Line scan diffusion imaging

A novel line scan diffusion imaging sequence (LSDI) is introduced. LSDI is inherently insensitive to motion artifacts and high quality diffusion maps of the brain can be obtained rapidly without the use of head restraints or cardiac gating. Results from a stroke study and abdominal diffusion images are presented. The results indicate that it is feasible to use the LSDI technique for clinical evaluation of acute ischemic stroke. In contrast to echo-planar diffusion imaging, LSDI does not require modified gradient hardware and can be implemented on conventional scanners. Thus, LSDI should dramatically increase the general availability of robust clinical diffusion imaging.     

Double line scan diffusion imaging

A new double line scan diffusion imaging sequence (DLSDI) is presented. In DLSDI, two lines from two separate slices are acquired in each shot. As its predecessor, LSDI, DLSDI is insensitive to motion artifacts and it can be used on conventional MR scanners. In addition, DLSDI is almost twice as fast as LSDI. Preliminary results from phantom and patient studies show excellent agreement between ADC trace maps obtained with DLSDI and LSDI. The technical and the theoretical aspects of DLSDI are studied, and it is shown how the conditional random walk model can be used as an analytical tool to derive the diffusion sensitivity in the DLSDI sequence.     

Halving imaging time of whole brain diffusion spectrum imaging and diffusion tractography using simultaneous image refocusing in EPI

Purpose

To increase the efficiency of densely encoded diffusion imaging of the brain, such as diffusion spectrum imaging (DSI), we time‐multiplex multiple slices within the same readout using simultaneous image refocusing echo‐planar imaging (SIR‐EPI).

Materials and Methods

Inefficiency in total scan time results from the long time of diffusion encoding gradient pulses which must be repeated for each and every image. We present a highly efficient multiplexing method, simultaneous image refocusing (SIR), for reducing the total scan time of diffusion imaging by nearly one‐half. SIR DSI is performed in 10 minutes rather than 21 minutes, acceptable for routine clinical application.

Results

Two identical studies were completed, comparing conventional single‐slice EPI DSI and SIR‐EPI DSI, showing equal signal‐to‐noise ratio (SNR) and contrast and small differences in registration, likely due to typical subject motion. Comparison of DSI and DTI tractographs showed matching quality and detection of white matter tracts.

Conclusion

The net reduction to nearly half the number of diffusion encoding gradient pulses in SIR‐EPI significantly reduces acquisition times of DSI and DTI. J. Magn. Reson. Imaging 2009;29:517–522. © 2009 Wiley‐Liss, Inc.     

Improved diffusion-weighted single-shot echo-planar imaging (EPI) in stroke using sensitivity encoding (SENSE).

Diffusion-weighted single-shot EPI (sshEPI) is one of the most important tools for the diagnostic assessment of stroke patients, but it suffers from well known artifacts. Therefore, sshEPI was combined with SENSitivity Encoding (SENSE) to further increase EPI's potential for stroke imaging. Eight healthy volunteers and a consecutive series of patients (N = 8) with suspected stroke were examined with diffusion-weighted SENSE-sshEPI using different reduction factors (1.0 < or = R < or = 3.0). Additionally, a high-resolution diffusion-weighted SENSE-sshEPI scan was included. All examinations were diagnostic and of better quality than conventional sshEPI. No ghostings or aliasing artifacts were discernible, and EPI-related image distortions were markedly diminished. Chemical shift artifacts and eddy current-induced image warping were still present, although to a markedly smaller extent. Measured direction-dependent diffusion-coefficients and isotropic diffusion values were comparable to previous findings but showed less fluctuation. We have demonstrated the technical feasibility and clinical applicability of diffusion-weighted SENSE-sshEPI in patients with subacute stroke. Because of the faster k-space traversal, this novel technique is able to reduce typical EPI artifacts and increase spatial resolution while simultaneously remaining insensitive to bulk motion.     

Comparison of conventional fast spin echo, single-shot two-dimensional and three-dimensional half-fourier RARE for T2-weighted female pelvic imaging

