Pseudo-gating: elimination of periodic motion artifacts in magnetic resonance imaging without gating

A New Phased-Array Magnetic Resonance Imaging Receive-Only Coil for HBO2 Studies

The paper describes a new magnetic resonance imaging (MRI) phased-array receive-only (Rx) coil for studying decompression sickness and disorders of hyperbaricity, including nitrogen narcosis. Functional magnetic resonance imaging (fMRI) is noninvasive, is considered safe, and may allow studying the brain under hyperbaric conditions. All of the risks associated with simultaneous MRI and HBO2 therapy are described in detail, along with all of the mitigation strategies and regulatory testing. One of the most significant risks for this type of study is a fire in the hyperbaric chamber caused by the sparking of the MRI coils as a result of high-voltage RF arcs. RF pulses at 128 MHz elicit signals from human tissues, and RF sparking occurs commonly and is considered safe in normobaric conditions. We describe how we built a coil for HBO2-MRI studies by modifying an eight-channel phased-array MRI coil with all of the mitigation strategies discussed. The coil was fabricated and tested with a unique testing platform that simulated the worst-case RF field of a three-Tesla MRI in a Hyperlite hyperbaric chamber at 3 atm pressure. The coil was also tested in normobaric conditions for image quality in a 3 T scanner in volunteers and SNR measurement in phantoms. Further studies are necessary to characterize the coil safety in HBO2/MRI.

Peripheral nerve magnetic resonance imaging

Magnetic resonance imaging (MRI) has been used extensively in revealing pathological changes in the central nervous system. However, to date, MRI is very much underutilized in evaluating the peripheral nervous system (PNS). This underutilization is generally due to two perceived weaknesses in MRI: first, the need for very high resolution to image the small structures within the peripheral nerves to visualize morphological changes; second, the lack of normative data in MRI of the PNS and this makes reliable interpretation of the data difficult. This article reviews current state-of-the-art capabilities in in vivo MRI of human peripheral nerves. It aims to identify areas where progress has been made and those that still require further improvement. In particular, with many new therapies on the horizon, this review addresses how MRI can be used to provide non-invasive and objective biomarkers in the evaluation of peripheral neuropathies. Although a number of techniques are available in diagnosing and tracking pathologies in the PNS, those techniques typically target the distal peripheral nerves, and distal nerves may be completely degenerated during the patient’s first clinic visit. These techniques may also not be able to access the proximal nerves deeply embedded in the tissue. Peripheral nerve MRI would be an alternative to circumvent these problems. In order to address the pressing clinical needs, this review closes with a clinical protocol at 3T that will allow high-resolution, high-contrast, quantitative MRI of the proximal peripheral nerves.

Magnetic resonance angiography of fetal vasculature at 3.0 T

Magnetic resonance angiography has not been used much previously for visualizing fetal vessels in utero for reasons that include a contraindication for the use of exogenous contrast agents, maternal respiratory motion and fetal motion. In this work, we report the feasibility of using an appropriately modified clinical time-of-flight magnetic resonance imaging sequence for non-contrast angiography of human fetal and placental vessels at 3.0 T. Using this 2D angiography technique, it is possible to visualize fetal vascular networks in late pregnancy.

KEY POINTS

• 3D-visualization of fetal vasculature is feasible using non-contrast MRA at 3.0 T. • Visualization of placental vasculature is also possible with this method. • Fetal MRA can serve as a vascular localizer for quantitative MRI studies. • This method can be extended to 1.5 T.

Dynamic imaging of the fetal heart using metric optimized gating

PURPOSE

Advances in fetal cardiovascular magnetic resonance imaging have been limited by the absence of a reliable cardiac gating signal. The purpose of this work was to develop and validate metric-optimized gating (MOG) for cine imaging of the fetal heart.

THEORY AND METHODS

Cine MR and electrocardiogram data were acquired in healthy adult volunteers for validation of the MOG method. Comparison of MOG and electrocardiogram reconstructions was performed based on the image quality for each method, and the difference between MOG and electrocardiogram trigger times. Fetal images were also acquired, their quality evaluated by experienced radiologists, and the theoretical error in the MOG trigger times were calculated.

RESULTS

Excellent agreement between electrocardiogram and MOG reconstructions was observed. The experimental errors in adult MOG trigger times for all five volunteers were ± (7, 25, 17, 8, and 13) ms. Fetal images captured normal and diseased cardiac dynamics.

