Improved 2D time-of-flight angiography using a radial-line k-space acquisition

Time-of-flight MR-angiography with a helical trajectory and slice-super-resolution reconstruction

PURPOSE

To improve 2D noncontrast-enhanced MRA by using a helical time-of-flight (TOF) acquisition technique and a slice-super-resolution reconstruction.

METHODS

The TOF technique is combined with a helical trajectory with golden-angle-based radial projection reordering. A continuous spatial shift in slice direction is realized by adjusting the frequency of the excitation pulse between the individual projections. The limited resolution along the shift direction is improved by a deconvolution with simulated slice profile. The helical TOF (hTOF) was compared in vivo with a conventional 2D and 3D TOF.

RESULTS

Results from in vivo experiments on the carotid show that the visual resolution in slice direction can be improved by using hTOF and the slice-super-resolution reconstruction. The vessels appear up to 1.5 times sharper and can be better separated from each other. Compared to 2D TOF images, the stair step artifacts are strongly reduced in reformatted hTOF images, whereas measurement time is decreased by at least 35%. Compared to 3D TOF, the hTOF offers a higher blood-to-background contrast, better visualization of smaller vessels, and reduced measurement time.

CONCLUSION

The hTOF benefits from a 2D acquisition and a 3D reconstruction, which makes it a promising technique for the noncontrast-enhanced imaging of the carotid.

Spiral trajectory design: a flexible numerical algorithm and base analytical equations

PURPOSE

Spiral-based trajectories for magnetic resonance imaging can be advantageous, but are often cumbersome to design or create. This work presents a flexible numerical algorithm for designing trajectories based on explicit definition of radial undersampling, and also gives several analytical expressions for charactering the base (critically sampled) class of these trajectories.

THEORY AND METHODS

Expressions for the gradient waveform, based on slew and amplitude limits, are developed such that a desired pitch in the spiral k-space trajectory is followed. The source code for this algorithm, written in C, is publicly available. Analytical expressions approximating the spiral trajectory (ignoring the radial component) are given to characterize measurement time, gradient heating, maximum gradient amplitude, and off-resonance phase for slew-limited and gradient amplitude-limited cases. Several numerically calculated trajectories are illustrated, and base Archimedean spirals are compared with analytically obtained results.

RESULTS

Several different waveforms illustrate that the desired slew and amplitude limits are reached, as are the desired undersampling patterns, using the numerical method. For base Archimedean spirals, the results of the numerical and analytical approaches are in good agreement.

CONCLUSION

A versatile numerical algorithm was developed, and was written in publicly available code. Approximate analytical formulas are given that help characterize spiral trajectories.

State-of-the-art in pediatric body and musculoskeletal magnetic resonance imaging

Pediatric body and musculoskeletal MRI has seen tremendous advances over the past few years. These advances have enabled high-quality imaging in even the smallest children and expanded the range of clinical problems amenable to MRI. In this review, we highlight some advances: transition to 3 Tesla, parallel imaging, motion compensation, and new contrast agents. Given the increasing saliency of concerns regarding ionizing radiation from computed tomography, these advances could not be more welcome.

Advances in pediatric MR imaging

This article describes the considerable technical achievements that have been made in MR imaging in the evaluation of pediatric patients. The latest techniques in improving signal intensity, resolution, and speed are discussed. The multitude of new options for pediatric MR imaging are illustrated, including higher field strength imaging, multi-channel coil technology coupled with parallel imaging, and new pulse sequence designs. Several future directions in the field of pediatric body and musculoskeletal imaging also are highlighted.

Reconstruction of undersampled non-Cartesian data sets using pseudo-Cartesian GRAPPA in conjunction with GROG

Most k-space-based parallel imaging reconstruction techniques, such as Generalized Autocalibrating Partially Parallel Acquisitions (GRAPPA), necessitate the acquisition of regularly sampled Cartesian k-space data to reconstruct a nonaliased image efficiently. However, non-Cartesian sampling schemes offer some inherent advantages to the user due to their better coverage of the center of k-space and faster acquisition times. On the other hand, these sampling schemes have the disadvantage that the points acquired generally do not lie on a grid and have complex k-space sampling patterns. Thus, the extension of Cartesian GRAPPA to non-Cartesian sequences is nontrivial. This study introduces a simple, novel method for performing Cartesian GRAPPA reconstructions on undersampled non-Cartesian k-space data gridded using GROG (GRAPPA Operator Gridding) to arrive at a nonaliased image. Because the undersampled non-Cartesian data cannot be reconstructed using a single GRAPPA kernel, several Cartesian patterns are selected for the reconstruction. This flexibility in terms of both the appearance and number of patterns allows this pseudo-Cartesian GRAPPA to be used with undersampled data sets acquired with any non-Cartesian trajectory. The successful implementation of the reconstruction algorithm using several different trajectories, including radial, rosette, spiral, one-dimensional non-Cartesian, and zig-zag trajectories, is demonstrated.