PURPOSE: To evaluate the usefulness of the three-dimensional half-Fourier RARE sequence in comparison with single-shot two-dimensional half-Fourier RARE and conventional fast spin echo (FSE) for female pelvic imaging. MATERIALS AND METHODS: Imaging with all sequences was performed in 146 patients with 166 focal lesions on a 1.5-T system. The images were compared on the basis of quality, lesion conspicuity, and lesion to the uterus contrast-to-noise ratio (CNR). RESULTS: The sharpness of intrapelvic organs on the three-dimensional half-Fourier RARE sequence was better than that on two-dimensional half-Fourier RARE and worse than that on FSE. Motion-related artifacts for three-dimensional half-Fourier RARE were more frequent than those for two-dimensional half-Fourier RARE. There was no statistical difference between the three-dimensional half-Fourier RARE sequence and FSE in regard to lesion conspicuity and overall image quality. The CNR of leiomyoma to myometrium and cervical cancer to cervical stroma was the highest with three-dimensional half-Fourier RARE (P< 0.05). CONCLUSION: The three-dimensional half-Fourier RARE sequence generates images with higher contrast and better image resolution than two-dimensional-RARE. The three-dimensional data set provided images that can be observed in any orientation without acquiring an additional scan by using the multiplanar reconstruction (MPR) method.     

RARE spiral T2-weighted imaging

Spiral imaging has a number of advantages for fast imaging, including an efficient use of gradient hardware. However, inhomogeneity-induced blurring is proportional to the data acquisition duration. In this paper, we combine spiral data acquisition with a RARE echo train. This allows a long data acquisition interval per excitation, while limiting the effects of inhomogeneity. Long spiral k-space trajectories are partitioned into smaller, annular ring trajectories. Each of these annular rings is acquired during echoes of a RARE echo train. The RARE refocusing RF pulses periodically refocus off-resonant spins while building a long data acquisition. We describe both T₂-weighted single excitation and interleaved RARE spiral sequences. A typical sequence acquires a complete data set in three excitations (32 cm FOV, 192 × 192 matrix). At a TR = 2000 ms, we can average two acquisitions in an easy breath-hold interval. A multifrequency reconstruction algorithm minimizes the effects of any off-resonant spins. Though this algorithm needs a field map, we demonstrate how signal averaging can provide the necessary phase data while increasing SNR. The field map creation causes no scan time penalty and essentially no loss in SNR efficiency. Multiple slice, 14-s breath-hold scans acquired on a conventional gradient system demonstrate the performance.     

Selective parity RARE imaging.

This work describes a novel method for rapid acquisition with relaxation enhancement (RARE)/fast spin-echo (FSE) imaging that removes the constraint of compliance with the Carr-Purcell-Meiboom-Gill (CPMG) condition. In a multiecho sequence, echoes with either odd or even parities are acquired. The refocusing angles are chosen using a recursive algorithm, so that the signal amplitude satisfies a predetermined modulation function. In the examples given in this article an exponential decay to a plateau is used. At each echo the echo parity that gives the desired signal amplitude for the minimum refocusing angle is selected. It is further shown that in the presence of an initial magnetization having an arbitrary phase distribution, the complex conjugate of the signal of one echo parity has to be taken and its k-space coordinates reversed. T(2) (*)-weighted images are presented and initial applications to diffusion-weighted imaging (DWI) and functional imaging shown.     

The sensitivity of low flip angle RARE imaging

It is demonstrated that the stability of the Carr-Purcell-Mei-boom-Gill (CPMG) sequence reflects the existence of a steady state solution to the Bloch equations in the absence of T₂ and T₁ decay. The steady state theory is then used to evaluate the performance of low flip angle RARE imaging sequences with both constant and optimally varied refocusing flip angles. The theory is experimentally verified in phantoms and then optimized, single shot, low flip angle RARE is used to obtain artifact-free images from the brain of a normal volunteer.     

Frequency resolved single-shot MR imaging using stochastic k-space trajectories

A new single-shot stochastic imaging technique with a random k-space path that provides very selective filtering with respect to chemical shift or off-resonance signals of the investigated tissue is proposed. It is demonstrated that in stochastic imaging only on-resonance compartments are visible whereas frequency shifted compartments cancel to noise that is distributed over the whole image. This method can be used as a single-shot chemical shift selective imaging technique and allows to calculate frequency resolved spectra for each spatial position of the image based on a single signal aquisition. The single-shot stochastic imaging sequence makes high demands on the gradient system and the theoretical k-space trajectory is distorted by imperfect gradient performance. Therefore an additional k-space guided imaging technique that uses the true, measured k-space trajectory to correct artifacts generated by eddy currents and delay times of the rapid switched gradients is presented. In vitro and in vivo measurements demonstrate the successful implementation of single-shot stochastic imaging on a conventional MR scanner with unshielded gradient systems.     

Online motion correction for diffusion-weighted imaging using navigator echoes: Application to RARE imaging without sensitivity loss.

