © 2010 Wiley‐Liss, Inc.     

Dual inversion recovery,ultrashort echo time (DIR UTE) imaging: Creating high contrast for short‐T2 species

Imaging of short‐T₂ species requires not only a short echo time but also efficient suppression of long‐T₂ species in order to maximize the short‐T₂ contrast and dynamic range. This paper introduces a method of long‐T₂ suppression using two long adiabatic inversion pulses. The first adiabatic inversion pulse inverts the magnetization of long‐T₂ water and the second one inverts that of fat. Short‐T₂ species experience a significant transverse relaxation during the long adiabatic inversion process and are minimally affected by the inversion pulses. Data acquisition with a short echo time of 8 μs starts following a time delay of inversion time (TI1) for the inverted water magnetization to reach a null point and a time delay of TI2 for the inverted fat magnetization to reach a null point. The suppression of long‐T₂ species depends on proper combination of TI1, TI2, and pulse repetition time. It is insensitive to radiofrequency inhomogeneities because of the adiabatic inversion pulses. The feasibility of this dual inversion recovery ultrashort echo time technique was demonstrated on phantoms, cadaveric specimens, and healthy volunteers, using a clinical 3‐T scanner. High image contrast was achieved for the deep radial and calcified layers of articular cartilage, cortical bone, and the Achilles tendon. Magn Reson Med, 2010. © 2010 Wiley‐Liss, Inc.     

UTE imaging in the musculoskeletal system

Tissues, such as bone, tendon, and ligaments, contain a high fraction of components with "short" and "ultrashort" transverse relaxation times and therefore have short mean transverse relaxation times. With conventional magnetic resonance imaging (MRI) sequences that employ relatively long echo times (TEs), there is no opportunity to encode the decaying signal of short and ultrashort T₂/T₂* tissues before it has reached zero or near zero. The clinically compatible ultrashort TE (UTE) sequence has been increasingly used to study the musculoskeletal system. This article reviews the UTE sequence as well as various modifications that have been implemented since its introduction. These modifications have been used to improve efficiency or contrast as well as provide quantitative analysis. This article reviews several clinical musculoskeletal applications of UTE. J. Magn. Reson. Imaging 2015;41:870–883 . © 2014 Wiley Periodicals, Inc .     

Ultrashort TE imaging with off‐resonance saturation contrast (UTE‐OSC)

Short T₂ species such as the Achilles tendon and cortical bone cannot be imaged with conventional MR sequences. They have a much broader absorption lineshape than long T₂ species, therefore they are more sensitive to an appropriately placed off‐resonance irradiation. In this work, a technique termed ultrashort TE (UTE) with off‐resonance saturation contrast (UTE‐OSC) is proposed to image short T₂ species. A high power saturation pulse was placed +1 to +2 kHz off the water peak to preferentially saturate signals from short T₂ species, leaving long T₂ water and fat signals largely unaffected. The subtraction of UTE images with and without an off‐resonance saturation pulse effectively suppresses long T₂ water and fat signals, creating high contrast for short T₂ species. The UTE‐OSC technique was validated on a phantom, and applied to bone samples and healthy volunteers on a clinical 3T scanner. High‐contrast images of the Achilles tendon and cortical bone were generated with a high contrast‐to‐noise ratio (CNR) of the order of 12 to 20 between short T₂ and long T₂ species within a total scan time of 4 to 10 min. Magn Reson Med, 2009. © 2009 Wiley‐Liss, Inc.     

Clinically constrained optimization of flexTPI acquisition parameters for the tissue sodium concentration bioscale

