T1ρ MRI of human musculoskeletal system

Magnetic resonance imaging (MRI) offers the direct visualization of the human musculoskeletal (MSK) system, especially all diarthrodial tissues including cartilage, bone, menisci, ligaments, tendon, hip, synovium, etc. Conventional MRI techniques based on T₁‐ and T₂‐weighted, proton density (PD) contrast are inconclusive in quantifying early biochemically degenerative changes in MSK system in general and articular cartilage in particular. In recent years, quantitative MR parameter mapping techniques have been used to quantify the biochemical changes in articular cartilage, with a special emphasis on evaluating joint injury, cartilage degeneration, and soft tissue repair. In this article we focus on cartilage biochemical composition, basic principles of T_1ρ MRI, implementation of T_1ρ pulse sequences, biochemical validation, and summarize the potential applications of the T_1ρ MRI technique in MSK diseases including osteoarthritis (OA), anterior cruciate ligament (ACL) injury, and knee joint repair. Finally, we also review the potential advantages, challenges, and future prospects of T_1ρ MRI for widespread clinical translation. J. Magn. Reson. Imaging 2015;41:586–600. © 2014 Wiley Periodicals, Inc.     

Measurement of intervertebral disc pressure with T1ρ MRI

The aim of this study is to demonstrate T_1ρ MRI's capability for measuring intervertebral disc osmotic pressure. Self‐coregistered sodium and T_1ρ‐weighted MR images were acquired on ex vivo bovine intervertebral discs (N = 12) on a 3 T clinical MRI scanner. The sodium MR images were used to calculate effective nucleus pulposus fixed‐charge‐density (mean = 138.2 ± 27.6 mM) and subsequently osmotic pressure (mean = 0.53 ± 0.18 atm), whereas the T_1ρ‐weighted images were used to compute T_1ρ relaxation maps. A significant linear correlation (R = 0.56, P < 0.01) between nucleus pulposus fixed‐charge‐density and T_1ρ relaxation time constant was observed. More importantly, a significant power correlation (R = 0.72, P < 0.01) between nucleus pulposus osmotic pressure as predicted by sodium MRI and T_1ρ relaxation time constant was also observed. The current clinical method for assessing disc pressure is discography, which is an invasive procedure that has been shown to have negative effects on disc biomechanical and biochemical properties. In contrast, T_1ρ MRI is noninvasive and can be easily implemented in a clinical setting due to its superior signal‐to‐noise ratio compared with sodium MRI. Therefore, T_1ρ MRI may serve as a noninvasive clinical tool for the longitudinal evaluation of disc osmotic pressure. Magn Reson Med, 2010. © 2010 Wiley‐Liss, Inc.     

Reduction of residual dipolar interaction in cartilage by spin‐lock technique

The influence of radiofrequency (RF) spin‐lock pulse on the laminar appearance of articular cartilage in MR images was investigated. Spin‐lock MRI experiments were performed on bovine cartilage plugs on a 4.7 Tesla small‐bore MRI scanner, and on human knee cartilage in vivo on a 1.5 Tesla clinical scanner. When the normal to the surface of cartilage was parallel to B₀, a typical laminar appearence was exhibited in T₂‐weighted images of cartilage plugs, but was absent in T_1ρ‐weighted images of the same plugs. At the “magic angle” orientation (when the normal to the surface of cartilage was 54.7° with respect to B₀), neither the T₂ nor the T_1ρ images demonstrated laminae. At the same time, T_1ρ values were greater than T₂ at both orientations throughout the cartilage. T_1ρ dispersion (i.e., the dependence of the relaxation rate on the spin‐lock frequency ω₁) was observed, which reached a steady‐state value of close to 2 kHz in both parallel and magic‐angle orientations. These results suggest that residual dipolar interaction from motionally‐restricted water and relaxation processes, such as chemical exchange, contribute to T_1ρ dispersion in cartilage. Further, one can reduce the laminar appearance in human articular cartilage by applying spin‐lock RF pulses, which may lead to a more accurate diagnosis of degenerative changes in cartilage. Magn Reson Med 52:1103–1109, 2004. © 2004 Wiley‐Liss, Inc.     

