Rapid time‐resolved magnetic resonance angiography via a multiecho radial trajectory and GraDeS reconstruction

Contrast‐enhanced magnetic resonance angiography is challenging due to the need for both high spatial and temporal resolution. A multishot trajectory composed of pseudo‐random rotations of a single multiecho radial readout was developed. The trajectory is designed to give incoherent aliasing artifacts and a relatively uniform distribution of projections over all time scales. A field map (computed from the same data set) is used to avoid signal dropout in regions of substantial field inhomogeneity. A compressed sensing reconstruction using the GraDeS algorithm was used. Whole brain angiograms were reconstructed at 1‐mm isotropic resolution and a 1.1‐s frame rate (corresponding to an acceleration factor > 100). The only parameter which must be chosen is the number of iterations of the GraDeS algorithm. A larger number of iterations improves the temporal behavior at cost of decreased image signal‐to‐noise ratio. The resulting images provide a good depiction of the cerebral vasculature and have excellent arterial/venous separation. Magn Reson Med, 2013. © 2012 Wiley Periodicals, Inc.     

Controlled experimental study depicting moving objects in view‐shared time‐resolved 3D MRA

Various methods have been used for time‐resolved contrast‐enhanced magnetic resonance angiography (CE‐MRA), many involving view sharing. However, the extent to which the resultant image time series represents the actual dynamic behavior of the contrast bolus is not always clear. Although numerical simulations can be used to estimate performance, an experimental study can allow more realistic characterization. The purpose of this work was to use a computer‐controlled motion phantom for study of the temporal fidelity of three‐dimensional (3D) time‐resolved sequences in depicting a contrast bolus. It is hypothesized that the view order of the acquisition and the selection of views in the reconstruction can affect the positional accuracy and sharpness of the leading edge of the bolus and artifactual signal preceding the edge. Phantom studies were performed using dilute gadolinium‐filled vials that were moved along tabletop tracks by a computer‐controlled motor. Several view orders were tested using view‐sharing and Cartesian sampling. Compactness of measuring the k‐space center, consistency of view ordering within each reconstruction frame, and sampling the k‐space center near the end of the temporal footprint were shown to be important in accurate portrayal of the leading edge of the bolus. A number of findings were confirmed in an in vivo CE‐MRA study. Magn Reson Med, 2009. © 2009 Wiley‐Liss, Inc.     

Recent advances in 3D time‐resolved contrast‐enhanced MR angiography

Contrast‐enhanced magnetic resonance angiography (CE‐MRA) was first introduced for clinical studies approximately 20 years ago. Early work provided 3–4 mm spatial resolution with acquisition times in the 30‐second range. Since that time there has been continuing effort to provide improved spatial resolution with reduced acquisition time, allowing high resolution 3D time‐resolved studies. The purpose of this work is to describe how this has been accomplished. Specific technical enablers have been: improved gradients allowing reduced repetition times, improved k‐space sampling and reconstruction methods, parallel acquisition, particularly in two directions, and improved and higher count receiver coil arrays. These have collectively made high‐resolution time‐resolved studies readily available for many anatomic regions. Depending on the application, ～1 mm isotropic resolution is now possible with frame times of several seconds. Clinical applications of time‐resolved CE‐MRA are briefly reviewed. J. Magn. Reson. Imaging 2015;42:3–22. © 2015 Wiley Periodicals, Inc.     

Three‐dimensional dynamic time‐resolved contrast‐enhanced MRA using parallel imaging and a variable rate k‐space sampling strategy in intracranial arteriovenous malformations

Purpose

To evaluate the effectiveness of three‐dimensional (3D) dynamic time‐resolved contrast‐enhanced MRA (TR‐CE‐MRA) using a combination of a parallel imaging technique (ASSET: array spatial sensitivity encoding technique) and a time‐resolved method (TRICKS: time‐resolved imaging of contrast kinetics) and to compare it with 3D dynamic TR‐CE‐MRA using ASSET alone in the assessment of intracranial arteriovenous malformations (AVMs).

Materials and Methods

Twenty consecutive patients with angiographically confirmed AVMs were investigated using both 3D dynamic TR‐CE‐MRA techniques. Examinations were compared with respect to image quality, spatial resolution, number and type of feeders and drainers, nidus size, presence of early venous filling and temporal resolution. Digital subtraction angiography was used as standard of reference.

