Phase-encode reordering to minimize errors caused by motion

A novel profile/view ordering with a non-convex star shutter for high-resolution 3D volumetric T1 mapping under multiple breath-holds

PURPOSE

To examine a novel non-convex star ordering/shutter for reducing the number of breath-holds in cardiac three-dimensional (3D) T₁ Mapping MRI with multiple breath-holds.

METHODS

A novel ordering, Non-Convex Star (NCS) was designed to acquire 3D volumes in a modified look-locker inversion recovery (MOLLI) T₁ mapping sequence to provide more spatial resolution and coverage in fewer breath-holds. The proposed 3D-MOLLI approach using NCS was first validated in two phantoms using artifact power (AP) measurement against the fully sampled phantom. This was followed by an in vivo study in seven swine, in which the T₁ values of the left ventricular (LV) myocardium divided into the American Heart Association (AHA) 16-segment model was compared against the reference multislice two-dimensional (2D) clinical reference and 3D volume without NCS breath-hold reduction.

RESULTS

NCS breath-hold reduction yielded less AP compared with the matched SENSE accelerated phantom volume (P < 0.0005), and was shown to be optimal at 25% fewer breath-holds. Calculated T₁ values from 3D in vivo volumes with/without NCS were comparable in all AHA segments (P = NS), whereas 3D-NCS yielded significantly higher T₁ values than 2D at midslice of the LV myocardium in each AHA segment (P < 0.05).

CONCLUSION

We successfully demonstrate the feasibility of the NCS approach for a 3D T₁ mapping acquisition requiring fewer breath-holds. Magn Reson Med 77:2215-2224, 2017. © 2016 International Society for Magnetic Resonance in Medicine.

Application of basic physics principles to clinical neuroradiology: differentiating artifacts from true pathology on MRI

OBJECTIVE

This article outlines artifactual findings commonly encountered in neuroradiologic MRI studies and offers clues to differentiate them from true pathology on the basis of their physical properties. Basic MR physics concepts are used to shed light on the causes of these artifacts.

CONCLUSION

MRI is one of the most commonly used techniques in neuroradiology. Unfortunately, MRI is prone to image distortion and artifacts that can be difficult to identify. Using the provided case illustrations, practical clues, and relevant physical applications, radiologists may devise algorithms to troubleshoot these artifacts.

Comparison of parallel MRI reconstruction methods for accelerated 3D fast spin-echo imaging

Parallel MRI (pMRI) achieves imaging acceleration by partially substituting gradient-encoding steps with spatial information contained in the component coils of the acquisition array. Variable-density subsampling in pMRI was previously shown to yield improved two-dimensional (2D) imaging in comparison to uniform subsampling, but has yet to be used routinely in clinical practice. In an effort to reduce acquisition time for 3D fast spin-echo (3D-FSE) sequences, this work explores a specific nonuniform sampling scheme for 3D imaging, subsampling along two phase-encoding (PE) directions on a rectilinear grid. We use two reconstruction methods-2D-GRAPPA-Operator and 2D-SPACE RIP-and present a comparison between them. We show that high-quality images can be reconstructed using both techniques. To evaluate the proposed sampling method and reconstruction schemes, results via simulation, phantom study, and in vivo 3D human data are shown. We find that fewer artifacts can be seen in the 2D-SPACE RIP reconstructions than in 2D-GRAPPA-Operator reconstructions, with comparable reconstruction times.

Fast method for 1D non-cartesian parallel imaging using GRAPPA

MRI with non-Cartesian sampling schemes can offer inherent advantages. Radial acquisitions are known to be very robust, even in the case of vast undersampling. This is also true for 1D non-Cartesian MRI, in which the center of k-space is oversampled or at least sampled at the Nyquist rate. There are two main reasons for the more relaxed foldover artifact behavior: First, due to the oversampling of the center, high-energy foldover artifacts originating from the center of k-space are avoided. Second, due to the non-equidistant sampling of k-space, the corresponding field of view (FOV) is no longer well defined. As a result, foldover artifacts are blurred over a broad range and appear less severe. The more relaxed foldover artifact behavior and the densely sampled central k-space make trajectories of this type an ideal complement to autocalibrated parallel MRI (pMRI) techniques, such as generalized autocalibrating partially parallel acquisitions (GRAPPA). Although pMRI can benefit from non-Cartesian trajectories, this combination has not yet entered routine clinical use. One of the main reasons for this is the need for long reconstruction times due to the complex calculations necessary for non-Cartesian pMRI. In this work it is shown that one can significantly reduce the complexity of the calculations by exploiting a few specific properties of k-space-based pMRI.

