Comparison of diagnostic quality of 3D ultrashort-echo-time techniques for pulmonary magnetic resonance imaging in free-breathing.

BACKGROUND: Ultrashort-echo-time (UTE) sequences have been developed to overcome technical limitations of pulmonary magnetic resonance imaging (MRI). Recently, it has been shown that UTE sequences with breath-hold allow rapid image acquisition with sufficient image quality. However, patients with impaired respiration require alternative acquisition strategies while breathing freely. PURPOSE: To compare the diagnostic performance of free-breathing three-dimensional (3D)-UTE sequences with different trajectories based on pulmonary imaging of immunocompromised patients. MATERIAL AND METHODS: In a prospective study setting, two 3D-UTE sequences performed in free-breathing and exploiting non-Cartesian trajectories-one using a stack-of-spirals and the other exploiting a radial trajectory-were acquired at 3 T in patients undergoing hematopoietic stem cell transplantation. Two radiologists assessed the images regarding presence of pleural effusions and pulmonary infiltrations. Computed tomography (CT) was used as reference. RESULTS: A total of 28 datasets, each consisting of free-breathing 3D-UTE MRI with the two sequence techniques and a reference CT scan, were acquired in 20 patients. Interrater agreement was substantial for pulmonary infiltrations using both sequence techniques (κ = 0.77 - 0.78). Regarding pleural effusions, agreement was almost perfect in the stack-of-spirals (κ = 0.81) and moderate in the radial sequence (κ = 0.59). No significant differences in detectability of the assessed pulmonary pathologies were observed between both 3D-UTE sequence techniques (P > 0.05), and their level of agreement was substantial throughout (κ = 0.62-0.81). Both techniques provided high sensitivities and specificities (79%-100%) for the detection of pulmonary infiltrations and pleural effusions compared to reference CT. CONCLUSION: The diagnostic performance of the assessed 3D-UTE MRI sequences was similar. Both sequences enable the detection of typical inflammatory lung pathologies.

The temperature dependence of gradient system response characteristics.

PURPOSE: The gradient system transfer function (GSTF) characterizes the frequency transfer behavior of a dynamic gradient system and can be used to correct non-Cartesian k-space trajectories. This study analyzes the impact of the gradient coil temperature of a 3T scanner on the GSTF. METHODS: GSTF self- and B0 -cross-terms were acquired for a 3T Siemens scanner (Siemens Healthcare, Erlangen, Germany) using a phantom-based measurement technique. The GSTF terms were measured for various temperature states up to 45°C. The gradient coil temperatures were measured continuously utilizing 12 temperature sensors which are integrated by the vendor. Different modeling approaches were applied and compared. RESULTS: The self-terms depend linearly on temperature, whereas the B0 -cross-term does not. Effects induced by thermal variation are negligible for the phase response. The self-terms are best represented by a linear model including the three gradient coil sensors that showed the maximum temperature dependence for the three axes. The use of time derivatives of the temperature did not lead to an improvement of the model. The B0 -cross-terms can be modeled by a convolution model which considers coil-specific heat transportation. CONCLUSION: The temperature dependency of the GSTF was analyzed for a 3T Siemens scanner. The self- and B0 -cross-terms can be modeled using a linear and convolution modeling approach based on the three main temperature sensor elements.

Gradient waveform pre-emphasis based on the gradient system transfer function.

PURPOSE: The gradient system transfer function (GSTF) has been used to describe the distorted k-space trajectory for image reconstruction. The purpose of this work was to use the GSTF to determine the pre-emphasis for an undistorted gradient output and intended k-space trajectory. METHODS: The GSTF of the MR system was determined using only standard MR hardware without special equipment such as field probes or a field camera. The GSTF was used for trajectory prediction in image reconstruction and for a gradient waveform pre-emphasis. As test sequences, a gradient-echo sequence with phase-encoding gradient modulation and a gradient-echo sequence with a spiral read-out trajectory were implemented and subsequently applied on a structural phantom and in vivo head measurements. RESULTS: Image artifacts were successfully suppressed by applying the GSTF-based pre-emphasis. Equivalent results are achieved with images acquired using GSTF-based post-correction of the trajectory as a part of image reconstruction. In contrast, the pre-emphasis approach allows reconstruction using the initially intended trajectory. CONCLUSION: The artifact suppression shown for two sequences demonstrates that the GSTF can serve for a novel pre-emphasis. A pre-emphasis based on the GSTF information can be applied to any arbitrary sequence type.

