Multiple repetition time balanced steady‐state free precession imaging

Although balanced steady‐state free precession (bSSFP) imaging yields high signal‐to‐noise ratio (SNR) efficiency, the bright lipid signal is often undesirable. The bSSFP spectrum can be shaped to suppress the fat signal with scan‐efficient alternating repetition time (ATR) bSSFP. However, the level of suppression is limited, and the pass‐band is narrow due to its nonuniform shape. A multiple repetition time (TR) bSSFP scheme is proposed that creates a broad stop‐band with a scan efficiency comparable with ATR‐SSFP. Furthermore, the pass‐band signal uniformity is improved, resulting in fewer shading/banding artifacts. When data acquisition occurs in more than a single TR within the multiple‐TR period, the echoes can be combined to significantly improve the level of suppression. The signal characteristics of the proposed technique were compared with bSSFP and ATR‐SSFP. The multiple‐TR method generates identical contrast to bSSFP, and achieves up to an order of magnitude higher stop‐band suppression than ATR‐SSFP. In vivo studies at 1.5 T and 3 T demonstrate the superior fat‐suppression performance of multiple‐TR bSSFP. Magn Reson Med 62:193–204, 2009. © 2009 Wiley‐Liss, Inc.     

Non‐contrast‐enhanced flow‐independent peripheral MR angiography with balanced SSFP

Flow‐independent angiography is a non‐contrast‐enhanced technique that can generate vessel contrast even with reduced blood flow in the lower extremities. A method is presented for producing these angiograms with magnetization‐prepared balanced steady‐state free precession (bSSFP). Because bSSFP yields bright fat signal, robust fat suppression is essential for detailed depiction of the vasculature. Therefore, several strategies have been investigated to improve the reliability of fat suppression within short scan times. Phase‐sensitive SSFP can efficiently suppress fat; however, partial volume effects due to fat and water occupying the same voxel can lead to the loss of blood signal. In contrast, alternating repetition time (ATR) SSFP minimizes this loss; however, the level of suppression is compromised by field inhomogeneity. Finally, a new double‐acquisition ATR‐SSFP technique reduces this sensitivity to off‐resonance. In vivo results indicate that the two ATR‐based techniques provide more reliable contrast when partial volume effects are significant. Magn Reson Med, 2009. © 2009 Wiley‐Liss, Inc.     

Enhanced spectral shaping in steady-state free precession imaging.

Balanced steady-state free precession (SSFP) is hindered by the inherent off-resonance sensitivity and unwanted bright fat signal. Multiple-acquisition SSFP combination methods, where multiple datasets with different fixed RF phase increments are acquired, have been used for shaping the SSFP spectrum to solve both problems. We present a new combination method (weighted-combination SSFP or WC-SSFP) that preserves SSFP contrast and enables banding-reduction and fat-water separation. Methods addressing the banding artifact have focused on either getting robust banding-reduction (complex-sum SSFP) or improved SNR efficiency (sum-of-squares SSFP). The proposed method achieves both robust banding-reduction and an SNR efficiency close to that of the sum-of-squares method. A drawback of fat suppression methods that create a broad stop-band around the fat resonance is the wedge shape of the stop-band leading to imperfect suppression. WC-SSFP improves the suppression of the stop-band without affecting the pass-band performance, and prevents fat signal from obscuring the tissues of interest in the presence of considerable resonant frequency variations. The method further facilitates the use of SSFP imaging by providing a control parameter to adjust the level of banding-reduction or fat suppression to application-specific needs.     

