1H spectroscopic imaging using a spectral-spatial excitation pulse

Parallel transmit optimized 3D composite adiabatic spectral-spatial pulse for spectroscopy

PURPOSE

To develop a 3D composite adiabatic spectral-spatial pulse for refocusing in spin-echo spectroscopy acquisitions and to compare its performance against standard acquisition methods.

METHODS

A 3D composite adiabatic pulse was designed by modulating a train of parallel transmit-optimized 2D subpulses with an adiabatic envelope. The spatial and spectral profiles were simulated and validated by experiments to demonstrate the feasibility of the design in both single and double spin-echo spectroscopy acquisitions. Phantom and in vivo studies were performed to evaluate the pulse performance and compared with semi-LASER with respect to localization performance, sequence timing, signal suppression, and specific absorption rate.

RESULTS

Simultaneous 2D spatial localization with water and lipid suppression was achieved with the designed refocusing pulse, allowing high-quality spectra to be acquired with shorter minimum TE/TR, reduced SAR, as well as adaptation to spatially varying B0 and B 1 + field inhomogeneities in both prostate and brain studies.

CONCLUSION

The proposed composite pulse can serve as a more SAR efficient alternative to conventional localization methods such as semi-LASER at ultrahigh field for spin echo-based spectroscopy studies. Subpulse parallel-transmit optimization provides the flexibility to manage the tradeoff among multiple design criteria to accommodate different field strengths and applications.

DCE-MRI, DW-MRI, and MRS in Cancer: Challenges and Advantages of Implementing Qualitative and Quantitative Multi-parametric Imaging in the Clinic

Multi-parametric magnetic resonance imaging (mpMRI) offers a unique insight into tumor biology by combining functional MRI techniques that inform on cellularity (diffusion-weighted MRI), vascular properties (dynamic contrast-enhanced MRI), and metabolites (magnetic resonance spectroscopy) and has scope to provide valuable information for prognostication and response assessment. Challenges in the application of mpMRI in the clinic include the technical considerations in acquiring good quality functional MRI data, development of robust techniques for analysis, and clinical interpretation of the results. This article summarizes the technical challenges in acquisition and analysis of multi-parametric MRI data before reviewing the key applications of multi-parametric MRI in clinical research and practice.

Fast triple-spin-echo Dixon (FTSED) sequence for water and fat imaging

A number of 'Dixon' techniques based on fast spin echo (FSE) sequence have been proposed and successfully used in many branches of medicine. Some require only one scan, but most of them need multiple scans and long scan times. This article describes a new fast triple-spin-echo Dixon (FTSED) technique suitable for ultra-high field MRI, in which three specific time shifts are introduced in the echo train; thus, three images with defined water-fat phase-differences (0, π, 2π) are encoded in the phase of the acquired images without extreme restrictions upon the echo duration. The water and fat images are then calculated by iterative least-squares estimation method. The sequence was successfully implemented at a 9.4T ultra-high field MRI system and tested on a phantom and a rat.

Three-dimensional MR spectroscopic imaging using adiabatic spin echo and hypergeometric dual-band suppression for metabolic mapping over the entire brain

PURPOSE

Large lipid and water signals in MR spectroscopic imaging (MRSI) complicate brain metabolite quantification. In this study, we combined adiabatic hypergeometric dual-band (HGDB) lipid and water suppression with gradient offset independent adiabatic (GOIA) spin echo to improve three-dimensional (3D) MRSI of the entire brain.

METHODS

3D MRSI was acquired at 3T with a 32-channel coil. HGDB pulses were used before excitation and during echo time. A brain slab was selected with GOIA-W(16,4) pulses, weighted phase encoded stack of spirals, and real-time motion/shim correction. HGDB alone or in combination with OVS and MEGA (MEscher-GArwood) was compared with OVS only and no suppression.

RESULTS

The combined HGDB pulses suppressed lipids to 2%-3% of their full unsuppressed signal. The HGDB lipid suppression was on average 5 times better than OVS suppression. HGDB+MEGA provided 30% more suppression compared with a previously described HGDB+OVS scheme. The number of voxels with good metabolic fits was significantly larger in the HGDB data (91%-94%) compared with the OVS data (59%-80%).

