Free-breathing high-resolution respiratory-gated radial stack-of-stars magnetic resonance imaging of the upper abdomen at 7 T.

Ultrahigh field magnetic resonance imaging (MRI) (≥ 7 T) has the potential to provide superior spatial resolution and unique image contrast. Apart from radiofrequency transmit inhomogeneities in the body at this field strength, imaging of the upper abdomen faces additional challenges associated with motion-induced ghosting artifacts. To address these challenges, the goal of this work was to develop a technique for high-resolution free-breathing upper abdominal MRI at 7 T with a large field of view. Free-breathing 3D gradient-recalled echo (GRE) water-excited radial stack-of-stars data were acquired in seven healthy volunteers (five males/two females, body mass index: 19.6-24.8 kg/m2) at 7 T using an eight-channel transceive array coil. Two volunteers were also examined at 3 T. In each volunteer, the liver and kidney regions were scanned in two separate acquisitions. To homogenize signal excitation, the time-interleaved acquisition of modes (TIAMO) method was used with personalized pairs of B1 shims, based on a 23-s Cartesian fast low angle shot (FLASH) acquisition. Utilizing free-induction decay navigator signals, respiratory-gated images were reconstructed at a spatial resolution of 0.8 × 0.8 × 1.0 mm3. Two experienced radiologists rated the image quality and the impact of B1 inhomogeneity and motion-related artifacts on multipoint scales. The images of all volunteers showcased effective water excitation and were accurately corrected for respiratory motion. The impact of B1 inhomogeneity on image quality was minimal, underscoring the efficacy of the multitransmit TIAMO shim. The high spatial resolution allowed excellent depiction of small structures such as the adrenal glands, the proximal ureter, the diaphragm, and small blood vessels, although some streaking artifacts persisted in liver image data. In direct comparisons with 3 T performed for two volunteers, 7-T acquisitions demonstrated increases in signal-to-noise ratio of 77% and 58%. Overall, this work demonstrates the feasibility of free-breathing MRI in the upper abdomen at submillimeter spatial resolution at a magnetic field strength of 7 T.

Imaging white matter microstructure with gradient-echo phase imaging: Is ex vivo imaging with formalin-fixed tissue a good approximation of the in vivo brain?

PURPOSE: Ex vivo imaging is a commonly used approach to investigate the biophysical mechanism of orientation-dependent signal phase evolution in white matter. Yet, how phase measurements are influenced by the structural alteration in the tissue after formalin fixation is not fully understood. Here, we study the effects on magnetic susceptibility, microstructural compartmentalization, and chemical exchange measurement with a postmortem formalin-fixed whole-brain human tissue. METHODS: A formalin-fixed, postmortem human brain specimen was scanned with multiple orientations to the main magnetic field direction for robust bulk magnetic susceptibility measurement with conventional quantitative susceptibility imaging models. White matter samples were subsequently excised from the whole-brain specimen and scanned in multiple rotations on an MRI scanner to measure the anisotropic magnetic susceptibility and microstructure-related contributions in the signal phase and to validate the findings of the whole-brain data. RESULTS: The bulk isotropic magnetic susceptibility of ex vivo whole-brain imaging is comparable to in vivo imaging, with noticeable enhanced nonsusceptibility contributions. The excised specimen experiment reveals that anisotropic magnetic susceptibility and compartmentalization phase effect were considerably reduced in the formalin-fixed white matter specimens. CONCLUSIONS: Formalin-fixed postmortem white matter exhibits comparable isotropic magnetic susceptibility to previous in vivo imaging findings. However, the measured phase and magnitude data of the fixed white matter tissue shows a significantly weaker orientation dependency and compartmentalization effect. Alternatives to formalin fixation are needed to better reproduce the in vivo microstructural effects in postmortem samples.

Fast model-based T2 mapping using SAR-reduced simultaneous multislice excitation.

