Jianxun Qu1, Bing Wu1, and Zhenyu Zhou1
1MR Research China, GE Healthcare, Beijing, China, People's Republic of
Synopsis
Continuous
ASL (cASL) combined with zero TE readout is a promising MRA technique, immune to susceptibility, superb artery selectivity, and being silent. One drawback however, is with cASL along, hollowing
artifacts or flow void is likely to appear. In this work, we incorporate and
compare different hybrid ASL strategies to eliminate this effect, while keeping
the silent nature of zTE MRA.Purpose
Zero
TE (zTE) silent MRA is a novel technique based on continuous arterial spin
labeling (ASL) and zTE acquisition and has shown prominent depiction of
arteries in regions affected by turbulent flow and stent, where conventional
MRA, like TOF, usually fails [1]. A long readout train with repeated small flip
angle excitation was used in zTE acquisition. With such sampling scheme, hollow
vessel is likely to appear in the inferior end of internal carotid arteries (ICA)
in high resolution imaging. Additional pulsed ASL module has been reported
addressing this issue via generating continued inflow of inverted blood during
acquisition, and similar technique was termed hybrid ASL (hASL) [2]. Here, a
silent version of hybrid ASL was implemented in zTE MRA and different kinds of
hybrid ASL implementations were compared.
Methods
The
formation of hollowing artifacts is illustrated in
Fig.1a: continuous ASL labels all the blood flowing through a
labeling plane (
Fig.2a), labeled
blood (red arrows) flow into the imaging volume and produces contrast; however
within the length of data readout after labeling, fresh blood may flow into the
imaging region and lead to signal void. Typically, this occurs in the center of
the vessel as blood near the vessel wall tends to travel at a slower speed. In
hybrid labeling (
Fig.2b and
Fig.2c),
either (STAR) or FAIR labeling strategy may be incorporated: straight after the
continuous RF pulse, a short inversion RF pulse is added followed by an
inversion time [1, 2]. The inversion pulse inverts a large volume beneath the
imaging region so that within the length of data readout all the blood flowing
into the imaging region will be labeled: if not by the continuous ASL, is still
labeled by the pulsed ASL to eliminate the signal void. The difference between
STAR and FAIR is the fact that STAR inverts the volume beneath the imaging
volume (
Fig.1b) whereas FAIR inverts
the entire volume in control and the imaging region in labeling (
Fig.1c). In addition, the slice
selecting gradient and spoiler associated with the pulsed ASL can be heavily
derated by utilizing the sufficiently long inversion period. In this way, the
hybrid ASL with zTE readout remains silent essentially. The three methods as
illustrated in
Fig.2 (cASL,
STAR-hASL, FAIR-hASL) were implemented on a 3.0T whole body scanner (GE
Discovery MR750w). A healthy volunteer was recruited for the comparison study;
consent form was obtained prior to the san. For fair comparison, the total length
of the ASL labeling module was fixed among the three methods (1500 ms) whereas
the inversion pulse and inversion time were respectively 1380 ms and 100 ms.
Identical zTE acquisition was made for the three cases: FOV/Matrix 180mm/180; spokes
per segment 512; flip angle 3o; and bandwidth 31.25 kHz; total scan
time 344 second. The qualities of the resulting angiograms were judged by
qualitative inspection as well as contrast to noise ratio measures (CNR).
Results
The
coronal plane MIP ASL images using different labeling strategies are shown in
Fig.3, the axial plane intersections at
the inferior end of right ICA (blue circle in
Fig.3) are shown in the right top corner. It can be seen
the cASL (
Fig.3a) showed heterogeneous
signal variation within the vessel resembling the geometry of a hollow tube,
whereas angiograms using both pASL (
Fig.3b
and
3c) were free of the artifacts.
The measured CNR of right BA, ICA, middle cerebral artery (MCA) M1 and M2
segment (red circle in
Fig.3) are shown in the bar chart in
Fig.3d.
It can be seen that both hASL schemes led to similarly high CNR in BA, ICA, and
M1 as compared to cASL, whereas for M2 and distal arteries, CNRs using all
three schemes were similar. Comparing STAR-hASL and FAIR-hASL, STAR-hASL led to
slightly higher CNR and more clear depiction of some vessels (arrowed), but
such subtle advantage needs to be further verified by a larger population data.
Discussion and conclusion
In this work, we incorporated and compared two pASL strategies with cASL
to eliminate the hollowing artifacts. With the same length of ASL preparation,
both STAR and FAIR hASL prepared zTE MRA provide improved depiction of cerebral
arteries up to the M1 segment of MCA as compared to cASL. Flow void effect was
eliminated in hASL via continuous inflow of tagged blood during readout. The
inversion time in pASL was utilized to minimize gradient slew rate so that the
silent nature of zTE MRA may be maintained. No conclusion can be drawn on which
of the two hASL method is more advantageous based on this preliminary data.
Acknowledgements
No acknowledgement found.References
[1]
Koktzoglou, et
al. Magn Reson Med 00:00-00, 2015
[2] Robson, et al. Radiology 257:507–515 2015