Mary Kate Manhard1, Kevin D Harkins2, Daniel F Gochberg2, Jeffry S Nyman3, and Mark D Does1
1Biomedical Engineering, Vanderbilt University, Nashville, TN, United States, 2Vanderbilt University Institute of Imaging Science, Vanderbilt University, Nashville, TN, United States, 3Department of Orthopaedics & Rehabilitation, Vanderbilt University, Nashville, TN, United States
Synopsis
Imaging bound and pore water concentrations in cortical bone
using UTE MRI has shown potential for evaluating fracture risk, but 3D methods
require a relatively long scan time (~30 minutes total). 2D UTE with optimized
half-pulses was implemented to acquire both bound and pore water maps in ~30
seconds and results were compared to 3D UTE, both ex vivo and in vivo. Mean differences in
bound/pore water concentration were less than 10%. Applying these fast
sequences in 2D has the potential to greatly increase the utility of these
methods in clinical settings for evaluating fracture risk in patient
populations.Introduction
Quantitative imaging of bound and pore water concentrations
in cortical bone using UTE MRI has shown potential for evaluating fracture risk
1–3, and several groups have
developed methods to acquire these measures in clinically practical scans.
4–6 In radius and tibia scans,
the Double Adiabatic Full Passage (DAFP) and Adiabatic Inversion Recovery (AIR)
sequences have been demonstrated in vivo with 3D UTE to acquire maps of
cortical bone pore water and bound water concentrations, respectively.
5 These 3D methods require a
relatively long scan time, around 30 minutes total for both AIR and DAFP
acquisitions. This long scan time is due to the 3D isotropic field of view and
resolution that is used and the long TR that is necessary because of SAR
constraints. One way to overcome these limitations is to use 2D UTE, especially
in areas where a large 3D volume would otherwise be required. In this study, AIR
and DAFP sequences were implemented with half-pulse 2D UTE and compared to corresponding
3D UTE methods in ex vivo cadaver radii and in vivo volunteers.
Methods
DAFP and AIR sequences were implemented on a 3T Philips
scanner using 2D UTE sequences. The 2D UTE scans used two half-pulses
7 with an optimized slice
select gradient and 550 μs RF waveform.
8 The sequences were evaluated on
four cadaver radii and two volunteer tibia (26 y.o. M, 36 y.o. F) with a FOV = 200
mm, in-plane resolution =1.5 mm, and slice thickness =5 mm. A total of 256
spokes acquired with TR = 400 ms resulted in a scan time ≈14 seconds for each
protocol. Similar to the previous 3D implementation
9: 16 spokes were acquired
every TR, a variable flip angle schedule was used to generate constant signal
amplitude for each spoke, and absolute bound and pore water concentrations were
computed using reference marker in the FOV.
Equivalent 3D scans were also acquired on the same subject using
previously described methods
10 and similar scan parameters
with a scan time of 14 minutes each.
Results
Mean differences between 2D and 3D bound/pore water concentration
in cadaver radii were 0.7/2.4 mol
1H/L
bone (8.2%/9.8%). Figure
1 shows 2D bound and pore water maps on tibia and corresponding 3D bound and
pore water maps in the same slice. The
mean differences in bound/pore water concentration between 2D and 3D between both
volunteers were 2.1/1.2 mol
1H/L
bone (7.8/7.1 %). When
using 8 averages in 2D (2 min scan time), the difference between bound/pore
water concentration between 2D and 3D decreased to 3.9/1.9%. The average SNR of the bound water scans were
~ 23/5 in 3D/2D and the average SNR of the pore water scans were ~8/2 in
3D/2D. These values agree with expected
relative SNR of 2D and 3D UTE.
Discussion
These results show promising methods for decreasing scan
time of bound and pore water MRI of bone. The differences in bound and pore
water between 2D and 3D scans is small and is within the expected variation. Averaging
of 2D scans to get higher SNR could help in getting more precise maps,
especially in the low signal of the DAFP images that results from healthy
individuals having low pore water. Applying these fast DAFP and AIR sequences
in 2D has the potential to greatly increase the utility of these methods in
clinical settings for evaluating fracture risk in patient populations. The 2D
UTE method could also be applied in other bones that are difficult to image
with 3D UTE, such as the vertebrae or femoral neck.
Acknowledgements
No acknowledgement found.References
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