PURPOSE: To obtain whole-brain high-resolution T2 maps in 2 minutes by combining simultaneous multislice excitation and low-power PINS (power independent of number of slices) refocusing pulses with undersampling and a model-based reconstruction. METHODS: A multi-echo spin-echo sequence was modified to acquire multiple slices simultaneously, ensuring low specific absorption rate requirements. In addition, the acquisition was undersampled to achieve further acceleration. Data were reconstructed by subsequently applying parallel imaging to separate signals from different slices, and a model-based reconstruction to estimate quantitative T2 from the undersampled data. The signal model used is based on extended phase graph simulations that also account for nonideal slice profiles and B1 inhomogeneity. In vivo experiments with 3 healthy subjects were performed to compare accelerated T2 maps to fully sampled single-slice acquisitions. The accuracy of the T2 values was assessed with phantom experiments by comparing the T2 values to single-echo spin-echo measurements. RESULTS: In vivo results showed that conventional multi-echo spin-echo, simultaneous multislice, and undersampling result in similar mean T2 values within regions of interest. However, combining simultaneous multislice and undersampling results in higher SDs (about 7 ms) in comparison to a conventional sequence (about 3 ms). The T2 values were reproducible between scan and rescan (SD < 1.2 ms) within subjects and were in similar ranges across subjects (SD < 4.5 ms). CONCLUSION: The proposed method is a fast T2 mapping technique that enables whole-brain acquisitions at 0.7-mm in-plane resolution, 3-mm slice thickness, and low specific absorption rate in 2 minutes.

Clinical application of Half Fourier Acquisition Single Shot Turbo Spin Echo (HASTE) imaging accelerated by simultaneous multi-slice acquisition.

PURPOSE: As a single-shot sequence with a long train of refocusing pulses, Half-Fourier Acquisition Single-Shot Turbo-Spin-Echo (HASTE) suffers from high power deposition limiting use at high resolutions and high field strengths, particularly if combined with acceleration techniques such as simultaneous multi-slice (SMS) imaging. Using a combination of multiband (MB)-excitation and PINS-refocusing pulses will effectively accelerate the acquisition time while staying within the SAR limitations. In particular, uncooperative and young patients will profit from the speed of the MB-PINS HASTE sequence, as clinical diagnosis can be possible without sedation. Materials and MethodsMB-excitation and PINS-refocusing pulses were incorporated into a HASTE-sequence with blipped CAIPIRINHA and TRAPS including an internal FLASH reference scan for online reconstruction. Whole brain MB-PINS HASTE data were acquired on a Siemens 3T-Prisma system from 10 individuals and compared to a clinical HASTE protocol. ResultsThe proposed MB-PINS HASTE protocol accelerates the acquisition by about a factor 2 compared to the clinical HASTE. The diagnostic image quality proved to be comparable for both sequences for the evaluation of the overall aspect of the brain, the detection of white matter changes and areas of tissue loss, and for the evaluation of the CSF spaces although artifacts were more frequently encountered with MB-PINS HASTE. ConclusionsMB-PINS HASTE enables acquisition of slice accelerated highly T2-weighted images and provides good diagnostic image quality while reducing acquisition time.

Multiband echo-shifted echo planar imaging.

PURPOSE: To propose the technique multiband echo-shifted (MESH) echo planar imaging (EPI), which combines the principles of echo-shifted acquisition for two-dimensional multislice EPI, with both in-plane and multiband acceleration by means of partial parallel imaging techniques. METHODS: MESH EPI is suitable for functional MRI (fMRI) in situations where there is sufficient time to insert an additional EPI readout in the dead time between slice selection and the standard EPI readout. In such situations, MESH EPI can further accelerate data acquisition compared with standard multiband techniques. The method is particularly well suited for low static magnetic field strengths and lower spatial resolutions. We compared MESH with multiband and standard EPI with temporal signal-to-noise ratio (tSNR) measurements and resting state fMRI data. RESULTS: Results obtained at 1.5 T from healthy subjects revealed that the additional gradient switching did not additionally affect time course SNR over and above the reduction inherent to multiband imaging. Functional results were qualitatively similar between methods. MESH was not affected by the tSNR reduction and echo shifting gradients. The MESH data were acquired at a factor 2 or 3 faster than corresponding multiband acquisitions for echo shift factors of 1 and 2, respectively. CONCLUSION: MESH can offer further acceleration of image acquisition for fMRI at no loss in sensitivity. Magn Reson Med 77:1981-1986, 2017. © 2016 International Society for Magnetic Resonance in Medicine.

Multiband multislab 3D time-of-flight magnetic resonance angiography for reduced acquisition time and improved sensitivity.

