A retrofit to enable dynamic B1+ steering for transmit arrays without multiple amplifiers.

PURPOSE: B1+ shimming is an important method for mitigating B1 inhomogeneity in high-field MRI. Using independent power amplifiers for each transmit (Tx) element is the preferred method for B1 shimming but comes with a high cost. Conversely, the simplest approach to control a Tx array is by using coaxial cables of varying length in the Tx chain, but this approach is cumbersome and impractical for dynamic shimming. In this article, a system is described that enables dynamic, phase-only, eight-channel B1+ steering on a 7T MR scanner with only two power amplifiers. METHODS: Power dividers were utilized to first split the existing two-channel Tx signal into eight channels. Digitally controlled phase shifters on each channel were designed to provide independent phase shifts with a resolution of 22.5° (from 0°, 22.5° … 337.5°). To validate the system, an eight-channel body dipole array was simulated and constructed for bench and 7T imaging and evaluation. RESULTS: The phase conjugate B1+ steering method was employed at three different spatial positions in simulation, bench measurements, and scanner measurements-all with matching results. At the desired points, regions with homogenous B1+ were generated, indicating good Tx steering to the selected region. CONCLUSION: The described system can be used as a simple retrofit to existing hardware to provide phase control while avoiding the need to manually switch cables and without requiring independent power amplifiers for each channel, thus demonstrating the ability to perform dynamic B1+ shimming with increased degrees of freedom but without significantly increased hardware cost.

Combined imaging and shimming with the dynamic multi-coil technique.

PURPOSE: Spatial encoding and shimming in MRI have traditionally been performed using dedicated coils that generate orthogonal spherical harmonic fields. The recently introduced multi-coil hardware has proven that MRI-relevant magnetic fields can also be created by a generic set of localized coils producing non-orthogonal fields. As a step towards establishing a purely multi-coil-based MRI field generation system, the feasibility of performing conventional Cartesian k-space encoding and echo-planar imaging (EPI), as well as concurrent encoding and shimming is demonstrated in this study. METHODS: We report the use of Dynamic Multi-Coil Technique (DYNAMITE) for combined Cartesian encoding and shimming, and EPI using a 48-channel multi-coil system. Experiments were performed on phantom objects and biological specimens in a 9.4 T pre-clinical scanner. Cartesian Fourier-encoded MRI and EPI were implemented whereby the magnetic fields required for encoding of the three orthogonal spatial dimensions were entirely based on linear combinations of multi-coil fields. Furthermore, DYNAMITE imaging was augmented by concurrent DYNAMITE shimming with the same hardware. RESULTS: DYNAMITE-based MR and echo-planar images were indistinguishable from those acquired with the conventional linear imaging gradients provided by the scanner. In experiments with concurrent DYNAMITE shimming and imaging, shim challenges that would result in extreme spatial distortion and signal loss were corrected very effectively with more than 92% signal recovery in case of extreme Z2 shim challenge that resulted in complete signal dephasing in most slices. CONCLUSIONS: We demonstrate the first successful implementation of combined DYNAMITE imaging and shimming and show the feasibility of performing EPI with DYNAMITE hardware. Our results substantiate the potential of multi-coil hardware as a full-fledged imaging and shimming system, with additional potential benefits of reduced echo-time and risk of peripheral nerve stimulation while performing EPI.

Dynamic per slice shimming for simultaneous brain and spinal cord fMRI.

PURPOSE: Simultaneous brain and spinal cord functional MRI is emerging as a new tool to study the central nervous system but is challenging. Poor B0 homogeneity and small size of the spinal cord are principal obstacles to this nascent technology. Here we extend a dynamic shimming approach, first posed by Finsterbusch, by shimming per slice for both the brain and spinal cord. METHODS: We shim dynamically by a simple and fast optimization of linear field gradients and frequency offset separately for each slice in order to minimize off-resonance for both the brain and spinal cord. Simultaneous acquisition of brain and spinal cord fMRI is achieved with high spatial resolution in the spinal cord by means of an echo-planar RF pulse for reduced FOV. Brain slice acquisition is full FOV. RESULTS: T2*-weighted images of brain and spinal cord are acquired with high clarity and minimal observable image artifacts. Fist-clenching fMRI experiments reveal task-consistent activation in motor cortices, cerebellum, and C6-T1 spinal segments. CONCLUSIONS: High quality functional results are obtained for a sensory-motor task. Consistent activation in both the brain and spinal cord is observed at individual levels, not only at group level. Because reduced FOV excitation is applicable to any spinal cord section, future continuation of these methods holds great potential.