CONCLUSION

HGDB pulses provided efficient lipid and water suppression for full brain 3D MRSI. The HGDB suppression is superior to traditional OVS, and it can be combined with adiabatic spin echo to provide a sequence that is robust to B₁ inhomogeneity. Magn Reson Med 77:490-497, 2017. © 2016 International Society for Magnetic Resonance in Medicine.

Direct water and fat determination in two-point Dixon imaging with flexible echo times

PURPOSE

Identifying water and fat unambiguously in multipoint Dixon imaging often requires phase correction, which can be challenging and may fail. The purpose of this work is to present a geometric interpretation of the two-point Dixon method with flexible echo times (TEs) and to investigate the conditions under which water and fat can be determined directly without phase correction.

METHODS

Geometrically, the equation for the magnitude of the acquired signal at a given TE represents an ellipse in the water-fat plane centered at the origin. Determining water and fat in two-point Dixon imaging thus amounts to finding the correct intercept between two ellipses from the signals at two TEs. At the right TE combinations, the physicality requirement that water and fat be non-negative can be used to select a unique water and fat solution. Systematic computer simulations were conducted to examine the ranges of the TEs for which this approach is feasible and how different noise levels impact the feasibility. Phantom and in vivo experiments on a 1.5-T whole-body MRI scanner were used to validate the computer simulations.

RESULTS

In simulation and phantom experiments, nearly all pixels of pure water or pure fat were reliably identified based on the physicality requirement alone for a range of practically useful TE combinations (e.g., around 3 ms/6 ms at 1.5 T) and at moderate to high SNR levels (≥ 25). At other TE combinations, finding the correct solution based on the physicality requirement alone was not feasible or became sensitive to noise. In vivo findings were in overall agreement with the simulation and phantom studies, although the percentage of pixels that were correctly determined was lower.

CONCLUSIONS

The problem of direct water and fat determination without phase correction can be understood geometrically. Using the physicality requirement, it is possible to identify the different TE combinations and imaging conditions under which water and fat imaging can be performed either completely without phase correction or by generating a first-pass solution that can be used to improve the processing reliability of a phase-correction based method.

Various MRS application tools for Alzheimer disease and mild cognitive impairment

MR spectroscopy is a noninvasive technique that allows the detection of several naturally occurring compounds (metabolites) from well-defined regions of interest within the human brain. Alzheimer disease, a progressive neurodegenerative disorder, is the most common cause of dementia in the elderly. During the past 20 years, multiple studies have been performed on MR spectroscopy in patients with both mild cognitive impairment and Alzheimer disease. Generally, MR spectroscopy studies have found decreased N-acetylaspartate and increased myo-inositol in both patients with mild cognitive impairment and Alzheimer disease, with greater changes in Alzheimer disease than in mild cognitive impairment. This review summarizes the information content of proton brain MR spectroscopy and its related technical aspects, as well as applications of MR spectroscopy to mild cognitive impairment and Alzheimer disease. While MR spectroscopy may have some value in the differential diagnosis of dementias and assessing prognosis, more likely its role in the near future will be predominantly as a tool for monitoring disease response or progression in treatment trials. More work is needed to evaluate the role of MR spectroscopy as a biomarker in Alzheimer disease and its relationship to other imaging modalities.

Lipid suppression in CSI with spatial priors and highly undersampled peripheral k-space

Mapping 1H brain metabolites using chemical shift imaging is hampered by the presence of subcutaneous lipid signals, which contaminate the metabolites by ringing due to limited spatial resolution. Even though chemical shift imaging at spatial resolution high enough to mitigate the lipid artifacts is infeasible due to signal-to-noise constraints on the metabolites, the lipid signals have orders of magnitude of higher concentration, which enables the collection of high-resolution lipid maps with adequate signal-to-noise. The previously proposed dual-density approach exploits this high signal-to-noise property of the lipid layer to suppress truncation artifacts using high-resolution lipid maps. Another recent approach for lipid suppression makes use of the fact that metabolite and lipid spectra are approximately orthogonal, and seeks sparse metabolite spectra when projected onto lipid-basis functions. This work combines and extends the dual-density approach and the lipid-basis penalty, while estimating the high-resolution lipid image from 2-average k-space data to incur minimal increase on the scan time. Further, we exploit the spectral-spatial sparsity of the lipid ring and propose to estimate it from substantially undersampled (acceleration R=10 in the peripheral k-space) 2-average in vivo data using compressed sensing and still obtain improved lipid suppression relative to using dual-density or lipid-basis penalty alone.