In vivo 3.0‐tesla magnetic resonance T1ρ and T2 relaxation mapping in subjects with intervertebral disc degeneration and clinical symptoms

The purpose of this study is (1) to determine the correlation between T_1ρ and T₂ and degenerative grade in intervertebral discs using in vivo 3.0‐T MRI, and (2) to determine the association between T_1ρ and T₂ and clinical findings as quantified by the SF‐36 Questionnaire and Oswestry Disability Index. Sixteen subjects participated in this study, and each completed SF‐36 and Oswestry Disability Index questionnaires. MRI T_1ρ and T₂ mapping was performed to determine T_1ρ (77 discs) and T₂ (44 discs) in the nucleus of the intervertebral disc, and T₂‐weighted images were acquired for Pfirrmann grading of disc degeneration. Pfirrmann grade was correlated with both T_1ρ (r = ?0.84; P < 0.01) and T₂ (r = ?0.61; P < 0.01). Mixed‐effects models demonstrate that only T_1ρ was associated with clinical questionnaires (R²_SF‐36 = 0.55, R²_O.D.I. = 0.56; P < 0.05). Although the averaged values of T_1ρ and T₂ were significantly correlated, they presented differences in spatial distribution and dynamic range, thus suggesting different sensitivities to tissue composition. This study suggests that T_1ρ may be sensitive to early degenerative changes (corroborating previous studies) and clinical symptoms in intervertebral disc degeneration. Magn Reson Med 63:1193–1200, 2010. © 2010 Wiley‐Liss, Inc.     

Ultrashort TE T1ρ magic angle imaging

An ultrashort TE T₁ρ sequence was used to measure T₁ρ of the goat posterior cruciate ligament (n = 1) and human Achilles tendon specimens (n = 6) at a series of angles relative to the B₀ field and spin‐lock field strengths to investigate the contribution of dipole–dipole interaction to T₁ρ relaxation. Preliminary results showed a significant magic angle effect. T₁ρ of the posterior cruciate ligament increased from 6.9 ± 1.3 ms at 0° to 36 ± 5 ms at 55° and then gradually reduced to 12 ± 3 ms at 90°. Mean T₁ρ of the Achilles tendon increased from 5.5 ± 2.2 ms at 0° to 40 ± 5 ms at 55°. T₁ρ dispersion study showed a significant T₁ρ increase from 2.3 ± 0.9 ms to 11 ± 3 ms at 0° as the spin‐lock field strength increased from 150 Hz to 1 kHz, and from 30 ± 3 ms to 42 ± 4 ms at 55° as the spin‐lock field strength increased from 100 to 500 Hz. These results suggest that dipolar interaction is the dominant T₁ρ relaxation mechanism in tendons and ligaments. Magn Reson Med, 2013. © 2012 Wiley Periodicals, Inc.     

Multicomponent T2* mapping of knee cartilage: Technical feasibility ex vivo

Disorganization of collagen fibers is a sign of early‐stage cartilage degeneration in osteoarthritic knees. Water molecules trapped within well‐organized collagen fibrils would be sensitive to collagen alterations. Multicomponent effective transverse relaxation (T₂*) mapping with ultrashort echo time acquisitions is here proposed to probe short T₂ relaxations in those trapped water molecules. Six human tibial plateau explants were scanned on a 3T MRI scanner using a home‐developed ultrashort echo time sequence with echo times optimized via Monte Carlo simulations. Time constants and component intensities of T₂* decays were calculated at individual pixels, using the nonnegative least squares algorithm. Four T₂*‐decay types were found: 99% of cartilage pixels having mono‐, bi‐, or nonexponential decay, and 1% showing triexponential decay. Short T₂* was mainly in 1‐6 ms, while long T₂* was ～22 ms. A map of decay types presented spatial distribution of these T₂* decays. These results showed the technical feasibility of multicomponent T₂* mapping on human knee cartilage explants. Magn Reson Med, 2010. © 2010 Wiley‐Liss, Inc.     