Improved spectral selectivity and reduced susceptibility in SSFP using a near zero TE undersampled three-dimensional PR sequence

PURPOSE: To improve the performance of fat/water separation and reduce the sensitivity to susceptibility variation in balanced SSFP sequences. MATERIALS AND METHODS: Decreasing the repetition time (TR) reduces susceptibility artifacts in SSFP imaging. A shorter TR may also improve the spectral selectivity obtained when linearly combining data acquired using different radiofrequency phase cycling schedules. The desired short TR is achieved by using an angularly undersampled three-dimensional radial acquisition sequence that achieves a near zero echo time (TE) and also a short TR. RESULTS: Images from human volunteers demonstrate broad coverage of the cervical spine and knee with isotropic resolution. Excellent fat/water separation is achieved in these studies. CONCLUSION: The short TR capability of the proposed sequence greatly improves the fat suppression in SSFP imaging. High-resolution volumetric T2-like contrast imaged with reduced susceptibility artifacts can be obtained from a single acquisition using this technique.     

Fat-suppressed steady-state free precession imaging using phase detection.

Fully refocused steady-state free precession (SSFP) is a rapid, efficient imaging sequence that can provide diagnostically useful image contrast. In SSFP, the signal is refocused midway between excitation pulses, much like in a spin-echo experiment. However, in SSFP, the phase of the refocused spins alternates for each resonant frequency interval equal to the reciprocal of the sequence repetition time (TR). Appropriate selection of the TR results in a 180 degrees phase difference between lipid and water signals. This phase difference can be used for fat-water separation in SSFP without any increase in scan time. The technique is shown to produce excellent non-contrast-enhanced, flow-independent angiograms of the peripheral vasculature.     

Improved 3‐Tesla cardiac cine imaging using wideband

Cine balanced steady‐state free precession (SSFP) is the most widely used sequence for assessing cardiac ventricular function at 1.5 T because it provides high signal‐to‐noise ratio efficiency and strong contrast between myocardium and blood. At 3 T, the use of SSFP is limited by susceptibility‐induced off‐resonance, resulting in either banding artifacts or the need to use a short‐sequence pulse repetition time that limits the readout duration and hence the achievable spatial resolution. In this work, we apply wideband SSFP, a variant of SSFP that uses two alternating pulse repetition times to establish a steady state with wider band spacing in its frequency response and overcome the key limitations of SSFP. Prospectively gated cine two‐dimensional imaging with wideband SSFP is evaluated in healthy volunteers and compared to conventional balanced SSFP, using quantitative metrics and qualitative interpretation by experienced clinicians. We demonstrate that by trading off temporal resolution and signal‐to‐noise ratio efficiency, wideband SSFP mitigates banding artifacts and enables imaging with approximately 30% higher spatial resolution compared to conventional SSFP with the same effective band spacing. Magn Reson Med, 2010. © 2010 Wiley‐Liss, Inc.     

Wideband SSFP: alternating repetition time balanced steady state free precession with increased band spacing.

Balanced steady-state free precession (SSFP) imaging is limited by off-resonance banding artifacts, which occur with periodicity 1/TR in the frequency spectrum. A novel balanced SSFP technique for widening the band spacing in the frequency response is described. This method, called wideband SSFP, utilizes two alternating repetition times with alternating RF phase, and maintains high SNR and T(2)/T(1) contrast. For a fixed band spacing, this method can enable improvements in spatial resolution compared to conventional SSFP. Alternatively, for a fixed readout duration this method can widen the band spacing, and potentially avoid the banding artifacts in conventional SSFP. The method is analyzed using simulations and phantom experiments, and is applied to the reduction of banding artifacts in cine cardiac imaging and high-resolution knee imaging at 3T.     

Phase and amplitude correction for multi‐echo water–fat separation with bipolar acquisitions

Purpose:

To address phase and amplitude errors for multi‐point water–fat separation with “bipolar” acquisitions, which efficiently collect all echoes with alternating read‐out gradient polarities in one repetition.

Materials and Methods:

With the bipolar acquisitions, eddy currents and other system nonidealities can induce inconsistent phase errors between echoes, disrupting water–fat separation. Previous studies have addressed phase correction in the read‐out direction. However, the bipolar acquisitions may be subject to spatially high order phase errors as well as an amplitude modulation in the read‐out direction. A method to correct for the 2D phase and amplitude errors is introduced. Low resolution reference data with reversed gradient polarities are collected. From the pair of low‐resolution data collected with opposite gradient polarities, the two‐dimensional phase errors are estimated and corrected. The pair of data are then combined for water–fat separation.

