Consistent fat suppression with compensated spectral-spatial pulses

Pre-excitation gradients for eddy current nulled convex optimized diffusion encoding (Pre-ENCODE)

PURPOSE

To evaluate the use of pre-excitation gradients for eddy current-nulled convex optimized diffusion encoding (Pre-ENCODE) to mitigate eddy current-induced image distortions in diffusion-weighted MRI (DWI).

METHODS

DWI sequences using monopolar (MONO), ENCODE, and Pre-ENCODE were evaluated in terms of the minimum achievable echo time (TE  min $$ {}_{\mathrm{min}} $$ ) and eddy current-induced image distortions using simulations, phantom experiments, and in vivo DWI in volunteers (N = 6 $$ N=6 $$ ).

RESULTS

Pre-ENCODE provided a shorter TE  min $$ {}_{\mathrm{min}} $$ than MONO (71.0± $$ \pm $$ 17.7ms vs. 77.6± $$ \pm $$ 22.9ms) and ENCODE (71.0± $$ \pm $$ 17.7ms vs. 86.2± $$ \pm $$ 14.2ms) in 100% $$ \% $$ of the simulated cases for a commercial 3T MRI system with b-values ranging from 500 to 3000 s/mm  2 $$ {}^2 $$ and in-plane spatial resolutions ranging from 1.0 to 3.0mm  2 $$ {}^2 $$ . Image distortion was estimated by intravoxel signal variance between diffusion encoding directions near the phantom edges and was significantly lower with Pre-ENCODE than with MONO (10.1% $$ \% $$ vs. 22.7% $$ \% $$ ,p = 6 - 5 $$ p={6}^{-5} $$ ) and comparable to ENCODE (10.1% $$ \% $$ vs. 10.4% $$ \% $$ ,p = 0 . 12 $$ p=0.12 $$ ). In vivo measurements of apparent diffusion coefficients were similar in global brain pixels (0.37 [0.28,1.45]× 1 0 - 3 $$ \times 1{0}^{-3} $$ mm  2 $$ {}^2 $$ /s vs. 0.38 [0.28,1.45]× 1 0 - 3 $$ \times 1{0}^{-3} $$ mm  2 $$ {}^2 $$ /s,p = 0 . 25 $$ p=0.25 $$ ) and increased in edge brain pixels (0.80 [0.17,1.49]× 1 0 - 3 $$ \times 1{0}^{-3} $$ mm  2 $$ {}^2 $$ /s vs. 0.70 [0.18,1.48]× 1 0 - 3 $$ \times 1{0}^{-3} $$ mm  2 $$ {}^2 $$ /s,p = 0 . 02 $$ p=0.02 $$ ) for MONO compared to Pre-ENCODE.

CONCLUSION

Pre-ENCODE mitigated eddy current-induced image distortions for diffusion imaging with a shorter TE  min $$ {}_{\mathrm{min}} $$ than MONO and ENCODE.

Mapping tumour heterogeneity with pulsed 3D CEST MRI in non-enhancing glioma at 3 T

Objective

Amide proton transfer (APT) weighted chemical exchange saturation transfer (CEST) imaging is increasingly used to investigate high-grade, enhancing brain tumours. Non-enhancing glioma is currently less studied, but shows heterogeneous pathophysiology with subtypes having equally poor prognosis as enhancing glioma. Here, we investigate the use of CEST MRI to best differentiate non-enhancing glioma from healthy tissue and image tumour heterogeneity.

Materials & Methods

A 3D pulsed CEST sequence was applied at 3 Tesla with whole tumour coverage and 31 off-resonance frequencies (+6 to -6 ppm) in 18 patients with non-enhancing glioma. Magnetisation transfer ratio asymmetry (MTRasym) and Lorentzian difference (LD) maps at 3.5 ppm were compared for differentiation of tumour versus normal appearing white matter. Heterogeneity was mapped by calculating volume percentages of the tumour showing hyperintense APT-weighted signal.

Results

LDamide gave greater effect sizes than MTRasym to differentiate non-enhancing glioma from normal appearing white matter. On average, 17.9 % ± 13.3 % (min–max: 2.4 %–54.5 %) of the tumour volume showed hyperintense LDamide in non-enhancing glioma.

Conclusion

This works illustrates the need for whole tumour coverage to investigate heterogeneity in increased APT-weighted CEST signal in non-enhancing glioma. Future work should investigate whether targeting hyperintense LDamide regions for biopsies improves diagnosis of non-enhancing glioma.

Supplementary Information

The online version of this article (10.1007/s10334-021-00911-6) contains supplementary material, which is available to authorized users.

B0 field homogeneity recommendations, specifications, and measurement units for MRI in radiation therapy

PURPOSE

The purpose is: (a) Relate magnetic resonance imaging (MRI) quality recommendations for radiation therapy (RT) to B₀ field homogeneity; (b) Evaluate manufacturer specifications of B₀ homogeneity for 34 commercial whole-body MRI systems based on the MRI quality recommendations and RT application; (c) Measure field homogeneity in five commercial MRI systems and one commercial MRI-Linac used in RT and compare the results with their B₀ homogeneity specifications.

METHODS

Magnetic resonance imaging quality recommendations for spatial integrity, image blurring, fat saturation, and null banding in RT were developed based on the literature. Guaranteed (maximum) and typical B₀ field homogeneity specifications for various diameter spherical volumes (DSVs) were provided by GE, Philips, Siemens, and Canon. For each system, the DSV that conforms to each MRI quality recommendation and anatomical RT application was estimated based on the manufacturer specifications. B₀ field homogeneity was measured on six MRI systems including Philips (1.5 T), Siemens (1.5 and 3 T), and ViewRay MRI (0.35 T) systems using 24 and 35 cm DSV spherical phantoms. Two measurement techniques were used: (a) MRI using phase contrast field mapping to measure peak-to-peak (pk-pk), volume root mean square (VRMS), and standard deviation (SD); and (b) Magnetic resonance (MR) spectroscopy by acquiring a volumetric free induction decay (FID) to measure full width at half maximum (FWHM). The measurements were used to assess: (a) conformance with the manufacturer specifications; and (b) the relationship between the various field homogeneity measurement units. Measurements were made with and without gradient shimming (gradshim) or second-order active shimming. Multiple comparisons, analysis of variance (ANOVA), and Pearson correlations were performed to assess the dependence of pk-pk, VRMS, SD, and FWHM measurements of field homogeneity on shim volume, level of shim, and MRI system.