A B1‐insensitive high resolution 2D T1 mapping pulse sequence for dGEMRIC of the HIP at 3 Tesla

Early detection of cartilage degeneration in the hip may help prevent onset and progression of osteoarthritis in young patients with femoroacetabular impingement. Delayed gadolinium‐enhanced MRI of cartilage is sensitive to cartilage glycosaminoglycan loss and could serve as a diagnostic tool for early cartilage degeneration. We propose a new high resolution 2D T₁ mapping saturation–recovery pulse sequence with fast spin echo readout for delayed gadolinium‐enhanced magnetic resonance imaging of cartilage of the hip at 3 T. The proposed sequence was validated in a phantom and in 10 hips, using radial imaging planes, against a rigorous multipoint saturation–recovery pulse sequence with fast spin echo readout. T₁ measurements by the two pulse sequences were strongly correlated (R² > 0.95) and in excellent agreement (mean difference = ?8.7 ms; upper and lower 95% limits of agreement = 64.5 and ?81.9 ms, respectively). T₁ measurements were insensitive to B₁₊ variation as large as 20%, making the proposed T₁ mapping technique suitable for 3 T. Magn Reson Med, 2011. © 2011 Wiley‐Liss, Inc.     

Spatial distribution and relationship of T1ρ and T2 relaxation times in knee cartilage with osteoarthritis

T_1ρ and T₂ relaxation time constants have been proposed to probe biochemical changes in osteoarthritic cartilage. This study aimed to evaluate the spatial correlation and distribution of T_1ρ and T₂ values in osteoarthritic cartilage. Ten patients with osteoarthritis (OA) and 10 controls were studied at 3T. The spatial correlation of T_1ρ and T₂ values was investigated using Z‐scores. The spatial variation of T_1ρ and T₂ values in patellar cartilage was studied in different cartilage layers. The distribution of these relaxation time constants was measured using texture analysis parameters based on gray‐level co‐occurrence matrices (GLCM). The mean Z‐scores for T_1ρ and T₂ values were significantly higher in OA patients vs. controls (P < 0.05). Regional correlation coefficients of T_1ρ and T₂ Z‐scores showed a large range in both controls and OA patients (0.2–0.7). OA patients had significantly greater GLCM contrast and entropy of T_1ρ values than controls (P < 0.05). In summary, T_1ρ and T₂ values are not only increased but are also more heterogeneous in osteoarthritic cartilage. T_1ρ and T₂ values show different spatial distributions and may provide complementary information regarding cartilage degeneration in OA. Magn Reson Med, 2009. © 2009 Wiley‐Liss, Inc.     

Quantitative cartilage degeneration associated with spontaneous osteoarthritis in a guinea pig model

Purpose:

To determine (i) the feasibility and intra‐ and inter‐scan reproducibility of T_1ρ MRI in assessing cartilage degeneration in a guinea pig model with naturally occurring joint disease that closely mimics human osteoarthritis (OA), (ii) demonstrate the sensitivity of T_1ρ MRI in assessing the age dependent cartilage degeneration in OA progression as compared to histopathological changes.

Materials and Methods:

Duncan‐Hartley guinea pigs were obtained at various ages and maintained under an IACUC approved protocol. The left hind stifle joint was imaged using T_1ρ MRI on a 9.4 Tesla Varian horizontal 20 cm bore scanner using a custom surface coil. Reproducibility of T_1ρ MRI was assessed using 4‐month‐old guinea pigs (N = 3). Three age cohorts; 3 month (N = 8), 5 month (N = 6), and 9 month (N = 5), were used to determine the age‐dependent osteoarthritic changes as measured by T_1ρ MRI. Validation of age‐dependent cartilage degeneration was confirmed by histology and Safranin‐O staining.

Results:

T_1ρ values obtained in the cartilage of the stifle joint in guinea pigs were highly reproducible with an inter‐scan mean coefficient of variation (CV) of 6.57% and a maximum intra‐scan CV of 9.29%. Mean cartilage T_1ρ values in animals with late stage cartilage degeneration were 56.3–56.9 ms (5–9 month cohorts) were both significantly (P < 0.01) higher than that obtained from 3‐month‐old cohort (44 ms) demonstrating an age‐dependent variation. T_1ρ was shown to be significantly greater than T₂. T_1ρ dispersion was observed in this animal model for the first time showing an increase of 45% between 500 Hz and 1500 Hz spin‐locking frequency. Cartilage thickness measurements were calculated from single mid‐coronal histology sections from same animals used for T_1ρ MRI. Thickness calculations showed insignificant differences between 3‐ and 5‐month cohorts and was significantly decreased by 9 months of age (P < 0.01). A moderate correlation (R² = 0.45) existed between T_1ρ values and signal intensity of Safranin‐O stain.

