Characterization and reduction of the transient response in steady-state MR imaging

Rapid gradient-echo imaging

Gradient-echo sequences are widely used in magnetic resonance imaging (MRI) for numerous applications ranging from angiography to perfusion to functional MRI. Compared with spin-echo techniques, the very short repetition times of gradient-echo methods enable very rapid 2D and 3D imaging, but also lead to complicated "steady states." Signal and contrast behavior can be described graphically and mathematically, and depends strongly on the type of spoiling: fully balanced (no spoiling), gradient spoiling, or radiofrequency (RF)-spoiling. These spoiling options trade off between high signal and pure T(1) contrast, while the flip angle also affects image contrast in all cases, both of which can be demonstrated theoretically and in image examples. As with spin-echo sequences, magnetization preparation can be added to gradient-echo sequences to alter image contrast. Gradient-echo sequences are widely used for numerous applications such as 3D perfusion imaging, functional MRI, cardiac imaging, and MR angiography.

Gray blood magnetic resonance for carotid wall imaging and visualization of deep-seated and superficial vascular calcifications

White blood and black blood magnetic resonance imaging methods are often used for lumenography and visualization of the arterial wall, respectively. However, the use of white blood imaging invariably obscures arterial wall boundaries, and thus, impedes precise measurement of arterial wall area. Conversely, black blood imaging imposes strict limits on sequence timing to suppress the arterial lumen, and by itself, precludes separation of superficial calcification from the hypointense arterial lumen. In this work, a three-dimensional arterial wall imaging methodology providing gray blood image contrast is described that remedies the above limitations. When applied to the carotid arteries, the described gray blood imaging method is found to clearly depict the inner and outer arterial wall boundaries as well as superficial and deep-seated vascular calcifications. A tailored phase-encoding schedule is also presented that enables concurrent gray and black blood, or "dual contrast," imaging of the arterial wall with no increase in the acquisition time. Taken together, presented data demonstrate that gray and dual blood contrast magnetic resonance imaging provide an efficient means for viewing and characterizing the composition of atherosclerotic plaques.

Virtual dye angiography: flow visualization for MRI-guided interventions

In magnetic resonance imaging-guided cardiovascular interventional procedures, it is valuable to be able to visualize blood flow immediately and interactively in selected regions. In particular, it is useful to assess normal or pathological communications between specific heart chambers and vessels. Phase-contrast velocity mapping is not suitable for this purpose as it requires too much data and is not capable of determining directly if blood originating in one location travels to a nearby location. This article presents a novel flow visualization method called virtual dye angiography that enables visualization of blood flow analogous to selective catheter angiography. The method uses two-dimensional radio frequency pulses to achieve interactive, intermittent, targeted saturation of a localized region of the blood pool. The flow of the saturated spins is observed directly on real-time images or, in an enhanced manner, using ECG synchronized background subtraction. The modular nature of the technique allows for easy and seamless integration into a real-time, interactive imaging system with minimal overhead. We present initial results in animals and in a healthy human volunteer.

Analysis of the BOLD Characteristics in Pass-Band bSSFP fMRI

Balanced steady-state free precession (bSSFP) has been proposed as an alternative method to acquire the blood oxygenation level dependent contrast. Particularly, pass-band bSSFP functional magnetic resonance imaging (fMRI) is believed to utilize the T₂ sensitivity of bSSFP in a relatively wide and flat off-resonance frequency band of the bSSFP profile. The method has a potential to provide higher signal to noise ratio (SNR) efficiency with reduced imaging artifacts compared to conventional approaches. Previous experimental results suggested that the level of the functional contrast and its characteristics are significantly influenced by the sequence parameters. However, few of these contrast characteristics have been investigated systematically. In this study, a computer simulation was performed to investigate the sources of functional contrast and the influence of scan parameters on the functional contrast to elucidate the contrast characteristics of pass-band bSSFP fMRI. Experiments were performed to validate the simulation results.

Fast T1 mapping determined using incomplete inversion recovery look-locker 3D balanced SSFP acquisition and a simple two-parameter model fit

PURPOSE

To evaluate a fast T1 mapping technique using incomplete inversion recovery 3D balanced steady-state free precession acquisition along with a two-parameter model fit.

MATERIALS AND METHODS

Using Bloch simulations, we explored the two-parameter model fit for data acquired using such an acquisition scheme. The parameter space over which the fit holds good was determined through simulations. A linear correction was derived for the R1* (1/T1*) values so determined. Two phantoms and six volunteers were scanned using the described technique. Comparison scans using full recovery as well as gold standard inversion recovery spin echo were also performed.

RESULTS

The two-parameter fit works exceedingly well over a large parameter space. T1 values in the phantoms showed an error of 4.9% and 39% before correction and 0.9% and 1.6% after correction. For the six volunteers, error in T1 value was 5.3% for white matter (WM) and 2.4% for gray matter (GM) after correction, while it was 11.2% and 18.2% before correction.

CONCLUSION

The work presented here allows for T1 map determination with higher resolution and shorter acquisition time than previously possible. The technique is especially well suited for GM/WM T1 mapping.

Use of simulated annealing for the design of multiple repetition time balanced steady-state free precession imaging

Balanced steady-state free precession is an ultrafast sequence with high signal-to-noise efficiency, but it also generates a strong fat signal which can mask important features. One method of fat suppression is to modify the balanced steady-state free precession spectrum using multiple repetition times to create a wide stopband over the fat frequency. However, with three or more pulse repetition times, the number of parameters creates a vast search space with many local minima of a cost function. We report on the initial results of using simulated annealing to find optimal sequences for two applications of multiple-pulse repetition time balanced steady-state free precession: positive contrast imaging and fat suppression.