RESULTS

For a 40 cm DSV, the B₀ homogeneity specifications ranged from 0.35 to 5 ppm (median = 0.75 ppm) VRMS for 1.5 T systems and 0.2 to 1.4 ppm (median = 0.5 ppm) VRMS for 3 T systems. The usable DSVs ranged from 16 to 49 cm (median = 35 cm) based on the image quality recommendations and the manufacturer specifications. There was general compliance between the six measured field homogeneities and manufacturer specifications although signal dephasing was observed in two systems at < 35 cm DSV. The relationships between pk-pk, VRMS, SD, and FWHM varied based on MRI system, shim volume, and quality of shim. However, VRMS and SD measurements were highly correlated.

CONCLUSIONS

The delineation of the diseased lesion from organs at risk is the main priority for RT. Therefore, field homogeneity performance for RT must minimize image blurring and image artifacts (null bands and signal dephasing) while optimizing spatial integrity and fat saturation. Based on the specifications and recommendations for field homogeneity, some MRI systems are not well suited to meet the strict demands of RT particularly for the large imaging volumes used in body MRI. VRMS and SD measurements of B₀ field homogeneity tend to be more stable and sensitive to field inhomogeneities in RT applications than pk-pk and FWHM.

Interleaved spatial/spectral encoding in ultrafast 2D NMR spectroscopy

The possibility to record a full 2D spectrum in less than a second using ultrafast 2D NMR (UF2DNMR) is beneficial in many applications. However, the spatial encoding process on which UF2DNMR is based sets specific constraints on the spectral width and resolution of the resulting spectra. To overcome these limitations, a tailored encoding method using spatial/spectral pulses (SPSP) can be employed as an alternative to the traditional linear spatial encoding of interactions. Here we analyze and further develop this alternative spatial encoding strategy. We first carry out numerical simulations to describe the features of bidimensional SPSP pulses. Sidebands are identified along the spectral dimension of the excitation profile. An interleaved excitation scheme is then developed and implemented experimentally to suppress the unwanted signals that arise from these harmonic sidebands. Two examples are shown to illustrate the potential of the proposed approach. An ultrafast selective TOCSY spectrum is recorded to access sub-spectra and fully assign ¹H NMR resonances of individual residues of cyclosporin A. An ultrafast HSQC spectrum of a mixture of metabolites is recorded with an optimized spectral width in the spatially encoded dimension.

Improved visualization of the lumbar spine nerve roots in dogs using water excitation (ProSet) as opposed to short tau inversion recovery: A retrospective study of two fat suppression MRI sequences

Magnetic resonance imaging fat suppression techniques are commonly used for diagnosis of canine spinal disease, however, studies comparing different techniques are currently lacking. This retrospective, methods comparison study aimed to evaluate water excitation and STIR MRI pulse sequences for visualization of canine lumbar spinal nerve roots. For inclusion, all dogs had to have dorsal planar MRI studies of the lumbar spine using both sequences. Visual grading analysis was used for scoring the following five criteria: degree of fat suppression; nerve root visualization; subjective tissue contrast; presence of noise; and overall better image quality. Scores were independently recorded by three board-certified veterinary radiologists on two separate occasions, 3-6 weeks apart. A total of 90 dogs were sampled. A two-tailed t-test showed that there were significant differences in all scored parameters (P < 0.00001), with the exception of noise (P = 0.47343), and that the water excitation sequence scored higher in all cases excluding noise. A Gwets AC kappa for intraobserver and interobserver reliability showed "almost perfect" agreement for the nerve roots in both tests (intra: k = 0.88; inter: k = 0.90). Intraobserver agreement was "substantial" for the degree of fat suppression (k = 0.68), subjective tissue contrast (k = 0.75), and overall better image quality (k = 0.76) and it was "fair" for the noise (k = 0.46). Interobserver agreement was "moderate" for the degree of fat suppression (k = 0.53), subjective tissue contrast (k = 0.63), and overall better image quality (k = 0.66) and "slight" for noise (k = 0.25). These findings supported using the water excitation pulse sequence for fat-suppressed MRI of canine lumbar spinal nerve roots.

A minimum-phase Shinnar-Le Roux spectral-spatial excitation RF pulse for simultaneous water and lipid suppression in 1H-MRSI of body extremities

PURPOSE

To develop a spectral-spatial (SPSP) excitation RF pulse for simultaneous water and lipid suppression in proton (1H) magnetic resonance spectroscopic imaging (MRSI) of body extremities.

METHODS

An SPSP excitation pulse is designed to excite Creatine (Cr) and Choline (Cho) metabolite signals while suppressing the overwhelming water and lipid signals. The SPSP pulse is designed using a recently proposed multidimensional Shinnar-Le Roux (SLR) RF pulse design method. A minimum-phase spectral selectivity profile is used to minimize signal loss from T2⁎ decay.

RESULTS

The performance of the SPSP pulse is evaluated via Bloch equation simulations and phantom experiments. The feasibility of the proposed method is demonstrated using three-dimensional, short repetition-time, free induction decay-based 1H-MRSI in the thigh muscle at 3T.

CONCLUSION

The proposed SPSP excitation pulse is useful for simultaneous water and lipid suppression. The proposed method enables new applications of high-resolution 1H-MRSI in body extremities.

Imaging near orthopedic hardware

Over one million total joint replacement surgeries were performed in the US in 2013 alone, and this number is expected to more than double by 2030. Traditional imaging techniques for postoperative evaluation of implanted devices, such as radiography, computerized tomography, or ultrasound, utilize ionizing radiation, suffer from beam hardening artifact, or lack the inherent high contrast necessary to adequately evaluate soft tissues around the implants, respectively. Magnetic resonance imaging (MRI), due to its ability to generate multiplanar, high-contrast images without the use of ionizing radiation is ideal for evaluating periprosthetic soft tissues but has traditionally suffered from in-plane and through-plane data misregistration due to the magnetic susceptibility of implanted materials. A recent renaissance in the interest of imaging near arthroplasty and implanted orthopedic hardware has led to the development of new techniques that help to mitigate the effects of magnetic susceptibility. This article describes the challenges of performing imaging near implanted orthopedic hardware, how to generate clinically interpretable images when imaging near implanted devices, and how the images may be interpreted for clinical use. We will also describe current developments of utilizing MRI to evaluate implanted orthopedic hardware.

LEVEL OF EVIDENCE

3 Technical Efficacy: Stage 2 J. MAGN. RESON. IMAGING 2017;46:24-39.

Use of chemical shift encoded magnetic resonance imaging (CSE-MRI) for high resolution fat-suppressed imaging of the brachial and lumbosacral plexuses

PURPOSE

In the era of increasingly complex surgical techniques for peripheral nerve repair, there is a need for high spatial resolution imaging of the neural plexuses in the body. We describe our experience with chemical shift encoded MRI and its implications for patient management.

