Improving the temporal resolution of functional MR imaging using keyhole techniques

Using a keyhole technique, it is shown that the data acquisition rate of gradient-echo imaging for functional MRI (fMRI) studies can be increased substantially. The resulting enhancement of the temporal resolution of fMRIs was accomplished without modifying the hardware of a conventional MRI system. High spatial resolution fMRI images were first collected with conventional full k-space acquisition and image reconstruction. Using the same data set, simulation reconstruction using the keyhole principle and zero-padding were performed for comparison with the full k-space reconstruction. No significant changes were found for fMRI images generated from the keyhole technique with a data sharing profile of 50% of the k-space. As k-space data sharing profiles increased to 75 and 87.5%, the keyhole fMRI images began to show only modest changes in activation intensity and area compared with the standard images. In contrast, zero-padding fMRI images produced a significant disparity both in activation intensity and area relative to the truly high-resolution fMRI images. The keyhole technique's ability to retain the intensity and area of fMRI information, while substantially reducing acquisition time, makes it a promising method for fMRI studies.     

Keyhole Dixon method for faster,perceptually equivalent fat suppression

PURPOSE: To reduce the acquisition time associated with the two-point Dixon fat suppression technique by combining a keyhole in-phase (Water + Fat) k-space data set with a full out-of-phase (Water - Fat) k-space data set and optimizing the keyhole size with a perceptual difference model. MATERIALS AND METHODS: A set of keyhole Dixon images was created by varying the number of lines in the keyhole data set. Off-resonance correction was incorporated into the image reconstruction process to improve the homogeneity of the fat suppression. A perceptual difference model (PDM) was validated with human observer experiments and used to compare the keyhole images to images from a full two-point Dixon acquisition. The PDM was used to determine the smallest keyhole width required to obtain perceptual equivalence to images obtained from the full two-point Dixon method. RESULTS: In experimental phantom studies, the keyhole Dixon image reconstructed from 96 of 192 Water + Fat k-space lines and 192 Water - Fat k-space lines was perceptually equivalent to the full (192 + 192) two-point Dixon images, resulting in a 25% reduction in scan time. Clinical images of a volunteer's knee, orbits, and abdomen created from the smallest, perceptually equivalent keyhole width resulted in a 27%-38% reduction in total scan time. CONCLUSION: This method improves the temporal efficiency of the conventional two-point Dixon technique and may prove especially useful for high-field systems where specific absorption rate (SAR) limits will constrain radiofrequency (RF)-based fat suppression techniques.     

Keyhole chemical exchange saturation transfer

The keyhole technique, which involves the acquisition of dynamic data at low resolution in combination with a high‐resolution reference, is developed for the purposes of chemical exchange saturation transfer (CEST) imaging, i.e., Keyhole CEST. Low‐resolution data are acquired with saturation applied at different frequencies for Z‐spectra, along with a high‐resolution reference image taken without saturation. Three methods for high‐resolution reconstruction of Keyhole CEST are evaluated using the values from quantitative high‐resolution CEST maps. In addition, Keyhole CEST is applied for collection of data used for B₀ correction. The keyhole approach is evaluated for CEST contrast generation using exchanging protons in hydroxyl groups. First, the techniques are evaluated in vitro using samples of dextrose and chondroitin sulfate. Next, the work is extended in vivo to explore its applicability for gagCEST. Comparable quantitative gagCEST values are found using Keyhole CEST, provided the structure or region of interest is not limited by the low‐resolution dataset. Magn Reson Med, 2012. © 2012 Wiley Periodicals, Inc.     

Adaptive keyhole methods for dynamic magnetic resonance image reconstruction.