CONCLUSION

MOG for cine imaging of the fetal myocardium was developed and validated in adults. Using MOG, the first gated MR images of the human fetal myocardium were obtained. Small moving structures were visualized during radial contraction, thus capturing normal fetal cardiac wall motion and permitting assessment of cardiac function.

Ghost magnetic resonance angiography

Traditional methods for magnetic resonance angiography (MRA) involve the radiofrequency excitation of vascular spins within a selected region of tissue, followed by gradient localization and imaging of those spins within that same region. Signals that unfaithfully localize within the imaging volume, so-called "ghost artifacts", have historically been considered undesirable since they degrade image quality and every effort is made to suppress them. To the contrary, we hypothesized that these ghost artifacts could be manipulated to create detailed angiograms of the human body. In this initial demonstration of the method, which we call "Ghost MRA," we show that the human arterial system can be depicted with exquisite anatomic detail and near total suppression of background signal. Moreover, unlike alternative unenhanced methods, Ghost MRA can be acquired without the need for cardiac synchronization.

Band artifacts due to bulk motion

Band artifacts due to bulk motion were investigated in images acquired with fast gradient echo sequences. A simple analytical calculation shows that the width of the artifacts has a square-root dependence on the velocity of the imaged object, the time taken to acquire each line of k-space and the field of view in the phase-encoding direction. The theory furthermore predicts that the artifact width can be reduced using parallel imaging by a factor equal to the square root of the acceleration parameter. The analysis and results are presented for motion in the phase- and frequency-encoding directions and comparisons are made between sequential and centric ordering. The theory is validated in phantom experiments, in which bulk motion is simulated in a controlled and reproducible manner by rocking the scan table back and forth along the bore axis. Preliminary cardiac studies in healthy human volunteers show that dark bands may be observed in the endocardium in images acquired with nonsegmented fast gradient echo sequences. The fact that the position of the bands changes with the phase-encoding direction suggests that they may be artifacts due to motion of the heart walls during the image acquisition period.

Implications of respiratory motion for the quantification of 2D MR spectroscopic imaging data in the abdomen

Magnetic resonance spectroscopic imaging (MRSI) studies in the abdomen or breast are acquired in the presence of respiratory motion. This modifies the point spread function (PSF) and hence the reconstructed spectra. We evaluated the quantitative effects of both periodic and aperiodic motion on spectra localized by MRSI. Artefactual signal changes, both the modification of native to a voxel and spurious signals arising elsewhere, depend primarily upon the motion amplitude relative to the voxel dimension. A similar dependence on motion amplitude was observed for simple harmonic motion (SHM), quasi-periodic motion and random displacements. No systematic dependence upon the period or initial phase of SHM or on the array size was found. There was also no significant variation with motion direction relative to the internal and external phase-encoding directions. In measured excursion ranges of 20 breast and abdominal tumours, 70% moved < or = 5 mm, while 30% moved 6-23 mm. The diaphragm and fatty tissues in the gut typically moved approximately 15-20 mm. While tumour/organ excursions less than half the voxel dimension do not substantially affect native signals, the bleeding in of strong lipid signals will be problematic in 1H studies. MRSI studies in the abdomen, even of relatively well-anchored tumours, are thus likely to benefit from the addition of respiratory triggering or other motion compensation strategies.

Reduction of motion artifacts in magnetic resonance imaging of the neck and cervical spine by long-term averaging

RATIONALE AND OBJECTIVES

We performed a prospective comparison of T1-weighted turbo spin-echo (TSE) imaging with standard averaging and with the long-term averaging method (LOTA), comparing the effects on signal-to-artifact noise ratio (S/aN) and motion artifacts.

METHODS

In 30 consecutive patients undergoing imaging of the neck or cervical spine, a transverse T1-weighted TSE sequence was applied with and without LOTA by using identical sequence parameters. Quantitative image analysis was done by calculating S/Ns in the phase-encoding direction (S/aN). Visual image analysis was performed by four independent, masked readers using a standardized score sheet for anatomic and pathological findings.

RESULTS

The LOTA sequence yielded significantly superior S/aN values compared with the standard averaging sequence. In the subjective evaluation, the LOTA sequence showed significantly fewer motion artifacts and better visualization of normal anatomy of the neck, cervical spine, and spinal cord, as well as of the pathological findings.