Local reconstruction of stenosed sections of artery using multiple MRA acquisitions

A method for reconstructing magnetic resonance angiography (MRA) volumes from successive acquisitions is described. The method is based on double oblique acquisitions of highly anisotropic MRA volumes, each of which corresponds to reduced k-space filling. These partial k-spaces are then combined to obtain a 3D k-space adapted to the frequency spread of the angiographic image of the stenosis. The SNR-resolution compromise of MRA is thus improved by focusing the acquisition on the most relevant k-space regions. The reconstruction is performed directly in k-space by averaging the partial k-spaces. The feasibility of the method was demonstrated in studies on a Lucite stenosis phantom, on MRAs of carotid arteries using three bolus injections, and on MRAs of renal arteries using a single contrast injection.

Reduction of flow-related signal loss in flow-compensated 3D TOF MR angiography, using variable echo time (3D TOF-VTE)

High-resolution MRA with phase/frequency flow compensation may require very long echo times (TEs). Variable TE (VTE) was implemented into flow-compensated 3D TOF to minimize the effective TE and reduce the flow-related signal void. The k-space of the 3D TOF was divided into segment groups ranging from two to 32 segments with different TEs. The TEs were minimized and the flow-compensation gradient lobes were calculated to null the total first moment at the peak of the echo for each segment. Possible artifacts and off-resonance effects were evaluated, with respect to the number of TE segments, using the point spread function (PSF) and corresponding experiments. The optimal number of TE segments for the least artifact was determined to be one-half of the number of slices. Two types of artifacts caused by VTE were predicted and subsequently observed. The developed pulse sequence 3D TOF-VTE was tested on clinical MRI systems, by performing scans of the cervical carotid artery and intracranial carotid artery at the carotid siphon. The signal distribution near the bifurcation and the siphon was much more uniform with VTE, and the flow-related signal loss was greatly reduced. The resultant MR angiograms provided improved vessel detail. The results show that VTE improved the quality of flow-compensated 3D TOF MRA.

Carotid MR angiography: phase II study of safety and efficacy for MS-325

PURPOSE

To evaluate the safety and efficacy of MS-325 in patients suspected of having carotid arterial disease.

MATERIALS AND METHODS

Fifty carotid arteries in 26 patients were imaged with three-dimensional spoiled gradient-recalled-echo magnetic resonance (MR) angiography at 5 and 50 minutes after injection of MS-325. MS-325 was administered intravenously as a single dose of 0.01, 0.03, or 0.05 mmol per kilogram of body weight as determined with a dose randomization scheme for four, nine, and 13 patients, respectively. Safety, including clinical laboratory changes and electrocardiographic monitoring, was assessed until approximately 3 days after injection. Conventional contrast agent-enhanced angiography was used as the standard of reference. Independent readers blinded to the dose interpreted the MR angiographic and conventional images. Images were assessed for location and extent of carotid arterial stenosis.

RESULTS

There were no severe or serious adverse events. For the determination of clinically significant stenosis (>70%) on the 5-minute images, sensitivity, specificity, and accuracy (P =.07, three-way comparison) were 100%, 100%, and 100%; 63%, 100%, and 88%; and 40%, 75%, and 55% at 0.01, 0.03, and 0.05 mmol/kg, respectively. Sensitivity and specificity for images at 50 minutes after MS-325 administration showed the same trends as the 5-minute images.

CONCLUSION

Overall accuracy for MS-325-enhanced carotid MR angiography performed during steady-state conditions of circulating contrast agent approximately 5 minutes after injection was high (88%-100%) at 0.03 and 0.01 mmol/kg. MS-325 was well tolerated at all evaluated doses.

Omega-space adaptive acquisition technique for magnetic resonance imaging from projections

An omega-space adaptive acquisition technique for MRI from projections is presented. It is based on the evaluation of the information content of a set composed of four initial projections, measured at angles 0 degrees, 45 degrees, 90 degrees, and 135 degrees, followed by the selection of new angles where the information content is maximum. An entropy function is defined on the power spectrum of the projections that is useful for evaluating the information content of each projection. The method makes it possible to reduce the total acquisition time with little degradation of the reconstructed image and it adapts to the arbitrary shape of the sample. For this reason, it can be particularly useful in those applications where acquisition from projections is strongly recommended to save acquisition time, such as functional MRI, imaging of species having very short T(2), or angiography. The method has been tested both on simulated data and on experimental data collected by a commercial MRI apparatus. The method has also been compared to the regular acquisition method, that is, the standard acquisition method in MRI from projections.

Automatic field map generation and off-resonance correction for projection reconstruction imaging

A new projection reconstruction technique utilizes the oversampling of low spatial frequencies to estimate and correct for off-resonance effects. Interleaved spokes are acquired at one of two different echo times. From separated early-TE and late-TE raw data, two one-quarter resolution images are reconstructed and a one-quarter resolution field map is computed. Multifrequency reconstruction with all the data is then used to simultaneously correct for off-resonance and compensate for the difference in echo times. Resulting images obtained on phantoms and in vivo demonstrate significantly reduced off-resonance artifact without the acquisition of a separate field map.

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.