Robust spatially selective excitation using radiofrequency pulses adapted to the effective spatially encoding magnetic fields

Multidimensional spatially selective excitation (SSE) has stimulated a variety of useful applications in magnetic resonance imaging and magnetic resonance spectroscopy, which have regained considerable interest after the recent introduction of parallel excitation. For SSE, radiofrequency pulses are designed specifically for certain time-courses of spatially encoding magnetic fields (SEM) which are applied simultaneously with the radiofrequency pulses. However, experimental imperfections of gradient-systems and undesired SEM field contributions often prevent the correct co-action of radiofrequency pulses and gradient-waveforms and therefore degrade the fidelity of excitation patterns, especially for parallel excitation. To cope with such imperfections, a classical measurement of k-space-trajectories can be performed followed by an adaptation of the SSE-pulses. However, this method is limited to linear SEM field distributions, which are describable in the k-space-formalism. Hence, this work presents a more sophisticated method consisting in a spatially resolved measurement of the temporal phase evolution of the transverse magnetization. This exhaustive phase information can be incorporated into pulse-design algorithms to compensate even for undesired spatially nonlinear, dynamic SEM field contributions. Both approaches are assessed in various experimental scenarios and individual benefits and limitations are discussed. The adaptation of SSE-pulses to experimentally achieved calibration data turned out to be very beneficial, and especially the novel spatially resolved method exhibited high potential for robust SSE even in adverse experimental setups.

B1 and T1 insensitive water and lipid suppression using optimized multiple frequency-selective preparation pulses for whole-brain 1H spectroscopic imaging at 3T

A new method for the simultaneous suppression of water and lipid resonances using a series of dual-band frequency-selective radiofrequency (RF) pulses with associated dephasing gradients is presented. By optimizing the nutation angles of the individual pulses, the water and lipid suppression is made insensitive to a range of both T1-relaxation times and B1 inhomogeneities. The method consists only of preparatory RF pulses and thus can be combined with a wide variety of MRSI schemes including both long and short TE studies. Simulations yield suppression factors, in the presence of +/-20% B1 inhomogeneity, on the order of 100 for lipid peaks with three different T1s (300 ms, 310 ms, and 360 ms), and water peaks with T1s ranging from 0.8 s to 4 s. Excellent in vivo study performance is demonstrated using a 3 Tesla volumetric proton spectroscopic imaging (1H-MRSI) sequence for measuring the primary brain metabolites peaks of choline (Cho), creatine (Cr), and N-acetyl aspartate (NAA).

Fast 3D 1H spectroscopic imaging at 3 Tesla using spectroscopic missing-pulse SSFP with 3D spatial preselection

Three-dimensional (3D) (1)H MR spectroscopic imaging (SI) allows metabolic changes in human tissue to be identified. In clinical practice, fast acquisition techniques are required to achieve an adequate spatial resolution within acceptable total measurement times. In this study a novel fast pulse sequence for 3D (1)H SI based on the condition of steady-state free precession (SSFP), termed "spectroscopic missing-pulse SSFP" (spMP-SSFP), is proposed. It combines 3D spatial preselection with the acquisition of full spin echoes (SEs), and thus makes subsequent phase correction of spectra redundant. The sequence was applied to a phantom and healthy human brains in vivo at 3 Tesla. Metabolic images are acquired with a spatial resolution of 1.8 cm(3) within a total measurement time of about 6 min. With a lower signal-to-noise ratio (SNR) per unit measurement time compared to previous spectroscopic SSFP implementations, 3D spatial preselection can now be realized with spMP-SSFP. Since the method does not require separate techniques for water and lipid suppression, and employs a simple data-processing approach, spMP-SSFP is a robust, fast SI method that requires only minimal user interaction.

Fast 1 H spectroscopic imaging using steady state free precession and spectral–spatial RF pulses

Recently, new methods for fast (1)H spectroscopic imaging based on the condition of steady state free precession (SSFP) were introduced to achieve a high signal-to-noise ratio at short minimum measurement times. In this work, a major improvement is presented to overcome a crucial drawback in some of the former sequences: the lack of spatial selectivity. Good spectral selectivity at very high sampling efficiency can be achieved by using spectral-spatial RF pulses, and combined with localised shimming. Results are shown from both phantom experiments and in vivo studies on the rat brain acquired at 4.7 T.