Combo acquisitions: balancing scan time reduction and image quality

Recently a new technique for the combined acquisition of multicontrast images, termed "combo acquisition," was introduced. In combo acquisitions, the three concepts of 1) variable acquisition parameters, 2) k-space data sharing, and 3) multicontrast imaging are systematically integrated to reduce MRI scan time and improve data utilization in a clinical setting. In this study, two-contrast and three-contrast spin-echo (SE) and turbo spin-echo (TSE) combo acquisition protocols that were designed and optimized in simulation experiments were implemented on a 1.5 T clinical scanner. Phantom and human brain data from volunteers and patients were acquired. Scan time reductions of 25-52% were achieved compared to standard acquisitions, largely confirming the simulation results. We evaluated the resulting images by quantitatively analyzing the preservation of contrast and the signal-to-noise ratio (SNR). In addition, data sets for 10 clinical cases obtained with TSE combo and corresponding standard acquisitions were graded by two experienced neuroradiologists in terms of the level of artifacts and image quality for comparison. Only minor image degradation with the combo scans was observed, indicating an inherent trade-off between scan time reduction and image quality. The specific aspects of combo acquisitions with respect to motion, flow, and k-space data weighting are discussed.

A new strategy for respiration compensation, applied toward 3D free-breathing cardiac MRI

In thorax and abdomen imaging, image quality may be affected by breathing motion. Cardiac MR images are typically obtained while the patient holds his or her breath, to avoid respiration-related artifacts. Although useful, breath-holding imposes constraints on scan duration, which in turn limits the achievable resolution and SNR. Longer scan times would be required to improve image quality, and effective strategies are needed to compensate for respiratory motion. A novel approach at respiratory compensation, targeted toward 3D free-breathing cardiac MRI, is presented here. The method aims at suppressing the negative effects of respiratory-induced cardiac motion while capturing the heart's beating motion. The method is designed so that the acquired data can be reconstructed in two different ways: First, a time series of images is reconstructed to quantify and correct for respiratory motion. Then, the corrected data are reconstructed a final time into a cardiac-phase series of images to capture the heart's beating motion. The method was implemented, and initial results are presented. A cardiac-phase series of 3D images, covering the entire heart, was obtained for two free-breathing volunteers. The present method may prove especially useful in situations where breath-holding is not an option, for example, for very sick, mentally impaired or infant patients.

Optimization of 3D contrast-enhanced pulmonary magnetic resonance angiography in pediatric patients with congenital heart disease

Contrast kinetics were studied in the main pulmonary artery (MPA) and ascending aorta (AAo) of 12 children with congenital heart disease. This information was used to optimize the timing of data acquisition for contrast-enhanced MR angiography in these vessels. To reduce contrast-agent dosage in these fragile patients, contrast enhancement was measured during routine diagnostic 3D magnetic resonance (MR) angiography instead of using test-bolus methods. This was possible by acquiring 2D cross-sectional images of the MPA and AAo during the 3D scan. Time-to-peak in the MPA and AAo was 4.9 +/- 2.2 and 6.1 +/- 2.2 s, respectively, while the transit time between the two vessels was 4.5 +/- 0.6 s. A point-spread-function analysis showed that intravascular signal strength was maximized if data acquisition began 4.7 +/- 2.3 s after the first arrival of contrast in the MPA and 5.6 +/- 2.3 s in the AAo. Little signal loss and artifact resulted when longer acquisition delays were used because contrast-agent clearance was slow. Based on these results, MR angiography of both the MPA and the AAo in children with congenital heart disease can be performed using elliptic-centric k-space sampling and a trigger delay of 7.9 s after contrast arrival in the AAo (i.e., time-to-peak signal strength in the AAo plus one SD to account for intersubject variability).