Results:

We demonstrate that the proposed method can effectively remove the high order errors with phantom and in vivo experiments, including obliquely oriented scans.

Conclusion:

For bipolar multi‐echo acquisitions, uniform water–fat separation can be achieved by removing high order phase errors with the proposed method. J. Magn. Reson. Imaging 2010;31:1264–1271. © 2010 Wiley‐Liss, Inc.     

Analysis of multiple-acquisition SSFP.

Refocused steady-state free precession (SSFP) is limited by its high sensitivity to local field variation, particularly at high field strengths or the long repetition times (TRs) necessary for high resolution. Several methods have been proposed to reduce SSFP banding artifact by combining multiple phase-cycled SSFP acquisitions, each differing in how individual signal magnitudes and phases are combined. These include maximum-intensity SSFP (MI-SSFP) and complex-sum SSFP (CS-SSFP). The reduction in SSFP banding is accompanied by a loss in signal-to-noise ratio (SNR) efficiency. In this work a general framework for analyzing banding artifact reduction, contrast, and SNR of any multiple-acquisition SSFP combination method is presented. A new sum-of-squares method is proposed, and a comparison is performed between each of the combination schemes. The sum-of-squares SSFP technique (SOS-SSFP) delivers both robust banding artifact reduction and higher SNR efficiency than other multiple-acquisition techniques, while preserving SSFP contrast.     

Alternating repetition time balanced steady state free precession.

A novel balanced SSFP technique for the separation or suppression of different resonance frequencies (e.g., fat suppression) is presented. The method is based on applying two alternating and different repetition times, TR(1) and TR(2). This RF scheme manipulates the sensitivity of balanced SSFP to off-resonance effects by a modification of the frequency response profile. Starting from a general approach, an optimally broadened stopband within the frequency response function is designed. This is achieved with a TR(2) being one third of TR(1) and an RF-pulse phase increment of 90 degrees . With this approach TR(2) is too short ( approximately 1 ms) to switch imaging gradients and is only used to change the frequency sensitivity. Without a significant change of the spectral position of the stopband, TR(1) can be varied over a range of values ( approximately 2.5-4.5 ms) while TR(2) and phase cycling is kept constant. On-resonance spins show a magnetization behavior similar to balanced SSFP, but with maximal magnetization at flip angles about 10 degrees lower than in balanced SSFP. The total scan time is increased by about 30% compared to conventional balanced SSFP. The new technique was applied on phantoms and volunteers to produce rapid, fat suppressed images.     

Addressing phase errors in fat‐water imaging using a mixed magnitude/complex fitting method

Accurate, noninvasive measurements of liver fat content are needed for the early diagnosis and quantitative staging of nonalcoholic fatty liver disease. Chemical shift‐based fat quantification methods acquire images at multiple echo times using a multiecho spoiled gradient echo sequence, and provide fat fraction measurements through postprocessing. However, phase errors, such as those caused by eddy currents, can adversely affect fat quantification. These phase errors are typically most significant at the first echo of the echo train, and introduce bias in complex‐based fat quantification techniques. These errors can be overcome using a magnitude‐based technique (where the phase of all echoes is discarded), but at the cost of significantly degraded signal‐to‐noise ratio, particularly for certain choices of echo time combinations. In this work, we develop a reconstruction method that overcomes these phase errors without the signal‐to‐noise ratio penalty incurred by magnitude fitting. This method discards the phase of the first echo (which is often corrupted) while maintaining the phase of the remaining echoes (where phase is unaltered). We test the proposed method on 104 patient liver datasets (from 52 patients, each scanned twice), where the fat fraction measurements are compared to coregistered spectroscopy measurements. We demonstrate that mixed fitting is able to provide accurate fat fraction measurements with high signal‐to‐noise ratio and low bias over a wide choice of echo combinations. Magn Reson Med, 2012. © 2011 Wiley Periodicals, Inc.     