Gradient and shim pre-emphasis by inversion of a linear time-invariant system model.

PURPOSE: The goal of this contribution is to enhance the fidelity and switching speed of gradient and shim fields by advancing pre-emphasis toward broadband and full cross-term correction. THEORY AND METHODS: The proposed approach is based on viewing gradient and shim chains as linear, time-invariant (LTI) systems. Pre-emphasis is accomplished by inversion of a broadband digital system model. In the multiple-channel case, it amounts to a matrix of broadband filters that perform concerted self- and cross-term correction. This approach is demonstrated with gradients and shims up to the third order in a 7 Tesla whole-body MR system. RESULTS: Pre-emphasis by LTI model inversion is first verified by studying settling speeds and response behavior without and with the correction. It is then demonstrated for rapid shim updating, achieving substantially enhanced fidelity of field dynamics and shim settling within approximately 1 ms. In single-shot echo-planar imaging (EPI) acquisitions in vivo, this benefit is shown to translate into enhanced geometric fidelity. CONCLUSIONS: The fidelity of gradient and shim dynamics can be greatly enhanced by pre-emphasis based on inverting a general LTI system model. Permitting shim settling on the millisecond scale, broadband multiple-channel pre-emphasis promises to render higher-order shimming fully versatile at the level of MRI sequence design. Magn Reson Med 78:1607-1622, 2017. © 2016 International Society for Magnetic Resonance in Medicine.

Measuring motion-induced B0 -fluctuations in the brain using field probes.

PURPOSE: Fluctuations of the background magnetic field (B0 ) due to body and breathing motion can lead to significant artifacts in brain imaging at ultrahigh field. Corrections based on real-time sensing using external field probes show great potential. This study evaluates different aspects of field interpolation from these probes into the brain which is implicit in such methods. Measurements and simulations were performed to quantify how well B0 -fluctuations in the brain due to body and breathing motion are reflected in external field probe measurements. METHODS: Field probe measurements were compared with scanner acquired B0 -maps from experiments with breathing and shoulder movements. A realistic simulation of B0 -fluctuations caused by breathing was performed, and used for testing different sets of field probe positions. RESULTS: The B0 -fluctuations were well reflected in the field probe measurements in the shoulder experiments, while the breathing experiments showed only moderate correspondence. The simulations showed the importance of the probe positions, and that performing full 3(rd) order corrections based on 16 field probes is not recommended. CONCLUSION: Methods for quantitative assessment of the field interpolation problem were developed and demonstrated. Field corrections based on external field measurements show great potential, although potential pitfalls were identified.

Dynamic multi-coil tailored excitation for transmit B1 correction at 7 Tesla.

PURPOSE: Tailored excitation (TEx) based on interspersing multiple radio frequency pulses with linear gradient and higher-order shim pulses can be used to obtain uniform flip angle in the presence of large radio frequency transmission (B 1+) inhomogeneity. Here, an implementation of dynamic, multislice tailored excitation using the recently developed multi-coil nonlinear shim hardware (MC-DTEx) is reported. METHODS: MC-DTEx was developed and tested both in a phantom and in vivo at 7 T, and its efficacy was quantitatively assessed. Predicted outcomes of MC-DTEx and DTEx based on spherical harmonic shims (SH-DTEx) were also compared. RESULTS: For a planned 30 ° flip angle, in a phantom, the standard deviation in excitation improved from 28% (regular excitation) to 12% with MC-DTEx. The SD in in vivo excitation improved from 22 to 12%. The improvements achieved with experimental MC-DTEx closely matched the theoretical predictions. Simulations further showed that MC-DTEx outperforms SH-DTEx for both scenarios. CONCLUSION: Successful implementation of multislice MC-DTEx is presented and is shown to be capable of homogenizing excitation over more than twofold B 1+ variations. Its benefits over SH-DTEx are also demonstrated. A distinct advantage of MC hardware over SH shim hardware is the absence of significant eddy current effects, which allows for a straightforward, multislice implementation of MC-DTEx. Magn Reson Med 76:83-93, 2016. © 2015 Wiley Periodicals, Inc.