MATERIALS AND METHODS

IDEAL water-fat separation is a chemical shift based method of homogeneously suppressing signal from fat, while maintaining adequate signal. This technique was used in clinical practice and the patient images reviewed.

RESULTS

IDEAL water-fat separation was shown to improve visualization of the brachial and lumbosacral plexuses with good fat suppression and high signal to noise ratio.

CONCLUSION

IDEAL water - fat separation is an excellent technique to use in the imaging of the brachial and lumbosacral plexuses as it balances the need for homogeneous fat suppression with maintenance of excellent signal to noise ratio.

Fat-suppressed alternating-SSFP for whole-brain fMRI using breath-hold and visual stimulus paradigms

PURPOSE

To achieve artifact-suppressed whole-brain pass-band-balanced steady-state free precession functional MRI from a single functional magnetic resonance imaging (fMRI) scan.

METHODS

A complete and practical data acquisition sequence for alt-SSFP fMRI was developed. First, multishot flyback-echo-planar imaging (EPI) and echo-time shifting were used to achieve data acquisition that was robust against eddy currents, gradient delays, and ghosting artifacts. Second, a steady-state catalyzation scheme was implemented to reduce oscillations in the transient signal when catalyzing in and out of alternate steady states. Next, a short spatial-spectral radiofrequency (RF) pulse was designed to achieve excellent fat-suppression while maintaining a repetition time <15 ms to sensitize functional activation toward smaller vessels and capillaries. Lastly, parallel imaging was used to achieve whole-brain coverage and sufficiently high temporal resolution.

RESULTS

Breath-hold experiments showed excellent fat-suppression and alt-SSFP's capability to recover functional sensitivity from signal dropout regions of conventional gradient-echo and banding artifacts from conventional pass-band-balanced steady-state free precession. Applying fat-suppression resulted in improved activation maps and increased temporal SNR. Visual stimulus functional studies verify the proposed method's excellent functional sensitivity to neuronal activation.

CONCLUSION

Artifact-suppressed images are demonstrated, showing a practical pass-band-balanced steady-state free precession fMRI method that permits whole-brain imaging with excellent blood oxygen level-dependent sensitivity and fat suppression.

Simultaneous multislice spectral-spatial excitations for reduced signal loss susceptibility artifact in BOLD functional MRI

PURPOSE

Simultaneous multislice (SMS) imaging can significantly increase image acquisition rates and improve temporal resolution and contrast in gradient-echo blood oxygen level-dependent (BOLD) functional MRI (fMRI) experiments. Through-plane signal loss due to B(0) inhomogeneities at air-tissue interfaces limits fMRI of structures near the nasal cavity and ear canals. This study implemented spectral-spatial (SPSP) radiofrequency pulses for reduced through-plane signal loss across multiple simultaneously excited slices.

THEORY AND METHODS

Multiband (MB) and power independent of number of slices (PINS) methods are combined with SPSP excitation for signal loss compensation in slice-accelerated human brain imaging. Nine simultaneous slices of 5-mm thickness and 20 mm apart were excited using standard MB radiofrequency pulses and the proposed SPSP-SMS pulses, yielding coverage of 36 slices in four shots with 350-ms volume pulse repetition time. The pulses were compared in breath-hold fMRI at 3T.

RESULTS

The SPSP-SMS pulses recovered ∼45% of voxels with signal loss in standard SMS images. Activation in areas of signal recovery increased by 26.4% using a 12.6-ms SPSP-MB pulse and 20.3% using a 12.1-ms SPSP-PINS pulse.

CONCLUSIONS

It is demonstrated that SPSP-SMS pulses can improve BOLD sensitivity in areas of signal loss across simultaneous multiple slices.

Quantitative proton MR techniques for measuring fat

Accurate, precise and reliable techniques for the quantification of body and organ fat distributions are important tools in physiology research. They are critically needed in studies of obesity and diseases involving excess fat accumulation. Proton MR methods address this need by providing an array of relaxometry-based (T1, T2) and chemical shift-based approaches. These techniques can generate informative visualizations of regional and whole-body fat distributions, yield measurements of fat volumes within specific body depots and quantify fat accumulation in abdominal organs and muscles. MR methods are commonly used to investigate the role of fat in nutrition and metabolism, to measure the efficacy of short- and long-term dietary and exercise interventions, to study the implications of fat in organ steatosis and muscular dystrophies and to elucidate pathophysiological mechanisms in the context of obesity and its comorbidities. The purpose of this review is to provide a summary of mainstream MR strategies for fat quantification. The article succinctly describes the principles that differentiate water and fat proton signals, summarizes the advantages and limitations of various techniques and offers a few illustrative examples. The article also highlights recent efforts in the MR of brown adipose tissue and concludes by briefly discussing some future research directions.

Direct design of 2D RF pulses using matrix inversion

Multi-dimensional pulses are frequently used in MRI for applications such as targeted excitation, fat-water separation or metabolic imaging with hyperpolarised (13)C compounds. For the design, the problem is typically separated into the different dimensions. In this work, a method to directly design two-dimensional pulses using the small-tip angle approximation is introduced based on a direct matrix representation. The numerical problem is solved in a single step directly in two dimensions by matrix inversion. Exemplary spectral-spatial excitation and spatio-temporal encoding (SPEN) pulses are designed and validated. The main benefits of the direct design approach include a reduction of artefacts in case of spectral-spatial pulses, a simple and straightforward computer implementation and high flexibility in the pulse design.

Reduced blood flow artifact in intraplaque hemorrhage imaging using CineMPRAGE

Magnetization prepared rapid acquisition gradient echo (3D MPRAGE) has been shown to be a sensitive method to image carotid intraplaque hemorrhage. As the MPRAGE sequence used to identify potential intraplaque hemorrhage does not utilize cardiac gating, it is difficult to optimize the inversion times due to the dynamic nature of flowing blood. As a result, a best fit inversion time is often determined experimentally and then used for in vivo clinical examination. This results in compromised blood suppression and occasional hemorrhage mimicking flow artifacts. We demonstrate that a retrospective cardiac correlated reconstruction can be applied to the conventional MPRAGE sequence (CineMPRAGE) to more accurately identify blood signal. This CineMPRAGE reconstruction uses the data from a standard nongated MPRAGE sequence to generate a full sequence of cardiac correlated images throughout the cardiac cycle and, therefore, provides a dynamic view of the carotid artery and a better ability to discern blood signal from potential intraplaque hemorrhage. In our preliminary study of 35 patients, signal from potential hemorrhage was constant over the cardiac cycle, whereas any signal from blood flow artifact was observed as an oscillating signal over the cardiac cycle.