CONCLUSIONS

LOTA is a valuable method for increasing S/aN in magnetic resonance imaging of the neck and cervical spine. It reduces motion artifacts and increases the conspicuity of pathology without increasing acquisition time. No additional hardware is needed, and this technique can be combined with other artifact-reducing methods.

Optimization of realtime adaptive navigator correction for 3D magnetic resonance coronary angiography

Breathing motion artifacts reduce the quality of MR coronary artery images. Real-time adaptive navigator correction with different correction factors (0%, 30%, 60%, 80% of diaphragmatic displacement) was used to correct for respiratory motion in 3D coronary artery imaging. Significant improvements of image quality were achieved by adaptive motion correction in comparison with conventional navigator gating. A close correlation between the correction factor, which yielded optimal image quality, and cardiac displacement relative to diaphragmatic displacement was found. The quality of coronary artery imaging can be improved using real-time adaptive navigator correction. Correction factors have to be adjusted for each segment of the coronary arteries and for each patient. Magn Reson Med 42:408-411, 1999.

Construction of a protocol for measuring blood flow by two-dimensional phase-contrast MRA

Our aim is to describe and demonstrate the steps we have found to be useful in the construction and evaluation of protocols for triggered and nontriggered measurement of blood flow by two-dimensional phase-contrast magnetic resonance angiography (MRA). To achieve this goal, we start with a survey of factors governing the accuracy (validity) and precision (repeatability) of MR flow measurements. This knowledge, combined with prior information regarding the diameter of the target vessel and the prevailing flow conditions, is then employed to define a protocol for measuring flow with negligible systematic error. In the absence of a gold standard for in vivo flow measurements, the protocol is subsequently validated for a range of flow conditions by representative phantom experiments. Precision is then calculated from the signal-to-noise ratio (SNR) of blood in the accompanying magnitude images or, less conveniently, estimated from the standard deviation of repeated measurements. The desired precision is finally achieved by adjusting the appropriate SNR parameters. All steps involved in protocol development are demonstrated for both flow-independent and flow-dependent acquisitions.

High-resolution venography of the brain using magnetic resonance imaging

The purpose of this study was to evaluate a non-flow related magnetic resonance imaging method to visualize small veins independent of arteries in the human brain. A long TE, high-resolution 3D gradient echo MR acquisition was used to highlight venous information. The method is based on the paramagnetic property of deoxyhemoglobin and the resulting phase difference between veins and brain parenchyma at long echo times. The MR magnitude images were masked with a phase mask filter to enhance small structure visibility. Venous information down to sub-pixel vessel diameters of several hundred microns is visible. Venous data are displayed in an angiographic manner using a minimum intensity projection algorithm. Both superficial veins and deep white matter veins are visible. The method has been successfully applied in volunteers. Preliminary results in patients with cerebral arteriovenous malformations indicate its potential in clinical applications. The proposed method is easy to implement and does not require administration of a contrast agent or application of specially designed rf pulses to highlight the veins. Rather it exploits the intrinsic magnetic properties (BOLD-effect) and the prolonged T2* of venous blood. The method may be of diagnostic potential in the assessment of arteriovenous malformations or other vascular venous lesions.

The effects of incomplete breath-holding on 3D MR image quality

The purpose of this study was to investigate how fast three-dimensional (3D) MR image quality is affected by breath-holding and to develop an optimal breath-holding strategy that minimizes artifact in the event of an incomplete breath-hold. A computer model was developed to study variable-duration breath-holds during fast 3D imaging. Modeling was validated by 3D gradient-echo imaging performed on 10 volunteers. Signal-to-noise ratio (SNR) and image blur were measured for both simulated and clinical images. Insights gained were applied to clinical 3D gadolinium-enhanced MR angiography. Breath-holding significantly improved abdominal 3D MR image quality. Most of this benefit could be achieved with a breath-hold fraction of 50% if it occurred during acquisition of central k space. Breath-holding during peripheral k-space acquisition, however, had no significant benefit. Respiratory motion artifact on fast 3D MRI occurring when a patient fails to suspend respiration for the entire scan duration can be minimized by collecting central k space first (centric acquisition) so that premature breathing affects only the acquisition of peripheral k space.