Results

The higher temporal and spatial resolution of 3D dynamic TR‐CE‐MRA TRICKS ASSET allowed a better assessment of intracranial vascular malformations, namely better depiction of feeders, drainers and better detection of early venous drainage. There was no significant difference between them in terms of nidus size.

Conclusion

3D dynamic TR‐CE‐MRA combining parallel imaging and a time‐resolved method with subsecond and submillimeter resolution could become the first‐line investigation technique in both diagnosis and follow‐up of intracranial AVMs. J. Magn. Reson. Imaging 2009;29:7–12. © 2008 Wiley‐Liss, Inc.     

Contrast‐kinetics‐resolved whole‐heart coronary MRA using 3DPR

Slow contrast infusion was recently proposed for contrast‐enhanced whole‐heart coronary MR angiography. Current protocols use Cartesian k‐space sampling with empiric acquisition delays, potentially resulting in suboptimal coronary artery delineation and image artifacts if there is a timing error. This study aimed to investigate the feasibility of using time‐resolved three‐dimensional projection reconstruction for whole‐heart coronary MR angiography. With this method, data acquisition was started simultaneously with contrast injection. Sequential time frames were reconstructed by employing a sliding window scheme with temporal tornado filtering. Additionally, a self‐timing method was developed to monitor contrast enhancement during a scan and automatically determine the peak enhancement time around which optimal temporal frames were reconstructed. Our preliminary results on six healthy volunteers showed that by using time‐resolved three‐dimensional projection reconstruction, the contrast kinetics of the coronary artery system throughout a scan could be retrospectively resolved and assessed. In addition, the blood signal dynamics predicted using self‐timing was closely correlated to the true dynamics in time‐resolved reconstruction. This approach is useful for optimizing delineation of each coronary artery and minimizing image artifacts for contrast‐enhanced whole‐heart MRA. Magn Reson Med 63:970–978, 2010. © 2010 Wiley‐Liss, Inc.     

Buildup of image quality in view‐shared time‐resolved 3D CE‐MRA

Time‐resolved three‐dimensional contrast‐enhanced MR angiography often relies on view sharing of peripheral k‐space data to enable acquisition of angiograms with both high spatial resolution and a rapid frame rate. It is typically assumed that k‐space will be fully sampled during passage of the contrast bolus arterial phase. However, this is not the case when view sharing is incomplete, for example, at the leading edge of an enhancing vessel or if acquisition time is limited as in fluoroscopic tracking for multistation bolus chase MR angiography. Incomplete view sharing will degrade image quality, for example, by reducing vessel signal and sharpness and increasing undersampling artifacts. In this work, the evolution of angiogram quality with view sharing is quantitatively assessed in phantom experiments and in vivo contrast‐enhanced MR angiography calf studies. It is demonstrated that there are multiple sets of sequence parameters that can yield a target image update time, but the choice of parameters can profoundly affect how image quality evolves with view sharing. A fundamental tradeoff between vessel signal and sharpness and its relationship to the sequence temporal footprint is investigated and discussed. Magn Reson Med 70:348–357, 2013. © 2012 Wiley Periodicals, Inc.     

Time‐resolved bolus‐chase MR angiography with real‐time triggering of table motion

Time‐resolved bolus‐chase contrast‐enhanced MR angiography with real‐time station switching is demonstrated. The Cartesian acquisition with projection reconstruction‐like sampling (CAPR) technique and high 2D sensitivity encoding (SENSE) (6× or 8×) and 2D homodyne (1.8×) accelerations were used to acquire 3D volumes with 1.0‐mm isotropic spatial resolution and frame times as low as 2.5 sec in two imaging stations covering the thighs and calves. A custom real‐time system was developed to reconstruct and display CAPR frames for visually guided triggering of table motion upon passage of contrast through the proximal station. The method was evaluated in seven volunteers. High‐spatial‐resolution arteriograms with minimal venous contamination were consistently acquired in both stations. Real‐time stepping table contrast‐enhanced MR angiography is a method for providing time‐resolved images with high spatial resolution over an extended field‐of‐view. Magn Reson Med, 2010. © 2010 Wiley‐Liss, Inc.     