Improved slice-selective adiabatic excitation

PURPOSE

The purpose of this work is to design an improved Slice-selective Tunable-flip AdiaBatic Low peak-power Excitation (STABLE) pulse with shorter duration and increased off-resonance immunity to make it suitable for use in a greater range of applications and at higher field strengths. An additional aim is to design a variant of this pulse to achieve B1 -insensitive, fat-suppressed excitation.

METHODS

The adiabatic SLR algorithm was used to generate a more uniform spectral pulse envelope for this improved radiofrequency pulse for adiabatic slice-selective excitation, called STABLE-2. Pulse parameters were adjusted to design a version of STABLE-2 with a spectral null centered on lipids.

RESULTS

In vivo images obtained of the human brain at 3 and 7 T demonstrate that STABLE-2 provides robust, uniform, slice-selective excitation over a range of B1 values. Phantom and in vivo knee images obtained at 3 T demonstrate the effectiveness of STABLE-2 for fat suppression.

CONCLUSIONS

STABLE-2 achieves B1 -insensitive slice-selective excitation while providing greater off-resonance immunity and a shorter pulse duration, when compared to the original STABLE pulse. In particular, the 9.8-ms STABLE-2 pulse provides slice selectivity over 120 Hz whereas the 21-ms STABLE pulse is limited to 80 Hz off-resonance. B1 -Insensitive fat-suppressed excitation may also be achieved by using a variant of this pulse.

Enhanced refocusing of fat signals using optimized multipulse echo sequences

Endogenous magnetic resonance contrast based on the localized composition of fat in vivo can provide functional information. We found that the unequal pulse timings of the Uhrig's dynamical decoupling multipulse echo sequences significantly alter the signal intensity compared to conventional, equal-spaced Carr-Purcell-Meiboom-Gill sequences. The signal increases and decreases depending on the tissue and sequence parameters, as well as on the interpulse spacings; particularly strong differences were observed in fatty tissues, which have a highly structured morphology and a wide range of chemical shifts and J-couplings. We found that the predominant mechanism for fat refocusing under multipulse echo sequences is the chemical structure, with stimulated echoes playing a pivotal role. As a result, specialized pulse sequences can be designed to optimize refocusing of the fat chemical shifts and J-couplings, where the degree of refocusing can be tailored to specific types of fats. To determine the optimal time delays, we simulated various Uhrig dynamical decoupling and Carr-Purcell-Meiboom-Gill pulse sequence timings, and these results are compared to experimental results obtained on excised and in vivo fatty tissue. Applications to intermolecular multiple quantum coherence imaging, where the improved echo refocusing translates directly into signal enhancements, are presented as well.

Compensation of slice profile mismatch in combined spin- and gradient-echo echo-planar imaging pulse sequences

Combined acquisition of gradient-echo and spin-echo signals in MRI time series reveals additional information for perfusion-weighted imaging and functional MRI because of differences in the sensitivity of gradient-echo and spin-echo measurements to the properties of the underlying vascular architecture. The acquisition of multiple echo trains within one time frame facilitates the simultaneous estimation of the transversal relaxation parameters R2 and R2*. However, the simultaneous estimation of these parameters tends to be incorrect in the presence of slice profile mismatches between signal excitation and subsequent refocusing pulses. It is shown here that improvements in pulse design reduced R2 and R2* estimation errors. Further improvements were achieved by augmented parameter estimation through the introduction of an additional parameter δ to correct for discordances in slice profiles to facilitate more quantitative measurements. Moreover, the analysis of time-resolved acquisitions revealed that the temporal stability of R2 estimates could be increased with improved pulse design, counteracting low contrast-to-noise ratios in spin-echo-based perfusion and functional MRI.

MR imaging of the spine at 3.0T with T2-weighted IDEAL fast recovery fast spin-echo technique

Objective

To compare the iterative decomposition of water and fat with echo asymmetry and the least-squares estimation (IDEAL) method with a fat-saturated T2-weighted (T2W) fast recovery fast spin-echo (FRFSE) imaging of the spine.

Materials and Methods

Images acquired at 3.0 Tesla (T) in 35 patients with different spine lesions using fat-saturated T2W FRFSE imaging were compared with T2W IDEAL FRFSE images. Signal-to-noise ratio (SNR)-efficiencies measurements were made in the vertebral bodies and spinal cord in the mid-sagittal plane or nearest to the mid-sagittal plane. Images were scored with the consensus of two experienced radiologists on a four-point grading scale for fat suppression and overall image quality. Statistical analysis of SNR-efficiency, fat suppression and image quality scores was performed with a paired Student's t test and Wilcoxon's signed rank test.

Results

Signal-to-noise ratio-efficiency for both vertebral body and spinal cord was higher with T2W IDEAL FRFSE imaging (p < 0.05) than with T2W FRFSE imaging. T2W IDEAL FRFSE demonstrated superior fat suppression (p < 0.01) and image quality (p < 0.01) compared to fat-saturated T2W FRFSE.

Conclusion

As compared with fat-saturated T2W FRFSE, IDEAL can provide a higher image quality, higher SNR-efficiency, and consistent, robust and uniform fat suppression. T2W IDEAL FRFSE is a promising technique for MR imaging of the spine at 3.0T.

Effect of disease progression on liver apparent diffusion coefficient values in a murine model of NASH at 11.7 Tesla MRI

PURPOSE

To evaluate the apparent diffusion coefficient (ADC) values of liver in a murine model of non-alcoholic steatohepatitis using 11.7 Tesla (T) MRI.

MATERIALS AND METHODS

This animal study was IACUC approved. Seventeen male C57BL/6 mice were divided into control (n = 3) and experimental groups (n = 14) fed a methionine-deficient choline-deficient (MCD) diet to induce steatohepatitis. Livers underwent ex vivo diffusion-weighted MR imaging and ADC maps were calculated. A pathologist determined subjective scores of steatosis, classified from 0 to 3. Digital image analysis was used to determine percentage areas of steatosis. Graphs comparing ADC to subjective and digital image analysis (DIA) determinations of steatosis were plotted.