Velocity encoding using ghost artifacts

Motion artifacts represent a significant limitation of MRI, and an ideal solution to that problem has proved elusive. However, in this paper, motion artifacts are not considered as the usual enemy and are not suppressed; on the contrary, they are deliberately created to encode flow information. In MRI, velocity is encoded readily into the phase of a pixel. However, if the pixel contains overlapping signals, the phase of one of these signals now has consequences on both the magnitude and phase of the resulting pixel. It is shown here that an overlap of information may be used to encode velocity both in the phase and in the magnitude of an image, making the velocity-encoding process faster. The overlap of information is obtained by superposing ghosting artifacts of different orders and information is retrieved about complex intensity and velocity in two dimensions using the equivalent of two images instead of the usual three images. The price to pay to do so is some loss of simplicity in the equations involved, an increase in reconstruction computing time requirements, and a factor of 4 decrease in signal-to-noise ratio in the velocity measurements.

Frequency response of multi-phase segmented k-space phase-contrast

A theoretical analysis of the temporal frequency response of multi-phase segmented k-space phase-contrast was developed. This includes the effects of both segment duration and the number of cardiac phases that are reconstructed. An increase in the number of views per segment and the corresponding increase in segment duration results in an increased smoothing or low-pass filtering of the time-resolved flow waveform. Reconstruction of all intermediate cardiac phases makes the Nyquist sampling frequency independent of the number of views per segment. This analysis was verified experimentally using a multi-phase phase-contrast segmented k-space MR pulse sequence. This sequence reconstructs all intermediate cardiac phases and uses fractional segments at the end of the cardiac cycle if an entire segment does not fit. The use of fractional segments increases the portion of the cardiac cycle over which data are acquired.

Assessment of flow in the right human coronary artery by magnetic resonance phase contrast velocity measurement: effects of cardiac and respiratory motion

Flow in the human right coronary artery was determined using magnetic resonance phase contrast velocity quantification. Two methods were applied to reduce respiratory motion: Imaging during breath holding, which is fast, and retrospective respiratory gating, which has a high temporal resolution (32 ms) in the cardiac cycle. Vessel cross-sectional area, through-plane velocity, and volume flow were determined in six healthy subjects. In-plane vessel displacement during the cardiac cycle, caused by cardiac contraction, was about 2-4 mm within a time frame of 32 ms in systole and early diastole. The motion resulted in blurring of images obtained during breath holding caused by the large acquisition time window (126 ms) within the cardiac cycle. Therefore, only with a high temporal resolution correct velocity images over the entire cardiac cycle could be obtained. The time- and cross-sectionally averaged velocity was 7 +/- 2 cm/s, and the volume flow was 30 +/- 10 ml/min.

3D coronary MR angiography in multiple breath-holds using a respiratory feedback monitor

To reduce respiratory blur and ghosts in 3D coronary imaging, a data acquisition scheme using consistent multiple breath-holds was implemented. A navigator echo was acquired and processed in real time to dynamically measure diaphragm position. This information was provided as a visual prompt to the patient to maintain consistency in breath-hold levels such that the variation range of diastolic heart position was less than 2 mm. Preliminary results indicate that this multiple breath-hold acquisition scheme, compared with acquisition under respiration, can significantly reduce blur and ghost artifacts in 3D coronary imaging.

Respiratory motion of the heart: kinematics and the implications for the spatial resolution in coronary imaging

Respiratory motion is a major limiting factor in improving image resolution and signal-to-noise ratio in MR coronary imaging. In this work the effects of respiration on the cardiac position were studied quantitively by imaging the heart during diastole at various positions of tidal respiration with a breath-hold segmented fast gradient echo technique. It was found that during tidal breathing the movement of the heart due to respiration is dominated by superior-inferior (SI) motion, which is linearly related to the SI motion of the diaphragm. The motion of the heart due to respiration is approximately a global translation. These results provide motivation for employing adaptive motion correction techniques to reduce image blurring in nonbreath-hold coronary MR imaging.

Respiratory blur in 3D coronary MR imaging

3D MR imaging of coronary arteries has the potential to provide both high resolution and high signal-to-noise ratio, but it is very susceptible to respiratory artifacts, especially respiratory blurring. Resolution loss caused by respiratory blurring in 3D coronary imaging is analyzed theoretically and verified experimentally. Under normal respiration, the width for any Gaussian point spread function is increased to a new value that is at least several millimeters (about 3-4 mm). In vivo studies were performed to compare respiratory pseudo-gated 3D acquisition with breath-hold 2D acquisition. On average, the overall quality of a pseudo-gated 3D image is worse than that of the corresponding breath-hold 2D image (P = 0.005). In most cases, respiratory blur caused coronary arteries in pseudo-gated 3D data to have lower resolution than in breath-hold 2D data.