The rapid transverse relaxation of the sodium magnetic resonance signal during spatial encoding causes a loss of image resolution, an effect known as T₂‐blurring. Conventional wisdom suggests that spatial resolution is maximized by keeping the readout duration as short as possible to minimize T₂‐blurring. Flexible twisted projection imaging performed with an ultrashort echo time, relative to T₂, and a long repetition time, relative to T₁, has been shown to be effective for quantitative sodium magnetic resonance imaging. A minimized readout duration requires a very large number of projections and, consequentially, results in an impractically long total acquisition time to meet these conditions. When the total acquisition time is limited to a clinically practical duration (e.g., 10 min), the optimal parameters for maximal spatial resolution of a flexible twisted projection imaging acquisition do not correspond to the shortest possible readout. Simulation and experimental results for resolution optimized acquisition parameters of quantitative sodium flexible twisted projection imaging of parenchyma and cerebrospinal fluid are presented for the human brain at 9.4 and 3.0T. The effect of signal loss during data collection on sodium quantification bias and image signal‐to‐noise ratio are discussed. Magn Reson Med, 2011. © 2011 Wiley‐Liss, Inc.     

Magnetic resonance imaging: Comparison of four pulse sequences in assessing primary bone tumours

A prospective magnetic resonance imaging (MRI) study was carried out in 13 patients (19 examinations) with primary bone tumours to assess the relative value of each of four pulse sequences in showing the extent and nature of the lesion. The four pulse sequences used were a T₁-weighted spin-echo (SE544/44), a T₂-weighted spin echo (SE1500/80), a short TI inversion recovery (STIR) (IR500/100/44), and a partial saturation (PS) (PS500/22) with field echo data collection. For soft tissue disease the combination of PS and STIR gave better definition of the boundary of the tumour than the more conventional T₁ and T₂-weighted spin echo sequences. For the demonstration of bone cortex, periosteal change and calcification, T₁ and T₂-weighted spin echo sequences were better. However, for calcified tissues, plain radiographs were better than either MRI combination. On the assumption that plain films will be available in all cases, PS and STIR sequences could therefore be substituted for T1 and T2-weighted spin echo sequences allowing an increase in soft tissue detectability for lesions in both red and yellow marrow.     

k‐space water‐fat decomposition with T2* estimation and multifrequency fat spectrum modeling for ultrashort echo time imaging

Purpose:

To demonstrate the feasibility of combining a chemical shift‐based water‐fat separation method (IDEAL) with a 2D ultrashort echo time (UTE) sequence for imaging and quantification of the short T₂ tissues with robust fat suppression.

Materials and Methods:

A 2D multislice UTE data acquisition scheme was combined with IDEAL processing, including T₂* estimation, chemical shift artifacts correction, and multifrequency modeling of the fat spectrum to image short T₂ tissues such as the Achilles tendon and meniscus both in vitro and in vivo. The integration of an advanced field map estimation technique into this combined method, such as region growing (RG), is also investigated.

Results:

The combination of IDEAL with UTE imaging is feasible and excellent water‐fat separation can be achieved for the Achilles tendon and meniscus with simultaneous T₂* estimation and chemical shift artifact correction. Multifrequency modeling of the fat spectrum yields more complete water‐fat separation with more accurate correction for chemical shift artifacts. The RG scheme helps to avoid water‐fat swapping.

Conclusion:

The combination of UTE data acquisition with IDEAL has potential applications in imaging and quantifying short T₂ tissues, eliminating the necessity for fat suppression pulses that may directly suppress the short T₂ signals. J. Magn. Reson. Imaging 2010;31:1027–1034. ©2010 Wiley‐Liss, Inc.     

Ultrashort echo time imaging using pointwise encoding time reduction with radial acquisition (PETRA)

Sequences with ultrashort echo times enable new applications of MRI, including bone, tendon, ligament, and dental imaging. In this article, a sequence is presented that achieves the shortest possible encoding time for each k‐space point, limited by pulse length, hardware switching times, and gradient performance of the scanner. In pointwise encoding time reduction with radial acquisition (PETRA), outer k‐space is filled with radial half‐projections, whereas the centre is measured single pointwise on a Cartesian trajectory. This hybrid sequence combines the features of single point imaging with radial projection imaging. No hardware changes are required. Using this method, 3D images with an isotropic resolution of 1 mm can be obtained in less than 3 minutes. The differences between PETRA and the ultrashort echo time (UTE) sequence are evaluated by simulation and phantom measurements. Advantages of pointwise encoding time reduction with radial acquisition are shown for tissue with a T₂ below 1 ms. The signal to noise ratio and Contrast‐to‐noise ratio (CNR) performance, as well as possible limitations of the approach, are investigated. In‐vivo head, knee, ankle, and wrist examples are presented to prove the feasibility of the sequence. In summary, fast imaging with ultrashort echo time is enabled by PETRA and may help to establish new routine clinical applications of ultrashort echo time sequences. Magn Reson Med, 2012. © 2011 Wiley Periodicals, Inc.     