Conclusion:

The data presented demonstrate that T_1ρ MRI is highly reproducible in this spontaneous model of OA and may serve as a noninvasive tool to characterize joint cartilage degeneration during OA. Age‐dependent changes, verified with histological measurements of proteoglycan loss, correlated with T_1ρ across different age groups. T_1ρ has adequate dynamic range and is sensitive to detect and track the progression of cartilage degeneration in the guinea pig model before gross anatomical changes such as cartilage thinning has occurred. This study presents a technological advancement that would permit longitudinal studies of evaluating disease‐modifying therapies useful for treating human OA. J. Magn. Reson. Imaging 2012;35:891–898. © 2011 Wiley Periodicals, Inc.     

Variable flip angle‐based fast three‐dimensional T1 mapping for delayed gadolinium‐enhanced MRI of cartilage of the knee: Need for B1 correction

Delayed gadolinium‐enhanced MRI of cartilage is a technique, which involves T₁ mapping to identify changes in the structural integrity of cartilage associated with osteoarthritis. Currently, the gold standard is 2D inversion recovery turbo spin echo, which suffers from long acquisition times and limited coverage. Three‐dimensional variable flip angle (VFA) is an alternate technique, which has been shown to be accurate when an estimate of T₁ is available a priori. This study validates the variable flip angle method for delayed gadolinium‐enhanced MRI of cartilage of the femoro‐tibial knee cartilage. When amplitude of (excitation) radiofrequency field inhomogeneities were minimized using nonselective pulses and amplitude of (excitation) radiofrequency field correction using an additional acquisition of a amplitude of (excitation) radiofrequency field map, the accuracy of T₁ measurements were improved, and slice‐to‐slice variations over the 3D volume were minimized. In conclusion, fast 3D T₁ mapping using the variable flip angle method with amplitude of (excitation) radiofrequency field correction appears to be an efficient and accurate method for delayed gadolinium‐enhanced MRI of cartilage of the knee. Magn Reson Med, 2011. © 2010 Wiley‐Liss, Inc.     

Combined use of T2‐weighted MRI and T1‐weighted dynamic contrast–enhanced MRI in the automated analysis of breast lesions

A multiparametric computer‐aided diagnosis scheme that combines information from T₁‐weighted dynamic contrast–enhanced (DCE)‐MRI and T₂‐weighted MRI was investigated using a database of 110 malignant and 86 benign breast lesions. Automatic lesion segmentation was performed, and three categories of lesion features (geometric, T₁‐weighted DCE, and T₂‐weighted) were automatically extracted. Stepwise feature selection was performed considering only geometric features, only T₁‐weighted DCE features, only T₂‐weighted features, and all features. Features were merged with Bayesian artificial neural networks, and diagnostic performance was evaluated by ROC analysis. With leave‐one‐lesion‐out cross‐validation, an area under the ROC curve value of 0.77 ± 0.03 was achieved with T₂‐weighted‐only features, indicating high diagnostic value of information in T₂‐weighted images. Area under the ROC curve values of 0.79 ± 0.03 and 0.80 ± 0.03 were obtained for geometric‐only features and T₁‐weighted DCE‐only features, respectively. When all features were considered, an area under the ROC curve value of 0.85 ± 0.03 was achieved. We observed P values of 0.006, 0.023, and 0.0014 between the geometric‐only, T₁‐weighted DCE‐only, and T₂‐weighted‐only features and all features conditions, respectively. When ranked, the P values satisfied the Holm–Bonferroni multiple‐comparison test; thus, the improvement of multiparametric computer‐aided diagnosis was statistically significant. A computer‐aided diagnosis scheme that combines information from T₁‐weighted DCE and T₂‐weighted MRI may be advantageous over conventional T₁‐weighted DCE‐MRI computer‐aided diagnosis. Magn Reson Med, 2011. © 2011 Wiley‐Liss, Inc.     