T-one insensitive steady state imaging: a framework for purely T2-weighted TrueFISP

A new conceptual framework called T-one insensitive steady state imaging is proposed for fast generation of MR images with pure T(2) contrast. This is accomplished by imaging between nonequally spaced inversion pulses, with the magnetization vector alternatively residing in states parallel and antiparallel to B(0) for durations TP(i) and TA(i), respectively. With TP(i) and TA(i) adequately chosen, identical signal time evolution can be obtained for different T(1) values, i.e., T(1) contrast can efficiently be removed from resultant images. As a specific realization of this principle, T-one insensitive steady state imaging sequences are presented which use True free induction steady precession readout blocks between the inversion pulses. While the conventional True free induction steady precession signal time course would be determined by both T(2) and T(1), a pure T(2) dependence is realized with successfully suppressed influence of longitudinal relaxation, and images with essentially T(2) contrast alone are obtained. Analytical expressions are provided for the description of the ideal signal behavior, which help in creating pathways for sequence parameter optimization. The performance of the technique is analyzed with Bloch equation simulations. In vivo results obtained in healthy volunteers and brain tumor patients are presented.

The central signal singularity phenomenon in balanced SSFP and its application to positive-contrast imaging

Small perturbations of steady-state sequence parameters can induce very large spectral profile deviations that are localized to specific off-resonant frequencies, denoted critical frequencies. Although, a small number of studies have previously considered the use of these highly specific modulations for MR angiography and elastography, many potential applications still remain to be explored. An analysis of this phenomenon using a linear systems technique and a geometric magnetization trajectory technique shows that the critical frequencies correspond to singularities in the steady-state signal equation. An interleaved acquisition combined with a complex difference technique yields a spectral profile containing sharp peaks interleaved with wide stopbands, while a complex sum technique yields a spectral profile similar to that of balanced steady-state free precession. Simulations and phantom experiments are used to demonstrate a novel application of this technique for positive-contrast imaging of superparamagnetic iron-oxide nanoparticles. The technique is shown to yield images with high levels of positive contrast and good water and fat background suppression. The technique can also simultaneously yield images with contrast similar to balanced steady-state free precession.

Superbalanced steady state free precession

Steady state free precession (SSFP) signal theory is commonly derived in the limit of quasi-instantaneous radiofrequency (RF) excitation. SSFP imaging protocols, however, are frequently set up with minimal pulse repetition times and RF pulses can thus constitute a considerable amount to the actual pulse repetition time. As a result, finite RF pulse effects can lead to 10-20% signal deviation from common SSFP theory in the transient and in the steady state which may impair the accuracy of SSFP-based quantitative imaging techniques. In this article, a new and generic approach for intrinsic compensation of finite RF pulse effects is introduced. Compensation is based on balancing relaxation effects during finite RF excitation, similar to flow or motion compensation of gradient moments. RF pulse balancing, in addition to the refocusing of gradient moments with balanced SSFP, results in a superbalanced SSFP sequence free of finite RF pulse effects in the transient and in the steady state; irrespective of the RF pulse duration, flip angles, relaxation times, or off-resonances. Superbalancing of SSFP sequences can be used with all quantitative SSFP techniques where finite RF pulse effects are expected or where elongated RF pulses are used.

On multiple alternating steady states induced by periodic spin phase perturbation waveforms

Direct measurement of neural currents by means of MRI can potentially open a high temporal resolution (10-100 ms) window applicable for monitoring dynamics of neuronal activity without loss of the high spatial resolution afforded by MRI. Previously, we have shown that the alternating balanced steady state imaging affords high sensitivity to weak periodic currents owing to its amplification of periodic spin phase perturbations. This technique, however, requires precise synchronization of such perturbations to the radiofrequency pulses. Herein, we extend alternating balanced steady state imaging to multiple balanced alternating steady states for estimation of neural current waveforms. Simulations and phantom experiments show that the off-resonance profile of the multiple alternating steady state signal carries information about the frequency content of driving waveforms. In addition, the method is less sensitive than alternating balanced steady state to precise waveform timing relative to radiofrequency pulses. Thus, multiple alternating steady state technique is potentially applicable to MR imaging of the waveforms of periodic neuronal activity.

Myocardial tagging by cardiovascular magnetic resonance: evolution of techniques--pulse sequences, analysis algorithms, and applications

Cardiovascular magnetic resonance (CMR) tagging has been established as an essential technique for measuring regional myocardial function. It allows quantification of local intramyocardial motion measures, e.g. strain and strain rate. The invention of CMR tagging came in the late eighties, where the technique allowed for the first time for visualizing transmural myocardial movement without having to implant physical markers. This new idea opened the door for a series of developments and improvements that continue up to the present time. Different tagging techniques are currently available that are more extensive, improved, and sophisticated than they were twenty years ago. Each of these techniques has different versions for improved resolution, signal-to-noise ratio (SNR), scan time, anatomical coverage, three-dimensional capability, and image quality. The tagging techniques covered in this article can be broadly divided into two main categories: 1) Basic techniques, which include magnetization saturation, spatial modulation of magnetization (SPAMM), delay alternating with nutations for tailored excitation (DANTE), and complementary SPAMM (CSPAMM); and 2) Advanced techniques, which include harmonic phase (HARP), displacement encoding with stimulated echoes (DENSE), and strain encoding (SENC). Although most of these techniques were developed by separate groups and evolved from different backgrounds, they are in fact closely related to each other, and they can be interpreted from more than one perspective. Some of these techniques even followed parallel paths of developments, as illustrated in the article. As each technique has its own advantages, some efforts have been made to combine different techniques together for improved image quality or composite information acquisition. In this review, different developments in pulse sequences and related image processing techniques are described along with the necessities that led to their invention, which makes this article easy to read and the covered techniques easy to follow. Major studies that applied CMR tagging for studying myocardial mechanics are also summarized. Finally, the current article includes a plethora of ideas and techniques with over 300 references that motivate the reader to think about the future of CMR tagging.