Investigations of the origin of phase differences seen with ultrashort TE imaging of short T2 meniscal tissue

Ultrashort echo time MRI requires specialized pulse sequences with nominal echo times as low as a few microseconds to detect signals from the short T(2) tissues frequently encountered in the musculoskeletal system. Usually, magnitude images are reconstructed and these often show low tissue contrast. Ultrashort echo time phase images of the meniscus show surprisingly high contrast despite their very short echo time. In this article, we investigated the source of this contrast using the Bloch equations, simulations, phantom experiments, and tissue studies. Phase evolution was shown to occur in ultrashort echo time sequences during the finite radiofrequency pulse and readout periods, and previously unrecognized susceptibility differences between fiber groups were observed in the meniscus.     

A multispectral three‐dimensional acquisition technique for imaging near metal implants

Metallic implants used in bone and joint arthroplasty induce severe spatial perturbations to the B₀ magnetic field used for high‐field clinical magnetic resonance. These perturbations distort slice‐selection and frequency encoding processes applied in conventional two‐dimensional MRI techniques and hinder the diagnosis of complications from arthroplasty. Here, a method is presented whereby multiple three‐dimensional fast‐spin‐echo images are collected using discrete offsets in RF transmission and reception frequency. It is demonstrated that this multi acquisition variable‐resonance image combination technique can be used to generate a composite image that is devoid of slice‐plane distortion and possesses greatly reduced distortions in the readout direction, even in the immediate vicinity of metallic implants. Magn Reson Med 61:381–390, 2009. © 2009 Wiley‐Liss, Inc.     

Ultrashort TE T1rho (UTE T1rho) imaging of the Achilles tendon and meniscus

In this study, we report the use of a novel ultrashort echo time T₁rhoT₁ sequence that combines a spin‐lock preparation pulse with a two‐dimensional ultrashort echo time sequence of a nominal echo time 8 μsec. The ultrashort echo time‐T₁rho sequence was employed to quantify T₁rho in short T₂ tissues including the Achilles tendon and the meniscus. T₁rho dispersion was investigated by varying the spin‐lock field strength. Preliminary results on six cadaveric ankle specimens and five healthy volunteers show that the ultrashort echo time‐T₁rho sequence provides high signal and contrast for both the Achilles tendon and the meniscus. The mean T₁rho of the Achilles tendon ranged from 3.06 ± 0.51 msec for healthy volunteers to 5.22 ± 0.58 msec for cadaveric specimens. T₁rho increased to 8.99 ± 0.24 msec in one specimen with tendon degeneration. A mean T₁rho of 7.98 ± 1.43 msec was observed in the meniscus of the healthy volunteers. There was significant T₁rho dispersion in both the Achilles tendon and the meniscus. Mean T₁rho increased from 2.06 ± 0.23 to 7.85 ± 0.74 msec in normal Achilles tendon and from 7.08 ± 0.64 to 13.42 ± 0.93 msec in normal meniscus when the spin‐lock field was increased from 250 to 1,000 Hz. Magn Reson Med, 2010. © 2010 Wiley‐Liss, Inc.     