T1 assessment of hip joint cartilage following intra‐articular gadolinium injection: A pilot study

This pilot study defines the feasibility of cartilage assessment in symptomatic femoroacetabular impingement patients using intra‐articular delayed gadolinium‐enhanced MRI of cartilage (ia‐dGEMRIC). Nine patients were scanned preliminary to study the contrast infiltration process into hip joint cartilage. Twenty‐seven patients with symptomatic femoroacetabular impingement were subsequently scanned with intra‐articular delayed gadolinium‐enhanced MRI of cartilage. These T₁ findings were correlated to morphological findings. Zonal variations were studied. This pilot study demonstrates a significant difference between the pre‐ and postcontrast T₁ values (P < 0.001) remaining constant for 45 min. We noted higher mean T₁ values in morphologically normal‐appearing cartilage than in damaged cartilage, which was statistically significant for all zones except the anterior‐superior zone. Intraobserver (0.972) and interobserver correlation coefficients (0.933) were statistically significant. This study outlines the feasibility of intra‐articular delayed gadolinium‐enhanced MRI of cartilage for assessment of cartilage changes in patients with femoroacetabular impingement. It can also define the topographic extent and differing severities of cartilage damage. Magn Reson Med, 2010. © 2010 Wiley‐Liss, Inc.     

T1ρ of protein solutions at very low fields: Dependence on molecular weight,concentration, and structure

The effect of molecular weight, concentration, and structure on 1/T₁ρ, the rotating frame relaxation rate, was investigated for several proteins using the on-resonance spin-lock technique, for locking fields B₁ < 200 μT. The measured values of 1/T₁ρ, were fitted to a simple theoretical model to obtain the dispersion curves 1/T₁ρ(ω₁) and the relaxation rate at zero B₁ field, 1/T₁ρ,(O). 1/T₁ρ, was highly sensitive to the molecular weight, concentration, and structure of the protein. The amount of intra- and intermolecular hydrogen and disulfide bonds especially contributed to 1/T₁ρ. In all samples, 1/T₁ρ(O) was equal to 1/T₂ρ measured at the main magnetic field B_o = 0.1 T, but at higher locking fields the dispersion curves mono-tonically decreased. The results of this work indicate that a model considering the effective correlation time of molecular motions as the main determinant for 1/T₁ρ relaxation in protein solutions is not valid at very low B₁ fields. The underlying mechanism for the relaxation rate 1/T₁ρ at B₁ fields below 200 μT is discussed.     

T2 measurement in articular cartilage: Impact of the fitting method on accuracy and precision at low SNR

T₂ relaxation time is a promising MRI parameter for the detection of cartilage degeneration in osteoarthritis. However, the accuracy and precision of the measured T₂ may be substantially impaired by the low signal‐to‐noise ratio of images available from clinical examinations. The purpose of this work was to assess the accuracy and precision of the traditional fit methods (linear least‐squares regression and nonlinear fit to an exponential) and two new noise‐corrected fit methods: fit to a noise‐corrected exponential and fit of the noise‐corrected squared signal intensity to an exponential. Accuracy and precision have been analyzed in simulations, in phantom measurements, and in seven repetitive acquisitions of the patellar cartilage in six healthy volunteers. Traditional fit methods lead to a poor accuracy for low T₂, with overestimations of the exact T₂ up to 500%. The noise‐corrected fit methods demonstrate a very good accuracy for all T₂ values and signal‐to‐noise ratio. Even more, the fit to a noise‐corrected exponential results in precisions comparable to the best achievable precisions (Cramér‐Rao lower bound). For in vivo images, the traditional fit methods considerably overestimate T₂ near the bone‐cartilage interface. Therefore, using an adequate fit method may substantially improve the sensitivity of T₂ to detect pathology in cartilage and change in T₂ follow‐up examinations. Magn Reson Med, 2010. © 2009 Wiley‐Liss, Inc.     

