T2 relaxation using combined gradient and spin echo (GRASE) is a fast and robust approach for myelin water imaging in vivo. For long echo trains, when the noise floor is reached, the magnitude signal will converge towards a non-zero mean due to the Rician noise characteristics of the magnitude data. This can give rise to artificial long-T2 components in analysis. In this study we employed temporal phase correction to multi-echo GRASE data and showed that for echo trains longer than 300ms, phase correction will effectively reduce artificial long-T2 components, thus improving the ability to interpret the T2 distribution.
Two different GRASE sequences were acquired for a healthy volunteer (male, age 24 years) on a 3T Philips Achieva scanner using an 8-channel head coil: [1] GRASE32: 32 echoes, TE/TR=10/1000ms, 20 slices, resolution=1x0.85x5mm3, and [2] GRASE64: 64 echoes, TE/TR=15/1640ms, 20 slices, resolution=1x1.7x5mm3.9,10 The longer TR for GRASE64 is to ensure equivalent effective TR (time from the final refocusing pulse to subsequent excitation) for both GRASE sequences. A 3D gradient-echo T1-weighted scan (TR/TE=7.8/3.5ms, 170 slices, resolution=1x1x1mm3) was also acquired for manual delineation of regions of interest (ROI).
Phase correction was performed using the temporal phase correction (TPC) method proposed by Bjarnason et al.7 Magnitude and phase corrected real data were analyzed using regularized NNLS with stimulated echo correction2 to produce maps of the MWF, geometric mean T2 of intra-extracellular T2 peak (IET2), and the fraction of the very long T2-distribution with T2>800ms (vLT2F). To accurately quantify the T2-signal from myelin a short echo spacing ($$$\leq$$$10ms) is recommended,11 thus MWF values were not calculated for the GRASE64 sequence.
Whole brain white matter was segmented from the 3DT1 using FSL-FAST.12 Seven bilateral white matter (WM) and gray matter (GM) ROIs were defined on the 3DT1. Significant differences between uncorrected and phase corrected data for each ROI were assessed with a t-test using the standard deviation of the contralateral means for each ROI.
Figure 1 shows an example of the smooth spatial phase distribution from the uncorrected GRASE32 and GRASE64 data at TE=60ms and how the phase distribution is scattered around the real axis after phase correction. The phase in Figure 1C shows a linear evolution up until TE$$$\approx$$$300ms; at this point the noise floor is reached (Figure 1D) and the noise in the phase signal increases.
No significant change in IET2 was observed after phase correction for either of the sequences (p>0.1, two-tailed t-test). After phase correction, the vLT2F from GRASE64 was significantly decreased (p<0.05, one-tailed t-test, average decrease = 0.34%) for all WM ROIs (Figure 2). This is also seen in the quantitative vLT2F map and the whole brain WM histogram (Figure 3). A significant increase in MWF was found only in minor forceps (p<0.05, two-tailed t-test, increase=0.08%,) (Figure 4).
Results from the present study suggest that phase correction is non-essential for a 32 echo GRASE sequence with 10ms echo spacing. With GRASE64, the noise floor was reached after half of the echo train and the non-zero mean of the Rician noise gave rise to an artificial long T2 component, which was significantly reduced in WM using temporal phase correction. By sampling the noise floor in the late echoes of GRASE64 we were able to reduce the vLT2F below that of the GRASE32 using phase correction.
Results from the present study suggest that a GRASE sequence with the ability to characterize both myelin water and the noise floor, i.e. short TE for early echoes and longer TE for late echoes, would benefit from phase correction. Such a variable TE approach has been successfully used with a spin echo sequence at 1.5T,7 but has not yet been implemented for GRASE at 3T. By reducing the Rician noise floor, we improve the biological specificity of the T2-distribution, leading to more accurate estimates of the MWF and LT2F.
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