Assessment of anterior cruciate ligament reconstruction using 3D ultrashort echo‐time MR imaging

This work demonstrates the potential of ultrashort TE (UTE) imaging for visualizing graft material and fixation elements after surgical repair of soft tissue trauma such as ligament or meniscal injury. Three asymptomatic patients with anterior cruciate ligament (ACL) reconstruction using different graft fixation methods were imaged at 1.5T using a 3D UTE sequence. Conventional multislice turbo spin‐echo (TSE) measurements were performed for comparison. 3D UTE imaging yields high signal from tendon graft material at isotropic spatial resolution, thus facilitating direct positive contrast graft visualization. Furthermore, metal and biopolymer graft fixation elements are clearly depicted due to the high contrast between the signal‐void implants and the graft material. Thus, the ability of UTE MRI to visualize short‐T₂ tissues such as tendons, ligaments, or tendon grafts can provide additional information about the status of the graft and its fixation in the situation after cruciate ligament repair. UTE MRI can therefore potentially support diagnosis when problems occur or persist after surgical procedures involving short‐T₂ tissues and implants. J. Magn. Reson. Imaging 2009;29:443–448. © 2009 Wiley‐Liss, Inc.     

Assessment of cortical bone with clinical and ultrashort echo time sequences

We describe the use of ultrashort echo time (UTE) sequences and fast spin echo sequences to assess cortical bone using a clinical 3T scanner. Regular two‐ and three‐dimensional UTE sequences were used to image both bound and free water in cortical bone. Adiabatic inversion recovery prepared UTE sequences were used to image water bound to the organic matrix. Two‐dimensional fast spin echo sequences were used to image free water. Regular UTE sequences were used together with bicomponent analysis to measure T*₂s and relative fractions of bound and free water components in cortical bone. Inversion recovery prepared UTE sequences were used to measure the T*₂ of bound water. Saturation recovery UTE sequences were used to measure the T₁ of bone water. Eight cadaveric human cortical bone samples and a lower leg specimen were studied. Preliminary results show two distinct components in UTE detected signal decay, a single component in inversion recovery prepared UTE detected signal decay, and a single component in saturation recovery UTE detected signal recovery. Regular UTE sequences appear to depict both bound and free water in cortical bone. Inversion recovery prepared UTE sequences appear to depict water bound to the organic matrix. Two‐dimensional fast spin echo sequences appear to depict bone structure corresponding to free water in large pores. Magn Reson Med 70:697–704, 2013. © 2012 Wiley Periodicals, Inc.     

Improved T2 mapping accuracy with dual‐echo turbo spin echo: Effect of phase encoding profile orders

Turbo spin echo (TSE) pulse sequences have been applied to estimate T₂ relaxation times in clinically feasible scan times. However, T₂ estimations using TSE pulse sequences has been shown to differ considerable from reference standard sequences due to several sources of error. The purpose of this work was to apply voxel‐sensitivity formalism to correct for one such source of error introduced by differing phase encoding profile orders with dual‐echo TSE pulse sequences. The American College of Radiology phantom and the brains of two healthy volunteers were imaged using dual‐echo TSE as well as 32‐echo spin‐echo acquisitions and T₂ estimations from uncorrected and voxel‐sensitivity formalism‐corrected dual‐echo TSE and 32‐echo acquisitions were compared. In all regions of the brain and the majority of the analyses of the American College of Radiology phantom, voxel‐sensitivity formalism correction resulted in considerable improvements in dual‐echo TSE T₂ estimation compared with the 32‐echo acquisition, with improvements in T₂ value accuracy ranging from 5.2% to 18.6%. Magn Reson Med, 2013. © 2012 Wiley Periodicals, Inc.     

Optimization of parameter values for complex pulse sequences by simulated annealing: Application to 3D MP-RAGE imaging of the brain

A number of pulse sequence techniques, including magnetization-prepared gradient echo (MP-GRE), segmented GRE, and hybrid RARE, employ a relatively large number of variable pulse sequence parameters and acquire the image data during a transient signal evolution. These sequences have recently been proposed and/or used for clinical applications in the brain, spine, liver, and coronary arteries. Thus, the need for a method of deriving optimal pulse sequence parameter values for this class of sequences now exists. Due to the complexity of these sequences, conventional optimization approaches, such as applying differential calculus to signal difference equations, are inadequate. We have developed a general framework for adapting the simulated annealing algorithm to pulse sequence parameter value optimization, and applied this framework to the specific case of optimizing the white matter-gray matter signal difference for a T₁-weighted variable flip angle 3D MP-RAGE sequence. Using our algorithm, the values of 35 sequence parameters, including the magnetization-preparation RF pulse flip angle and delay time, 32 flip angles in the variable flip angle gradient-echo acquisition sequence, and the magnetization recovery time, were derived. Optimized 3D MP-RAGE achieved up to a 130% increase in white matter-gray matter signal difference compared with optimized 3D RF-spoiled FLASH with the same total acquisition time. The simulated annealing approach was effective at deriving optimal parameter values for a specific 3D MP-RAGE imaging objective, and may be useful for other imaging objectives and sequences in this general class.     