Hyperpolarized 129Xe MR imaging with balanced steady-state free precession in spontaneously breathing mouse lungs

PURPOSE

We investigated the characteristics of hyperpolarized (HP) (129)Xe magnetic resonance (MR) imaging obtained from balanced steady-state free precession (SSFP) measurement of mouse lungs, especially under spontaneous breathing, and compared the results with those obtained using traditional spoiled gradient echo (SPGR) method, focusing on improved signal-to-noise ratio (SNR) and reduced total acquisition time.

METHODS

We calculated magnetization response of the HP (129)Xe gas for the balanced SSFP sequence under spontaneous breathing to derive optimal conditions for the imaging experiment. We then placed an anesthetized mouse in the magnet (9.4T) supplied with oxygen gas and a mixture of HP (129)Xe gas supplied from a continuous-flow hyperpolarizing system. We obtained an axial plane image of the lung through balanced SSFP and SPGR sequences, changing the various magnetic resonance (MR) imaging parameters, and measured the SNR of these images.

RESULTS

We demonstrated the clear dependence of image intensity on flip angle and number of shots. The SNR was higher in balanced SSFP than in SPGR and 2.3-fold higher compared at each maximum. In contrast, total acquisition time in balanced SSFP was shortened to about one-eighth that of SPGR using a one-shot acquisition mode.

CONCLUSION

In HP (129)Xe MR imaging of the lung of a spontaneously breathing mouse, balanced SSFP sequence with multi-shot and centric order acquisition provides higher SNR in a shorter acquisition time than SPGR.

Signal compensation and compressed sensing for magnetization-prepared MR angiography

Magnetization-prepared acquisitions offer a trade-off between image contrast and scan efficiency for magnetic resonance imaging. Because the prepared signals gradually decay, the contrast can be improved by frequently repeating the preparation, which in turn significantly increases the scan time. A common solution is to perform the data collection progressing from low- to high-spatial-frequency samples following each preparation. Unfortunately, this leads to loss of spatial resolution, and thereby image blurring. In this work, a new technique is proposed that first corrects the signal decay in high-frequency data to mitigate the resolution loss and improve the image contrast without reducing the scan efficiency. The proposed technique then employs a sparsity-based nonlinear reconstruction to further improve the image quality. In addition to reducing the amplified high-frequency noise, this reconstruction extrapolates missing k-space samples in the case of undersampled compressed-sensing acquisitions. The technique is successfully demonstrated for noncontrast-enhanced flow-independent angiography of the lower extremities, an application that substantially benefits from both the signal compensation and the nonlinear reconstruction.

Balanced SSFP transient imaging using variable flip angles for a predefined signal profile

Variable flip angles are used in steady-state free precession (SSFP) acquisitions (e.g., time-of-flight) but to a lesser extent than in spin echo acquisitions. In balanced steady-state free precession, imaging is often assumed to occur during the steady state, which has been well described in the literature. However, in many cases, imaging occurs during the transient stage, and the use of variable flip angles can improve signal and thus image quality. Here, we present the calculation of flip angles in transient balanced steady-state free precession to generate a predefined signal profile. The signal profile was iteratively optimized to maximize the integral of the signal versus time curve. The key contribution of this work is the formulation of the flip angle as a deterministic function of the preceding and desired magnetization. Catalyzation schemes, e.g., Kaiser-windowed ramp, can be combined with variable flip angles balanced steady-state free precession to reduce signal oscillations. A uniform signal profile was used as an example to demonstrate the variable flip angle algorithm. Accuracy of the algorithm and Bloch simulations were verified with MRI phantom acquisitions. Renal angiograms were acquired using an inflow-based balanced steady-state free precession MR angiography technique; improved small-vessel depiction was observed in volunteer examinations.

In vivo venous blood T1 measurement using inversion recovery true-FISP in children and adults

A time-efficient method is described for in vivo venous blood T(1) measurement using multiphase inversion-recovery-prepared balanced steady-state free precession imaging. Computer simulations and validation experiments using a flow phantom were carried out to demonstrate the accuracy of the proposed method for measuring blood T(1) by taking advantage of the continuous inflow of fresh blood with longitudinal magnetization undisturbed by previous radiofrequency pulses. In vivo measurement of venous blood T(1) in the sagittal sinus was carried out in 26 healthy children and adults aged 7-39 years. The measured venous blood T(1) values decreased with age as a whole (P = 0.006) and were higher in females than males (P = 0.013), matching the expected developmental changes and gender differences in human hematocrit level. The estimated mean blood T(1) values were highly correlated with normal hematocrit levels across age and gender groups (Spearman's r = 0.93, P = 0.008). The longitudinal repeatability of this technique was 4.0% as measured by the within-subject coefficient of variation. The proposed multiphase inversion recovery-prepared balanced steady-state free precession imaging method is a feasible technique for fast (< 1 min) and reliable in vivo venous blood T(1) measurement and may serve as an index of hematocrit level in individual subjects.