Oscillating steady states.

The signal formation and properties of steady-state free precession (SSFP) in combination with alternating RF pulse phases or alternating spin precession is analyzed. Simulations and experiments demonstrate that the amplitudes of SSFP echo paths are significantly influenced by application of alternating phases either via the exciting RF pulse or via some external mechanism producing alternating spin precession. The influence of alternating phases on echo amplitudes is different for different echo paths. The primary SSFP echo paths F(0) (-) and F(0) (+) exhibit a signal reduction whereas higher-order echoes F(-1) (-) and F(1) (+) show a signal increase upon application of oscillating phases. This behavior can be described using a simple perturbation theory applied to the frequency response profile of balanced SSFP combined with a final signal integration over one balanced SSFP band. The high sensitivity of SSFP echo amplitudes to alternating RF pulse phases or precession is exemplarily used to detect and visualize propagating transverse acoustic shear waves. Detection of flow or alternating currents are further possibilities to apply this unique feature of SSFP.     

Fat/water separation using a concentric rings trajectory

The concentric rings two‐dimensional (2D) k‐space trajectory enables flexible trade‐offs between image contrast, signal‐to‐noise ratio (SNR), spatial resolution, and scan time. However, to realize these benefits for in vivo imaging applications, a robust method is desired to deal with fat signal in the acquired data. Multipoint Dixon techniques have been shown to achieve uniform fat suppression with high SNR‐efficiency for Cartesian imaging, but application of these methods for non‐Cartesian imaging is complicated by the fact that fat off‐resonance creates significant blurring artifacts in the reconstruction. In this work, two fat–water separation algorithms are developed for the concentric rings. A retracing design is used to sample rings near the center of k‐space through multiple revolutions to characterize the fat–water phase evolution difference at multiple time points. This acquisition design is first used for multipoint Dixon reconstruction, and then extended to a spectroscopic approach to account for the trajectory's full evolution through 3D k‐t space. As the trajectory is resolved in time, off‐resonance effects cause shifts in frequency instead of spatial blurring in 2D k‐space. The spectral information can be used to assess field variation and perform robust fat–water separation. In vivo experimental results demonstrate the effectiveness of both algorithms. Magn Reson Med, 2009. © 2008 Wiley‐Liss, Inc.     

Quantification of absolute fat mass using an adipose tissue reference signal model

Purpose

To develop a method for quantifying absolute fat mass, and to demonstrate its feasibility in phantoms and in ex vivo swine specimens at 3 Tesla.

Materials and Methods

Chemical‐shift‐based fat‐water decomposition was used to first reconstruct fat‐only images. Our proposed model used a reference signal from fat in pure adipose tissue to calibrate and normalize the fat signal intensities from the fat‐only images. Fat mass was subsequently computed on a voxel‐by‐voxel basis and summed across each sample. Feasibility of the model was tested in six ex vivo swine samples containing varying mixtures of fat (adipose) and lean tissues. The samples were imaged using 1.5‐mm isotropic voxels and a single‐channel birdcage head coil at 3 Tesla. Lipid assay was independently performed to determine fat mass, and served as the comparison standard.

Results

Absolute fat mass values (in grams) derived by our proposed model were in excellent agreement with lipid assay results, with a 5% to 7% difference (r > 0.99; P < 0.001).

Conclusion

Preliminary results in ex vivo swine samples demonstrated the feasibility of computing absolute fat mass as a quantitative endpoint using chemical‐shift fat‐water MRI with a signal model based on reference fat from pure adipose tissue. J. Magn. Reson. Imaging 2008;28:1483–1491. © 2008 Wiley‐Liss, Inc.     