An MRI method for measuring T2 in the presence of static and RF magnetic field Inhomogeneities

A magnetic resonance imaging method for measuring the T₂ relaxation time constant is proposed. It is based on the assumption that, under very general conditions, the MR signal near a spin echo has a special symmetry arising from the refocusing nature of the 180° RF pulse. A gradient echo sampling of the spin echo (GESSE) sequence is implemented to evaluate T₂ by collecting multiple gradient echoes before and after the spin echo. This approach is a modification of the GESFIDE sequence proposed by Ma and Wehrli. However, our approach compares images that are not separated by any RF pulses and, as a result, is insensitive to slice profile imperfections. In addition, the calculated T₂ value does not rely on any special assumptions about the MRI signal behavior in the presence of an inhomogeneous static magnetic field and, hence, is insensitive to the presence of static magnetic field inhomogeneities.     

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.     

Contrast enhancement of short T2 tissues using ultrashort TE (UTE) pulse sequences

AIM: To review the effects of contrast administration on tissues with short T2s using a pulse ultrashort echo time (UTE) sequence. MATERIALS AND METHODS: Pulse sequences were implemented with echo times of 0.08 ms and three later gradient echoes. A fat-suppression option was used and later echo images were subtracted from the first echo image. Contrast enhancement with gadodiamide (0.3 mmol/kg) was used for serial studies in a volunteer. The images of 10 patients were reviewed for evidence of contrast enhancement in short T2 tissues. RESULTS: Contrast enhancement was seen in normal meninges, falx, tendons, ligaments, menisci, periosteum and cortical bone. In addition more extensive enhancement than with conventional pulse sequences was seen in meningeal disease, intervertebral disc disease, periligamentous scar tissue and periosteum after fracture. Subtraction of an image taken with a longer TE from the first image was of value in differentiating enhancement in short T2 tissues from that in long T2 tissues or blood. CONCLUSION: Contrast enhancement can be identified in tissues with short T2s using UTE pulse sequences in health and disease.     

Comparison of two ultrashort echo time sequences for the quantification of T(1) within phantom and human Achilles tendon at 3 T

Ultrashort echo time (UTE) techniques enable direct imaging of musculoskeletal tissues with short T₂ allowing measurement of T₁ relaxation times. This article presents comparison of optimized 3D variable flip angle UTE (VFA‐UTE) and 2D saturation recovery UTE (SR‐UTE) sequences to quantify T₁ in agar phantoms and human Achilles tendon. Achilles tendon T₁ values for asymptomatic volunteers were compared to Achilles tendon T₁ values calculated from patients with clinical diagnoses of spondyloarthritis (SpA) and Achilles tendinopathy using an optimized VFA‐UTE sequence. T₁ values from phantom data for VFA‐ and SR‐UTE compare well against calculated T₁ values from an assumed gold standard inversion recovery spin echo sequence. Mean T₁ values in asymptomatic Achilles tendon were found to be 725 ± 42 ms and 698 ± 54 ms for SR‐ and VFA‐UTE, respectively. The patient group mean T₁ value for Achilles tendon was found to be 957 ± 173 ms (P < 0.05) using an optimized VFA‐UTE sequence with pulse repetition time of 6 ms and flip angles 4, 19, and 24°, taking a total 9 min acquisition time. The VFA‐UTE technique appears clinically feasible for quantifying T₁ in Achilles tendon. T₁ measurements offer potential for detecting changes in Achilles tendon due to SpA without need for intravenous contrast agents. Magn Reson Med, 2012. © 2012 Wiley Periodicals, Inc.