Diffusion sensitivity of turbo spin echo sequences

This article introduces an effective b-factor b(TSE) for turbo spin echo (TSE) sequences to quantify their inherent diffusion sensitivity. b(TSE) is investigated for a broad variety of two-dimensional- and three-dimensional-TSE sequences using constant and varying flip angles (transitions between pseudo steady states, SPACE, VISTA, Cube, etc.). The inherent TSE diffusion sensitivity becomes important for high-resolution protocols, which can lead to subtle contrast modifications or even fluid suppressions in a clinical setting or animal imaging regime. The b(TSE) values obtained considerably depend on the relaxation times and diffusion coefficient and, thus, on the tissue under observation. The fractional b(TSE) contributions per TSE imaging encoding axis are highly anisotropic. Further noteworthy effects such as decreasing b-factors along a TSE train are pointed out and explained. The results are also discussed in combination with recent findings regarding contrast properties and possible diffusion sensitivity of TSE sequences. Identical but well more pronounced b(TSE) effects are observed in the animal imaging regime due to smaller field of view and higher resolutions.     

Time‐efficient fast spin echo imaging at 4.7 T with low refocusing angles

An implementation of fast spin echo at 4.7 T designed for versatile and time‐efficient T₂‐weighted imaging of the human brain is presented. Reduced refocusing angles (α < 180°) were employed to overcome specific absorption rate (SAR) constraints and their effects on image quality assessed. Image intensity and tissue contrast variations from heterogeneous RF transmit fields and incidental magnetization transfer effects were investigated at reduced refocusing angles. We found that intraslice signal variations are minimized with refocusing angles near 180°, but apparent gray/white matter contrast is independent of refocusing angle. Incidental magnetization transfer effects from multislice acquisitions were shown to attenuate white matter intensity by 25% and gray matter intensity by 15% at 180°; less than 5% attenuation was seen in all tissues at flip angles below 60°. We present multislice images acquired without excess delay time for SAR mitigation using a variety of protocols. Subsecond half Fourier acquisition single‐shot turbo spin echo (HASTE) images were obtained with a novel variable refocusing angle echo train (20° < α < 58°) and high‐resolution scans with a voxel volume of 0.18 mm³ were acquired in 6.5 min with refocusing angles of 100°. Magn Reson Med, 2009. © 2009 Wiley‐Liss, Inc.     

Density weighted turbo spin echo imaging

Purpose

To optimize the spatial response function (SRF) while maintaining optimal signal to noise ratio (SNR) in T₂ weighted turbo spin echo (TSE) imaging by prospective density weighting.

Materials and Methods

Density weighting optimizes the SRF by sampling the k‐space with variable density without the need of retrospective filtering, which would typically result in nonoptimal SNR. For TSE, the T₂ decay needs to be considered when calculating an optimized sampling pattern. Simulations were carried out and T₂ weighted in vivo TSE measurements were performed on a 3 Tesla MRI system. To evaluate the SNR, reversed centric density weighted and retrospectively filtered Cartesian acquisitions with identical measurement parameters and SRFs were compared with TE_eff = 90 ms and a density weighted k‐space sampling optimized to yield a Kaiser function for SRF side lobe suppression for white matter.

Results

Density weighting of a reversed centric reordering scheme resulted in an SNR increase of (43 ± 13)% compared with the Cartesian acquisition with retrospective filtering while maintaining comparable contrast behavior.

Conclusion

Density weighting is applicable to TSE imaging and results in significantly increased SNR. The gain can be used to shorten the measurement time, which suggests applying density weighting in both time and SNR constrained MRI. J. Magn. Reson. Imaging 2013;37:965–973. © 2013 Wiley Periodicals, Inc.     