Time resolved contrast enhanced intracranial MRA using a single dose delivered as sequential injections and highly constrained projection reconstruction (HYPR CE)

Time‐resolved contrast‐enhanced magnetic resonance angiography of the brain is challenging due to the need for rapid imaging and high spatial resolution. Moreover, the significant dispersion of the intravenous contrast bolus as it passes through the heart and lungs increases the overlap between arterial and venous structures, regardless of the acquisition speed and reconstruction window. An innovative technique is presented that divides a single dose contrast into two injections. Initially a small volume of contrast material (2–3 mL) is used to acquiring time‐resolved weighting images with a high frame rate (2 frames/s) during the first pass of the contrast agent. The remaining contrast material is used to obtain a high resolution whole brain contrast‐enhanced (CE) magnetic resonance angiography (0.57 × 0.57 × 1 mm³) that is used as the spatial constraint for Local Highly Constrained Projection Reconstruction (HYPR LR) reconstruction. After HYPR reconstruction, the final dynamic images (HYPR CE) have both high temporal and spatial resolution. Furthermore, studies of contrast kinetics demonstrate that the shorter bolus length from the reduced contrast volume used for the first injection significantly improves the arterial and venous separation. Magn Reson Med, 2011. © 2011 Wiley‐Liss, Inc.     

Combined time-resolved and high-spatial-resolution 3D MRA using an extended adaptive acquisition

PURPOSE: To combine the benefits of time-resolved dynamic imaging and single elliptical centric acquisitions in a reasonable scan time. MATERIALS AND METHODS: A time series of images with moderate spatial resolution was acquired using the 3D Time-Resolved Imaging of Contrast KineticS (3D TRICKS) technique with elliptical centric encoding during contrast arrival. Following venous opacification, a complete large centrically encoded k-space volume was acquired. The high-spatial-frequency portions of this volume were combined with a 3D TRICKS time frame to form a high-resolution image. An additional single image is formed by suppressing background and signal averaging all acquired data, including post-venous low-spatial-frequency data. For this image, 2D temporal correlation analysis is used to suppress low-spatial-frequency vein contributions. Arrival time and spatial correlations are used to suppress background. RESULTS: The 3D TRICKS time frame may be selected to ensure a combined high-resolution image that has optimal central k-space sampling for any vascular region. The single image formed by signal averaging all acquired data has increased contrast-to-noise (CNR) and signal-to-noise (SNR) ratios. CONCLUSION: The advantages of time-resolved and high-spatial-resolution imaging were combined using an extended dual-phase acquisition. Some SNR and CNR gain was achieved by signal averaging. This process is facilitated by background and vein suppression.     

Multiecho time‐resolved acquisition (META): A high spatiotemporal resolution dixon imaging sequence for dynamic contrast‐enhanced MRI

Purpose

To evaluate a new dynamic contrast‐enhanced (DCE) imaging technique called multiecho time‐resolved acquisition (META) for abdominal/pelvic imaging. META combines an elliptical centric time‐resolved three‐dimensional (3D) spoiled gradient‐recalled echo (SPGR) imaging scheme with a Dixon‐based fat‐water separation algorithm to generate high spatiotemporal resolution volumes.

Materials and Methods

Twenty‐three patients referred for hepatic metastases or renal masses were imaged using the new META sequence and a conventional fat‐suppressed 3D SPGR sequence on a 3T scanner. In 12 patients, equilibrium‐phase 3D SPGR images acquired immediately after META were used for comparing the degree and homogeneity of fat suppression, artifacts, and overall image quality. In the remaining 11 of 23 patients, DCE 3D SPGR images acquired in a previous or subsequent examination were used for comparing the efficiency of arterial phase capture in addition to the qualitative analysis for the degree and homogeneity of fat suppression, artifacts, and overall image quality.

Results

META images were determined to be significantly better than conventional 3D SPGR images for degree and uniformity of fat suppression and ability to visualize the arterial phase. There were no significant differences in artifact levels or overall image quality.

Conclusion

META is a promising high spatiotemporal resolution imaging sequence for capturing the fast dynamics of hyperenhancing hepatic lesions and provides robust fat suppression even at 3T. J. Magn. Reson. Imaging 2009. © 2009 Wiley‐Liss, Inc.     

