Temporal resolution improvement of calibration-free dynamic contrast-enhanced MRI with compressed sensing optimized turbo spin echo: The effects of replacing turbo factor with compressed sensing accelerations
SoHyun Han1 and HyungJoon Cho1

1Biomedical Engineering, Ulsan National Institute Science and Technology, Ulsan, Korea, Republic of

Synopsis

In vivo estimation of Gd-concentration in dynamic contrast enhanced (DCE)-MRI are often compromised from non-negligible T2* effect and limited temporal resolution. In this study, we introduce compressed sensing assisted turbo spin echo (CS-TSE) acquisition to provide accurate Gd-concentration estimation without the need of additional signal calibration, and to achieve a sub-second temporal resolution with extended slice coverage. Phantom verification followed by in vivo arterial input function (AIF) studies validated the faithful concentration estimation of CS-TSE. Robust measurement of first-pass kidney feeding AIF with increased temporal resolution was demonstrated with sub-second temporal resolution.

Purpose

Dynamic contrast-enhanced (DCE) MRI is an attractive technique in quantitative in vivo microvascular characterization by pharmacokinetic modeling for diagnosing disease and monitoring its progress1-2. Additionally, a quantitative approach with arterial input function (AIF) improves the reproducibility and reliability of DCE-MRI3. In general, gradient-echo based T1-weighted sequence for DCE-MRI is conventionally used with the careful control of administration dose of contrast agent to keep the concentration low enough to neglect T2*-relaxation artifact. On the other hand, low dose assumption is not satisfied simultaneously both in arterial and tissue regions whose different T2*-relaxation would hamper accurate pharmacokinetic analysis. Furthermore, AIF measurement in a rodent model is challenging due to their high heart rates (up to 600beats/min) and requirement for high spatial resolution4. In this study, we propose the new strategy to achieve sub-second temporal resolution without compromising slice coverage of DCE-MRI applications by replacing turbo factor with compressed sensing (CS) accelerations for calibration-free turbo spin echo (TSE) acquisitions.

Methods

The sparse sampling scheme was retrospectively optimized from fully sampled dynamic TSE; the resulting scheme was implemented for DCE-MRI applications (0.96 s, 128×128, 4 slices). The feasibility of calibration-free quantification of Gd-concentration and the degree of contrast enhancement were compared among fast low-angle shot (FLASH), TSE, and CS-TSE acquisitions with multiple phantoms (0.1–6 mM). The kidney-feeding AIF was measured at multiple administration doses (0.1–0.3 mmol/kg) to evaluate the benefit of CS-TSE for quantifying rapidly changing high Gd-concentrations in a rodent model.

Results

In phantom studies, both TSE and CS-TSE showed significantly improved contrast enhancement over FLASH from reduced T2* relaxation as shown in Fig 1(A). In case of FLASH in Fig 1(B), Gd-concentrations above 2mM were underestimated due to T2*-relaxation effect. In contrast, both calibration-free and calibrated approaches estimated equivalent Gd-concentrations for CS-TSE (scatter plot slope = 0.9801, r2 = 0.9998) plotted in Fig 1(C). In in vivo studies, four-fold higher temporal resolution (0.96 s) of CS-TSE over the corresponding TSE enabled robust measurement of AIF first-pass peak and resulting peak enhancement with CS-TSE were observed in Fig 2(A), with 1.1439 and 2.1258-fold times higher than those with TSE and FLASH acquisitions, respectively (0.1 mmol/kg dose) as plotted in Fig 2(B). Calibration-free estimates of AIF peak concentration with CS-TSE were in good agreement with the calibrated approach at multiple administration doses (scatter plot slope = 0.7800, r2 = 0.8014) as shown in Fig 2(C).

Discussion and Conclusion

The results of this study show the benefit of CS-TSE acquisition for DCE-MRI applications, including (1) enhanced temporal resolution without compromising slice coverage with respect to conventional TSE acquisition, (2) calibration-free estimation of Gd-concentration, and (3) improved contrast enhancements over FLASH acquisitions. The dose-independency in AIF with CS-TSE would be beneficial as the concentration gradient between the arterial and tissue signal would not further hamper accurate pharmacokinetic analysis, potentially leading to more accurate quantification of MR perfusion. In conclusion, the present work validates the feasibility of practical CS-TSE for its application to calibration-free DCE-MRI for sub-second acquisition, without compromising slice coverage, by complementing turbo factor with CS accelerations.

Acknowledgements

This work was supported by the National Research Foundation of Korea Grants funded by the Korean Government (No. 2010-0028684 and No. 2014 R1A1A1 008255).

References

[1] Laissy J-P, Faraggi M, Lebtahi R, et al. Functional evaluation of normal and ischemic kidney by means of gadolinium-DOTA enhanced TurboFLASH MR imaging: A preliminary comparison with< sup> 99m</sup> Tc-MAG3 dynamic scintigraphy. Magnetic resonance imaging 1994;12(3):413-419. [2] Yamashita Y, Miyazaki T, Hatanaka Y, Takahashi M. Dynamic MRI of small renal cell carcinoma. Journal of computer assisted tomography 1995;19(5):759-765. [3] Yankeelov TE, Rooney WD, Li X, Springer CS. Variation of the relaxographic “shutter-speed” for transcytolemmal water exchange affects the CR bolus-tracking curve shape. Magnetic resonance in medicine 2003;50(6):1151-1169. [4] Makowski M, Jansen C, Webb I, et al. First-pass contrast-enhanced myocardial perfusion MRI in mice on a 3-T clinical MR scanner. Magnetic Resonance in Medicine 2010;64(6):1592-1598.

Figures

(A) Signal enhancement (S/S [0.3 mM]) plots for FLASH (green starred line), TSE (red starred line), and CS-TSE (red circle line). (B), (C) Concentration from IRSE versus that from calibration or calibration-free approaches for FLASH and CS-TSE, respectively.

(A) AIF uptake curve from CS-TSE with temporal resolution of 0.96 s (red dotted line) and under-sampled AIF with temporal resolution of 3.84 s (blue dotted line).(B) Relation between administration dose and peak enhancement of peak AIF for FLASH (triangle), TSE (star), and CS-TSE (circle). Horizontal lines are mean peak AIF enhancements. (C) Scatter plot of AIF peak concentrations between calibration and calibration-free approaches with varying administration doses from 0.1 to 0.3 mmol/kg.



Proc. Intl. Soc. Mag. Reson. Med. 24 (2016)
1480