RESULTS

Subjective assessments of steatosis ranged up to values of 3 and DIA determined areas of steatosis to range up to approximately 16%. ADC values approximated 800 × 10(-6) mm(2) /s (range, 749-811 × 10(-6) mm(2) /s, mean 786 × 10(-6) mm(2) /s) in controls and 500 × 10(-6) mm(2) /s (range, 478-733 × 10(-6) mm(2) /s, mean 625 × 10(-6) mm(2) /s) in experimental mice. Moderate correlation between ADC and subjective scores of steatosis (R = -0.56) was observed. Strong correlation between ADC values and percentage areas of steatosis was between ADC values and percentage areas of steatosis was observed greater (R = -0.81) and very strong correlation was observed with the exclusion of a single outlying data point (R = -0.91).

CONCLUSION

Based on the comparison of ADC values and steatosis determinations by DIA, increasing degrees of steatosis are seen to result in decreased hepatic ADC values.

Regularized iterative reconstruction for undersampled BLADE and its applications in three-point Dixon water-fat separation

In MRI, the suppression of fat signal is very important for many applications. Multipoint Dixon based water-fat separation methods are commonly used due to its robustness to B(0) homogeneity compared with other fat suppression methods, such as spectral fat saturation. The traditional Cartesian k-space trajectory based multipoint Dixon technique is sensitive to motion, such as pulsatile blood flow, resulting in artifacts that compromise image quality. This work presents a three-point Dixon water-fat separation method using undersampled BLADE (aka PROPELLER) for motion robustness and speed. A regularized iterative reconstruction method is then proposed for reducing the streaking artifacts coming from undersampling. In this study, the performance of the regularized iterative reconstruction method is first tested by simulations and on MR phantoms. The performance of the proposed technique is then evaluated in vivo by comparing it with conventional fat suppression methods on the human brain and knee. Experiments show that the presented method delivers reliable water-fat separation results. The reconstruction method suppresses streaking artifacts typical for undersampled BLADE acquisition schemes without missing fine structures in the image.

Simple analytical dual-band spectral-spatial RF pulses for B(1) + and susceptibility artifact reduction in gradient echo MRI

Susceptibility artifacts and transmission radio frequency (RF) field (B(1) +) inhomogeneity are major limitations in high-field gradient echo MRI. Previously proposed numerical 2D spectral-spatial RF pulses have been shown to be promising for reducing the through-plane signal loss susceptibility artifact by incorporating a frequency-dependent through-plane phase correction. This method has recently been extended to 4D spectral-spatial RF pulse designs for reducing B(1) + inhomogeneity as well as the signal loss. In this manuscript, we present simple analytical pulse designs for constructing 2D and 4D spectral-spatial RF pulses as an alternative to the numerical approaches. The 2D pulse capable of exciting slices with reduced signal loss and is lipid suppressing. The 4D pulse simultaneously corrects signal loss as well as the B(1) + inhomogeneity from a body coil transmitter. The pulses are demonstrated with simulations and with gradient echo phantom and brain images at 3T using a standard RF body coil. The pulses were observed to work well for multiple slices and several volunteers.

Subject-specific water-selective imaging using parallel transmission

Spectral-spatial excitation pulses are an efficient means of achieving water- or fat-only imaging and can be used in conjunction with a variety of pulse sequences. However, the approach lacks reliability since its performance is dependent on the homogeneity of the static magnetic field. Sensitivity to static magnetic field variation can be reduced by designing pulses with wider frequency stop bands, but these require longer pulse durations. In the proposed method, spectral-spatial pulses are optimized on a subject-dependent basis to take into account measured subject-specific static magnetic field variation. Extra control of the radiofrequency (RF) field from multichannel transmission is used to achieve this without increasing the length of the pulses. The method characterizes RF pulses using relatively few parameters and has been applied to abdominal imaging at 3 T with an eight-channel system. In a comparison of standard and subject-specific pulses on five healthy volunteers, the latter improved fat suppression in all subjects, with a reduction in RF power of 13% +/- 6%. A forward model suggests that the mean flip angle in fat was reduced from 0.72 degrees +/- 0.55 degrees to 0.12 degrees +/- 0.04 degrees for a 20 degrees excitation; uniformity of water excitation also improved, with the standard deviation divided by mean reduced from 0.26 +/- 0.05 to 0.16 +/- 0.05.

High-contrast in vivo visualization of microvessels using novel FeCo/GC magnetic nanocrystals

FeCo-graphitic carbon shell nanocrystals are a novel MRI contrast agent with unprecedented high per-metal-atom-basis relaxivity (r(1) = 97 mM(-1) sec(-1), r(2) = 400 mM(-1) sec(-1)) and multifunctional capabilities. While the conventional gadolinium-based contrast-enhanced angiographic magnetic MRI has proven useful for diagnosis of vascular diseases, its short circulation time and relatively low sensitivity render high-resolution MRI of morphologically small vascular structures such as those involved in collateral, arteriogenic, and angiogenic vessel formation challenging. Here, by combining FeCo-graphitic carbon shell nanocrystals with high-resolution MRI technique, we demonstrate that such microvessels down to approximately 100 mum can be monitored in high contrast and noninvasively using a conventional 1.5-T clinical MRI system, achieving a diagnostic imaging standard approximating that of the more invasive X-ray angiography. Preliminary in vitro and in vivo toxicity study results also show no sign of toxicity.

Pure phase encode magnetic field gradient monitor

Numerous methods have been developed to measure MRI gradient waveforms and k-space trajectories. The most promising new strategy appears to be magnetic field monitoring with RF microprobes. Multiple RF microprobes may record the magnetic field evolution associated with a wide variety of imaging pulse sequences. The method involves exciting one or more test samples and measuring the time evolution of magnetization through the FIDs. Two critical problems remain. The gradient waveform duration is limited by the sample T(2)*, while the k-space maxima are limited by gradient dephasing. The method presented is based on pure phase encode FIDs and solves the above two problems in addition to permitting high strength gradient measurement. A small doped water phantom (1-3 mm droplet, T(1), T(2), T(2)* < 100 micros) within a microprobe is excited by a series of closely spaced broadband RF pulses each followed by FID single point acquisition. Two trial gradient waveforms have been chosen to illustrate the technique, neither of which could be measured by the conventional RF microprobe measurement. The first is an extended duration gradient waveform while the other illustrates the new method's ability to measure gradient waveforms with large net area and/or high amplitude. The new method is a point monitor with simple implementation and low cost hardware requirements.