Improved coronary MR angiography using wideband steady state free precession at 3 tesla with sub-millimeter resolution

PURPOSE

To suppress off-resonance artifacts in coronary artery imaging at 3 Tesla (T), and therefore improve spatial resolution.

MATERIALS AND METHODS

Wideband steady state free precession (SSFP) sequences use an oscillating steady state to reduce banding artifacts. Coronary artery images were obtained at 3T using three-dimensional navigated gradient echo, balanced SSFP, and wideband SSFP sequences.

RESULTS

The highest in-plane resolution of left coronary artery images was 0.68 mm in the frequency-encoding direction. Wideband SSFP produced an average SNR efficiency of 70% relative to conventional balanced SSFP and suppressed off-resonance artifacts.

CONCLUSION

Wideband SSFP was found to be a promising approach for obtaining noncontrast, high-resolution coronary artery images at 3 Tesla with reliable image quality.

Asymmetries of the balanced SSFP profile. Part I: theory and observation

The signal in balanced steady-state free precession has a strong sensitivity to off-resonance, which is typically described in terms of a signal "profile" over a range of frequencies. This profile has a well-known form for homogeneous media with a single T(1), T(2), and resonance frequency, which is symmetric about the on-resonance frequency. However, a straightforward extension to this established signal model predicts that the profile may become asymmetric in the presence of inhomogeneous frequency content, as would be expected to happen in tissue due to microstructural boundaries, compartments, and chemical shift. The presence of asymmetries in the balanced steady-state free precession profile may therefore provide a marker of tissue integrity. This manuscript describes the theory behind balanced steady-state free precession asymmetries, a method for detecting these effects, and the first measurements of balanced steady-state free precession asymmetries in tissue. Asymmetries are found in gray matter, white matter, and muscle, with excellent reproducibility. A companion paper considers the large white matter asymmetries in more detail.

Positive contrast with alternating repetition time SSFP (PARTS): a fast imaging technique for SPIO-labeled cells

There has been recent interest in positive-contrast MRI methods for noninvasive tracking of cells labeled with superparamagnetic iron-oxide nanoparticles. Low-tip-angle balanced steady-state free precession sequences have been used for fast, high-resolution, and flow-insensitive positive-contrast imaging; however, the contrast can be compromised by the limited suppression of the on-resonant and fat signals. In this work, a new technique that produces positive contrast with alternating repetition time steady-state free precession is proposed to achieve robust background suppression for a broad range of tissue parameters. In vitro and in vivo experiments demonstrate the reliability of the generated positive contrast. The results indicate that the proposed method can enhance the suppression level by up to 18 dB compared with conventional balanced steady-state free precession.

Prediction of myocardial signal during CINE balanced SSFP imaging

OBJECT

To develop a signal model for accurate prediction of myocardial signal during cine-balanced steady-state free precession (bSSFP) imaging.

METHODS

We present a signal model that takes into account the effects of non-ideal slice profile, off-resonance, and radio-frequency transmit variation on myocardial signal behavior. Each of the three factors was examined over the range of imaging parameters routinely used in cine bSSFP cardiac imaging at 3 Tesla.

RESULTS

In five healthy volunteers and over a wide range of prescribed flip angles, the conventional on-resonance signal model exhibited 28.9 +/- 3.9% error, while the proposed model exhibited only 2.9 +/- 1.4% error, and therefore more accurate predictions of myocardial signal behavior. Slice profile effects were found to be significant and accounted for most of the improvement. Off-resonance and RF transmit inhomogeneity effects were less significant but did produce more accurate signal prediction.

CONCLUSIONS

The proposed signal model produced more accurate predictions of myocardial signal compared to existing models and can be used for the optimization of pulse sequences and protocols.

Quantitative relaxometry of the brain

The exquisite soft tissue contrast provided by magnetic resonance imaging arises principally from differences in the intrinsic relaxation properties, T1 and T2. Although the intricate relationships that link tissue microstructure and the longitudinal and transverse relaxation times remain to be firmly established, quantitative measurement of these parameters, also referred to as quantitative relaxometry, can be informative of disease-related tissue change, developmental plasticity, and other biological processes. Further, relaxometry studies potentially offer a more detailed characterization of tissue, compared with conventional qualitative or weighted imaging approaches.The purposes of this review were to briefly review the biophysical basis of relaxation, focusing specifically on the T1, T2, and T2* relaxation times, and to detail some of the more widely used and clinically feasible techniques for their in vivo measurement. We will focus on neuroimaging applications, although the methods described are equally well suited to cardiac, abdominal, and musculoskeletal imaging. Potential sources of error, and methods for their correction, are also touched on. Finally, the combination of relaxation time data with other complementary quantitative imaging data, including diffusion tensor imaging, is discussed, with the aim of more thoroughly characterizing brain tissue.