Simultaneous fat suppression and band reduction with large-angle multiple-acquisition balanced steady-state free precession

Balanced steady-state free precession (bSSFP) MRI is a rapid and signal-to-noise ratio-efficient imaging method, but suffers from characteristic bands of signal loss in regions of large field inhomogeneity. Several methods have been developed to reduce the severity of these banding artifacts, typically involving the acquisition of multiple bSSFP datasets (and the accompanying increase in scan time). Fat suppression with bSSFP is also challenging; most existing methods require an additional increase in scan time, and some are incompatible with bSSFP band-reduction techniques. This work was motivated by the need for both robust fat suppression and band reduction in the presence of field inhomogeneity when using bSSFP for flow-independent peripheral angiography. The large flip angles used in this application to improve vessel conspicuity and contrast lead to specific absorption rate considerations, longer repetition times, and increased severity of banding artifacts. In this work, a novel method that simultaneously suppresses fat and reduces bSSFP banding artifact with the acquisition of only two phase-cycled bSSFP datasets is presented. A weighted sum of the two bSSFP acquisitions is taken on a voxel-by-voxel basis, effectively synthesizing an off-resonance profile at each voxel that puts fat in the stop band while keeping water in the pass band. The technique exploits the near-sinusoidal shape of the bSSFP off-resonance spectrum for many tissues at large (>50°) flip angles.     

Efficient fat suppression by slice‐selection gradient reversal in twice‐refocused diffusion encoding

Most diffusion imaging sequences rely on single‐shot echo‐planar imaging (EPI) for spatial encoding since it is the fastest acquisition available. However, it is sensitive to chemical‐shift artifacts due to the low bandwidth in the phase‐encoding direction, making fat suppression necessary. Often, spectral‐selective RF pulses followed by gradient spoiling are used to selectively saturate the fat signal. This lengthens the acquisition time and increases the specific absorption rate (SAR). However, in pulse sequences that contain two slice‐selective 180° refocusing pulses, the slice‐selection gradient reversal (SSGR) method of fat suppression can be implemented; i.e., using slice‐selection gradients of opposing polarity for the two refocusing pulses. We combined this method with the twice‐refocused spin‐echo sequence for diffusion encoding and tested its performance in both phantoms and in vivo. Unwanted fat signal was entirely suppressed with this method without affecting the water signal intensity or the slice profile. Magn Reson Med 60:1256–1260, 2008. © 2008 Wiley‐Liss, Inc.     

Fat‐free MRI based on magnetization exchange

An MRI technique is proposed for complete fat signal elimination. This approach exploits the fact that water rapidly exchanges magnetization with protons in protein and membrane phospholipid of tissue and cells but does not exchange magnetization with triglyceride or fat protons in the tissue. Saturation of the proton signal from protein and membrane phospholipid thus results in partial saturation of the water proton signal, allowing acquisition of an image including a portion of the water signal and the full fat signal. Subtraction of this image from the standard image, containing both water and fat signals, results in an image in which all fat signal is cancelled. This fat‐free image is sensitive to magnetization transfer and to water density and relaxation time, providing the possibility of additional contrast. Unlike most fat suppression techniques, this method is not compromised by the static or radiofrequency field heterogeneity and is equally efficient for all fat resonances independent of their chemical shift frequency. Magn Reson Med, 2010. © 2010 Wiley‐Liss, Inc.     

Sensitivity of diffusion weighted steady state free precession to anisotropic diffusion

Diffusion‐weighted steady‐state free precession (DW‐SSFP) accumulates signal from multiple echoes over several TRs yielding a strong sensitivity to diffusion with short gradient durations and imaging times. Although the DW‐SSFP signal is well characterized for isotropic, Gaussian diffusion, it is unclear how the DW‐SSFP signal propagates in inhomogeneous media such as brain tissue. This article presents a more general analytical expression for the DW‐SSFP signal which accommodates Gaussian and non‐Gaussian spin displacement probability density functions. This new framework for calculating the DW‐SSFP signal is used to investigate signal behavior for a single fiber, crossing fibers, and reflective barriers. DW‐SSFP measurements in the corpus callosum of a fixed brain are shown to be in good agreement with theoretical predictions. Further measurements in fixed brain tissue also demonstrate that 3D DW‐SSFP out‐performs 3D diffusion weighted spin echo in both SNR and CNR efficiency providing a compelling example of its potential to be used for high resolution diffusion tensor imaging. Magn Reson Med 60:405–413, 2008. © 2008 Wiley‐Liss, Inc.     