Maximum linear-phase spectral-spatial radiofrequency pulses for fat-suppressed proton resonance frequency-shift MR Thermometry

Conventional spectral-spatial pulses used for water-selective excitation in proton resonance frequency-shift MR thermometry require increased sequence length compared to shorter wideband pulses. This is because spectral-spatial pulses are longer than wideband pulses, and the echo time period starts midway through them. Therefore, for a fixed echo time, one must increase sequence length to accommodate conventional spectral-spatial pulses in proton resonance frequency-shift thermometry. We introduce improved water-selective spectral-spatial pulses for which the echo time period starts near the beginning of excitation. Instead of requiring increased sequence length, these pulses extend into the long echo time periods common to PRF sequences. The new pulses therefore alleviate the traditional tradeoff between sequence length and fat suppression. We experimentally demonstrate an 11% improvement in frame rate in a proton resonance frequency imaging sequence compared to conventional spectral-spatial excitation. We also introduce a novel spectral-spatial pulse design technique that is a hybrid of previous model- and filter-based techniques and that inherits advantages from both. We experimentally validate the pulses' performance in suppressing lipid signal and in reducing sequence length compared to conventional spectral-spatial pulses.

Fast large-tip-angle multidimensional and parallel RF pulse design in MRI

Large-tip-angle multidimensional radio-frequency (RF) pulse design is a difficult problem, due to the nonlinear response of magnetization to applied RF at large tip-angles. In parallel excitation, multidimensional RF pulse design is further complicated by the possibility for transmit field patterns to change between subjects, requiring pulses to be designed rapidly while a subject lies in the scanner. To accelerate pulse design, we introduce a fast version of the optimal control method for large-tip-angle parallel excitation. The new method is based on a novel approach to analytically linearizing the Bloch equation about a large-tip-angle RF pulse, which results in an approximate linear model for the perturbations created by adding a small-tip-angle pulse to a large-tip-angle pulse. The linear model can be evaluated rapidly using nonuniform fast Fourier transforms, and we apply it iteratively to produce a sequence of pulse updates that improve excitation accuracy. We achieve drastic reductions in design time and memory requirements compared to conventional optimal control, while producing pulses of similar accuracy. The new method can also compensate for nonidealities such as main field inhomogeneties.

Spectral-spatial pulse design for through-plane phase precompensatory slice selection in T2*-weighted functional MRI

T(2)*-weighted functional MR images suffer from signal loss artifacts caused by the magnetic susceptibility differences between air cavities and brain tissues. We propose a novel spectral-spatial pulse design that is slice-selective and capable of mitigating the signal loss. The two-dimensional spectral-spatial pulses create precompensatory phase variations that counteract through-plane dephasing, relying on the assumption that resonance frequency offset and through-plane field gradient are spatially correlated. The pulses can be precomputed before functional MRI experiments and used repeatedly for different slices in different subjects. Experiments with human subjects showed that the pulses were effective in slice selection and loss mitigation at different brain regions.

Improved fat suppression using multipeak reconstruction for IDEAL chemical shift fat-water separation: application with fast spin echo imaging

PURPOSE

To evaluate and quantify improvements in the quality of fat suppression for fast spin-echo imaging of the knee using multipeak fat spectral modeling and IDEAL fat-water separation.

MATERIALS AND METHODS

T(1)-weighted and T(2)-weighted fast spin-echo sequences with IDEAL fat-water separation and two frequency-selective fat-saturation methods (fat-selective saturation and fat-selective partial inversion) were performed on 10 knees of five asymptomatic volunteers. The IDEAL images were reconstructed using a conventional single-peak method and precalibrated and self-calibrated multipeak methods that more accurately model the NMR spectrum of fat. The signal-to-noise ratio (SNR) was measured in various tissues for all sequences. Student t-tests were used to compare SNR values.

RESULTS

Precalibrated and self-calibrated multipeak IDEAL had significantly greater suppression of signal (P < 0.05) within subcutaneous fat and bone marrow than fat-selective saturation, fat-selective partial inversion, and single-peak IDEAL for both T(1)-weighted and T(2)-weighted fast spin-echo sequences. For T(1)-weighted fast spin-echo sequences, the improvement in the suppression of signal within subcutaneous fat and bone marrow for multipeak IDEAL ranged between 65% when compared to fat-selective partial inversion to 86% when compared to fat-selectivesaturation. For T2-weighted fast spin-echo sequences, the improvement for multipeak IDEAL ranged between 21% when compared to fat-selective partial inversion to 81% when compared to fat-selective saturation.

CONCLUSION

Multipeak IDEAL fat-water separation provides improved fat suppression for T(1)-weighted and T(2)-weighted fast spin-echo imaging of the knee when compared to single-peak IDEAL and two widely used frequency-selected fat-saturation methods.

Accelerated bilateral dynamic contrast-enhanced 3D spiral breast MRI using TSENSE

PURPOSE

To assess the ability of adaptive sensitivity encoding incorporating temporal filtering (TSENSE) to accelerate bilateral dynamic contrast-enhanced (DCE) 3D breast MRI.

MATERIALS AND METHODS

Bilateral DCE breast magnetic resonance imaging (MRI) exams were performed using a dual-band water-only excitation and a "stack-of-spirals" imaging trajectory. TSENSE was applied in the slab direction with an acceleration factor of 2. Four different techniques for sensitivity map calculation were compared by analyzing resultant contrast uptake curves qualitatively and quantitatively for 10 patient datasets. In addition, image quality and temporal resolution were compared between unaccelerated and TSENSE images.

RESULTS

TSENSE can increase temporal resolution by a factor of 2 in DCE imaging, providing better depiction of contrast uptake curves and good image quality. Of the different methods tested, calculation of static sensitivity maps by averaging late postcontrast frames yields the lowest aliasing artifact level based on ROI analysis.

CONCLUSION

TSENSE acceleration combined with 3D spiral imaging is very time-efficient, providing 11-second temporal resolution and 1.1 x 1.1 x 3 mm(3) spatial resolution over a 20 x 20 x 10 cm(3) field of view for each breast.

Spatiotemporal magnetic field monitoring for MR

MR experiments frequently rely on signal encoding by the application of magnetic fields that vary in both space and time. The accurate interpretation of the resulting signals often requires knowledge of the exact spatiotemporal field evolution during the experiment. To better fulfill this need, a new approach is presented that enables measuring the field evolution concurrently with any MR sequence. Miniature NMR probes are used to monitor the MR phase evolution around the object under investigation. Based on these data, a global phase model is calculated that can then be used as a basis for processing the actual image or spectroscopic data. The new method is demonstrated by MRI of a phantom, using spin-warp, spiral, and EPI trajectories. Throughout, the monitoring results enabled highly accurate image reconstruction, even in the presence of massive gradient imperfections.

T1- and T2-weighted fast spin-echo imaging of the brachial plexus and cervical spine with IDEAL water–fat separation

PURPOSE

To compare the iterative decomposition of water and fat with echo asymmetry and least-squares estimation (IDEAL) method with fat-saturated T1-weighted (T1W) and T2W fast spin-echo (FSE) and short-TI inversion recovery (STIR) imaging of the brachial plexus and cervical spine.