Dynamic magnetic resonance imaging (MRI) acquires a sequence of images for the visualization of the temporal variation of tissue or organs. Keyhole methods such as Fourier keyhole (FK) and keyhole SVD (KSVD) are the most popular methods for image reconstruction in dynamic MRI. This paper provides a class of adaptive keyhole methods, called adaptive FK (AFK) and adaptive KSVD (AKSVD), for dynamic MRI reconstruction. The proposed methods are based on the conventional Fourier encoding and SVD encoding schemes. Instead of the conventional keyhole methods' duplication of un-acquired data from the reference images, the proposed methods use a temporal model to depict the inter-frame dynamic changes and to estimate the un-acquired data in each successive frame. Because the model is online identified from the acquired data, the proposed methods do not require the pre-imaging process, the navigator signals, and any prior knowledge of the imaged objects. Furthermore, the new methods use the conventional keyhole encoding schemes without the bias to any particular object characters, and the temporal model for updating information is in the general form of AR process without the preference to any particular motion types. Hence, the proposed methods are designed as a generic approach to dynamic MRI, other than for any specific class of objects. Studies on dynamic MRI data set show that the new methods can produce images with much lower reconstruction error than the conventional FK and KSVD.     

Errors in quantitative dynamic three-dimensional keyhole MR imaging of the breast

Three-dimensional (3D) keyhole magnetic resonance (MR) imaging has been proposed as a means of providing dynamic monitoring of contrast agent uptake by breast lesions, with complete breast coverage and high spatial and temporal resolution. The 3D keyhole technique dynamically samples the central regions of k-space in both phase-encoding directions and provides high-frequency data from a precon-trast acquisition. Errors due to data truncation with two-dimensional and 3D region-of-lnterest measurements are estimated from a numerical simulation of various implementations of the 3D keyhole technique. Errors were found to increase with increasing temporal resolution and reduced object size. Errors of 75% are possible for objects with a diameter approaching 1 pixel when a 3D keyhole implementation that samples 50% of phase-encoding data in each direction is used. Preliminary clinical Images with this approach illustrate artifacts consistent with inadequate k-space sampling.     

Does the "keyhole" technique improve spatial resolution in MRI perfusion measurements? A study in volunteers

We examined the potential of the ’keyhole' technique to improve spatial resolution in perfusion-weighted MRI on whole-body imagers with standard gradient hardware. We examined 15 healthy volunteers. We acquired a high-resolution image with 256 phase-encoding steps before a bolus-tracking procedure. For the dynamic series we collected only 34 lines in the center of k-space. Data reconstruction was performed by both zero-filling and keyhole methods. The dynamic datasets, concentration-time curves calculated from user-defined regions and maps of the cerebrovascular parameters using both reconstruction methods were compared. Using keyhole series, anatomical structures could easily be defined which were not seen on the original dynamic series because of blurring due to ringing artefacts. Comparison of signal-time curves in large regions yielded no significant difference in signal loss during bolus passage. In the parameter maps truncation artefacts were significantly reduced using keyhole reconstruction. The keyhole method is appropriate for enhancing image quality in perfusion-weighted imaging on standard imagers without sacrificing time resolution or information about transitory susceptibility changes. However, it should be applied carefully, because the spatial resolution of the dynamic signal change and the cerebrovascular parameters is less than that afforded by the spatial resolution of the reconstructed images. Received: 31 August 2000 Accepted: 5 December 2000     

Averaging keyhole pulse sequence with presaturation pulses and EXORCYCLE phase cycling for dynamic contrast-enhanced MRI.

The purpose of this study was to design a keyhole pulse sequence for quantitative 2D dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) based on a spoiled gradient echo T1-weighted acquisition. Saturation recovery was applied to achieve a linear correlation between signal intensity and contrast agent concentration in an arterial input function (AIF) while simultaneously removing time-of-flight effect. To remove ghosting artifacts arising from incomplete presaturation, EXORCYCLE phase cycling with averaging was applied to the pulse sequence. RF spoiling by radiofrequency switching with the synthesizer can be combined with EXORCYCLE phase cycling. Images affected by the large difference in signal intensity before and after contrast agent administration with the keyhole technique were improved by interleaving of peripheral lines of k-space with groups of central lines. Both peripheral and central lines were renewed during the dynamic scan. AIFs were obtained from the rat abdominal aorta with this keyhole sequence.     