This article describes the first application of true online motion correction to diffusion-weighted RARE imaging. Two orthogonal navigator echoes were acquired and zeroth and first-order phase corrections applied in less than 8 ms between a diffusion-weighted magnetization preparation and data acquisition using the RARE sequence. The zeroth-order phase correction was realized by pulsing the system's B(0)-coil: the first-order error corrected with appropriate magnetic field gradient pulses. Online correction ensured that no irreversible signal loss could occur in the imaging experiment. Diffusion-weighted images of the brain were obtained from healthy volunteers. EGG-triggered acquisition was applied at 400 ms after the R-wave. Data were acquired on a matrix of 256 x 256 with a RARE factor of 16 and a b-value of 804 smm(-2). The images obtained with online motion correction showed a remarkably high image quality, while those acquired without motion correction were severely degraded by artifacts.     

Robust correction of spike noise: Application to diffusion tensor imaging

Echo‐planar imaging (EPI) ‐based diffusion tensor imaging (DTI) is particularly prone to spike noise. However, existing spike noise correction methods are impractical for corrupted DTI data because the methods correct the complex MRI signal, which is not usually stored on clinical MRI systems. The present work describes a novel Outlier Detection De‐spiking technique (ODD) that consists of three steps: detection, localization, and correction. Using automated outlier detection schemes, ODD exploits the data redundancy available in DTI data sets that are acquired with a minimum of six different diffusion‐weighted images (DWIs) with similar signal and noise properties. A mathematical formulation, describing the effects of spike noise on magnitude images, yields appropriate measures for an outlier detection scheme used for spike detection while a normalization‐dependent outlier detection scheme is used for spike localization. ODD performs accurately on diverse DTI data sets corrupted by spike noise and can be used for automated control of DTI data quality. ODD can also be extended to other MRI applications with data redundancy, such as dynamic imaging and functional MRI. Magn Reson Med, 2009. © 2009 Wiley‐Liss, Inc.     

Diffusion tensor imaging using single-shot SENSE-EPI.

SENSitivity Encoding (SENSE) greatly enhances the quality of diffusion-weighted echo-planar imaging (EPI) by reducing blurring and off-resonance artifacts. Such improvement would also be desirable for diffusion tensor imaging (DTI), but measures derived from the diffusion tensor can be extremely sensitive to any kind of image distortion. Whether DTI is feasible in combination with SENSE has not yet been explored, and is the focus of this study. Using a SENSE-reduction factor of 2, DTI scans in eight healthy volunteers were carried out with regular- and high-resolution acquisition matrices. To further improve the stability of the SENSE reconstruction, a new coil-sensitivity estimation technique based on variational calculus and the principles of matrix regularization was applied. With SENSE, maps of the trace of the diffusion tensor and of fractional anisotropy (FA) had improved spatial resolution and less geometric distortion. Overall, the geometric distortions were substantially removed and a significant resolution enhancement was achieved with almost the same scan time as regular EPI. DTI was even possible without the use of quadrature body coil (QBC) reference scans. Geometry-factor-related noise enhancement was only discernible in maps generated with higher-resolution matrices. Error boundaries for residual fluctuations in SENSE reconstructions are discussed. Our results suggest that SENSE can be combined with DTI and may present an important adjunct for future neuroimaging applications of this technique.     

Slab scan diffusion imaging.

For maximum robustness of a diffusion-weighted MR imaging sequence, it is desirable to use a single-shot imaging method. This article introduces a new single-shot imaging approach that combines the advantages of multiple spin-echoes with the technique of line scan diffusion imaging. A slab volume, which can be spatially encoded with fewer phase encodes than a regular field of view, is selected with 2D selective pulses. With the shorter echo train, the sensitivity to field inhomogeneities and chemical shift is thus greatly diminished. Further reduction is achieved by interleaving short gradient echo trains with refocusing spin-echo pulses. Optimized slice-selective RF pulses that produce flip angles close to 180 degrees are used to minimize the stimulated echo component. Motion-related phase shifts, which change polarity with each spin-echo excitation, will give rise to artifacts that are avoidable by processing even and odd spin-echoes separately. As with line scan diffusion imaging, the complete field of view is acquired by sequential scanning. Since with each shot several lines of data are collected, a considerable improvement over line scan diffusion imaging in terms of scanning speed is achieved. Diffusion data obtained in phantoms and normal subjects demonstrate the feasibility of this novel approach.     