A technique for rapid single‐echo spin‐echo T2 mapping

A rapid technique for mapping of T₂ relaxation times is presented. The method is based on the conventional single‐echo spin echo approach but uses a much shorter pulse repetition time to accelerate data acquisition. The premise of the new method is the use of a constant difference between the echo time and pulse repetition time, which removes the conventional and restrictive requirement of pulse repetition time ? T₁. Theoretical and simulation investigations were performed to evaluate the criteria for accurate T₂ measurements. Measured T₂s were shown to be within 1% error as long as the key criterion of pulse repetition time/T₂ ≥3 is met. Strictly, a second condition of echo time/T₁ ? 1 is also required. However, violations of this condition were found to have minimal impact in most clinical scenarios. Validation was conducted in phantoms and in vivo T₂ mapping of healthy cartilage and brain. The proposed method offers all the advantages of single‐echo spin echo imaging (e.g., immunity to stimulated echo effects, robustness to static field inhomogeneity, flexibility in the number and choice of echo times) in a considerably reduced amount of time and is readily implemented on any clinical scanner. Magn Reson Med, 2010. © 2010 Wiley‐Liss, Inc.     

SNR‐optimized phase‐sensitive dual‐acquisition turbo spin echo imaging: A fast alternative to FLAIR

Phase‐sensitive dual‐acquisition single‐slab three‐dimensional turbo spin echo imaging was recently introduced, producing high‐resolution isotropic cerebrospinal fluid attenuated brain images without long inversion recovery preparation. Despite the advantages, the weighted‐averaging‐based technique suffers from noise amplification resulting from different levels of cerebrospinal fluid signal modulations over the two acquisitions. The purpose of this work is to develop a signal‐to‐noise ratio‐optimized version of the phase‐sensitive dual‐acquisition single‐slab three‐dimensional turbo spin echo. Variable refocusing flip angles in the first acquisition are calculated using a three‐step prescribed signal evolution while those in the second acquisition are calculated using a two‐step pseudo‐steady state signal transition with a high flip‐angle pseudo‐steady state at a later portion of the echo train, balancing the levels of cerebrospinal fluid signals in both the acquisitions. Low spatial frequency signals are sampled during the high flip‐angle pseudo‐steady state to further suppress noise. Numerical simulations of the Bloch equations were performed to evaluate signal evolutions of brain tissues along the echo train and optimize imaging parameters. In vivo studies demonstrate that compared with conventional phase‐sensitive dual‐acquisition single‐slab three‐dimensional turbo spin echo, the proposed optimization yields 74% increase in apparent signal‐to‐noise ratio for gray matter and 32% decrease in imaging time. The proposed method can be a potential alternative to conventional fluid‐attenuated imaging. Magn Reson Med, 2013. © 2012 Wiley Periodicals, Inc.     

Axial black blood turbo spin echo imaging of the right ventricle

Black blood turbo spin echo (TSE) imaging of the right ventricle (RV) free wall is highly sensitive to cardiac motion, frequently resulting in nondiagnostic images. Temporal and spatial parameters of a black blood TSE pulse sequence were evaluated for visualization of the RV free wall. Seventy‐four patient studies were retrospectively evaluated for the effects of acquisition timing on image quality. Axial black blood TSE images were acquired on 10 healthy volunteers to assess the role of spatial misregistration on right ventricle visualization; increasing the double inversion recovery (DIR) slice thickness beyond 300% had no effect on image quality (P = 0.2). Thirty‐five patient studies were prospectively evaluated with inversion times (TIs) corresponding to the mid‐diastolic rest period and end‐systole based on visual analysis of a four chamber cine. When TIs were chosen to be within the patients' RV rest period, mean image quality score was significantly improved (2.3 vs 1.86; P < 0.001) and the number of clinically diagnostic images increased from 32% to 46%. Black blood TSE imaging of the RV free wall is highly sensitive to cardiac motion. Image quality can be improved by choosing TIs concordant with the rest period of the patient's RV that may occur at mid‐diastole or end‐systole. Magn Reson Med 61:307–314, 2009. © 2009 Wiley‐Liss, Inc.     