Experimental analysis of parallel excitation using dedicated coil setups and simultaneous RF transmission on multiple channels

An experimental implementation and first performance analysis of parallel spatially selective excitation with an array of transmit coils and simultaneous transmission of individual waveforms on multiple channels is presented. This technique, also known as Transmit SENSE, uses the basic idea of parallel imaging to shorten the k-space trajectories that accompany multidimensional excitation pulses, and hence shorten the duration of such pulses. So far, this concept has only been presented in simulations and semi-experimental studies since no hardware setup had been available for a full experimental realization. In this study, a hardware solution, in combination with a dedicated coil setup, is presented to overcome this limitation, and in several experiments of localized excitation and transmit field inhomogeneity compensation the practical feasibility of Transmit SENSE is demonstrated and a first performance analysis is given.

An analysis of RF pulse apodization in parallel spatially selective excitation

This paper presents an analysis of the effect of RF apodization for parallel spatially selective excitation in MRI. Using the small tip-angle approximation and the k-space interpretation, the analysis shows that for multidimensional multi-channel parallel excitation, limited RF pulse duration can lead to ringing excitation artifacts, similar to the truncation artifacts. Proper weighting of RF pulses can significantly reduce these artifacts, which is important for restricting field of excitation with minimal side lobes. Simulation results using a four-channel system in 1-D and 2-D experiments were shown to verify the analysis.

Sequence design for magnetic resonance spectroscopic imaging of prostate cancer at 3 T

Magnetic resonance spectroscopic imaging (MRSI) has proven to be a powerful tool for the metabolic characterization of prostate cancer in patients before and following therapy. The metabolites that are of particular interest are citrate and choline because an increased choline-to-citrate ratio can be used as a marker for cancer. High-field systems offer the advantage of improved spectral resolution as well as increased magnetization. Initial attempts at extending MRSI methods to 3 T have been confounded by the J-modulation of the citrate resonances. A new pulse sequence is presented that controls the J-modulation of citrate at 3 T such that citrate is upright, with high amplitude, at a practical echo time. The design of short (14 ms) spectral-spatial refocusing pulses and trains of nonselective refocusing pulses are described. Phantom studies and simulations showed that upright citrate with negligible sidebands is observed at an echo time of 85 ms. Studies in a human subject verified that this behavior is reproduced in vivo and demonstrated that the water and lipid suppression of the new pulse sequence are sufficient for application in prostate cancer patients.

Parallel excitation with an array of transmit coils

Theoretical and experimental results are presented that establish the value of parallel excitation with a transmit coil array in accelerating excitation and managing RF power deposition. While a 2D or 3D excitation pulse can be used to induce a multidimensional transverse magnetization pattern for a variety of applications (e.g., a 2D localized pattern for accelerating spatial encoding during signal acquisition), it often involves the use of prolonged RF and gradient pulses. Given a parallel system that is composed of multiple transmit coils with corresponding RF pulse synthesizers and amplifiers, the results suggest that by exploiting the localization characteristics of the coils, an orchestrated play of shorter RF pulses can achieve desired excitation profiles faster without adding strains to gradients. A closed-form design for accelerated multidimensional excitations is described for the small-tip-angle regime, and its suppression of interfering aliasing lobes from coarse excitation k-space sampling is interpreted based on an analogy to sensitivity encoding (SENSE). With or without acceleration, the results also suggest that by taking advantage of the extra degrees of freedom inherent in a parallel system, parallel excitation provides better management of RF power deposition while facilitating the faithful production of desired excitation profiles. Sample accelerated and specific absorption rate (SAR)-reduced excitation pulses were designed in this study, and evaluated in experiments.

Design of symmetric-sweep spectral-spatial RF pulses for spectral editing

Spectral-spatial RF (SSRF) pulses allow simultaneous selection in both frequency and spatial domains. These pulses are particularly important for clinical and research MR spectroscopy (MRS) applications for suppression of large water and lipid resonances. Also, the high bandwidth of the subpulses (5-10 kHz) greatly reduces the spatial-shift errors associated with different chemical shifts. However, the use of high-bandwidth subpulses along with enough spectral bandwidth to measure a typical range of metabolite frequencies (e.g., 300 Hz at 3 T) can require RF amplitudes beyond the limits of the RF amplifier of a typical scanner. In this article, a new method is described for designing nonlinear-phase 180 degrees SSRF pulses that can be used for spectral editing. The novel feature of the pulses is that the spectral profile develops as a symmetric sweep, from the outside edges of the spectral window towards the middle, so that coupled components are tipped simultaneously and over a short interval. Pulses were designed for lactate editing at 1.5 T and 3 T. The spectral and spatial spin-echo profiles of the new pulses were measured experimentally. Spectra acquired in phantom experiments showed a well-resolved, edited lactate doublet, with 91% to 93% editing efficiency.