Slice profile effects in 2D slice-selective MRI of hyperpolarized nuclei

This work explores slice profile effects in 2D slice-selective gradient-echo MRI of hyperpolarized nuclei. Two different sequences were investigated: a Spoiled Gradient Echo sequence with variable flip angle (SPGR-VFA) and a balanced Steady-State Free Precession (SSFP) sequence. It is shown that in SPGR-VFA the distribution of flip angles across the slice present in any realistically shaped radiofrequency (RF) pulse leads to large excess signal from the slice edges in later RF views, which results in an undesired non-constant total transverse magnetization, potentially exceeding the initial value by almost 300% for the last RF pulse. A method to reduce this unwanted effect is demonstrated, based on dynamic scaling of the slice selection gradient. SSFP sequences with small to moderate flip angles (<40 degrees ) are also shown to preserve the slice profile better than the most commonly used SPGR sequence with constant flip angle (SPGR-CFA). For higher flip angles, the slice profile in SSFP evolves in a manner similar to SPGR-CFA, with depletion of polarization in the center of the slice.

Non-contrast-enhanced perfusion and ventilation assessment of the human lung by means of fourier decomposition in proton MRI

Assessment of regional lung perfusion and ventilation has significant clinical value for the diagnosis and follow-up of pulmonary diseases. In this work a new method of non-contrast-enhanced functional lung MRI (not dependent on intravenous or inhalative contrast agents) is proposed. A two-dimensional (2D) true fast imaging with steady precession (TrueFISP) pulse sequence (TR/TE = 1.9 ms/0.8 ms, acquisition time [TA] = 112 ms/image) was implemented on a 1.5T whole-body MR scanner. The imaging protocol comprised sets of 198 lung images acquired with an imaging rate of 3.33 images/s in coronal and sagittal view. No electrocardiogram (ECG) or respiratory triggering was used. A nonrigid image registration algorithm was applied to compensate for respiratory motion. Rapid data acquisition allowed observing intensity changes in corresponding lung areas with respect to the cardiac and respiratory frequencies. After a Fourier analysis along the time domain, two spectral lines corresponding to both frequencies were used to calculate the perfusion- and ventilation-weighted images. The described method was applied in preliminary studies on volunteers and patients showing clinical relevance to obtain non-contrast-enhanced perfusion and ventilation data.

Modulated repetition time look-locker (MORTLL): a method for rapid high resolution three-dimensional T1 mapping

PURPOSE

To demonstrate a modification of the Look-Locker (LL) technique that enables rapid high resolution T1 mapping over the physiologic range of intracranial T1 values, ranging from white matter to cerebrospinal fluid (CSF). This is achieved by use of a three-dimensional (3D) balanced steady-state free precession (b-SSFP) acquisition (for high signal-to-noise and resolution) along with variable repetition time to allow effective full recovery of longitudinal magnetization.

MATERIALS AND METHODS

Two modifications to the Look-Locker technique were made to realize high resolution imaging in a clinically reasonable scan time. The 3D b-SSFP acquisition after an initial inversion pulse was followed by a variable repetition time. This technique makes it possible to image a volume of thin contiguous slices with high resolution and accuracy using a simple fitting procedure and is particularly useful for imaging long T1 species such as CSF. The total scan time is directly proportional to the number of slices to be acquired. The scan time was reduced by almost half when the repetition time was modified using a predesigned smooth function. Phantoms and volunteers were imaged at different resolutions on a 3 Tesla scanner. Results were compared with other accepted techniques.

RESULTS

T1 values in the brain corresponded well with full repetition time imaging as well as inversion recovery spin echo imaging. T1 values for white matter, gray matter, and CSF were measured to be 755 +/- 10 ms, 1202 +/- 9 ms, and 4482 +/- 71 ms, respectively. Scan times were reduced by approximately half over full repetition time measurements.

CONCLUSION

High resolution T1 maps can be obtained rapidly and with a relatively simple postprocessing method. The technique is particularly well suited for long T1 species. For example, changes in the composition of proteins in CSF are linked to various pathologies. The T1 values showed excellent agreement with values obtained from inversion recovery spin-echo imaging.

Multiple repetition time balanced steady-state free precession imaging

Although balanced steady-state free precession (bSSFP) imaging yields high signal-to-noise ratio (SNR) efficiency, the bright lipid signal is often undesirable. The bSSFP spectrum can be shaped to suppress the fat signal with scan-efficient alternating repetition time (ATR) bSSFP. However, the level of suppression is limited, and the pass-band is narrow due to its nonuniform shape. A multiple repetition time (TR) bSSFP scheme is proposed that creates a broad stop-band with a scan efficiency comparable with ATR-SSFP. Furthermore, the pass-band signal uniformity is improved, resulting in fewer shading/banding artifacts. When data acquisition occurs in more than a single TR within the multiple-TR period, the echoes can be combined to significantly improve the level of suppression. The signal characteristics of the proposed technique were compared with bSSFP and ATR-SSFP. The multiple-TR method generates identical contrast to bSSFP, and achieves up to an order of magnitude higher stop-band suppression than ATR-SSFP. In vivo studies at 1.5 T and 3 T demonstrate the superior fat-suppression performance of multiple-TR bSSFP.

Interleaved balanced SSFP imaging: artifact reduction using gradient waveform grouping

PURPOSE

To analyze steady-state signal distortions in interleaved balanced steady-state free precession (bSSFP) caused by slightly unbalanced eddy-current fields and develop a general strategy for mitigating these artifacts.

MATERIALS AND METHODS

We considered bSSFP sequences in which two gradient waveforms are interleaved in a "groupwise" fashion, ie, each waveform is executed consecutively two or more times before switching to the other waveform (we let "N" count the number of times each waveform is executed consecutively). The steady-state signal profile over the bSSFP passband was calculated using numerical Bloch simulations and measured experimentally in a uniform phantom. The proposed "grouped" interleaved bSSFP strategy was applied to cardiac velocity mapping using interleaved phase-contrast imaging with N=2 and N=6 in one healthy volunteer.