The effect of respiration on the contrast and sharpness of liver lesions in MRI

This work demonstrates the effects of through-plane motion due to respiration on contrast and sharpness of liver lesions in MRI. The effects of slice coverage with and without such respiratory motion is also reported. This work is comprised of two parts: a theoretical prediction of liver-lesion contrast and blur with and without respiration and an experimental validation using gel phantoms of the predicted results. Both theory and experiment show a loss of contrast, increasing with amplitude of the peak-to-peak motion. The loss of contrast for a 5-mm lesion at normal respiration of 15 mm peak-to-peak superior-inferior motion is approximately 10% with a low order sorted respiratory ordered phase encoding acquisition and approximately 50% for an unsorted acquisition. Lesion blur is greatest for the low order sorted acquisition while the unsorted and high sort acquisitions maintain edge definition. Breath-hold imaging is potentially superior to nonbreath-hold imaging in liver lesion contrast and edge definition, but is more sensitive to inadequate slice coverage.

Coronary MRI with a respiratory feedback monitor: the 2D imaging case

The inability to return the heart to the same position for all breath-holds during 2D coronary MR imaging can result in imaging different locations than desired. This can lead to problems such as (i) missing a whole vessel, or a part of it, (ii) misaligning segments of vessels imaged in different breath-holds, and (iii) degrading image quality when a single slice is acquired in multiple breath-holds. To reduce inconsistencies in the breath-hold level, we designed a respiratory feedback monitor (RFM) that uses a bellows to monitor the circumference of the subject's chest. When the circumference of the subject's chest is within preset limits, an audio signal alerts subjects to hold their breath at that position. Use of the RFM significantly reduces the problems caused by inconsistent breath-holds and the number of breath-holds for an examination in 2D coronary MR imaging.

Motion artifacts in fast spin-echo imaging

The purpose of this work is to obtain a better understanding of motion artifacts in fast spin-echo imaging, in order to eventually identify efficient ways of suppressing them. To do so, the point spread function of a moving point was calculated for fast spin-echo imaging, and experimental data were acquired by imaging a moving liquid sphere with a diameter of 1.5 mm. The agreement of the experimental results with the calculated point spread function is shown to be excellent. It was found that motion artifacts in fast spin-echo imaging arise from the convolution of two distinct band patterns. One of these patterns may dominate the convolution, giving its own spacing to the resulting image. For other acquisition parameters, the convolution results in an intricate pattern that may appear to lack overall structure.

Pulse sequence strategies for vascular contrast in time-of-flight carotid MR angiography

A systematic evaluation in healthy volunteers of the relative efficacy of various techniques for background suppression to improve two-dimensional (2D) and three-dimensional (3D) time-of-flight magnetic resonance angiography of the cervical carotid arteries was performed. Conventional 2D and 3D FISP (fast imaging with steady-state precession) sequences with flow compensation were compared with modifications of these sequences, including a tracking saturation pulse (2D), prolonged absolute TEs for fat suppression based on T2* decay (2D and 3D), frequency-selective saturation of fat (2D and 3D), in-plane spatial saturation (2D), and magnetization transfer contrast (2D and 3D). The tracking saturation pulse and slight overlap of the excitation sections provided uniform background suppression without impairing depiction of the morphology of the cervical carotid arteries. Frequency-selective fat saturation was the most effective background suppression scheme among the 2D and 3D techniques but was occasionally compromised by local field inhomogeneities. Magnetization transfer contrast provided little suppression of stationary tissues in the neck because of the intrinsic limitations of the coil. In-plane spatial saturation yielded the highest background suppression but reduced apparent arterial diameters and could not be implemented in a 3D version. The T2* decay method not only reduced the apparent size of the vessels but also their signal intensity.

Generalized K-space analysis and correction of motion effects in MR imaging

A new approach to understanding and reducing motion artifacts in magnetic resonance imaging (MRI) is introduced. This paper presents a novel technique for correcting generalized motion artifacts arising from translation, rotation, dilation, and compression, or any combination thereof. We also describe a new pulse sequence and a specialized postprocessing technique required to suppress these motion artifacts. The correction algorithm corrects for generalized motion. The theoretical basis of the correction scheme is founded upon the (k,t)-space formalism and the concept of pulse sequence contrast mapping functions. The proposed (k,t) formalism is based on the Fourier projection slice theorem and allows us to determine how motion artifacts arise. The correction technique currently suffers from some spatial resolution and signal-to-noise ratio limitations, and works better for small objects than large objects. These problems will be investigated in subsequent studies.