Magnetic resonance imaging at 3.0 Tesla: challenges and advantages in clinical neurological imaging

MR imaging at very high field (3.0 T) is a significant new clinical tool in the modern neuroradiological armamentarium. In this report, we summarize our 40-month experience in performing clinical neuroradiological examinations at 3.0 T and review the relevant technical issues. We report on these issues and, where appropriate, their solutions. Issues examined include: increased SNR, larger chemical shifts, additional problems associated with installation of these scanners, challenges in designing and obtaining appropriate clinical imaging coils, greater acoustic noise, increased power deposition, changes in relaxation rates and susceptibility effects, and issues surrounding the safety and compatibility of implanted devices. Some of the these technical factors are advantageous (eg, increased signal-to-noise ratio), some are detrimental (eg, installation, coil design and development, acoustic noise, power deposition, device compatibility, and safety), and a few have both benefits and disadvantages (eg, changes in relaxation, chemical shift, and susceptibility). Fortunately solutions have been developed or are currently under development, by us and by others, for nearly all of these challenges. A short series of 1.5 T and 3.0 T patient images are also presented to illustrate the potential diagnostic benefits of scanning at higher field strengths. In summary, by paying appropriate attention to the discussed technical issues, high-quality neuro-imaging of patients is possible at 3.0 T.

Dualband spectral-spatial RF pulses for prostate MR spectroscopic imaging

Although MR spectroscopic imaging (MRSI) of the prostate has demonstrated clinical utility for the staging and monitoring of cancer extent, current acquisition methods are often inadequate in several aspects. Conventional 180 degrees pulses can suffer from chemical shift misregistration, and have high peak-power requirements that can exceed hardware limits in many prostate MRSI studies. Optimal water and lipid suppression are also critical to obtain interpretable spectra. While complete suppression of the periprostatic lipid resonance is desired, controlled partial suppression of water can provide a valuable phase and frequency reference for data analysis and an assessment of experimental success in cases in which all other resonances are undetectable following treatment. In this study, new spectral-spatial RF pulses were developed to negate chemical shift misregistration errors and to provide dualband excitation with partial excitation of the water resonance and full excitation of the metabolites of interest. Optimal phase modulation was also included in the pulse design to provide 40% reduction in peak RF power. Patient studies using the new pulses demonstrated both feasibility and clear benefits in the reliability and applicability of prostate cancer MRSI.

Region and tissue differences of metabolites in normally aged brain using multislice 1H magnetic resonance spectroscopic imaging

Quantitative measurements of regional and tissue specific concentrations of brain metabolites were measured in elderly subjects using multislice proton magnetic resonance spectroscopic imaging ((1)H MRSI). Selective k-space extrapolation and an inversion-recovery sequence were used to minimize lipid contamination and linear regression was used to account for partial volume problems. The technique was applied to measure the concentrations of N-acetyl aspartate (NAA), and creatine (Cr)- and choline (Cho)-containing compounds in cortical gray and white matter, and white matter lesions of the frontal and the parietal lobe in 40 normal elderly subjects (22 females and 18 males, 56-89 years old, mean age 74 +/- 8). NAA was about 15% lower in cortical gray matter and 23% lower in white matter lesions when compared to normal white matter. Cr was 11% higher in cortical gray matter than in white matter, and also about 15% higher in the parietal cortex than in the frontal cortex. Cho was 28% lower in cortical gray matter than in white matter. Furthermore, NAA and Cr changes correlated with age. In conclusion, regional and tissue differences of brain metabolites must be considered in addition to age-related changes when interpreting (1)H MRSI data.