Time‐resolved dual‐station calf–foot three‐dimensional bolus chase MR angiography with fluoroscopic tracking

Purpose:

To refine, adapt, and evaluate the technical aspects of fluoroscopic tracking for generating dual‐station high‐spatial‐resolution MR angiograms of the calves and feet using a single injection of contrast material.

Materials and Methods:

Nine subjects (seven healthy volunteers followed by two patients) were imaged using a two‐station calf–foot three‐dimensional time‐resolved bolus chase MR angiography protocol which provided <1.0 mm³ spatial resolution throughout and 2.5‐ and 6.6‐s frame times at the calf and foot stations, respectively. Real‐time reconstruction of calf station time frames allowed visually guided triggering of table advance to the foot station. The studies were independently read and scored by two radiologists in six image quality categories.

Results:

On average, overall diagnostic quality at the calf and foot stations was good‐to‐excellent, the calf arteries and all but the smallest foot arteries had good‐to‐excellent signal and sharpness, artifact and venous contamination were minor, and signal continuity across the inter‐station interface was good.

Conclusion:

The feasibility of fluoroscopic tracking has been demonstrated as an efficient approach for high spatiotemporal imaging of the arteries of the calves and feet with good‐to‐excellent diagnostic quality and low degrading venous contamination. J. Magn. Reson. Imaging 2012;36:1168–1178. © 2012 Wiley Periodicals, Inc.     

3D fluoroscopy with real-time 3D non-cartesian phased-array contrast-enhanced MRA.

For optimized CE-MRA of the chest and abdomen, the scan time and breath-hold must be coordinated with the arrival of contrast. A 3D fluoroscopy system is demonstrated that performs real-time 3D projection reconstruction acquisition, reconstruction, and visualization using only the standard scanner hardware and operator console workstation. Unlike 2D fluorotriggering techniques, no specification of a monitoring slab or careful placement of the imaging volume is required. 3DPR data are acquired continuously throughout the examination using an eight-channel receiver and 1 s interleaved subframes. The data are reconstructed using 1 s segments for real-time monitoring with 0.8-cm isotropic spatial resolution over the entire torso, allowing full-volume axial, coronal, and sagittal MIPs to be displayed simultaneously with minimal latency. The system later uses the same scan data to generate high-spatial-resolution time-resolved sequences of the breath-hold interval. The 3D fluoroscopy system was validated on phantoms and human volunteers.     

Radial sliding‐window magnetic resonance angiography (MRA) with highly‐constrained projection reconstruction (HYPR)

Sufficient temporal resolution is required to image the dynamics of blood flow, which may be critical for accurate diagnosis and treatment of various intracranial vascular diseases, such as arteriovenous malformations (AVMs) and aneurysms. Highly‐constrained projection reconstruction (HYPR) has recently become a technique of interest for high‐speed contrast‐enhanced magnetic resonance angiography (CE‐MRA). HYPR provides high frame rates by preferential weighting of radial projections while maintaining signal‐to‐noise ratio (SNR) by using a high SNR composite. An analysis was done to quantify the effects of HYPR on SNR, contrast‐to‐noise ratio (CNR), and temporal blur compared to the previously developed radial sliding‐window technique using standard filtered backprojection or regridding methods. Computer simulations were performed to study the effects of HYPR processing on image error and the temporal information. Additionally, in vivo imaging was done on patients with angiographically confirmed AVMs to measure the effects of alteration of various HYPR parameters on SNR as well as the fidelity of the temporal information. The images were scored by an interventional radiologist in a blinded read and were compared with X‐ray digital subtraction angiography (DSA). It was found that with the right choice of parameters, modest improvements in both SNR and dynamic information can be achieved as compared to radial sliding‐window MRA. Magn Reson Med, 2009. © 2009 Wiley‐Liss, Inc.     

Automatic selection of mask and arterial phase images for temporally resolved MR digital subtraction angiography.

For time-resolved background-subtracted contrast-enhanced magnetic resonance angiography, the bright and sparse arterial signal allows unique identification of contrast bolus arrival in the arteries. This article presents an automatic filtering algorithm using such arterial characterization for selecting arterial phase images and mask images to generate an optimal summary arteriogram. A paired double-blinded comparison demonstrated that this automatic algorithm is as effective as the manual process.