Ghost phase cancellation with phase-encoding gradient modulation

Motion artifacts are a dominant cause of magnetic resonance image quality degradation. Periodic or nearly periodic motion results in image replicates of the moving structures in spin-warp Fourier imaging. The replicates, or ghosts, propagate in the image in the phase-encoding, or y, direction. These ghosted images can be considered to consist of the time-averaged spin density I0 and a ghost mask g. A set of j ghosted images Ij may be acquired in which the ghost mask is intentionally phase shifted by varying amounts relative to I0 with interleaved acquisitions that have shifted phase-encoding orders or by acquiring multiple images during a single readout period in the presence of an oscillating phase-encoding gradient. The resulting complex images Ij have the same time-averaged spin density I0 but have ghost contributions gj that, on a pixel-by-pixel basis, trace part of a circle around I0. The source images Ij can then be used to estimate I0. Simulations and experiments with the phase-encoding gradient modulation method show good general ghost suppression for a variety of quasi-periodic motion sources including both respiratory-type artifacts and flow artifacts. The primary limitation of the method is the need for rapid gradient switching.

Three-dimensional MR imaging of the coronary arteries: preliminary clinical experience

A three-dimensional (3D) magnetization-prepared (MP) rapid gradient-echo (RAGE) and 3D RAGE technique was used to image the coronary arteries in healthy volunteers and patients with known disease. Each sequence produced images of volumes partitioned into 16 thin sections with differing blood-fat-myocardium contrast. The two types of images were subtracted to null fat signal, thus producing a third image set that showed flowing blood. Total imaging time was about 17 minutes. In the volunteers, the 3D MP-RAGE and subtraction images consistently showed the morphology of the right coronary artery. The left main and left anterior descending arteries were also well seen. The circumflex artery was less consistently identified. Of the 17 diseased coronary artery segments identified at catheterization, 16 had altered signal intensity (narrowing, occlusion, reduced contrast-to-noise ratio, irregularity) on the subtraction images, while 13 had altered signal intensity on the 3D MP-RAGE images. The results indicate that this 3D MP-RAGE and 3D RAGE technique has potential utility as a screening method for coronary heart disease.

K-space description for MR imaging of dynamic objects

The spatial frequency (k) space concept is extended to describe the imaging of time-dependent objects. This work builds on the existing k-space description of MRI and is useful for simplifying the analysis of explanations of motion artifacts, algorithms for the correction of motion, and efficient imaging schemes for dynamic objects. Specific examples of the use of this concept for different imaging techniques are presented.

Aortic ghost artifact in ultrashort TE multislice gradient echo MR images is not increased by paramagnetic enhancement

Pulsation artifact on gradient echo images with ultrashort TE (i.e., < 3 msec) and intermediate TR is primarily from view-to-view amplitude modulation. Paramagnetic contrast agents increase the signal from blood during diastole without increasing the intensity of unsaturated systolic blood, decreasing signal modulation between systole and diastole. In a phantom and in humans, artifact decreased or remained the same following contrast enhancement.

A piezoelectric respiratory monitor for in vivo NMR

This report describes a simple electronic device employing a piezoelectric element which serves as a sensitive detector of motion. The device is useful as a monitor of respiratory motion for nuclear magnetic resonance animal experiments in vivo. It can also provide a trigger pulse for respiratory gating experiments.

Partial angle inversion recovery (PAIR) MR imaging: spin-echo and snapshot implementation

The effects of varying the inversion or excitation RF pulse flip angles on image contrast and imaging time have been investigated in IR imaging theoretically, with phantoms and with normal volunteers. Signal intensity in an IR pulse sequence as a function of excitation, inversion and refocusing pulse flip angles was calculated from the solution to the Bloch equations and was utilized to determine the contrast behavior of a lesion/liver model. Theoretical and experimental results were consistent with each other. With the TI chosen to suppress the fat signal, optimization of the excitation pulse flip angle results in an increase in lesion/liver contrast or allows reduction in imaging time which, in turn, can be traded for an increased number of averages. This, in normal volunteers, improved spleen/liver contrast-to-noise ratio (9.0 vs. 5.7, n = 8, p less than 0.01) and suppressed respiratory ghosts by 33% (p less than 0.01). Reducing or increasing the inversion pulse from 180 degrees results in shorter TI needed to null the signal from the tissue of interest. Although this decreases the contrast-to-noise ratio, it can substantially increase the number of sections which can be imaged per given TR in conventional IR imaging or during breathold in the snapshot IR (turboFLASH) technique. Thus, the optimization of RF pulses is useful in obtaining faster IR images, increasing the contrast and/or increasing the number of imaging planes.