3D interleaved water and fat image acquisition with chemical-shift correction

A new technique, 3D interleaved water and fat image acquisition with chemical-shift correction (3-DIWFAC), was developed to acquire 3D water and fat images in a single acquisition time and to combine the water and fat images to produce chemical-shift-free images. A 3D gradient-recalled-echo (GRE) sequence was implemented with a 1-3-3-1 binomial Shinnar-Le Roux spatial-spectral excitation, and with interleaved phase-encoding lines that alternate between water and fat excitations separated by half TR. Water-only and fat-only images were then realigned to remove chemical shift artifacts. Results from phantoms and human subjects demonstrated that the image contrast was the same as in the regular GRE sequence. With the chemical shift corrected, the shadow artifacts often seen at water and fat boundaries were removed. Since this sequence simultaneously provides water-only images showing cartilage and bone lesions, and water-fat images that depict soft tissue anatomy, it may be clinically useful in musculoskeletal imaging. Magn Reson Med 44:322-330, 2000.

Simultaneous highly selective MR water and fat imaging using a simple new type of spectral-spatial excitation

In a recent contribution [MRM 38:269-274 (1997)], it was reported that an excitation by a series of sinc-shaped slice-selective RF pulses with binomial amplitude ratios and complete spin refocusing between consecutive pulses leads to water- or fat-selective images of high quality. A method for simultaneous water and fat imaging in multislice operation is presented based on the principle of alternated line scanning and linear superposition of several excitations. For example, a 1 - 3 - 3 - 1 pulse train with suitable interpulse delays results in a water-selective excitation, whereas a 1 - 3 - 3 - 1 train leads to a selective excitation of fat (transmitter frequency corresponds with the Larmor frequency of water protons). Phase cycling of the excitation (1 - 3 - 3 - 1 for the even line numbers in k-space, but 1 - 3 - 3 - 1 for the odd line numbers) causes a shift of n/2 lines in phase-encode direction for the fat signals in an n x m matrix. The principle of linear superposition explains why an excitation of 2 - 0 - 6 - 0 for the even lines and 0 - 6 - 0 - 2 for the odd lines results in a final image with unshifted water signals and shifted fat signals. Both water and fat portions are simultaneously exhibited and separated without any signal loss. Examples recorded by a gradient-echo sequence demonstrate the potential of the new technique that allows a reduction of up to 50% of measuring time compared with former frequency-selective imaging methods.

Improved clinical echo-planar MRI using spatial-spectral excitation

Echo-planar imaging (EPI) is markedly susceptible to B0 field distortions and to frequency differences caused by chemical shift, because the phase of the signals is accumulating during the acquisition train. Thus, only water proton signals are usually recorded after frequency-selective suppression of the fat portions of magnetization. Otherwise, a shifted signal frequency from fat results in ghosting artifacts. In this article, a technique is presented working with spatial-spectral excitation for highly selective water or fat EPI. The proposed method allows recording in multislice operation on EPI scanners without irregular gradient or RF pulse shapes. Examples of gradient-echo and spin-echo EPI using spatial-spectral excitation by series of two to eight single slice-selective RF pulses are demonstrated. The method is not sensitive to misadjustments or inhomogeneities of the B1 field, but sufficient homogeneity of the static magnetic field B0 is required. Especially the quality of diffusion-weighted echo-planar images can be markedly improved by the new technique compared to conventional EPI, because artifacts from undesired chemical shift components are completely avoided.

Slice-selective fat saturation in MR angiography using spatial-spectral selective prepulses

Presaturation of fat signals by frequency-selective radiofrequency (RF) pulses is often applied in MR angiography to improve the visualization of the blood vessels. Unfortunately, standard fat saturation methods might cause a considerable reduction of the blood signal in the measured slices. This effect is caused by an attenuation of blood magnetization in remote tissue regions with water protons showing a similar Larmor frequency as the fat protons in the recorded slice. The affected blood water protons subsequently flow into the recorded slice and provide low signal intensity. Suitable spatial-spectral selective methods for slice-selective fat saturation were developed to avoid this unwanted effect. A spatial-spectral fat saturation technique was compared with a corresponding only spectrally selective approach. Both saturation techniques were included in a standard two-dimensional (2D) cine sequence and applied in angiographic examinations of the thighs. The results indicate that spatial-spectral saturation (acting slice selectively) leads to a clearly higher blood signal intensity in fat-suppressed MR angiography compared with standard techniques, especially in measurements performed during the systolic phase of the cardiac cycle.

