Image contrast afforded by tissue longitudinal (T1) and transverse (T2) relaxation times is central to the success of modern MRI. Here, a recently-proposed ‘spectroscopy with linear algebraic modeling’ (SLAM) method is adapted to dramatically accelerate relaxation time imaging at 3 Tesla in phantoms, the abdomens of six volunteers and in six brain tumor patients. SLAM is validated by omitting up to 15/16ths (94%) of the data acquired retroactively from inversion recovery and multi-echo spin-echo sequences, and proactively applied to accelerate abdominal and brain tumor T1 and T2 measurements by up to 16-fold in humans.
Methods
The central idea of SLAM is to group voxels defined by scout MRI into compartments, and reduce the number of phase-encoding (PE) gradient steps to a small subset of the original PE set. The compartmental segmentation (as shown in Figure 1) information is built into an auxiliary matrix, b, and incorporated into the standard Fourier Transform model19 or the sensitivity encoding23 reconstruction model20, 22. A huge reduction in PE steps is possible because the number of unknowns is reduced from the number of image-space voxels (e.g., 2562), to the number of compartments (e.g., 6-16).
Relaxation times were imaged on a 3 Tesla Philips Achieva MRI scanner in phantoms, the abdomens of 6 volunteers and in 6 brain tumor patients. For validation, we used standard inversion recovery (IR) and multi-echo spin-echo (MESE) sequences with multiple inversion times (50-4000ms) and multiple echo times (7-240ms), respectively. Reference relaxation time mapping data sets were acquired with full k-space (R=1). Proactive SLAM relaxation scans used identical imaging parameters to the reference data sets except that only a subset of PE steps from central k-space were acquired with R=8 and R=16, respectively.
The fully-sampled compartment-average T1 and T2 values were taken as reference standards for comparing the retro- and pro-actively accelerated measurements. Pearson’s correlation coefficient, and paired t-tests or Wilcoxon signed rank tests were used to compare differences between standard and accelerated measurements. For display, compartmental average relaxation times were assigned to all pixels in each compartment and overlaid on the co-registered anatomical image.
Figure 1 shows compartmental segmentation used for SLAM reconstruction. Moreover, there is little difference in the color-coded abdominal compartmental T1 maps obtained with the full k-space data (Fig. 1d) and SLAM (R=8, Fig. 1e). Negligible difference in compartmental T1 and T2 maps was seen in all three sets of studies (data not shown).
Figure 2 plots retroactive and proactive SLAM T1 and T2 values from 8-fold accelerated SLAM in phantoms (a, d), the abdomen (b, e) and the brain (c, f), vs. the standard fully-sampled T1 and T2 values. In phantoms, SLAM measurements did not differ significantly from standard measurements (p>0.6 throughout). The mean percentage difference between SLAM and full k-space values was ≤0.2% (correlation coefficients, r≥0.999). The standard deviation (SD) of the mean difference was ≤0.5% for retroactive and ≤3.5% for proactive implementations.
In human studies with R=8, abdominal SLAM T1 and T2 values also did not differ from full k-space acquisitions (p≥0.18; r≥0.94). The percentage differences (mean±SD) between SLAM and full k-space measurements were ≤0.9%±3.6% and ≤1.0%±14.0% for retroactive and proactive implementations, respectively. SLAM brain T1 and T2 values were the same as full k-space measurements (p-value≥0.49; r≥0.999): the percentage differences were ≤0.3%±2.3% and ≤1.6%±6.0% for retroactive and proactive implementations, respectively.
Increasing acceleration to R=16 generated higher percentage differences of 0.0%±0.7%, 1.4%±3.4%, and 0.5%±2.9%, for phantom, abdominal, and brain T1 measurements, respectively, well below 5%. The corresponding differences for T2 were 0.2%±1.9%, 0.9%±7.9%, and 0.4%±5.8%.
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