Dynamic imaging of contrast-enhanced coronary vessels with a magnetization prepared rotated stripe keyhole acquisition

PURPOSE: To evaluate dynamic coronary imaging based on a magnetization prepared contrast-enhanced (CE) rotated stripe keyhole acquisition scheme. MATERIALS AND METHODS: Background suppression of long T(1) tissue was used so that the k-space would be selectively dominated by the contribution of the CE vessel. The phase-encoding axis was then adjusted parallel to the long axis of the vessel to sample the significant power spectrum of the vessel. The performance of this approach was evaluated by means of computer simulations and experimental studies on phantoms and a pig model instrumented with an intracoronary catheter for infusion of contrast media. RESULTS: Computer simulations and phantom studies demonstrated that by rotating the gradient axes to match the k-space pattern of the frequency spectrum, one can reduce the keyhole band to 20% of the full k-space while preserving the structure's lumen width and sharpness. In vivo studies validated those findings, and dynamic angiograms of the CE coronary arteries were obtained as rapidly as 140 msec per image, with an in-plane spatial resolution of 1.5 mm. CONCLUSION: With efficient background suppression, a rotated stripes keyhole acquisition can efficiently acquire the significant k-space of a CE vessel, and provide improved vessel definition with a reduced acquisition matrices scheme.     

Iterative projection reconstruction of time-resolved images using highly-constrained back-projection (HYPR).

Highly-constrained back-projection (HYPR) is a technique for the reconstruction of sparse, highly-undersampled time-resolved image data. A novel iterative HYPR (I-HYPR) algorithm is presented and validated in computer simulations. The reconstruction method is then applied to cerebral perfusion MRI simulated as a radial acquisition and contrast-enhanced angiography of the head to assess feasibility in accelerating acquisitions requiring high temporal resolution and accurate representation of contrast kinetics. The I-HYPR algorithm is shown to be more robust than standard HYPR in these applications in which the sparsity condition is not met or in which quantitative information is required. Specifically, iterative reconstruction of undersampled perfusion and contrast-enhanced angiography data improved accuracy of the representation of contrast kinetics and increased the temporal separation of arterial and venous contrast kinetics. The I-HYPR reconstruction may have important diagnostic applications in settings requiring high temporal resolution and quantitative signal dynamics. Because I-HYPR allows relaxation of the sparsity requirements for the composite frame, the iterative reconstruction can enable novel acquisition strategies that independently optimize the quality of the composite and temporal resolution of the dynamic frames.     

Application of the keyhole technique to T1rho relaxation mapping

PURPOSE: To demonstrate the feasibility of using the keyhole technique to minimize error in a least squares regression estimation of T(1rho) from magnetic resonance (MR) image data. MATERIALS AND METHODS: The keyhole method of partial k-space acquisition was simulated using data from a virtual phantom and MR images of ex vivo bovine and in vivo human cartilage. T(1rho) maps were reconstructed from partial k-space (keyhole) image data using linear regression, and error was measured with relation to T(1rho) maps created from the full k-space images. An error model was created based on statistical theory and fitted to the error measurements. RESULTS: T(1rho) maps created from keyhole images of a human knee produced levels of error on the order of 1% while reducing standard image acquisition time approximately by half. The resultant errors were strongly correlated with expectations derived from statistical theory. CONCLUSION: The error model can be used to analytically optimize the keyhole method in order to minimize the overall error in the estimation of the relaxation parameter of interest. The keyhole method can be generalized to significantly expedite all forms of relaxation mapping.     

Functional magnetic resonance imaging using PROPELLER-EPI

Periodically rotated overlapping parallel lines with enhanced reconstruction-echo-planar imaging (PROPELLER-EPI) is a multishot technique that samples k-space by acquisition of narrow blades, which are subsequently rotated until the entire k-space is filled. It has the unique advantage that the center of k-space, and thus the area containing the majority of functional MRI signal changes, is sampled with each shot. This continuous refreshing of the k-space center by each acquired blade enables not only sliding-window but also keyhole reconstruction. Combining PROPELLER-EPI with a fast gradient-echo readout scheme allows for high spatial resolutions to be achieved while maintaining a temporal resolution, which is suitable for functional MRI experiments. Functional data acquired with a novel interlaced sequence that samples both single-shot EPI and blades in an alternating fashion suggest that PROPELLER-EPI can achieve comparable functional MRI results. PROPELLER-EPI, however, features different spatiotemporal characteristics than single-shot EPI, which not only enables keyhole reconstruction but also makes it an interesting alternative for many functional MRI applications.     

Hybrid technique for dynamic imaging.