Utility of real-time field control in T2 *-Weighted head MRI at 7T.

PURPOSE: Real-time field control can serve to reduce respiratory field perturbations during T2 * imaging at high fields. This work investigates the effectiveness of this approach in relation to key variables such as patient physique, breathing patterns, slice location, and the choice of sequence. METHODS: To cover variation in physical constitution and breathing behavior, volunteers with a wide range of body-mass-indices were asked to breathe either normally or deeply during T2 *-weighted image acquisition at 7T. Ensuing field fluctuation was countered by real-time field control or merely recorded in reference experiments. The impact of the control system on image quality was assessed by classifying and grading artifacts related to field fluctuation. RESULTS: The amplitude of respiratory field changes and related artifacts were generally stronger for subjects with higher body-mass-index and for lower slices. Field control was found effective at mitigating all five types of artifacts that were studied. Overall image quality was systematically improved. Residual artifacts in low slices are attributed to insufficient spatial order of the control system. CONCLUSION: Real-time field control was found to be a robust means of countering respiratory field perturbations in variable conditions encountered in high-field brain imaging. Reducing net fluctuation, it generally expands the feasibility of high-field T2 * imaging toward challenging patients and brain regions. Magn Reson Med 76:430-439, 2016. © 2015 Wiley Periodicals, Inc.

Dynamic multi-coil technique (DYNAMITE) shimming for echo-planar imaging of the human brain at 7 Tesla.

Gradient-echo echo-planar imaging (EPI) is the primary method of choice in functional MRI and other methods relying on fast MRI to image brain activation and connectivity. However, the high susceptibility of EPI towards B0 magnetic field inhomogeneity poses serious challenges. Conventional magnetic field shimming with low-order spherical harmonic (SH) functions is capable of compensating shallow field distortions, but performs poorly for global brain shimming or on specific areas with strong susceptibility-induced B0 distortions such as the prefrontal cortex (PFC). Excellent B0 homogeneity has been demonstrated recently in the human brain at 7 Tesla with the DYNAmic Multi-coIl TEchnique (DYNAMITE) for magnetic field shimming (J Magn Reson (2011) 212:280-288). Here, we report the benefits of DYNAMITE shimming for multi-slice EPI and T2* mapping. A standard deviation of 13Hz was achieved for the residual B0 distribution in the human brain at 7 Tesla with DYNAMITE shimming and was 60% lower compared to conventional shimming that employs static zero through third order SH shapes. The residual field inhomogeneity with SH shimming led to an average 8mm shift at acquisition parameters commonly used for fMRI and was reduced to 1.5-3mm with DYNAMITE shimming. T2* values obtained from the prefrontal and temporal cortices with DYNAMITE shimming were 10-50% longer than those measured with SH shimming. The reduction of the confounding macroscopic B0 field gradients with DYNAMITE shimming thereby promises improved access to the relevant microscopic T2* effects. The combination of high spatial resolution and DYNAMITE shimming allows largely artifact-free EPI and T2* mapping throughout the brain, including prefrontal and temporal lobe areas. DYNAMITE shimming is expected to critically benefit a wide range of MRI applications that rely on excellent B0 magnetic field conditions including EPI-based fMRI to study various cognitive processes and assessing large-scale brain connectivity in vivo. As such, DYNAMITE shimming has the potential to replace conventional SH shim systems in human MR scanners.