Band artifacts due to bulk motion

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

Fusing speed and phase information for vascular segmentation of phase contrast MR angiograms

This paper presents a statistical approach to aggregating speed and phase (directional) information for vascular segmentation of phase contrast magnetic resonance angiograms (PC-MRA). Rather than relying on speed information alone, as done by others and in our own work, we demonstrate that including phase information as a priori knowledge in a Markov random field (MRF) model can improve the quality of segmentation. This is particularly true in the region within an aneurysm where there is a heterogeneous intensity pattern and significant vascular signal loss. We propose to use a Maxwell-Gaussian mixture density to model the background signal distribution and combine this with a uniform distribution for modelling vascular signal to give a Maxwell-Gaussian-uniform (MGU) mixture model of image intensity. The MGU model parameters are estimated by the modified expectation-maximisation (EM) algorithm. In addition, it is shown that the Maxwell-Gaussian mixture distribution (a) models the background signal more accurately than a Maxwell distribution, (b) exhibits a better fit to clinical data and (c) gives fewer false positive voxels (misclassified vessel voxels) in segmentation. The new segmentation algorithm is tested on an aneurysm phantom data set and two clinical data sets. The experimental results show that the proposed method can provide a better quality of segmentation when both speed and phase information are utilised.

Abdominal imaging with a modular combination of spin and gradient echoes

MR-CAT (combined acquisition technique), a modular hybrid imaging concept, was introduced recently. In this article it is demonstrated that the CAT principles can be applied to form a versatile combination of spin and gradient echoes for abdominal imaging. This CAT approach, which essentially integrates RARE and EPI modules in a sequential fashion, was used to implement a set of segmented and single-shot RARE/EPI-CAT imaging techniques. CAT was used in in vivo studies to perform high-resolution abdominal imaging in five healthy subjects. The results demonstrate the feasibility of abdominal imaging using the proposed CAT approach and the potential of this technique to reduce imaging time while preserving image quality.

Optimization of view ordering for motion artifact suppression

Motion artifacts in MRI may be reduced by optimized view ordering. Extensive simulations of view-ordering techniques were performed on high-resolution phantom images to determine the best strategy for distributing motion in k-space. Although not exhaustive, simulation results indicate that minimizing motion at the center of k-space is critical to overall image quality. For 2D imaging, using edge-center-edge view order and setting the readout direction parallel to the direction of the motion produces the sharpest point spread function and the lowest image energy error. For 3D imaging, using an edge-center-edge view order proves to be the optimum choice in general. Given these observations, several important issues regarding the measurement of motion effects are discussed.

MR CAT scan: a modular approach for hybrid imaging

In this study, a modular concept for NMR hybrid imaging is presented. This concept essentially integrates different imaging modules in a sequential fashion and is therefore called CAT (combined acquisition technique). CAT is not a single specific measurement sequence, but rather a sequence design concept whereby distinct acquisition techniques with varying imaging parameters are employed in rapid succession in order to cover k-space. The power of the CAT approach is that it provides a high flexibility toward the acquisition optimization with respect to the available imaging time and the desired image quality. Important CAT sequence optimization steps include the appropriate choice of the k-space coverage ratio and the application of mixed bandwidth technology. Details of both the CAT methodology and possible CAT acquisition strategies, such as FLASH/EPI-, RARE/EPI- and FLASH/BURST-CAT are provided. Examples from imaging experiments in phantoms and healthy volunteers including mixed bandwidth acquisitions are provided to demonstrate the feasibility of the proposed CAT concept.