MATERIALS AND METHODS

Images acquired at 1.5T in five volunteers using fat-saturated T1W and T2W FSE imaging and STIR were compared with T1W and T2W IDEAL-FSE images. Examples of T1W and T2W IDEAL-FSE images acquired in patients are also shown.

RESULTS

T1W and T2W IDEAL-FSE demonstrated superior fat suppression (P<0.05) and image quality (P<0.05), compared to T1W and T2W fat-saturated FSE, respectively. SNR performance of T1W-IDEAL-FSE was similar to T1W FSE in the spinal cord (P=0.250) and paraspinous muscles (P=0.78), while T2W IDEAL-FSE had superior SNR in muscle (P=0.02) and CSF (P=0.02), and marginally higher cord SNR (P=0.09). Compared to STIR, T2W IDEAL-FSE demonstrated superior image quality (P<0.05), comparable fat suppression (excellent, P=1.0), and higher SNR performance (P<0.001).

CONCLUSION

IDEAL-FSE is a promising method for T1W and T2W imaging of the brachial plexus and cervical spine.

Simultaneous outer volume and blood suppression by quadruple inversion-recovery

A new method has been developed for reduced field-of-view (FOV) imaging with simultaneous blood suppression. This method combines suppression of signals from the outer volume and inflowing blood by using a small-FOV quadruple inversion-recovery (SFQIR) preparative pulse sequence consisting of two double-inversion pulse pairs separated by appropriate delays. Within each pair, inversion pulses are successively applied to the imaged slice and the slab orthogonal to the imaging plane with the thickness equal to the FOV size in the phase-encoding direction. Each double inversion results in the reinversion of the magnetization in the central part of the FOV, while the outer areas of the FOV and inflowing blood remain inverted. The SFQIR module was implemented for single- and multislice acquisition with a fast spin-echo readout sequence. Based on a theoretical model of the signal, the timing parameters of the sequence corresponding to the maximal suppression efficiency can be found by minimizing the variation of the normalized signal over the entire range of T1's that occur in tissues. The method was tested for black-blood imaging of the aorta and carotid arteries, and the results demonstrated its ability to eliminate motion and flow artifacts, reduce scan time, and improve spatial resolution.

Iterative decomposition of water and fat with echo asymmetry and least-squares estimation (IDEAL): application with fast spin-echo imaging

Chemical shift based methods are often used to achieve uniform water-fat separation that is insensitive to Bo inhomogeneities. Many spin-echo (SE) or fast SE (FSE) approaches acquire three echoes shifted symmetrically about the SE, creating time-dependent phase shifts caused by water-fat chemical shift. This work demonstrates that symmetrically acquired echoes cause artifacts that degrade image quality. According to theory, the noise performance of any water-fat separation method is dependent on the proportion of water and fat within a voxel, and the position of echoes relative to the SE. To address this problem, we propose a method termed "iterative decomposition of water and fat with echo asymmetric and least-squares estimation" (IDEAL). This technique combines asymmetrically acquired echoes with an iterative least-squares decomposition algorithm to maximize noise performance. Theoretical calculations predict that the optimal echo combination occurs when the relative phase of the echoes is separated by 2pi/3, with the middle echo centered at pi/2+pik (k=any integer), i.e., (-pi/6+pik, pi/2+pik, 7pi/6+pik). Only with these echo combinations can noise performance reach the maximum possible and be independent of the proportion of water and fat. Close agreement between theoretical and experimental results obtained from an oil-water phantom was observed, demonstrating that the iterative least-squares decomposition method is an efficient estimator.

K-space in the clinic

Magnetic resonance imaging (MRI) sequences are characterized by both radio frequency (RF) pulses and time-varying gradient magnetic fields. The RF pulses manipulate the alignment of the resonant nuclei and thereby generate a measurable signal. The gradient fields spatially encode the signals so that those arising from one location in an excited slice of tissue may be distinguished from those arising in another location. These signals are collected and mapped into an array called k-space that represents the spatial frequency content of the imaged object. Spatial frequencies indicate how rapidly an image feature changes over a given distance. It is the action of the gradient fields that determines where in the k-space array each data point is located, with the order in which k-space points are acquired being described by the k-space trajectory. How signals are mapped into k-space determines much of the spatial, temporal, and contrast resolution of the resulting images and scan duration. The objective of this article is to provide an understanding of k-space as is needed to better understand basic research in MRI and to make well-informed decisions about clinical protocols. Four major classes of trajectories-echo planar imaging (EPI), standard (non-EPI) rectilinear, radial, and spiral-are explained. Parallel imaging techniques SMASH (simultaneous acquisition of spatial harmonics) and SENSE (sensitivity encoding) are also described.

Subchondral bone and cartilage thickness from MRI: effects of chemical-shift artifact

Magnetic resonance imaging (MRI) is the modality of choice for visualizing and quantifying articular cartilage thickness. However, difficulties persist in MRI of subchondral bone using spoiled gradient-echo (SPGR) and other gradient-echo sequences, primarily due to the effects of chemical-shift artifact. Fat suppression techniques are often used to reduce these artifacts, but they prevent measurement of bone thickness. In this report, we assess the magnitude of chemical-shift effects (phase-cancellation and misregistration artifacts) on subchondral bone and cartilage thickness measurements in human femoral heads using a variety of pulse sequence parameters. Phase-cancellation effects were quantified by comparing measurements from in-phase images (TE=13.5 ms) to out-of-phase images (TE=15.8 ms). We also tested the assumption of the optimal in-phase TE by comparing thickness measures at small variations on TE (13.0, 13.5 and 14.0 ms). Misregistration effects were quantified by comparing measurements from water+fat images (water-only+fat-only images) to the measurements from in-phase (TE=13.5) images. A correction algorithm was developed and applied to the in-phase measurements and then compared to measurements from water+fat images. We also compared thickness measurements at different image resolutions. Results showed that both phase-cancellation artifact and misregistration artifact were significant for bone thickness measurement, but not for cartilage thickness measurement. Using an in-phase TE and correction algorithm for misregistration artifact, the errors in bone thickness relative to water+fat images were non-significant. This information may be useful for developing pulse sequences for optimal imaging of both cartilage and subchondral bone.

Water excitation as an alternative to fat saturation in MR imaging: preliminary results in musculoskeletal imaging

PURPOSE

To compare fat suppression methods by using spectrally selective fat saturation and section-selective water excitation in standard magnetic resonance (MR) imaging sequences used in day-to-day musculoskeletal practice.