PURPOSE: To explore the use of multiband (MB) imaging in multislab (MS) 3D time-of-flight-magnetic resonance angiography (TOF-MRA) and to improve acquisition time efficiency (TA), inflow contrast and sensitivity in vessel detection. THEORY AND METHODS: TOF-MRA is commonly used for imaging intracranial vessels. A MB-MS 3D-TOF-MRA sequence was implemented to excite and acquire multiple slabs simultaneously. Controlled aliasing in parallel imaging results in higher acceleration was used in addition to improve the quality of image reconstruction. Compared to a standard protocol which acquired three slabs in total the MB-MS protocol reduced the thickness by 3 while simultaneously acquiring data from 3 slabs. The total TA was also reduced by a factor 3. RESULTS: This technique maintains contrast-to-noise ratio while reducing TA, compared to standard single-band/MOTSA acquisitions, leading to an increase in CNR/TA of 1.65 compared to the standard protocol. Furthermore, the strong inflow contrast and increased magnetization transfer contrast caused by the MB excitation pulses improves the sharpness of the vessel borders which is reflected by a 5% higher full width at half maximum of the vessel size and a 17% higher slope of the vessel borders compared to the standard single-band acquisition. CONCLUSION: MB-MS 3D-TOF-MRA can appreciably accelerate image acquisition and combines the high spatial resolution of 3D imaging with the additional inflow contrast advantage of thinner slab acquisitions without introducing excessive noise arising from the MB reconstruction.

Improved sensitivity and specificity for resting state and task fMRI with multiband multi-echo EPI compared to multi-echo EPI at 7 T.

A multiband multi-echo (MBME) sequence is implemented and compared to a matched standard multi-echo (ME) protocol to investigate the potential improvement in sensitivity and spatial specificity at 7 T for resting state and task fMRI. ME acquisition is attractive because BOLD sensitivity is less affected by variation in T2*, and because of the potential for separating BOLD and non-BOLD signal components. MBME further reduces TR thus increasing the potential reduction in physiological noise. In this study we used FSL-FIX to clean ME and MBME resting state and task fMRI data (both 3.5mm isotropic). After noise correction, the detection of resting state networks improves with more non-artifactual independent components being observed. Additional activation clusters for task data are discovered for MBME data (increased sensitivity) whereas existing clusters become more localized for resting state (improved spatial specificity). The results obtained indicate that MBME is superior to ME at high field strengths.

Whole brain, high resolution multiband spin-echo EPI fMRI at 7 T: a comparison with gradient-echo EPI using a color-word Stroop task.

A whole brain, multiband spin-echo (SE) echo planar imaging (EPI) sequence employing a high spatial (1.5 mm isotropic) and temporal (TR of 2 s) resolution was implemented at 7 T. Its overall performance (tSNR, sensitivity and CNR) was assessed and compared to a geometrically matched gradient-echo (GE) EPI multiband sequence (TR of 1.4 s) using a color-word Stroop task. PINS RF pulses were used for refocusing to reduce RF amplitude requirements and SAR, summed and phase-optimized standard pulses were used for excitation enabling a transverse or oblique slice orientation. The distortions were minimized with the use of parallel imaging in the phase encoding direction and a post-acquisition distortion correction. In general, GE-EPI shows higher efficiency and higher CNR in most brain areas except in some parts of the visual cortex and superior frontal pole at both the group and individual-subject levels. Gradient-echo EPI was able to detect robust activation near the air/tissue interfaces such as the orbito-frontal and subcortical regions due to reduced intra-voxel dephasing because of the thin slices used and high in-plane resolution.

Application of PINS radiofrequency pulses to reduce power deposition in RARE/turbo spin echo imaging of the human head.

PURPOSE: To explore the use of PINS radiofrequency (RF) pulses to reduce RF power deposition in multiband/simultaneous multislice imaging with the RARE/turbo spin echo (TSE) sequence at 3T and 7T. METHODS: A PINS-TSE sequence was implemented and combined with blipped CAIPI to improve the reconstruction of superposed slices. Whole brain imaging of healthy volunteers was performed at both 3T and 7T using a 32-channel coil for signal reception. RESULTS: A considerable reduction in power deposition was achieved compared with a standard sequence of the manufacturer. At 3T, the reduction in specific absorption rate (SAR) made short pulse repetition times (TRs) possible, however, in order to obtain a good T2 contrast, it is advisable to maintain TR while extending the echo train length. At 7T, whole brain coverage with a spatial resolution of 1 × 1 × 2 mm(3) was achieved in an acquisition time of 150 s. Furthermore, it could be shown that pulse sequences that use PINS pulses do not suffer from having additional magnetization transfer contrast. CONCLUSION: PINS RF pulses combined with multiband imaging reduce SAR sufficiently to enable routine TSE imaging at 7T within clinically acceptable acquisition times. In general, the combination of multiband imaging with PINS RF pulses represents a method to reduce total RF power deposition.