RESULTS

Simulation and phantom measurements show that signal distortions are systematically reduced with increasing grouping number N. For most tissues, significant suppression was achieved with N=4, and increasing N beyond this value produced only marginal gains. However, signal distortions for blood remain relatively high even for N>4. In vivo cardiac velocity mapping using interleaved phase-contrast imaging with N=6 demonstrated reduced image artifact levels compared to the N=2 acquisition.

CONCLUSION

Gradient waveform "grouping" offers a simple and general strategy for mitigating steady-state eddy-current distortions in bSSFP sequences that interleave two different gradients. Blood exhibits significant distortion even with "grouping," which is a major obstacle for cardiovascular bSSFP approaches that interleave multiple gradient waveforms. The grouping concept may also benefit applications that acquire images during the transient approach to steady state.

On the use of steady-state signal equations for 2D TrueFISP imaging

To explain the signal behavior in 2D-TrueFISP imaging, a slice excitation profile should be considered that describes a variation of effective flip angles and magnetization phases after excitation. These parameters can be incorporated into steady-state equations to predict the final signal within a pixel. The use of steady-state equations assumes that excitation occurs instantaneously, although in reality this is a nonlinear process. In addition, often the flip angle variation within the slice excitation profile is solely considered when using steady-state equations, while TrueFISP is especially known for its sensitivity to phase variations. The purpose of this study was therefore to evaluate the precision of steady-state equations in calculating signal intensities in 2D TrueFISP imaging. To that end, steady-state slice profiles and corresponding signal intensities were calculated as function of flip angle, RF phase advance and pulse shape. More complex Bloch simulations were considered as a gold standard, which described every excitation within the sequence until steady state was reached. They were used to analyze two different methods based on steady-state equations. In addition, measurements on phantoms were done with corresponding imaging parameters. Although the Bloch simulations described the steady-state slice profile formation better than methods based on steady-state equations, the latter performed well in predicting the steady-state signal resulting from it. In certain cases the phase variation within the slice excitation profile did not even have to be taken into account.

Balanced left ventricular myocardial SSFP-tagging at 1.5T and 3T

The purpose of the study was to evaluate the performance of steady-state free precession (SSFP)-tagging at 1.5T and 3T and to define the ideal settings with respect to optimized tag contrast throughout the cardiac cycle for both field strengths. To identify optimal imaging parameters data acquisition was repeated for different flip angles. Left ventricular tag-tissue contrast, tag fading times, tag persistence, and myocardial signal-to-noise ratio (SNR) were quantified in basal, mid-ventricular, and apical slice locations. To assess the effect of field strength on image quality and artifact level, additional semiquantitative image grading was performed by two experienced readers. SSFP-tagging at 3T proved superior to 1.5T and provided significantly enhanced tag persistence and myocardial SNR while maintaining overall image quality and artifact level. The definition of a tag quality index demonstrated optimal SSFP-tagging performance for a flip angle of 20 degrees . Diastolic tag visibility was improved at 3T and resulted in enhanced average tag persistence of 789 +/- 128 ms compared to 523 +/- 40 ms at 1.5T. For SSFP-tagging at 3T the combination of T(1) lengthening and superior myocardial SNR is highly promising and has the potential to improve the depiction of tagged myocardial function throughout the entire cardiac cycle.

Stabilization of alternating TR steady-state free precession sequences

Alternating TR steady-state free precession (ATR SSFP) has been proposed as a method to achieve a favorable frequency response compared to that of conventional balanced SSFP. ATR SSFP, much like conventional SSFP, exhibits oscillatory transient signal behavior that can degrade image quality. Thus an efficient preparation scheme is desired in order to actively reduce this initial signal fluctuation. Using an approach similar to that of Le Roux [Simplified model and stabilization of SSFP sequences, J. Magn. Resonan. 163 (1) (2003) 23-37], we construct a mathematical model for ATR SSFP sequences and show a Fourier relation between the separated odd and even terms of the RF flip angle increment sequence during an initial preparation, and the resulting oscillatory residues. A weighted Kaiser-Bessel windowed ramp can be used to design preparation schemes for arbitrary TR(1), TR(2), and RF phase cycling combinations. Optimized Kaiser-Bessel windowed ramp preparations for wideband SSFP and fat-suppressed ATR SSFP imaging are tested in phantoms. The results show substantially reduced transient signal oscillation with this new initial preparation method.

[Influence of the difference in start-up echo on signal intensity in the FIESTA sequence]

The FIESTA sequence is a fast imaging method used for various parts in recent years. A constant flip angle (CFA) or linear flip angle (LFA) are used as the start-up echo in many cases. It is reported from CFA, which is the conventional method, that the T1 value and T2 value influence the speed that reaches steady state. However, there is no such report in LFA. Therefore, we examined the influence of the difference of start-up echo method upon signal intensity. In phantoms other than vegetable oil, the difference was not accepted in the change of speed that reaches steady state and the signal intensity in steady-state transit. In LFA, signal intensity of vegetable oil was clearly lower than CFA. The same result was obtained regardless of on or off resonance. From the result, it was thought that it depended on T2/T1 for the speed that reaches steady state. Moreover, the difference in resonant frequency was considered to greatly influence LFA but not CFA. That is, it was suggested by the difference in start-up echo that the signal intensity of fat changes greatly.