Motion artifact suppression: a review of post-processing techniques

Patient motion during data acquisition in magnetic resonance imaging causes artifacts in the reconstructed image, which for two-dimensional Fourier transform imaging techniques appear as blurring and ghost repetitions of the moving structures. While the problem with intra-view effects has been effectively addressed using gradient moment nulling techniques, there is no corresponding technique for inter-view effects with equal effectiveness and general applicability. A number of techniques have been proposed for correcting the inter-view effects, and these may be divided into those that minimise the corruption of the data, and those that post-process the data to restore the image. The techniques in the former category are briefly reviewed, then those in the latter category are examined in detail. These are analysed in terms of motion model, model parameter estimation, and data correction.

Motion artifact reduction with three-point ghost phase cancellation

A novel method for "ghost" artifact suppression is introduced. It suppresses ghosts induced by motion in any direction, as well as other types of quasi-periodic signal modulation. Because it requires neither special hardware nor intensive data processing, it can be easily implemented on conventional magnetic resonance (MR) imagers. The method is based on the concept of decomposition of a ghosted complex image into a ghost mask and ideal image. A set of deliberately designed acquisitions are used to generate a set of ghosted complex images in which the ghost components are related in a simple manner. With use of equations describing image decomposition and ghost correlation, the ideal image can be calculated pixel by pixel. The ideal image obtained (representing the time-averaged spin-density distribution) is shown to be a truer representation of physical reality than the ghost-free image obtained with ordered phase encoding. In this technique, both interview and intraview effects are taken into account. The technique is also useful in simultaneously suppressing ghosts from multifrequency signal modulations such as respiratory and cardiac motions. The method was successfully tested with three time-interleaved, phase-encoding-order-shifted acquisitions. Experimental results have shown that it is a simple but effective technique.

Respiratory gating in magnetic resonance imaging: improved image quality over non-gated images for equal scan time

Magnetic resonance image quality is adversely affected by respiratory (RESP) motion during the scan. Respiratory gating improves magnetic resonance image (MRI) quality and removes artifacts, but has not been widely used, as RESP gating increases scan time. Our RESP-gating device was used to study scan time versus improvement in image quality using various gating modes; with and without combined electrocardiographic (ECG) gating. When RESP scans were acquired for the same time as non-gated scans, by using a wide RESP-gating window bracketing end expiration and a reduced number of pulse sequence repetitions, substantial improvement in image quality (over non-gated scans) resulted, despite the inferior statistical content of the acquisition.

A new acquisition mode for 2D inflow refreshment angiography

Time-of-flight angiography methods rely on blood/tissue contrast generated when fresh blood spins enter a partially saturated region. A series of projective angiographic views is generated by application of a maximum intensity projection algorithm to data acquired from a 3D volume. When the data are acquired as a set of 2D slices, the angiograms exhibit sensitivity to body motion, resulting in the generation of artifacts. We present a new 2D time-of-flight angiographic technique, STREAM, Suppressed Tissue with Refreshment Angiography Method. It exhibits low sensitivity to internal body motion, thus allowing acquisition of good quality, single average angiograms. To suppress the static tissue signal a unique "active" suppression strategy is employed. Additionally, to further suppress the lipid signal, the chemical-shift phenomenon is exploited in the STREAM sequence.

A respiratory motion artifact reduction method in magnetic resonance imaging of the chest

An image reconstruction algorithm based on the assumption that the respiratory motion of the chest is linear in space and arbitrary in time is presented. The linear respiratory motion causes phase distortion on the magnetic resonance (MR) data. As a result of this motion, the MR data are the samples of the Fourier transform of the spin density on a nonrectangular grid. In image reconstruction. before taking the inverse Fourier transform, the phase distortion is compensated for, and the rectangular samples are interpolated from the existing nonrectangular samples. A significant amount of motion artifact suppression is achieved with a rough knowledge on the motion using this method. It is demonstrated that the respiratory motion model parameters can be estimated using the information hidden in the motion artifacts.