Real-time feedback for spatiotemporal field stabilization in MR systems.

PURPOSE: MR imaging and spectroscopy require a highly stable, uniform background field. The field stability is typically limited by hardware imperfections, external perturbations, or field fluctuations of physiological origin. The purpose of the present work is to address these issues by introducing spatiotemporal field stabilization based on real-time sensing and feedback control. METHODS: An array of NMR field probes is used to sense the field evolution in a whole-body MR system concurrently with regular system operation. The field observations serve as inputs to a proportional-integral controller that governs correction currents in gradient and higher-order shim coils such as to keep the field stable in a volume of interest. RESULTS: The feedback system was successfully set up, currently reaching a minimum latency of 20 ms. Its utility is first demonstrated by countering thermal field drift during an EPI protocol. It is then used to address respiratory field fluctuations in a T2 *-weighted brain exam, resulting in substantially improved image quality. CONCLUSION: Feedback field control is an effective means of eliminating dynamic field distortions in MR systems. Third-order spatial control at an update time of 100 ms has proven sufficient to largely eliminate thermal and breathing effects in brain imaging at 7 Tesla.

Two-voxel spectroscopy with dynamic B0 shimming and flip angle adjustment at 7 T in the human motor cortex.

The aim of this study was to acquire high-quality in vivo (1) H spectra concurrently from two voxels at ultra-high field (7 T) without specialized hardware. To this end, an acquisition scheme was developed in which first-order shims and flip angles are dynamically updated to acquire spectra from both of the brain's motor cortices in an alternating fashion. To validate this acquisition scheme, separate, static, single-voxel acquisitions were also performed for comparison. Six subjects were examined using semi-LASER spectroscopy at 7 T. Barium titanate pads were used to increase the extent of the effective transmit field (B1 (+) ). Spectra were obtained from the hand area of both motor cortices for both acquisition schemes. LCModel was used to determine neurochemical profiles in order to examine variations between acquisition schemes and volumes of interest. The dynamic two-voxel acquisition protocol produced water linewidths (full width at half-maximum between 11.6 and 12.8 Hz) and signal-to-noise ratios similar to those from static single-voxel measurements. The concentrations of 13 individual and 3 combined metabolites with Cramér-Rao lower bounds below 30% were reliably detected for both acquisition schemes, and agreed well with previous postmortem assay and spectroscopy studies. The results show that high spectral quality from two voxels can be acquired concurrently without specialized hardware. This practical technique can be applied to many neuroscience applications.

Feedback field control improves linewidths in in vivo magnetic resonance spectroscopy.

PURPOSE: Magnetic resonance spectroscopy (MRS) experiments rely on a homogeneous and stable magnetic field within the sample. Field homogeneity is typically optimized by static B0 shimming while reproducible effects from dynamic field variation are commonly diminished by means of gradient system calibration as well as calibration based on non-water suppressed reference data. However, residual encoding deficiencies from incomplete calibration and nonreproducible field perturbations deteriorate the quality of the obtained data. To overcome this problem, we propose to adapt higher-order feedback field control based on NMR field probes for its application in MRS. METHODS: To allow for field measurements simultaneously with the spectroscopy readout, radiofrequency-shielded field probes were employed. The setup was evaluated in vitro and tested in vivo for single-voxel MRS at 7T to correct for field perturbations that occur due to subject breathing and limb motion. RESULTS: The in vitro experiments showed an effective field control during the MRS sequence. The resulting spectroscopy data were free of spurious signal and the achieved field stabilization improved the spectral resolution in vitro and in vivo. CONCLUSION: High-field MRS is limited by nonreproducible field perturbations for which spatiotemporal field feedback provides a solution without compromising sequence timing and efficiency.

Field camera measurements of gradient and shim impulse responses using frequency sweeps.