Photoreceptor degeneration changes magnetic resonance imaging features in a mouse model of retinitis pigmentosa

Retinal degeneration‐1 (rd1) mice are animal models of retinitis pigmentosa, a blinding disease caused by photoreceptor cell degeneration. This study aims to determine magnetic resonance imaging (MRI) changes in retinas of 1‐ and 3‐month‐old rd1 mice. Apparent diffusion coefficient in retina was measured using diffusion MRI. The blood‐retinal barrier leakage was evaluated using gadolinium‐diethylenetriaminepentaacetic acid‐enhanced T₁‐weighted MRI before and after systemic gadolinium‐diethylenetriaminepentaacetic acid injection. Photoreceptor degeneration in rd1 retina was apparent by decreased retinal thickness and loss of water diffusion anisotropy in both 1‐ and 3‐month‐old rd1 mice. Furthermore, statistically significant increase of mean retinal apparent diffusion coefficient and gadolinium‐diethylenetriaminepentaacetic acid‐enhanced T₁‐weighted MRI signals were observed in 3‐month‐old rd1 mice comparing with age‐matched wild‐type mice. Together, these data suggest that MRI parameter changes can signature common pathological changes in photoreceptor‐degenerated eyes, particularly blood‐retinal barrier leakage‐induced retinal edema. Magn Reson Med, 2011. © 2011 Wiley‐Liss, Inc.     

Delayed gadolinium‐enhanced magnetic resonance imaging (dGEMRIC) of hip joint cartilage in femoroacetabular impingement (FAI): Are pre‐ and postcontrast imaging both necessary?

The purpose of this study was to assess if delayed gadolinium MRI of cartilage using postcontrast T₁ (T_1Gd) is sufficient for evaluating cartilage damage in femoroacetabular impingement without using noncontrast values (T₁₀). T_1Gd and ΔR₁ (1/T_1Gd ? 1/T₁₀) that include noncontrast T₁ measurements were studied in two grades of osteoarthritis and in a control group of asymptomatic young‐adult volunteers. Differences between T_1Gd and ΔR₁ values for femoroacetabular impingement patients and volunteers were compared. There was a very high correlation between T_1Gd and ΔR₁ in all study groups. In the study cohort with Tonnis grade 0, correlation (r) was ?0.95 and ?0.89 with Tonnis grade 1 and ?0.88 in asymptomatic volunteers, being statistically significant (P < 0.001) for all groups. For both T_1Gd and ΔR₁, a statistically significant difference was noted between patients and control group. Significant difference was also noted for both T_1Gd and ΔR₁ between the patients with Tonnis grade 0 osteoarthritis and those with grade 1 changes. Our results prove a linear correlation between T_1Gd and ΔR₁, suggesting that T_1Gd assessment is sufficient for the clinical utility of delayed gadolinium MRI of cartilage in this setting and additional time‐consuming T₁₀ evaluation may not be needed. Magn Reson Med, 2009. © 2009 Wiley‐Liss, Inc.     

Angle‐sensitive MRI for quantitative analysis of fiber‐network deformations in compressed cartilage

Purpose

To demonstrate the feasibility of a novel experimental method to quantitatively analyze fiber‐network deformation in compressed cartilage by angle‐sensitive magnetic resonance imaging (MRI) of cartilage.

Methods

Three knee cartilage samples of an adult sheep were imaged in a high‐resolution MRI scanner at 7 T. Main fiber orientation and its “offset” from the direction perpendicular to the bone‐cartilage boundary were derived from MR images taken at different orientations with respect to B₀. Bending of the collagen fibers was determined from weight‐bearing MRI with the load (up to 1.0 MPa) applied over the whole sample surface. A “fascicle” model of the cartilage ultrastructure was assumed to analyze characteristic intensity variations in T₂‐weighted images under load.

Results

T₂‐weighted MR images showed a strong variation of the signal intensities with sample orientation. In the T₂‐weighted weight‐bearing series, regions of high signal intensity underwent shifts from the lateral to the central parts in all three cartilage samples. The bending of the collagen fibers was determined to be 27.2°, 35.4°, and 40.0° per MPa, respectively.

Conclusion

Assuming a “fascicle” model, the presented MRI method provides quantitative measures of structural adjustments in compressed cartilage. Our preliminary analysis suggests that cartilage fiber deformation includes both bending and crimping.     