Identification of tumor hemorrhage in an animal model using spin echoes and gradient echoes

We report here how magnetic resonance imaging can be used to gain definitive information about tissue pathology by the combined use of spin-echo and gradient-echo sequences. We also show how artifacts arising from respiratory motion can be eliminated by using a simple respiratory gating technique.

The influence of flow and motion in MRI of diffusion using a modified CE-FAST sequence

Severe motion and flow artifacts are a problem in MRI of diffusion in vivo due to the application of strong magnetic field gradients. Here it is shown that image artifacts can be removed by using a modified fast-scan MRI sequence (CE-FAST) in conjunction with averaging of diffusion-weighted images. In phantom studies slow (coherent) flow (less than 1 mm s-1) in the presence of strong diffusion gradients is shown to cause signal losses in diffusion-weighted images that depend on the relative orientations of the flow direction and the diffusion gradient. On the other hand, pulsatile motions of macroscopic dimensions (e.g., 1 mm, 1 Hz, in-plane) lead to smearing and ghosting of signal intensities along the phase-encoding direction of the images. In both phantoms and rabbit brains in vivo motion artifacts were found to be reducible by averaging 8-16 images. Unfortunately, the resulting image contrast no longer represents a "true" diffusion contrast but is affected by additional signal losses due to motion averaging. All experiments were performed on a 40-cm-bore 2.35-T Bruker Medspec system.

Three-dimensional phase contrast angiography

Bipolar flow-encoding gradients can be used in a three-dimensional magnetic resonance imaging procedure to provide a noninvasive measure of in vivo blood flow. The resulting volume angiogram is a three-dimensional data matrix which can be retrospectively analyzed and displayed in a variety of ways. This angiographic technique provides good suppression of signals arising from stationary tissue, thereby permitting the visualization of small vessels having relatively slow flow. This suppression is obtained by modulating the amplitude of the flow-encoding gradient pulse to either cancel the stationary tissue signal or displace it relative to the flow signal in the volume image.

In vivo measurements of relaxation process in the human liver by MRI. The role of respiratory gating/triggering

In vivo estimation of relaxation processes in the liver by magnetic resonance imaging (MRI) may be helpful for characterization of various pathological conditions in the liver. However, such measurements may be significantly hampered by movement of the liver with the respiration. The effect of synchronization of data acquisition to the respiratory cycle on measured T1- and T2-relaxation curves was studied in normal subjects, patients with diffuse liver disease, and patients with focal liver pathology. Multi spin echo sequences with five different repetition times were used. The measurements were carried out with and without respiratory gating/triggering. In the healthy subjects as well as in the patients with diffuse liver diseases respiratory synchronization did not alter the obtained relaxation curves. However, in the patients with focal pathology the relaxation curves were significantly different, when respiratory synchronization was employed. The results indicate that respiratory synchronization is only necessary for estimation of relaxation processes in the liver with focal pathology.

Acquisition order and motional artifact reduction in spin warp images

Multiple averaging can be a powerful tool against motional artifacts if significant motion occurs between the redundant acquisitions taken at a given gradient strength. However, if the time delay between these redundant measurements is too short, data or images depicting the patient is exactly the same position will be combined. Pooling such identical data has no effect on motional artifacts. This problem can be solved by increasing TR, increasing the number of redundant acquisitions, or changing the order in which acquisitions are taken. Usually all acquisitions at a particular value of the warp gradient are taken before proceeding to the next gradient value. This order minimizes motion between redundant acquisitions and so maximizes artifacts. The effect of other acquisition orders on both periodic and nonrepetitive motion is discussed. Human images for breathing and phantom results for single-occurrence motions are presented.

Rapid FLASH NMR imaging

Nuclear magnetic resonance (NMR) spectroscopy and imaging provide new tools for non-invasive investigations of living systems. Recent developments in rapid NMR imaging now offer considerable improvements for both scientific applications and medical diagnosis. Using fast imaging sequences cross-sectional images may be recorded within seconds and, therefore, become free from motional artifacts due to breathing or peristalsis. New functional imaging experiments include dynamic studies of the application of paramagnetic contrast agents or ECG-synchronized recordings of cardiac NMR movies. Superior anatomical information is achieved by three-dimensional NMR imaging with measuring times of minutes rather than hours.