PURPOSE: Applications of dynamic shimming require high field fidelity, and characterizing the shim field dynamics is therefore necessary. Modeling the system as linear and time-invariant, the purpose of this work was to measure the impulse response function with optimal sensitivity. THEORY AND METHODS: Frequency-swept pulses as inputs are analyzed theoretically, showing that the sweep speed is a key factor for the measurement sensitivity. By adjusting the sweep speed it is possible to achieve any prescribed noise profile in the measured system response. Impulse response functions were obtained for the third-order shim system of a 7 Tesla whole-body MR scanner. Measurements of the shim fields were done with a dynamic field camera, yielding also cross-term responses. RESULTS: The measured shim impulse response functions revealed system characteristics such as response bandwidth, eddy currents and specific resonances, possibly of mechanical origin. Field predictions based on the shim characterization were shown to agree well with directly measured fields, also in the cross-terms. CONCLUSION: Frequency sweeps provide a flexible tool for shim or gradient system characterization. This may prove useful for applications involving dynamic shimming by yielding accurate estimates of the shim fields and a basis for setting shim pre-emphasis.

DYNAmic Multi-coIl TEchnique (DYNAMITE) shimming of the rat brain at 11.7 T.

The in vivo rat model is a workhorse in neuroscience research, preclinical studies and drug development. A repertoire of MR tools has been developed for its investigation; however, high levels of B0 magnetic field homogeneity are required for meaningful results. The homogenization of magnetic fields in the rat brain, i.e. shimming, is a difficult task because of a multitude of complex, susceptibility-induced field distortions. Conventional shimming with spherical harmonic (SH) functions is capable of compensating for shallow field distortions in limited areas, e.g. in the cortex, but performs poorly in difficult-to-shim subcortical structures or for the entire brain. Based on the recently introduced multi-coil approach for magnetic field modeling, the DYNAmic Multi-coIl TEchnique (DYNAMITE) is introduced for magnetic field shimming of the in vivo rat brain and its benefits for gradient-echo echo-planar imaging (EPI) are demonstrated. An integrated multi-coil/radiofrequency (MC/RF) system comprising 48 individual localized DC coils for B0 shimming and a surface transceive RF coil has been developed that allows MR investigations of the anesthetized rat brain in vivo. DYNAMITE shimming with this MC/RF set-up is shown to reduce the B0 standard deviation to a third of that achieved with current shim technology employing static first- through third-order SH shapes. The EPI signal over the rat brain increased by 31%, and a 24% gain in usable EPI voxels could be realized. DYNAMITE shimming is expected to critically benefit a wide range of preclinical and neuroscientific MR research. Improved magnetic field homogeneity, together with the achievable large brain coverage of this method, will be crucial when signal pathways, cortical circuitry or the brain's default network are studied. Together with the efficiency gains of MC-based shimming compared with SH approaches demonstrated recently, DYNAMITE shimming has the potential to replace conventional SH shim systems in small-bore animal scanners.

Dynamic shimming in the cervical spinal cord for multi-echo gradient-echo imaging at 3 T.

Obtaining high quality images of the spinal cord with MRI is difficult, partly due to the fact that the spinal cord is surrounded by a number of structures that have differing magnetic susceptibility. This causes inhomogeneities in the magnetic field, which in turn lead to image artifacts. In order to address this issue, linear compensation gradients can be employed. The latter can be generated using an MRI scanner's first order gradient coils and adjusted on a per-slice basis, in order to correct for through-plane ("z") magnetic field gradients. This approach is referred to as z-shimming. The aim of this study is two-fold. The first aim was to replicate aspects of a previous study wherein z-shimming was found to improve image quality in T2*-weighted echo-planar imaging. Our second aim was to improve upon the z-shimming approach by including in-plane compensation gradients and adjusting the compensation gradients during the image acquisition process so that they take into account respiration-induced magnetic field variations. We refer to this novel approach as realtime dynamic shimming. Measurements performed in a group of 12 healthy volunteers at 3 T show improved signal homogeneity along the spinal cord when using z-shimming. Signal homogeneity may be further improved by including realtime compensation for respiration-induced field gradients and by also doing this for gradients along the in-plane axes.