Improved encoding strategy for CPMG-based Bloch-Siegert B(1)(+) mapping

Bloch-Siegert (BS) based B(1)(+) mapping methods use off-resonant pulses to encode quantitative B(1)(+) information into the signal phase. It was recently shown that the principle behind BS-based B(1)(+) mapping can be expanded from spin echo (BS-SE) and gradient-echo (BS-FLASH) based BS B(1)(+) mapping to methods such as Carr, Purcell, Meiboom, Gill (CPMG)-based turbo-spin echo (BS-CPMG-TSE) and multi-spin echo (BS-CPMG-MSE) imaging. If CPMG conditions are preserved, BS-CPMG-TSE allows fast acquisition of the B(1)(+) information and BS-CPMG-MSE enables simultaneous mapping of B(1)(+), M(0), and T(2). To date, however, two separate MRI experiments must be performed to enable the calculation of B(1)(+) maps. This study investigated a modified encoding strategy for CPMG BS-based methods to overcome this limitation. By applying a "bipolar" off-resonant BS pulse before the refocusing pulse train, the needed phase information was able to be encoded into different echo images of one echo train. Thus, this technique allowed simultaneous B(1)(+) and T(2) mapping in a single BS-CPMG-MSE experiment. To allow single-shot B(1)(+) mapping, this method was also applied to turbo-spin echo imaging. Furthermore, the presented modification intrinsically minimizes phase-based image artifacts in BS-CPMG-TSE experiments.     

Reduction of B1 sensitivity in selective single‐slab 3d turbo spin echo imaging with very long echo trains

Single‐slab 3D turbo/fast spin echo (SE) imaging with very long echo trains was recently introduced with slab selection using a highly selective excitation pulse and short, nonselective refocusing pulses with variable flip angles for high imaging efficiency. This technique, however, is vulnerable to image degradation in the presence of spatially varying B₁ amplitudes. In this work we develop a B₁ inhomogeneity‐reduced version of single‐slab 3D turbo/fast SE imaging based on the hypothesis that it is critical to achieve spatially uniform excitation. Slab selection was performed using composite adiabatic selective excitation wherein magnetization is tipped into the transverse plane by a nonselective adiabatic‐half‐passage pulse and then slab is selected by a pair of selective adiabatic‐full‐passage pulses. Simulations and experiments were performed to evaluate the proposed technique and demonstrated that this approach is a simple and efficient way to reduce B₁ sensitivity in single‐slab 3D turbo/fast SE imaging with very long echo trains. Magn Reson Med, 2009. © 2009 Wiley‐Liss, Inc.     

Bone marrow lesions: evaluation with fat-suppression turbo spin echo MR imaging at 0.5 T

The purpose of this study was the assessment of the diagnostic value of fat-suppression T2-weighted images for a variety of bone marrow lesions. We performed 40 studies of the axial or appendicular skeleton in 33 patients (age range 4–80 years) with neoplastic, inflammatory or traumatic lesions with a 0.5 T system (Glyroscan T5, Philips Medical Systems, Best, The Netherlands). Fat-suppression T2-weighted images [turbo spin echo (TSE) with spectral presaturation with inversion recovery (SPIR)] were obtained in addition to the routine T1-weighted SE and T2-weighted TSE sequences. Fat-suppression TSE T2-weighted images were better than standard TSE T2-weighted images in 25 studies. In 11 of them demonstration and characterization of the lesions (known from T1-weighted images) was possible only after fat suppression In the other 14 patients demonstration of the full extent of the lesion especially to the nearby soft tissues was possible only after fat suppression. In 13 studies no advantage was conferred by SPIR, whereas in two instances T2-weighted images were better. Fat-suppression T2-weighted images are diagnostically usefull in a variety of lesions of the musculoskeletal system, but their limitations should be known.Correspondence to: H. Chrysikopoulos