Water diffusion and acute stroke

The occlusion of the middle cerebral artery was used as an experimental acute stroke model in 30 cats. The diffusion of water was followed by diffusion-sensitized MRI between 1 and 15 h after induction of stroke. It is demonstrated that images representing the trace of the diffusion tensor provide a much more accurate delineation of affected area than images representing the diffusion in one direction only. The reason is that the strong contrast caused by the anisotropy and orientation of myelin fibers is completely removed in the trace of the diffusion tensor. The trace images show a small contrast between white and gray matter. The diffusion coefficient of white matter is decreased in acute stroke to approximately the same extent as gray matter. It is further shown that the average lifetime of water in extra and intracellular space is shorter than 20 ms both for healthy and ischemic tissue indicating that myelin fibers are permeable to water. The anisotropy contrast did not change before or after induction of stroke, nor after sacrifice. Together, these observations are consistent with the view that the changes in water diffusion during acute stroke are directly related to cytotoxic oedema, i.e., to the change in relative volume of intra- and extracellular spaces. Changes in membrane permeability do not appear to contribute significantly to the changes in diffusion.     

Targeted single-shot methods for diffusion-weighted imaging in the kidneys

Purpose:

To investigate the feasibility of combining the inner‐volume‐imaging (IVI) technique with single‐shot diffusion‐weighted (DW) spin‐echo echo‐planar imaging (SE‐EPI) and DW‐SPLICE (split acquisition of fast spin‐echo) sequences for renal DW imaging.

Materials and Methods:

Renal DWI was performed in 10 healthy volunteers using single‐shot DW‐SE‐EPI, DW‐SPLICE, targeted‐DW‐SE‐EPI, and targeted‐DW‐SPLICE. We compared the quantitative diffusion measurement accuracy and image quality of these targeted‐DW‐SE‐EPI and targeted DW‐SPLICE methods with conventional full field of view (FOV) DW‐SE‐EPI and DW‐SPLICE measurements in phantoms and normal volunteers.

Results:

Compared with full FOV DW‐SE‐EPI and DW‐SPLICE methods, targeted‐DW‐SE‐EPI and targeted‐DW‐SPLICE approaches produced images of superior overall quality with fewer artifacts, less distortion, and reduced spatial blurring in both phantom and volunteer studies. The apparent diffusion coefficient (ADC) values measured with each of the four methods were similar and in agreement with previously published data. There were no statistically significant differences between the ADC values and intravoxel incoherent motion (IVIM) measurements in the kidney cortex and medulla using single‐shot DW‐SE‐EPI, targeted‐DW‐EPI, and targeted‐DW‐SPLICE (P > 0.05).

Conclusion:

Compared with full‐FOV DWI methods, targeted‐DW‐SE‐EPI and targeted‐DW‐SPLICE techniques reduced image distortion and artifacts observed in the single‐shot DW‐SE‐EPI images, reduced blurring in DW‐SPLICE images, and produced comparable quantitative DW and IVIM measurements to those produced with conventional full‐FOV approaches. J. Magn. Reson. Imaging 2011;33:1517–1525. © 2011 Wiley‐Liss, Inc.     

Generalized diffusion tensor imaging and analytical relationships between diffusion tensor imaging and high angular resolution diffusion imaging.

A new method for mapping diffusivity profiles in tissue is presented. The Bloch-Torrey equation is modified to include a diffusion term with an arbitrary rank Cartesian tensor. This equation is solved to give the expression for the generalized Stejskal-Tanner formula quantifying diffusive attenuation in complicated geometries. This makes it possible to calculate the components of higher-rank tensors without using the computationally-difficult spherical harmonic transform. General theoretical relations between the diffusion tensor (DT) components measured by traditional (rank-2) DT imaging (DTI) and 3D distribution of diffusivities, as measured by high angular resolution diffusion imaging (HARDI) methods, are derived. Also, the spherical tensor components from HARDI are related to the rank-2 DT. The relationships between higher- and lower-rank Cartesian DTs are also presented. The inadequacy of the traditional rank-2 tensor model is demonstrated with simulations, and the method is applied to excised rat brain data collected in a spin-echo HARDI experiment.     

Partial k-space reconstruction in single-shot diffusion-weighted echo-planar imaging.

Partial k-space sampling is frequently used in single-shot diffusion-weighted echo-planar imaging (DW-EPI) to reduce the TE and thereby improve the SNR. However, it increases the sensitivity of the technique to bulk rotational motion, which introduces a phase gradient across the tissue that shifts the echo in k-space. If the echo is displaced into the high spatial frequencies, conventional homodyne reconstruction fails, causing intensity oscillations across the image. Zero-padding, on the other hand, compromises the image resolution and may cause truncation artifacts. We present an adaptive version of the homodyne algorithm that detects the location of the echo in k-space and adjusts the center and width of the homodyne filters accordingly. The adaptive algorithm produces artifact-free images when the echo is shifted into the high positive k-space range, and reduces to the standard homodyne algorithm in the absence of bulk motion.