MATERIALS AND METHODS

Eighty-three patients underwent MR examination with a 1.5-T system. The two methods were compared by using three common sequences: T1-weighted spin-echo (SE) imaging performed after contrast material injection (n = 24), intermediate-weighted fast SE (n = 36) imaging, and T2-weighted fast SE (n = 36) imaging. Acquisition times of the sequences and signal-to-noise and contrast-to-noise ratios of bone, muscle, fat, and water for the two methods were compared quantitatively. Images were then qualitatively reviewed by two radiologists who were blinded to the type of fat suppression used. Image quality was scored according to four criteria (homogeneity of fat suppression, susceptibility and foldover artifacts, conspicuousness of lesion, and overall image quality) by using a five-point scale (0, bad; 1, poor; 2, fair; 3, good; and 4, excellent). A paired Student t test was used to compare the quantitative data, and a nonparametric paired-data Wilcoxon signed rank test was used for qualitative analysis.

RESULTS

Water excitation allowed a substantial decrease in acquisition time (by up to 50%) for T1-weighted sequences. Quantitative measurements revealed a greater signal-to-noise ratio (P <.01) with water excitation for all three sequences, whereas the contrast-to-noise ratio was greater with water excitation only in intermediate-weighted sequences (P <.01). Qualitatively, water excitation proved statistically better than or equal to fat saturation for all criteria in all imaging sequences (P <.05). Mean scores of overall image quality ranged between 2.5 and 3.0 for fat saturation and 3.4 and 3.7 for water excitation, respectively (P <.05).

CONCLUSION

Section-selective water excitation is faster than conventional fat saturation and produces images of better quality.

Comparative study of fast MR imaging: quantitative analysis on image quality and efficiency among various time frames and contrast behaviors

The purpose of this study is to quantitatively compare the image quality and efficiency provided by widely available fast MR imaging pulse sequences. A composite phantom with various T1 and T2 values and subjected to periodic motion was imaged at 1.5 T. The fast MRI sequences evaluated included fast spin-echo (FSE), single shot fast spin-echo (SSFSE), echo-planar imaging (EPI), multi-slice gradient recalled (MPGR), fast MPGR (FMPGR), and fast multi-slice spoiled gradient echo (FMPSPGR). T1-weighted (T1WI), T2-weighted (T2WI), proton-density-weighted (PDWI), and T2*-weighted (T2*WI) images were evaluated in breath-hold and non-breath-hold time frames. Analysis included measurement of image signal-to-noise ratio (SNR), contrast-to-noise ratio (CNR), nonuniformity, ghosting ratio, SNR per unit time and CNR per unit time. Among fast T2WI sequences, FSE with breath-hold time frame resulted in the highest image quality and in superior SNR and CNR efficiency by a factor of 5 or 6 as compared with conventional spin echo sequence. Among fast T1WI sequences, FMPGR and FMPSPGR both with non-breath-hold time frame produced the highest image quality and SNR and CNR efficiency by a factor of greater than 5 as compared with conventional spin echo. Among fast PDWI and T2*WI sequences, FSE produced the highest SNR and CNR, and was maximally efficient with a factors of greater than 6 as compared with conventional spin echo.

ADC mapping of the human optic nerve: increased resolution, coverage, and reliability with CSF-suppressed ZOOM-EPI

The mean apparent diffusion coefficient (ADC) of the human optic nerve (ON) has been quantified in vivo, and mean ADC maps are shown along the complete length of the nerve from the globe to the optic chiasm. The mean ADC, over the whole nerve, is shown to be 1058 x 10(-6) mm(2) s(-1) (standard deviation (SD), over nine 3-mm slices, 101x10(-6) mm(2) s(-1); range (833-1178)x10(-6) mm(2) s(-1)). The robustness of the method relies on acquisition of high-resolution coronal images of the ON using the ZOOM-EPI technique, which makes use of a shortened echo train length for increased resolution with decreased susceptibility-induced distortions. Suppression of the cerebrospinal fluid (CSF) and fat signals from tissues that surround the ON also helps successful identification and delineation of the nerve. Averaging of magnitude images is used to compensate for the inherently low signal-to-noise ratio (SNR) of the acquired images; the effects of the Rayleigh distributed noise in such images are allowed for during ADC calculations.

Interleaved water and fat dual-echo spin echo imaging with intrinsic chemical-shift elimination

A new technique was developed to simultaneously acquire water and fat dual-echo spin echo images in a single acquisition period. Chemical shifts between water and fat images are intrinsically eliminated, and the images are combined to form water-plus-fat image. In vivo water-only images show fat suppression superior to that of conventional spin echo images. This technique may be clinically useful for musculoskeletal imaging.

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.

Design of improved spectral-spatial pulses for routine clinical use

Spectral-spatial pulses (spsp pulses) selectively excite spins at spatial location z and spectral frequency (due to chemical shift and/or field inhomogeneity) v. In this work we discuss the design of improved spsp pulses for fat signal suppression. Optimal pulses are designed as optimal constant ripple FIR filters using the inverse SLR transform. Spsp pulses with thin slices are obtained by modifying the phases between subpulses, thereby eliminating unwanted magnetization lobes. Robust spsp pulses at off-center slices are obtained with a prescan calibration. These pulses are used either for selective fat saturation or for selective water excitation. It is shown that spsp pulses suppress fat signal better than conventional fat saturation pulses. Using the techniques presented in this article, we replaced all the fat saturation pulses on our systems with spsp pulses and obtained a significant improvement in image quality.

Ultra-short echo-time 2D time-of-flight MR angiography using a half-pulse excitation

Flow-related artifacts remain a significant concern for magnetic resonance (MR) angiography because their appearance in angiograms adversely impacts accuracy in evaluation of arterial stenoses. In this paper, a half-pulse excitation scheme for improved two-dimensional time-of-flight (2D TOF) angiography is described. The proposed method eliminates the need for gradient moment nulling (of all orders), providing significant reductions in spin dephasing and consequent artifactual signal loss. Furthermore, because the post-excitation refocusing and flow compensation gradients are obviated, the achievable echo time is dramatically shortened. The half-pulse excitation is employed in conjunction with a fast radial-line acquisition, allowing ultra-short echo times on the order of 250-300 microsec. Radial-line acquisition methods also provide additional benefits for flow imaging: effective mitigation of pulsatile flow artifacts, full k-space coverage, and decreased scan times. The half-pulse excitation/radial-line sequence demonstrated improved performance in initial clinical evaluations of the carotid bifurcation when compared with a conventional 2D TOF sequence.