Image quality evaluation of diffusion-weighted imaging in bladder cancer: a comparison between integrated slice-specific dynamic shimming and single-shot echo-planar imaging.

Background: Diffusion-weighted imaging (DWI) image quality will affect how well radiologists detect lesions and judge muscular invasion. This study qualitatively and quantitatively compared the image quality of DWI with integrated slice-specific dynamic shimming (iShim) and single-shot echo-planar imaging (SS-EPI) in the diagnosis of bladder cancer (BC) using 3.0 T magnetic resonance imaging (MRI). We also investigated the application value of iShim DWI in BC. Methods: This retrospective study enrolled 97 patients with BC who underwent a preoperative MRI examination, including iShim and SS-EPI DWI. Two radiologists, blinded to the type of DWI, independently rated DWIs on a 5-point Likert scale regarding image quality features (anatomical details, distortion, lesion conspicuity, artifacts, and overall image quality) and evaluated tumor muscular invasion. Signal-to-noise ratio (SNR), contrast-to-noise ratio (CNR), apparent diffusion coefficient (ADC) values, and tumor numbers were manually recorded by another 2 radiologists. Pathologists recorded tumor numbers and sizes in a standard manner. Results: The inter- and intraobserver consistency of image quality features scoring was good to excellent (κ >0.75; P<0.001). The scores of iShim DWI were higher than those of SS-EPI DWI in terms of distortion, artifacts, and overall image quality (P<0.001). The SNR and CNR of iShim DWI were higher than those of SS-EPI DWI (P<0.001), but there was no significant difference in ADC values between the 2 sequences (P>0.05). Based on pathological findings, the sensitivity of iShim and SS-EPI DWI in diagnosing tumor that diameter less than 1 cm was 100% (79/79) and 93.7% (74/79), respectively. The specificity and accuracy (95.2% and 90.2%, respectively) of iShim DWI in diagnosing tumor muscular invasion were significantly higher than those of SS-EPI DWI (76.2% and 80.4%, respectively). The area under the receiver operating characteristic curve of iShim DWI was significantly higher than that of SS-EPI DWI in diagnosing tumor muscular invasion (P=0.017). Conclusions: Compared with SS-EPI DWI, iShim DWI provided higher image quality. iShim DWI effectively detected BC and better identified muscular invasion. This finding can guide the clinical selection of appropriate treatments for patients with BC.

Integrated slice-specific dynamic shimming diffusion weighted imaging (DWI) for rectal Cancer detection and characterization.

PURPOSE: To compare integrated slice-specific dynamic shimming (iShim) diffusion weighted imaging (DWI) and single-shot echo-planar imaging (SS-EPI) DWI in image quality and pathological characterization of rectal cancer. MATERIALS AND METHODS: A total of 193 consecutive rectal tumor patients were enrolled for retrospective analysis. Among them, 101 patients underwent iShim-DWI (b = 0, 800, and 1600 s/mm2) and 92 patients underwent SS-EPI-DWI (b = 0, and 1000 s/mm2). Qualitative analyses of both DWI techniques was performed by two independent readers; including adequate fat suppression, the presence of artifacts and image quality. Quantitative analysis was performed by calculating standard deviation (SD) of the gluteus maximus, signal intensity (SI) of lesion and residual normal rectal wall, apparent diffusion coefficient (ADC) values (generated by b values of 0, 800 and 1600 s/mm2 for iShim-DWI, and by b values of 0 and 1000 s/mm2 for SS-EPI-DWI) and image quality parameters, such as signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) of primary rectal tumor. For the primary rectal cancer, two pathological groups were divided according to pathological results: Group 1 (well-differentiated) and Group 2 (poorly differentiated). Statistical analyses were performed with p < 0.05 as significant difference. RESULTS: Compared with SS-EPI-DWI, significantly higher scores of image quality were obtained in iShim-DWI cases (P < 0.001). The SDbackground was significantly reduced on b = 1600 s/mm2 images and ADC maps of iShim-DWI. Both SNR and CNR of b = 800 s/mm2 and b = 1600 s/mm2 images in iShim-DWI were higher than those of b = 1000 s/mm2 images in SS-EPI-DWI. In primary rectal cancer of iShim-DWI cohort, SIlesion was significantly higher than SIrectum in both b = 800 and 1600 s/mm2 images. ADC values were significantly lower in Group 2 (0.732 ± 0.08) × 10- 3 mm2/s) than those in Group 1 ((0.912 ± 0.21) × 10- 3 mm2/s). ROC analyses showed significance of ADC values and SIlesion between the two groups. CONCLUSION: iShim-DWI with b values of 0, 800 and 1600 s/mm2 is a promising technique of high image quality in rectal tumor imaging, and has potential ability to differentiate rectal cancer from normal wall and predicting pathological characterization.