Multiexponential T2, magnetization transfer,and quantitative histology in white matter tracts of rat spinal cord

Quantitative MRI measures of multiexponential T₂ relaxation and magnetization transfer were acquired from six samples of excised and fixed rat spinal cord and compared with quantitative histology. MRI and histology data were analyzed from six white matter tracts, each of which possessed unique microanatomic characteristics (axon diameter and myelin thickness, in particular) but a relatively constant volume fraction of myelin. The results indicated that multiexponential T₂ relaxation characteristics varied substantially with variation of microanatomy, while the magnetization transfer characteristics remained close to constant. The most‐often‐cited multiexponential T₂ relaxation metric, myelin water fraction, varied by almost a factor of 2 between two regions with myelin volume fractions that differed by only ≈ 12%. Based on the quantitative histology, the proposed explanation for this variation was intercompartmental water exchange, which caused the underestimation of myelin water fraction and T₂ values and is, presumably, a greater factor in white matter regions where axons are small and myelin is thin. In contrast to the multiexponential T₂ relaxation observations, magnetization transfer metrics were relatively constant across white matter tracts and concluded to be relatively insensitive to intercompartmental water exchange. Magn Reson Med 63:902–909, 2010. © 2010 Wiley‐Liss, Inc.     

Quantitative mapping of T2 using partial spoiling

Fast quantitative MRI has become an important tool for biochemical characterization of tissue beyond conventional T₁, T₂, and T₂*‐weighted imaging. As a result, steady‐state free precession (SSFP) techniques have attracted increased interest, and several methods have been developed for rapid quantification of relaxation times using steady‐state free precession. In this work, a new and fast approach for T₂ mapping is introduced based on partial RF spoiling of nonbalanced steady‐state free precession. The new T₂ mapping technique is evaluated and optimized from simulations, and in vivo results are presented for human brain at 1.5 T and for human articular cartilage at 3.0 T. The range of T₂ for gray and white matter was from 60 msec (for the corpus callosum) to 100 msec (for cortical gray matter). For cartilage, spatial variation in T₂ was observed between deep (34 msec) and superficial (48 msec) layers, as well as between tibial (33 msec), femoral, (54 msec) and patellar (43 msec) cartilage. Excellent correspondence between T₂ values derived from partially spoiled SSFP scans and the ones found with a reference multicontrast spin‐echo technique is observed, corroborating the accuracy of the new method for proper T₂ mapping. Finally, the feasibility of a fast high‐resolution quantitative partially spoiled SSFP T₂ scan is demonstrated at 7.0 T for human patellar cartilage. Magn Reson Med, 2011. © 2011 Wiley‐Liss, Inc.     

Interleaved T1 and T2 relaxation time mapping for cardiac applications

Purpose

To diagnose acute myocardial infarction (MI) with MRI, T₁‐weighted and T₂‐weighted images are required to detect necrosis and edema. The calculation of both T₁ and T₂ maps can be relevant for quantitative diagnosis. In this work, we present a simultaneous quantification of T₁‐T₂ relaxation times of a short‐axis view of the heart in a single scan.

Materials and Methods

An electrocardiograph (ECG)‐triggered, navigator‐gated, interleaved T₁ and T₂ mapping sequence was implemented for the quantification of the T₁ and T₂ values of phantoms, healthy volunteers, and three patients with acute MI. The proposed acquisition scheme consisted of an interleaved two‐dimensional (2D) steady‐state free precession (SSFP) sequence with three different modules: an inversion‐recovery (IR) sequence with multiple time delays, followed by a delay of one cardiac cycle for magnetization recovery and a T₂‐preparation pulse with multiple echo‐times for T₂ quantification.

Results

Measurements of in vivo relaxation times were in good agreement with literature values. The interleaved sequence was able to measure T₁ and T₂ relaxation times of the myocardium.

Conclusion

The interleaved sequence acquires data for the calculation of T₁ and T₂ maps in only one scan without the need for registration. This technique has the potential to differentiate between acute and chronic MI by estimating the concentration of gadolinium diethylenetriamine pentaacetic acid (Gd‐DTPA) in the necrotic tissue and to assess the extent of edema from T₂ maps. J. Magn. Reson. Imaging 2009;29:480–487. © 2009 Wiley‐Liss, Inc.