Tsuyoshi Matsuda1, Hirohiko Kimura2, Masayuki Kanamoto3, and Hiroyuki Kabasawa1
1MR Applications and Workflow, GE Healthcare Japan Corporation, Tokyo, Japan, 2Department of Radiology, University of Fukui, Fukui, Japan, 3Radiological Center, University of Fukui Hospital, Fukui, Japan
Synopsis
DANTE preparation pulse for the arterial
spin-labeling (ASL) sequence was developed to reduce the intravascular signal
based on the hypothesis that DANTE could enable sufficient vascular signal
suppression without any technical drawback. Phantom and human volunteer
experiments were performed to evaluate the proposed method. A similar level of
vascular suppression effect was observed with both MSDE and DANTE-prepared ASL
sequence from phantom experiment. A signal intensity uniformity of vascular
suppressed perfusion weighted images was superior with DANTE compared to MSDE.
These results indicated that DANTE-preparation could be used as a vessel signal
suppression method for ASL.Purpose
On the arterial spin label (ASL) imaging, the bright intravascular signal contributes
to the overestimation of perfusion signal. ASL with Motion-sensitized Driven-equilibrium (MSDE) (1) has
been used to suppress the vascular signal, however, it is sensitive to B1 and
B0 field uniformity as well as eddy current. DANTE (Delays Alternating with
Nutation for Tailored Excitation) preparation pulse (2) is an effective flow
signal suppression method that does not affect static tissue signal. In
this study, DANTE-enabled ASL sequence was prepared and evaluated using phantom
and healthy human subjects to see whether DANTE preparation would bring a sufficient
vascular suppression into effect comparing to MSDE method.
MATERIAL & METHODS
DANTE
pulse train was inserted between background suppression pulses as shown in
Figure1. The parameters for DANTE module were as follows:
RF pulse duration=100us, Tp: 1ms, Number of DANTE pulses = 200. For ASL, the
following parameters were used: FOV = 240 x 240 mm, slice thickness = 4mm, # of
slices = 32, TE= 10msec, Post labeling time Delay= 700msec, labeling durations=
3sec, acquisition = 7
arms x 512 sampling points. After the ASL sequence, a reference
image without ASL module was acquired to provide M0. All scans were performed
on a 3.0 Tesla Discovery750 (GE Healthcare) with 32-channel Receive only head
coil. Phantom experiment: A flow phantom consisting of static water chamber
and flow tubes which run through the chamber was used. 2.5 cm/s water flow was
generated in the tubes. T1 value measured inside the static chamber was 2442msec,
and the flowing part was 2054msec. The flip angle (FA) of DANTE RF pulse was
changed to 0, 2, 4, 6, 8, 10, 12.5, and 15
[degree], and the gradient area of 28.6 [msec·mT/m] were
used. To compare DANTE against MSDE, ASL scan using MSDE (1) was performed
with the b value of MSDE varying from
0.005, 2.5, 5.0, 7.5, up to 10.0 [sec/mm$$$^2$$$]. Static water signal was
measured inside the static chamber area on the reference image. Flow signal was
measured inside the flow tubes on the ASL image. Volunteer study: A
healthy volunteer was scanned with DANTE-ASL and MSDE-ASL. The study was
approved by the local IRB and written informed consent was obtained from all
subjects. NEX of two was used for human scan and the rest of ASL parameters
were kept the same as phantom scan. The b
value of 10 [sec/mm$$$^2$$$] was used for MSDE, and FA of 10 [degree] and the
gradient area of 28.6 [msec·mT/m] were
used for DANTE. The signal uniformity and intensity of DANTE-ASL
and MSDE-ASL images were compared and evaluated against each other.
RESULTS
The
changes in signal intensity measured in the phantom images with MSDE or DANTE are
shown in Figure 2. The signal decay patterns of flow component were similar in both
DANTE and MSDE. As for the signal decay in the static area, rapid signal reduction
was observed around b=7.5 [sec/mm$$$^2$$$] with MSDE preparation while
gradual signal decay along FA change was seen with DANTE. The signal intensity ratio
of DANTE with FA of 5 [degree] was similar to MSDE with b value of 5 [sec/mm$$$^2$$$] in the
case of 2.5 cm/s flow. Similarly, DANTE with FA7.5 [degree] was close to MSDE with b value 10 [sec/mm$$$^2$$$].
Figure.3 shows the comparison of human ASL images without vascular
suppression preparation, with MSDE, and with DANTE preparation pulse. The
signal intensity ratio of the bilateral gray matter was 1.23 with MSDE, and
1.07 with DANTE. The signal intensity ratio of the bilateral gray matter was
not as uniform in MSDE as DANTE. It was
also observed that vascular signal was decreased with both methods.
Discussion
It was demonstrated that the proposed DANTE- ASL
imaging worked for both phantom and human imaging. DANTE-ASL reduced the
intravascular signal while keeping the signal uniformity whereas conventional
MSDE preparation generated less uniform ASL images. Local B1+ inhomogeneity
caused signal loss (3) and nonuniformity with MSDE sequence. DANTE uses a small
FA pulses resulting in smaller B1+ inhomogeneity. The results suggest that
DANTE preparation works for reducing the intravascular signal for ASL. In conclusion,
we have demonstrated that the DANTE preparation can be used as a vessel
signal suppression method for ASL.
Acknowledgements
No acknowledgement found.References
1.
Dai W, Robson PM, Shankaranarayanan A, Alsop DC. Reduced resolution transit
delay prescan for quantitative continuous arterial spin labeling perfusion
imaging. Magn Reson Med. 2012;67(5):1252-65.
2. Li L,
Miller KL, Jezzard P. DANTE-prepared pulse trains: a novel approach to
motion-sensitized and motion-suppressed quantitative magnetic resonance imaging.
Magn Reson Med 2012;68(5):1423–38.
3. Wang J , Yarnykh VL , Yuan C. Enhanced image
quality in black-blood MRI using the improved motion-sensitized driven-equilibrium
(iMSDE) sequence. J Magn Reson Imaging.2010 May ; 31(5):1256-63.