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.     

MRI using a concentric rings trajectory.

The concentric rings two-dimensional (2D) k-space trajectory provides an alternative way to sample polar data. By collecting 2D k-space data in a series of rings, many unique properties are observed. The concentric rings are inherently centric-ordered, provide a smooth weighting in k-space, and enable shorter total scan times. Due to these properties, the concentric rings are well-suited as a readout trajectory for magnetization-prepared studies. When non-Cartesian trajectories are used for MRI, off-resonance effects can cause blurring and degrade the image quality. For the concentric rings, off-resonance blur can be corrected by retracing rings near the center of k-space to obtain a field map with no extra excitations, and then employing multifrequency reconstruction. Simulations show that the concentric rings exhibit minimal effects due to T(2) (*) modulation, enable shorter scan times for a Nyquist-sampled dataset than projection-reconstruction imaging or Cartesian 2D Fourier transform (2DFT) imaging, and have more spatially distributed flow and motion properties than Cartesian sampling. Experimental results show that off-resonance blurring can be successfully corrected to obtain high-resolution images. Results also show that concentric rings effectively capture the intended contrast in a magnetization-prepared sequence.     

Whole heart magnetization‐prepared steady‐state free precession coronary vein MRI

Purpose

To compare two coronary vein imaging techniques using whole‐heart balanced steady‐state free precession (SSFP) and a targeted double‐oblique spoiled gradient‐echo (GRE) sequences in combination with magnetization transfer (MT) preparation sequence for tissue contrast improvement.

Materials and Methods

Nine healthy subjects were imaged with the proposed technique. The results are compared with optimized targeted MT prepared GRE acquisitions. Both quantitative and qualitative analyses were performed to evaluate each imaging method.

Results

Whole‐heart images were successfully acquired with no visible image artifact in the vicinity of the coronary veins. The anatomical features and visual grading of both techniques were comparable. However, the targeted small slab acquisition of the left ventricular lateral wall was superior to whole‐heart acquisition for visualization of relevant information for cardiac resynchronization therapy (CRT) lead implantation.

Conclusion

We demonstrated the feasibility of whole‐heart coronary vein MRI using a 3D MT‐SSFP imaging sequence. A targeted acquisition along the lateral left ventricular wall is preferred for visualization of branches commonly used in CRT lead implantation. J. Magn. Reson. Imaging 2009;29:1293–1299. © 2009 Wiley‐Liss, Inc.     

T2‐weighted 3D fast spin echo imaging with water–fat separation in a single acquisition

Purpose:

To develop a robust 3D fast spin echo (FSE) T₂‐weighted imaging method with uniform water and fat separation in a single acquisition, amenable to high‐quality multiplanar reformations.

Materials and Methods:

The Iterative Decomposition of water and fat with Echo Asymmetry and Least squares estimation (IDEAL) method was integrated with modulated refocusing flip angle 3D‐FSE. Echoes required for IDEAL processing were acquired by shifting the readout gradient with respect to the Carr‐Purcell‐Meiboom‐Gill echo. To reduce the scan time, an alternative data acquisition using two gradient echoes per repetition was implemented. Using the latter approach, a total of four gradient echoes were acquired in two repetitions and used in the modified IDEAL reconstruction.

Results:

3D‐FSE T₂‐weighted images with uniform water–fat separation were successfully acquired in various anatomies including breast, abdomen, knee, and ankle in clinically feasible scan times, ranging from 5:30–8:30 minutes. Using water‐only and fat‐only images, in‐phase and out‐of‐phase images were reconstructed.

Conclusion:

3D‐FSE‐IDEAL provides volumetric T₂‐weighted images with uniform water and fat separation in a single acquisition. High‐resolution images with multiple contrasts can be reformatted to any orientation from a single acquisition. This could potentially replace 2D‐FSE acquisitions with and without fat suppression and in multiple planes, thus improving overall imaging efficiency. J. Magn. Reson. Imaging 2010;32:745–751. © 2010 Wiley‐Liss, Inc.     

Three‐dimensional first‐pass myocardial perfusion MRI using a stack‐of‐spirals acquisition

Three‐dimensional cardiac magnetic resonance perfusion imaging is promising for the precise sizing of defects and for providing high perfusion contrast, but remains an experimental approach primarily due to the need for large‐dimensional encoding, which, for traditional 3DFT imaging, requires either impractical acceleration factors or sacrifices in spatial resolution. We demonstrated the feasibility of rapid three‐dimensional cardiac magnetic resonance perfusion imaging using a stack‐of‐spirals acquisition accelerated by non‐Cartesian k‐t SENSE, which enables entire myocardial coverage with an in‐plane resolution of 2.4 mm. The optimal undersampling pattern was used to achieve the largest separation between true and aliased signals, which is a prerequisite for k‐t SENSE reconstruction. Flip angle and saturation recovery time were chosen to ensure negligible magnetization variation during the transient data acquisition. We compared the proposed three‐dimensional perfusion method with the standard 2DFT approach by consecutively acquiring both data during each R–R interval in cardiac patients. The mean and standard deviation of the correlation coefficients between time intensity curves of three‐dimensional versus 2DFT were 0.94 and 0.06 across seven subjects. The linear correlation between the two sets of upslope values was significant (r = 0.78, P < 0.05). Magn Reson Med, 2013. © 2012 Wiley Periodicals, Inc.     

Clinical prostate T2 quantification using magnetization‐prepared spiral imaging

T₂ quantification may augment diagnostic T₂‐weighted imaging; to improve cancer detection via auto‐segmentation of multi‐parametric acquisitions and to potentiate longitudinal studies of prostate cancer. However, robust quantitative techniques are not generally accessible or refined for clinical translation. This research describes the adaptation of a magnetization‐prepared spiral imaging technique, termed T2prep for prostate application, providing whole gland coverage within a 5‐min interval with considerable insensitivity to radio‐frequency (RF) inhomogeneities. Clinical piloting in two cohorts with distinct clinical histories demonstrated the anticipated differences in zonal and tumor T₂, including tumor T₂ shortening compared to peripheral zone, and post‐radiotherapy shortening of peripheral zone T₂. SNR calculations were performed for data acquired with or without an endo‐rectal coil in tandem with a torso phased array, to judge the potential for voxel‐based T₂ mapping and thereby support focal biological characterization of cancer, hypoxia, and response to therapy within regions of dense cancer burden. Magn Reson Med, 2010. © 2010 Wiley‐Liss, Inc.