Multifrequency reconstruction for frequency-modulated bSSFP.

PURPOSE: Banding artifacts in images acquired by balanced steady-state free precession (bSSFP) remain a challenge in MRI as they considerably reduce image quality, and diagnostic value deteriorates accordingly. As the steady-state tolerates small shifts in frequency, it is possible to acquire frequency-modulated bSSFP. Unfortunately, standard reconstructions of such measurements suffer from signal loss. Our study proposes a multifrequency reconstruction and demonstrates its capability of suppressing banding artifacts while retaining the high signal level of standard bSSFP. METHODS: Numerical simulations in vitro and in vivo measurements were performed using both standard bSSFP and frequency-modulated bSSFP. The modulated data were reconstructed using a multifrequency approach consisting of three steps: phase correction, multiple reconstructions for different assumed frequencies, and maximum intensity projection. RESULTS: Although standard bSSFP measurements showed banding artifacts that compromised the image quality, standard reconstructions of frequency-modulated acquisitions suffered from signal loss. In contrast, images reconstructed from frequency-modulated data using the proposed multifrequency reconstruction showed no visual bandings and featured a higher signal-to-noise ratio (SNR). The SNR gain for phantom and in vivo measurements ranged from 1.23 to 1.49. CONCLUSIONS: The presented multifrequency reconstruction for frequency-modulated bSSFP provides images showing no bandings and featuring high SNR in short scan times. Magn Reson Med 78:2226-2235, 2017. © 2017 International Society for Magnetic Resonance in Medicine.

Ultra-short echo time (UTE) MR imaging: A brief review on technical considerations and clinical applications.

BACKGROUND: With the availability of MRI sequences with ultrashort echo times (UTE sequences), a signal can be gained from tissue, which was formerly only indirectly accessible. While already extensively employed in various research settings, the widespread transition of UTE imaging to clinical practice is just starting. METHODS: Based on a systematic literature search as well as knowledge gained through annual participation in conferences dedicated to advances in MRI, this review aims to give a brief overview of technical considerations and challenges of UTE imaging and summarizes the major areas of application of UTE imaging. RESULTS: UTE is already employed in clinical practice for structural lung imaging as well as the characterization of tissue composition and its alterations in selected musculoskeletal, cardiovascular, or neurodegenerative diseases. In specific contexts it can replace CT examinations with ionizing radiation and is especially attractive for pediatric patients and longitudinal monitoring of disease progression and treatment. CONCLUSION: UTE imaging provides an interesting and very valuable tool for various clinical purposes and promises a multitude of new insights into tissue properties. While some challenges remain, ongoing adoption in the clinical routine can be expected, as UTE approaches provide a new contrast and capture a signal in tissue formerly invisible on MR imaging. KEY POINTS: · UTE imaging gains relevance in clinical settings. · UTE imaging is employed for the characterization of tissue composition and its alterations in selected musculoskeletal, cardiovascular, or neurodegenerative diseases. · UTE imaging is employed in the clinical routine for structural lung imaging. · UTE imaging promises a multitude of new insights into tissue properties.

Frequency-modulated bSSFP for phase-sensitive separation of water and fat.

Our study proposes the use of a frequency-modulated acquisition which suppresses banding artefacts in combination with a phase-sensitive water-fat separation algorithm. The performance of the phase-sensitive separation for standard bSSFP, complex sum combination thereof, and frequency-modulated bSSFP were compared in in vivo measurements of the upper and lower legs at 1.5 and 3 T. It is shown, that the standard acquisition suffered from banding artefacts and major swaps between tissues. The dual-acquisition bSSFP could alleviate banding artefacts and only minor swaps occurred, but it comes at the expense of a doubled acquisition. In the frequency-modulated acquisitions all banding artefacts and the associated phase jumps were eliminated and no swaps between tissues occurred. It therefore provides a means to robustly separate water and fat, in one single radial bSSFP scan, using the phase-sensitive approach, even in the presence of high field inhomogeneities.