Fat-water separation with alternating repetition time balanced SSFP

Balanced SSFP achieves high SNR efficiency, but suffers from bright fat signal. In this work, a multiple-acquisition fat-water separation technique using alternating repetition time (ATR) balanced SSFP is proposed. The SSFP profile can be modified using alternating repetition times and appropriate phase cycling to yield two spectra where fat and water are in-phase and out-of-phase, respectively. The signal homogeneity and the broad width of the created in-phase and out-of-phase profiles lead to signal cancellation over a broad stop-band. The stop-band suppression is achieved for a wide range of flip angles and tissue parameters. This property, coupled with the inherent flexibility of ATR SSFP in repetition time selection, makes the method a good candidate for fat-suppressed SSFP imaging. The proposed method can be tailored to achieve a smaller residual stop-band signal or a decreased sensitivity to field inhomogeneity depending on application-specific needs.

Off-resonance-dependent slice profile effects in balanced steady-state free precession imaging

The purpose of this study was the simulation and measurement of balanced steady-state free precession (bSSFP) slice profiles for a detailed analysis of the influence of off-resonance effects on slice profile shape and bSSFP signal intensity. Due to the frequency response function of the bSSFP sequence, measurements that are not on-resonance result in broadened effective slice profiles with different off-resonance-dependent shapes and signal intensities. In this study, bSSFP slice profile effects and their dependence on off-resonance were investigated based on bSSFP signal simulations of phantom data as well as blood and tissue. For a better assessment of the similarity of measured and simulated slice profiles the field map was integrated in the slice profile simulations. The results demonstrate that simulations can accurately predict bSSFP slice profiles. Both measurements and simulations indicate that there is a substantial increase in signal intensity close to the banding artifacts, i.e., at spatial locations with off-resonance frequencies corresponding to a dephasing/TR = +/- pi resulting in signal void (bands). For routine bSSFP imaging, off-resonance-dependent slice broadening may thus result in a substantial difference between nominal and true slice thickness and lead to spatially varying slice thickness and signal intensities across the imaging slice.

Imaging periodic currents using alternating balanced steady-state free precession

Existing functional brain MR imaging methods detect neuronal activity only indirectly via a surrogate signal such as deoxyhemoglobin concentration in the vascular bed of cerebral parenchyma. It has been recently proposed that neuronal currents may be measurable directly using MRI (ncMRI). However, limited success has been reported in neuronal current detection studies that used standard gradient or spin echo pulse sequences. The balanced steady-state free precession (bSSFP) pulse sequence is unique in that it can afford the highest known SNR efficiency and is exquisitely sensitive to perturbations in free precession phase. It is reported herein that when a spin phase-perturbing periodic current is locked to an RF pulse train, phase perturbations are accumulated across multiple RF excitations and the spin magnetization reaches an alternating balanced steady state (ABSS) that effectively amplifies the phase perturbations due to the current. The alternation of the ABSS signal therefore is highly sensitive to weak periodic currents. Current phantom experiments employing ABSS imaging resulted in detection of magnetic field variations as small as 0.15nT in scans lasting for 36 sec, which is more sensitive than using gradient-recalled echo imaging.

SSFP and GRE phase contrast imaging using a three-echo readout

A technique for rapid in-plane phase-contrast imaging with high signal-to-noise ratio (SNR) is described. Velocity-encoding is achieved by oscillating the readout gradient, such that each 2DFT phase-encode is acquired three times following a single RF slice-selective excitation. Three images are reconstructed, from which both flow velocity and local resonance offset are calculated. This technique is compatible with both gradient-recalled echo (GRE) and balanced steady-state free precession (SSFP) imaging using a single steady-state. The proposed technique enables 1D velocity mapping with 40% higher temporal resolution and 80% higher SNR, compared to conventional PC-MRI using bipolar velocity-encoding gradient pulses.

Wideband SSFP: alternating repetition time balanced steady state free precession with increased band spacing

Balanced steady-state free precession (SSFP) imaging is limited by off-resonance banding artifacts, which occur with periodicity 1/TR in the frequency spectrum. A novel balanced SSFP technique for widening the band spacing in the frequency response is described. This method, called wideband SSFP, utilizes two alternating repetition times with alternating RF phase, and maintains high SNR and T(2)/T(1) contrast. For a fixed band spacing, this method can enable improvements in spatial resolution compared to conventional SSFP. Alternatively, for a fixed readout duration this method can widen the band spacing, and potentially avoid the banding artifacts in conventional SSFP. The method is analyzed using simulations and phantom experiments, and is applied to the reduction of banding artifacts in cine cardiac imaging and high-resolution knee imaging at 3T.

A review of MR physics: 3T versus 1.5T

This article illustrates changes in the underlying physics concepts related to increasing the main magnetic field from 1.5T to 3T. The effects of these changes on tissue constants and practical hardware limitations is discussed as they affect scan time, quality, and contrast. Changes in susceptibility artifacts, chemical shift artifacts, and dielectric effects as a result of the increased field strength are also illustrated. Based on these fundamental considerations, an overall understanding of the benefits and constraints of signal-to-noise ratio and contrast-to-noise ratio changes between 1.5T and 3T MR systems is developed.