A number of data acquisition strategies have been introduced to speed up the image acquisition in dynamic settings. One such technique is the keyhole approach, which is based on reducing k-space coverage, and consequently the spatial resolution, of the dynamic information. Another is based on reducing the field of view of the dynamic information. These two techniques are complementary in that one reduces the field of view in k-space and the other does so in the spatial domain. A hybrid approach which combines the two is described in this study. In numerical simulations and experimental studies, this hybrid approach more accurately depicts the signal changes, outperforming the two techniques from which it is derived. Magn Reson Med 44:51-55, 2000.     

Contrast-enhanced timing robust acquisition order with a preparation of the longitudinal signal component (CENTRA plus) for 3D contrast-enhanced abdominal imaging

PURPOSE: To investigate a new image acquisition method that enables an accurate hepatic arterial phase definition and the visualization of contrast agent uptake processes in abdominal organs like liver, spleen, and pancreas. MATERIALS AND METHODS: A 3D turbo gradient echo method where a fat suppression prepulse is followed by the acquisition of several profiles was combined with an elliptical centric k-space ordering technique and 3D dynamic elliptical centric keyhole. The new k-space ordering method (CENTRA+) was validated experimentally. In an initial clinical evaluation phase the method was employed in five patients to assess the accuracy of the hepatic arterial phase definition and the visualization of the contrast uptake processes in dynamic scanning in abdominal organs like liver, spleen, and pancreas. RESULTS: In total, five patients were evaluated using the new k-space order. Our initial results indicate that the new k-space order allows consistent capture of the hepatic arterial phase. In dynamic scanning the extreme short temporal resolution obtained with 3D elliptical centric keyhole enables contrast enhancement to be followed in organs with fast contrast uptake characteristics. CONCLUSION: The elliptical centric nature of the new image acquisition method effectively allows capture of the contrast enhancement processes with good fat suppression.     

Dynamic MRI with projection reconstruction and KWIC processing for simultaneous high spatial and temporal resolution.

A method for dynamic imaging in MRI is presented that enables the acquisition of a series of images with both high temporal and high spatial resolution. The technique, which is based on the projection reconstruction (PR) imaging scheme, utilizes distinct data acquisition and reconstruction strategies to achieve this simultaneous capability. First, during acquisition, data are collected in multiple undersampled passes, with the view angles interleaved in such a way that those of subsequent passes bisect the views of earlier ones. During reconstruction, these views are weighted according to a previously described k-space weighted image contrast (KWIC) technique that enables the manipulation of image contrast by selective filtering. Unlike conventional undersampled PR methods, the proposed dynamic KWIC technique does not suffer from low image SNR or image degradation due to streaking artifacts. The effectiveness of dynamic KWIC is demonstrated in both simulations and in vivo, high-resolution, contrast-enhanced imaging of breast lesions.     

Radial keyhole sequences for low field projection reconstruction interventional MRI

Interventional magnetic resonance imaging (IMRI) is a rapidly emerging application for MRI in which diagnostic and therapeutic procedures are performed with MR image guidance. Real-time or near-real-time image acquisition and relative insensitivity to motion are essential for most intraoperative, therapeutic, and diagnostic procedures performed under MR guidance. The purpose of this work was to demonstrate the development and utility of two alternative rapid acquisition strategies during IMRI that are analogous to computed tomography fluoroscopy or keyhole MRI in a radial rather than rectilinear coordinate frame. The two strategies discussed here, interleaved projection reconstruction and continuous projection reconstruction, are compared and the feasibility of their application in experimental interventional applications is studied. J. Magn. Reson. Imaging 2001;13:142-151.     

Improved device definition in interventional magnetic resonance imaging using a rotated stripes keyhole acquisition.

