Benjamin Marty1,2, Bertrand Coppa1,2, and Pierre G Carlier1,2
1NMR laboratory, Institute of Myology, Paris, France, 2NMR laboratory, CEA, I2BM, MIRCen, Paris, France
Synopsis
Quantitative cardiac NMR imaging, and more
particularly T1 mapping has become a popular modality to characterize
myocardial tissue. In this work, we developed and validated a radial
variant of the MOLLI acquisition (raMOLLI) that allows to significantly
decrease the acquisition time down to 5 heart beats, while keeping high
precision on T1 estimation due to a large number of acquired data-points along
the T1 relaxation recovery curve. Insensitivity of measured T1 values to heart
rate was also demonstrated with this sequence.Purpose
Quantitative cardiac NMR imaging, and more
particularly T1 mapping has become a popular modality to characterize
myocardial tissue. Among the most reliable sequences, one can cite MOLLI
1,
SASHA
2 and SAPPHIRE
3 acquisition schemes. They are all
based on the acquisition of several images (8 to 11) during a single
breath-hold at different time-points after application of inversion and/or
saturation pulses. The longitudinal relaxation time is computed from these
data-points using exponential models. Depending on the method, the acquisition
time of a single slice varies between 9 and 17 heart-beats. In this work, we
developed and validated a radial variant of the MOLLI acquisition (raMOLLI)
that allows to significantly decrease the acquisition time down to 5 heart
beats, while keeping high precision on T1 estimation due to a large number of
acquired data-points along the T1 relaxation recovery curve. Insensitivity of
measured T1 values to heart rate was also demonstrated with this sequence.
Methods
Experiments
were performed at 3T (Prisma, Siemens Healthcare). Figure 1 depicts the raMOLLI
sequence diagram: after non-selective inversion, 5 shots of 80 radial spokes were
acquired at end of diastole with a balanced steady state free precession
(bSSFP) readout. A golden angle of 111,246° was imposed between 2 successive
spokes. Sequence parameters were: TR = 2.76ms, BW = 1000 Hz/pix, nominal flip
angle (FA) = 35°. For each shot, 10 different
images were reconstructed using a view sharing method
4. A KWIC
filter was calculated in order to select k-space data used for the
reconstruction of each image (Figure 2-a). Undersampled data were then
reconstructed using a compressed sensing algorithm with total variation
regularization
5 (Figure 2-b). Bloch simulations were then used to
fit the temporal evolution of the signal and obtain a T1 map
6
(Figure 2-c). A dictionary approach using 700 values for T1 (between 300 and
3000ms) and 40 values for FA (between 3 and 50°) was implemented in order to
decrease the post-processing time.
Six Gd-DOTA doped agar phantoms with a broad T1 distribution
were used to validate the method. True T1 values were assessed using a standard
inversion recovery turbo spin echo (IR-TSE) sequence with 15 inversion times
(from 100 to 9000ms). Simulated heart rate was varied between 50 and 85bpm. Four
healthy volunteers were investigated using the raMOLLI sequence and a patient suffering
with glycogen storage disease type 3 was scanned before and 10 min after injection of a Gd-DOTA contrast agent. For comparison,
standard 3-3-5 MOLLI was also acquired with the following parameters: TE/TR =
1.25/2.5ms, FA = 35°, TImin = 100ms with 80ms increment.
Results
Figure 3-a represents the T1 map obtained using the
raMOLLI sequence on the phantom. Figure 3-b shows the relative difference
between estimated T1 and the true T1 measured with the IR-TSE sequence, as a
function of heart rate. For all tubes, relative differences were less than 3%
and did not depend on the heart rate. Figure 4 shows the T1 maps acquired with
the MOLLI and raMOLLI sequences on a healthy volunteer. In the myocardium, T1
values were slightly higher with the raMOLLI processing, due to the Bloch simulations
based post-processing that takes into account the T2 contribution during the
b-SSFP echo trains. On the four volunteers, the mean T1 estimated in the
myocardium was 1391±44ms with the raMOLLI sequence and 1205±33ms with the
MOLLI. Mean standard deviations within the myocardium were 42±7ms and 45±18ms with
the raMOLLI and MOLLI respectively. Figure 5 represents the T1 map of the
patient suffering from glycogen storage disease type 3 obtained after injection
of contrast agent with the raMOLLI sequence. The regions with decreased T1
values (arrows) correlated well with regions of late gadolinium enhancement depicted
in high resolution T1 weighted images.
Discussion & Conclusion
The raMOLLI sequence offers several advantages compared
to the other cardiac T1 mapping sequences. First, acquisition time is
substantially reduced: which can either improve patient comfort, or allows the acquisition
of extra slices without increasing scan time. Then, we demonstrated that contrary
to the MOLLI sequence, there was no effect of heart-rate on estimated T1 values.
Furthermore, as the center of k-space is sampled at each radial spoke, view
sharing techniques could be used to reconstruct a large number of images along
the T1 recovery curve, providing a high robustness of post-processing. Finally,
radial acquisitions are immune to back-folding artifact when the FOV become
smaller than the imaged object: this could be used to increase spatial
resolution of the T1 maps by decreasing FOV while keeping the same matrix sizes
for acquisition.
Acknowledgements
No acknowledgement found.References
[1] Messroghli et al., MRM, 2004
[2] Chow et al., MRM, 2014
[3] Weingärtner et al., MRM, 2014
[4] Ehses et al., MRM, 2013
[5] Lustig et al., MRM, 2007
[6] Marty et al., PlosONE,
2015