Standardized structural magnetic resonance imaging in multicentre studies using quantitative T1 and T2 imaging at 1.5 T

The ability to acquire MRI data with consistent tissue contrast at multiple time points, and/or across different imaging centres has become increasingly important as the number of large longitudinal and multicentre studies has grown. Here, the use of quantitative magnetic resonance relaxation times measurement, or, voxel-wise determination of the intrinsic longitudinal and transverse relaxation times, T1 and T2 respectively, for standardizing the structural imaging component of such studies is reported. To demonstrate the ability to standardize across multiple time-points and imaging centres, T1 and T2 maps of seven healthy volunteers were acquired using the rapid DESPOT1 and DESPOT2 (driven equilibrium single pulse observation of T1 and T2) mapping techniques at three centres across the United Kingdom (each centre utilizing scanners from competing manufacturers and/or with varying gradient performance). An average coefficient of variation of the estimates of T1 and T2 was found to be approximately 6.5% and 8%, respectively, across the three centres and comparable to that achieved between repeated imaging sessions performed at the same centre. With a total combined imaging time of less than 12 min for whole-brain approximately 1.2 mm isotropic voxel T1 and T2 maps, quantitative voxel-wise T1 and T2 mapping represents an attractive and easy-to-implement approach for signal intensity standardization and normalization. Further, as T1 and T2 are related to tissue microstructure and biochemistry, quantitative images provide additional diagnostic information that can be compared between patient and control populations, for example through voxel-based analysis techniques.

Simulation of steady-state NMR of coupled systems using Liouville space and computer algebra methods

A series of repeated pulses and delays applied to a spin system generates a steady state. This is relatively easy to calculate for a single spin, but coupled systems present real challenges. We have used Maple, a computer algebra program to calculate one- and two-spin symbolically, and larger systems numerically. The one-spin calculations illustrate and validate the methods and show how the steady-state free precession method converges to continuous wave NMR. For two-spin systems, we have derived a general formula for the creation of double-quantum signals as a function of irradiation strength, coupling constant, and chemical shift difference. The calculations on three-spin and larger systems reproduce and extend previously published results. In this paper, we have shown that the approach works well for systems in literature. However, the formalism is general and can be extended to more complex spin systems and pulses sequences.

Three-dimensional Black-Blood MR Imaging of Carotid Arteries with Segmented Steady-State Free Precession: Initial Experience

This HIPAA-compliant study had institutional review board approval. Informed consent was obtained. The purpose was to prospectively evaluate a segmented three-dimensional (3D) double inversion recovery (DIR)-prepared steady-state free precession (SSFP) magnetic resonance (MR) imaging sequence for fast high-spatial-resolution black-blood carotid arterial wall imaging. Carotid wall-lumen contrast-to-noise ratio (CNR) obtained with this sequence was compared with those obtained with two-dimensional (2D) single- and multisection black-blood fast spin-echo (SE) sequences. MR imaging of both carotid artery bifurcations over 3 cm of transverse coverage was performed in eight volunteers (seven men, one woman; age range, 26-56 years) with no known history of carotid artery disease. Adjusted for section thickness and imaging time per section, higher effective mean CNR was achieved with segmented 3D DIR-prepared SSFP than with single-section 2D DIR-prepared fast SE or multisection 2D saturation-band fast SE (P < .05). Segmented 3D DIR-prepared SSFP enables black-blood carotid arterial wall MR imaging with contiguous thin-section coverage and greater imaging speed and effective CNR than conventional 2D fast SE techniques.

Optimization of blood-myocardial contrast in 3D true FISP cardiac imaging at 1.5 T

Three-dimensional (3D) steady-state free precession (SSFP) MRI sequences are often applied to visualize both intra- and extracardiac pathologies. In the present study the contrast behavior of 3D true fast imaging with steady precession (True-FISP) sequences for cardiac imaging was optimized in numerical simulations and compared with measurements obtained in eight healthy volunteers on a 1.5 T whole-body scanner. Two SS preparation schemes in combination with and without a T(2) preparation were assessed to improve contrast between blood and myocardium using a navigator-gated and ECG-triggered 3D True-FISP sequence. Numerical simulations and experimental studies in volunteers showed that an SS preparation using a constant flip angle (CFA) is preferable to a linear flip angle (LFA) preparation in terms of contrast between blood and myocardium. The optimized 3D True-FISP sequence provides a reliable, accurate, and time-efficient means of obtaining a morphological cardiac diagnosis.

Improved myocardial tagging contrast in cine balanced SSFP images

PURPOSE

To improve the tag persistence throughout the whole cardiac cycle by providing a constant tag-contrast throughout all the cardiac phases when using balanced steady-state free precession (bSSFP) imaging.

MATERIALS AND METHODS

The flip angles of the imaging radiofrequency pulses were optimized to compensate for the tagging contrast-to-noise ratio (Tag-CNR) fading at later cardiac phases in bSSFP imaging. Complementary spatial modulation of magnetization (CSPAMM) tagging was implemented to improve the Tag-CNR. Numerical simulations were performed to examine the behavior of the Tag-CNR with the proposed method, and to compare the resulting Tag-CNR with that obtained from the more commonly used spoiled gradient echo (SPGR) imaging. A gel phantom, as well as five healthy human volunteers, were scanned on a 1.5T scanner using bSSFP imaging with and without the proposed technique. The phantom was also scanned with SPGR imaging.

RESULTS

With the proposed technique, the Tag-CNR remained almost constant during the whole cardiac cycle. Using bSSFP imaging, the Tag-CNR was about double that of SPGR.

CONCLUSION

The tag persistence was significantly improved when the proposed method was applied, with better Tag-CNR during the diastolic cardiac phase. The improved Tag-CNR will support automated tagging analysis and quantification methods.