Hybrid cardiac imaging with MR-CAT scan: a feasibility study

We demonstrate the feasibility of a new versatile hybrid imaging concept, the combined acquisition technique (CAT), for cardiac imaging. The cardiac CAT approach, which combines new methodology with existing technology, essentially integrates fast low-angle shot (FLASH) and echoplanar imaging (EPI) modules in a sequential fashion, whereby each acquisition module is employed with independently optimized imaging parameters. One important CAT sequence optimization feature is the ability to use different bandwidths for different acquisition modules. Twelve healthy subjects were imaged using three cardiac CAT acquisition strategies: a) CAT was used to reduce breath-hold duration times while maintaining constant spatial resolution; b) CAT was used to increase spatial resolution in a given breath-hold time; and c) single-heart beat CAT imaging was performed. The results obtained demonstrate the feasibility of cardiac imaging using the CAT approach and the potential of this technique to accelerate the imaging process with almost conserved image quality.

Breath-hold three-dimensional contrast-enhanced coronary MR angiography: motion-matched k-space sampling for reducing cardiac motion effects

A view order that matches k-space sampling to cardiac motion within the acquisition window was developed for breath-hold three-dimensional contrast material-enhanced coronary magnetic resonance angiography. In vivo experiments in seven volunteers demonstrated that blurring was substantially reduced with this motion-matched view order as compared with the standard centric view order. Coronary arteries were well delineated.

Hybrid ordered phase encoding (HOPE): an improved approach for respiratory artifact reduction

Respiration causes continuous change in cardiac position, which leads to image degradation. Phase-encode reordering methods are often used to reduce these artifacts. An improved method for suppressing motion artifacts by reordering the acquisition of k space has been developed that is less sensitive to change of breathing patterns and bulk movement. We describe the theory behind the new approach and compare its results with those of existing methods by use of a phantom with simulated and actual acquired breathing patterns. The comparison was also made in vivo; cardiac scans were performed in 15 subjects with image planes that are known to be particularly susceptible to respiratory artifact. A significant improvement in image quality was achieved compared with conventional nonreordered and existing reordering methods.

Tissue temperature monitoring with multiple gradient-echo imaging sequences

The inherent sensitivity of multiple gradient-echo sequences to the chemical shift is exploited to rapidly map muscle water frequency shifts caused by ultrasonic heating. The use of multiple echoes is shown to offer several advantages over single gradient-echo approaches previously proposed for temperature measurement. An increase in the effective bandwidth significantly reduces aliasing problems observed with single gradient-echo methods in high temperature applications. Of greater significance is the improved immunity to intrascan motion found for multi-echo versus single echo gradient methods, making the former more attractive for clinical applications. Finally, a sensitivity to the presence of multiple spectral components unavailable with single gradient-echo methods is obtained.

Review of functional magnetic resonance imaging in schizophrenia

Functional magnetic resonance imaging (fMRI) holds great promise for assessing temporal changes in brain activity using various challenge paradigms. In this report, we review the 14 studies (eight of them abstracts) that comprise the fMRI literature available to date relating to schizophrenia. Twelve of the 14 investigations examined changes in blood-oxygen-level-dependent (BOLD) contrast: two examined blood volume. Eight of the 12 BOLD studies relied on lower-order cognitive processing to measure activation (involving sensory or motor areas), whereas four used higher-order tasks (word production, auditory processing, and subspan word recall involving multiple brain areas). Although the variability in tasks used, brain regions studied, imaging methods used, patient characteristics reported, and methods of reporting significance precluded a full meta-analysis, we re-analyzed these published data to compute effect sizes. In most studies, resting blood volume and BOLD changes, regardless of the complexity of the cognitive task, appeared to differ between patients with schizophrenia and control subjects.

Motion-adapted gating based on k-space weighting for reduction of respiratory motion artifacts

A new modified type of gating is presented that shows the ability to reduce the total scan time with almost conserved image quality compared with conventional gating. This new motion-adapted gating approach is based on a k-space-dependent gating threshold function. MR data acquired are only accepted if the motion-induced displacements measured from a reference position are below the chosen gating threshold function. During the MR measurement the scanner analyses respiratory motion decides in real-time which data in k-space could be measured according to the gating threshold function and performs data acquisition. In the present paper the approach will be described and discussed. Simulations based on in vivo data and initial in vivo experiments are presented to compare different variants of the new approach mutually and to the conventional technique. The analysis given is focused on spin warp type sequences, which are the best candidates for this approach.