O-space imaging: Highly efficient parallel imaging using second-order nonlinear fields as encoding gradients with no phase encoding.

Recent improvements in parallel imaging have been driven by the use of greater numbers of independent surface coils placed so as to minimize aliasing along the phase-encode direction(s). However, gains from increasing the number of coils diminish as coil coupling problems begin to dominate and the ratio of acceleration gain to expense for multiple receiver chains becomes prohibitive. In this work, we redesign the spatial-encoding strategy in order to gain efficiency, achieving a gradient encoding scheme that is complementary to the spatial encoding provided by the receiver coils. This approach leads to "O-space" imaging, wherein the gradient shapes are tailored to an existing surface coil array, making more efficient use of the spatial information contained in the coil profiles. In its simplest form, for each acquired echo the Z2 spherical harmonic is used to project the object onto sets of concentric rings, while the X and Y gradients are used to offset this projection within the imaging plane. The theory is presented, an algorithm is introduced for image reconstruction, and simulations reveal that O-space encoding achieves high encoding efficiency compared to sensitivity encoding (SENSE) radial k-space trajectories, and parallel imaging technique with localized gradients (PatLoc), suggesting that O-space imaging holds great potential for accelerated scanning.

Diffusion-weighted MRI in the evaluation of the thyroid nodule: Comparison between integrated-shimming EPI and conventional 3D-shimming EPI techniques.

This study aimed to evaluate whether a prototype echo planar imaging sequence with integrated-shimming (iShim-EPI) can improve image quality in the thyroid gland in comparison to 3D-volume shimming echo planar imaging (3D-Shim-EPI), and to compare ADC values derived from iShim-EPI with those of 3D-Shim-EPI. Twenty-one patients with thyroid disease were enrolled and underwent axial DWIs with iShim-EPI and 3D-Shim-EPI using a 3 Tesla magnetic resonance scanner in this prospective study. Both sets of DWI images were evaluated by two independent observers who identified susceptibility and ghost artifacts and evaluated the images' capacity to detect thyroid nodules using quantitative scores. The ADC values of the thyroid nodules and the normal thyroid gland were measured two times within a 4-week period. The reproducibility was evaluated using the intraclass correlation coefficient (ICC) and Bland-Altman plots. There were significant differences in the image quality scores for susceptibility (2.81 ± 0.37 vs. 1.93 ± 0.29, p < 0.001), ghost artifacts (2.95 ± 0.15 vs. 1.93 ± 0.29, p < 0.001) and the detectability of thyroid nodules (3.00 ± 0.00 vs. 2.55 ± 0.75, p = 0.008) between the iShim-EPI and 3D-Shim-EPI techniques, except for the ADC values of the thyroid nodules (1.607 ± 0.466×10-3 mm2/s vs. 1.561 ± 0.483 × 10-3 mm2/s, p = 0.184) and contralateral normal thyroid gland (1.295 ± 0.340 × 10-3 mm2/s vs.1.279 ± 0.411 × 10-3 mm2/s, p = 0.777). Both techniques demonstrated excellent agreement between the ADC values using the ICC (range, 0.963 to 0.999) and Bland-Altman plots. The iShim-EPI technique demonstrated significantly higher image quality compared with the conventional 3D-Shim-EPI technique, with no significant differences in the ADC values.