Highly selective water and fat imaging applying multislice sequences without sensitivity to B1 field inhomogeneities

Improved selectivity to one chemical shift component was obtained using simultaneous slice-selective and chemical shift-selective excitation in sequences with usual spin-echo refocusing. The new type of sequences can be applied on modern whole-body units and permits multislice operation. Spatial-spectral excitation is based on prior research in this field, but the proposed improved version provides off-center slice excitation by the usual processing of the RF pulse envelopes. In addition, no irregular gradient shapes are necessary. The required B0 homogeneity of the new method is similar to conventional "fat-sat" techniques. In contrast to fat-sat methods, selectivity to water is not reduced by unavoidable misadjustments of the transmitter or B1 field inhomogeneities in the newly developed approach. Thus, the reported method has the potential to replace standard frequency selective fat-sat sequences for most applications.

MR geometric distortion correction for improved frame-based stereotaxic target localization accuracy

We present a method to correct the geometric distortion caused by field inhomogeneity in MR images of patients wearing MR-compatible stereotaxic frames. Our previously published distortion correction method derives patient-dependent error maps by computing the phase-difference of 3D images acquired at different TEs. The time difference (delta TE = 4.9 ms at 1.5 T) is chosen such that the water and fat signals are in phase. However, delta TE is long enough to permit phase wraps in the difference images for frequency offsets greater than 205 Hz. Phase unwrapping techniques resolve these only for connected structures; therefore, the phase difference for fiducial rods may be off by multiples of 2 pi relative to the head. We remove this uncertainty by using an additional single 2D phase-different image with delta TE = 1 ms (during which time no phase-wraps are typically expected) to determine the correct multiple of 2 pi for each rod. We tested our method in a cadaver and in a patient using CT as the gold standard. Targets in the frame coordinates were chosen from CT and compared with their locations in MR. Localizing errors using MR compared with CT were as large as 3.7 mm before correction and were reduced to less than 1.11 mm after correction.

Characterization of spatial distortion in magnetic resonance imaging and its implications for stereotactic surgery

The different sources of spatial distortion in magnetic resonance images are reviewed from the point of view of stereotactic target localization. The extents of the two most complex sources of spatial distortion, gradient field nonlinearities and magnetic field inhomogeneities, are discussed both qualitatively and quantitatively. Several ways by which the spatial distortion resulting from these sources can be minimized are discussed. The clinical relevance of the spatial distortion along with some strategies to minimize the localization errors in magnetic resonance-guided stereotaxy are presented.

Relaxivity corrected response modulated excitation (RME): a T2-corrected technique achieving specified magnetization patterns from an RF pulse and a time-varying magnetic field

We have reworked the theory of RF excitation to enable correction for relaxivity while designing response-modulated excitation (RME) to achieve specified magnetization targets. This results in a significant improvement in the ability to achieve a specified target magnetization, especially if excitation time is long or T2 is short. The methods presented may also be used to improve the quality of spatial-spectral pulses as well as localized spectroscopy, real-time imaging, real-time localized velocity, and noninvasive pressure measurement.

Numerically optimized RF-refocusing pulses in localized MR proton spectroscopy

The slice selection properties of three different soft refocusing-pulses (sinc-pulse, Hanning filtered sinc-pulse, and the numerically optimized reburp-pulse) within a standard double spin-echo sequence for localized proton spectroscopy were examined and compared. The slice profiles were measured acquiring two-dimensional images of the selected volumes of interest (VOI) appending a gradient-echo imaging part at the end of the spectroscopic part of the sequence. A comparison of the reached signal strength with the different pulses using the same voxel size (same Full Width Half Maximum, FWHM) was performed by in vitro and in vivo measurements. Additionally theoretical calculations using the Schrödinger equation for spin 1/2 particles in combination with a phase averaging method that takes into account the magnetic field spoiling and selection gradients of the spectroscopy sequence were performed. Calculated and measured slice profiles did well correspond. The numerically optimized reburp-pulse showed significant better slice selection and phase behaviour properties compared to the sinc-pulses. Further, a signal gain of about 20% was measured using the reburp-pulse, which was in good agreement with the calculated signal gain of 23%.

3D phase encoding 1H spectroscopic imaging of human brain

A three-dimensional (3D) phase-encoding proton spectroscopic imaging method is presented for a whole body MRI/MRS system. Metabolite images at 2 T of choline, creatine, and N-acetyl aspartate (NAA) of normal brain were obtained with a spatial resolution of 1.5 cc. With PRESS volume preselection and outer volume suppression pulses, brain regions close to the skull could be studied without significant contamination by lipid and water signals.