Keyhole acquisition techniques have been used to reduce image acquisition times primarily in contrast agent studies and via simulation in interventional MRI procedures. More recent simulations have suggested that improved definition of an interventional device [e.g., biopsy needles, radio frequency (RF) electrodes] could be achieved by rotating the keyhole pattern in k-space so that the read out direction lies perpendicular to the device orientation in real space. This study seeks to validate the earlier predictions of improved efficacy of a rotated stripes keyhole acquisition in actual in vitro and in vivo interventional MR imaging procedures. A true-FISP sequence was modified to perform central stripes keyhole (as known as conventional keyhole) acquisitions after a full initial reference data set was acquired. The gradients of this sequence were then modified to rotate the k-space definition and the keyhole stripes by 10 degrees, 20 degrees, 30 degrees, 45 degrees, and 60 degrees from their conventional k-space orientation. Acquisitions were performed during insertion of interventional devices in phantom and in vivo RF ablation procedures, using the modified sequence selected which placed the phase encoding axis at parallel and perpendicular orientations to the devices. Resulting images were compared between the two orientations for needle width and tip accuracy. Apparent needle width was thinner and tip position more accurately determined for placement of phase encoding parallel to the needle in all cases. Rotated keyhole imaging provides the required temporal advantage of conventional keyhole imaging along with a near optimal definition of an interventional device when the phase encoding is oriented parallel to the direction of the needle motion. Magn Reson Med 42:554-560, 1999.     

Fast “real time” imaging with different k-space update strategies for interventional procedures

Interventional procedures under MR guidance require the images to be acquired with a fast acquisition strategy, a rapid reconstruction algorithm for “real-time” imaging (ie, high temporal resolution), acquisition of at least three adjacent slices to track a tool reliably, and high tissue contrast to ensure safe positioning of interventional devices. Often times, the field strength for interventional MR-imaging units is limited by the open magnet design. This complicates the trade-off between scan time and image quality, particularly when applied during low field interventional MRI procedures. To minimize the impact of some of these tradeoffs, a combination of keyhole techniques or modified k-space trajectories, in conjunction with a fluoroscopic (ie, continuous acquisition) mode and a real time reconstruction, permits rapid imaging in a low field system using standard (speed optimized) reconstruction hardware and standard gradient electronics. The purpose of this study was to design and describe different keyhole strategies that can be used in a real time mode to increase the image frame rate by a factor of up to 16. By updating the entire raw data space with our strategies, even small changes of the object could be recognized. Our results using these new strategies on two commercially available open magnet MR-imaging units (Siemens Magnetom Open 0.2T resistive magnet, Toshiba Access 0.064T permanent magnet) and a 1.5T superconductive solenoidal magnet design imager (Siemens SP) are presented to show the potential of these acquisition strategies in interventional MRI. Furthermore, these strategies may also be helpful for several other medical applications requiring high temporal resolution like contrast-enhanced breast imaging or functional brain imaging.     

Dynamic acquisition with a three-headed SPECT system: application to technetium 99m-SQ30217 myocardial imaging

A method for SPECT data acquisition, "continuous repetitive rotation acquisition," was developed with a high-sensitivity three-headed SPECT system. The method was applied to the dynamic imaging of 99mTc-SQ30217, a new myocardial imaging agent. After acquisition and reconstruction of SPECT data every minute, projection images at arbitrary intervals were used for tomographic reconstruction to determine the best timing of SPECT imaging in 99mTc-SQ30217. Based on a comparison of several possible acquisition intervals, SPECT data acquisition within 9 min after injection is recommended because of high myocardial uptake (myocardium-to-lung ratio, 2.83 +/- 0.42 (mean +/- s.e.m.) at 3-6 min) and relatively low hepatic uptake (myocardium-to-liver ratio, 0.85 +/- 0.13 at 3-6 min). The rate constant of the clearance of 99mTc-SQ30217 from the myocardium obtained by SPECT was: k1 = 0.249 +/- 0.050 per min (average half-life = 2.8 min) and k2 = 0.012 +/- 0.004/min (average half-life = 58 min). The continuous repetitive rotation acquisition SPECT study appears useful for imaging SQ30217 with its rapidly changing myocardial distribution.     

Imaging time reduction through multiple receiver coil data acquisition and image reconstruction

A technique is described for the simultaneous acquisition of MRI data using two independent receiver coils surrounding the same region of tissue, which enables the collection of data necessary for image reconstruction in a reduced number of phase-encoded acquisitions. This results in a 50% reduction in minimum scan time and may be useful in time-critical procedures. The algorithm and imaging procedures are described, and example images are shown that illustrate the reconstruction. Signal to noise is decreased by the square root of the time savings, making this technique applicable to cases in which the need to decrease minimum scan time outweighs the signal to noise penalty.