Fat suppression using direct phase encoding: musculoskeletal applications using MR imaging

Two-point water-fat imaging with partially-opposed-phase (POP) acquisition: An asymmetric Dixon method

A novel two-point water-fat imaging method is introduced. In addition to the in-phase acquisition, water and fat magnetization vectors are sampled at partially-opposed-phase (POP) rather than exactly antiparallel as in the original Dixon method. This asymmetric sampling encodes more valuable phase information for identifying water and fat. From the magnitudes of the two complex images, a big and a small chemical component are first robustly obtained pixel by pixel and then used to form two possible error phasor candidates. The true error phasor is extracted from the two error phasor candidates through a simple procedure of regional iterative phasor extraction (RIPE). Finally, least-squares solutions of water and fat are obtained after the extracted error phasor is smoothed and removed from the complex images. For noise behavior, the effective number of signal averages NSA* is typically in the range of 1.87-1.96, very close to the maximum possible value of 2. Compared to earlier approaches, the proposed method is more efficient in data acquisition and straightforward in processing, and the final results are more robust. At both 1.5T and 0.3T, well separated and identified in vivo water and fat images covering a broad range of anatomical regions have been obtained, supporting the clinical utility of the method.

Fast three-point dixon MR imaging using low-resolution images for phase correction: a comparison with chemical shift selective fat suppression for pediatric musculoskeletal imaging

OBJECTIVE

The purpose of this study is to describe and to implement a new fast three-point Dixon MR imaging sequence with online image reconstruction, and to compare this sequence with conventional chemical shift selective (CHESS) suppression of fat in pediatric musculoskeletal imaging.

SUBJECTS AND METHODS

A three-point Dixon technique using a fast spin-echo sequence with a new phase-correction algorithm providing online image reconstruction was implemented on a 1.5-T scanner. Twelve pediatric patients and young adults were imaged with both the new three-point Dixon and conventional CHESS sequences. Three radiologists un-aware of imaging parameters and clinical information independently scored the homogeneity of fat suppression and conspicuity of abnormality using a four-point system. An additional comparison between the two techniques was made using a phantom.

RESULTS

The three-point Dixon method showed superior fat suppression and lesion conspicuity (p < 0.001), particularly in the hands and feet, where CHESS is prone to inconsistent fat suppression. The phantom study showed no significant difference in the ratio of suppressed fat signal to background noise and more homogeneous fat suppression using the three-point Dixon method.

CONCLUSION

Compared with CHESS, the new fast three-point Dixon sequence with online image reconstruction provides superior fat suppression and lesion conspicuity and can be routinely used in pediatric musculoskeletal imaging.