Comparison of wideband steady‐state free precession and T2‐weighted fast spin echo in spine disorder assessment at 1.5 and 3 T

Wideband steady‐state free precession (WB‐SSFP) is a modification of balanced steady‐state free precession utilizing alternating repetition times to reduce susceptibility‐induced balanced steady‐state free precession limitations, allowing its use for high‐resolution myelographic‐contrast spinal imaging. Intertissue contrast and spatial resolution of complete‐spine‐coverage 3D WB‐SSFP were compared with those of 2D T₂‐weighted fast spin echo, currently the standard for spine T₂‐imaging. Six normal subjects were imaged at 1.5 and 3 T. The signal‐to‐noise ratio efficiency (SNR per unit‐time and unit‐volume) of several tissues was measured, along with four intertissue contrast‐to‐noise ratios; nerve‐ganglia:fat, intradural‐nerves:cerebrospinal fluid, nerve‐ganglia:muscle, and muscle:fat. Patients with degenerative and traumatic spine disorders were imaged at both MRI fields to demonstrate WB‐SSFP clinical advantages and disadvantages. At 3 T, WB‐SSFP provided spinal contrast‐to‐noise ratios 3.7–5.2 times that of fast spin echo. At 1.5 T, WB‐SSFP contrast‐to‐noise ratio was 3–3.5 times that of fast spin echo, excluding a 1.7 ratio for intradural‐nerves:cerebrospinal fluid. WB‐SSFP signal‐to‐noise ratio efficiency was also higher. Three‐dimensional WB‐SSFP disadvantages relative to 2D fast spin echo are reduced edema hyperintensity, reduced muscle signal, and higher motion sensitivity. WB‐SSFP's high resolution and contrast‐to‐noise ratio improved visualization of intradural nerve bundles, foraminal nerve roots, and extradural nerve bundles, improving detection of nerve compression in radiculopathy and spinal‐stenosis. WB‐SSFP's high resolution permitted reformatting into orthogonal planes, providing distinct advantages in gauging fine spine pathology. Magn Reson Med, 2012. © 2012 Wiley Periodicals, Inc.     

Multiecho dixon fat and water separation method for detecting fibrofatty infiltration in the myocardium

Conventional approaches for fat and water discrimination based on chemical‐shift fat suppression have reduced ability to characterize fatty infiltration due to poor contrast of microscopic fat. The multiecho Dixon approach to water and fat separation has advantages over chemical‐shift fat suppression: 1) water and fat images can be acquired in a single breathhold, avoiding misregistration; 2) fat has positive contrast; 3) the method is compatible with precontrast and late‐enhancement imaging, 4) less susceptible to partial‐volume effects, and 5) robust in the presence of background field variation; and 6) for the bandwidth implemented, chemical‐shift artifact is decreased. The proposed technique was applied successfully in all 28 patients studied. This included 10 studies with indication of coronary artery disease (CAD), of which four cases with chronic myocardial infarction (MI) exhibited fatty infiltration; 13 studies to rule out arrhythmogenic right ventricular cardiomyopathy (ARVC), of which there were three cases with fibrofatty infiltration and two confirmed with ARVC; and five cases of cardiac masses (two lipomas). The precontrast contrast‐to‐noise ratio (CNR) of intramyocardial fat was greatly improved, by 240% relative to conventional fat suppression. For the parameters implemented, the signal‐to‐noise ratio (SNR) was decreased by 30% relative to conventional late enhancement. The multiecho Dixon method for fat and water separation provides a sensitive means of detecting intramyocardial fat with positive signal contrast. Magn Reson Med 61:215–221, 2009. © 2008 Wiley‐Liss, Inc.