This study proposes two spiral-based (spiral-out and spiral-in/out) bSSFP pulse sequences combined with two reconstruction methods for accelerated real-time cardiac imaging. Based on a comparison to fully-sampled data reconstructed using gridding, a low rank plus sparse (L&S) method performs better than a CG-SPIRiT method on both spiral trajectories. The spiral-in/out sequence achieved higher SNR and fewer artifacts than the spiral-out sequence. Thus, a spiral-in/out bSSFP sequence with L&S reconstruction is a promising method for real-time cardiac MRI with high image quality and excellent temporal resolution.
The traditional method for assessing cardiac function is to image during a breath-hold using an ECG-gated balanced steady-state free precession (bSSFP) pulse sequence with segmented Cartesian readouts. However, this method can yield poor image quality in patients who have arrhythmia or who are incapable of holding their breath. Thus, a real-time bSSFP pulse sequence would be of great value in the assessment of cardiac function without breath-holding.
Recently, a non-Cartesian bSSFP method1 was proposed for real-time cardiac imaging and spiral-based sequences have shown improved image quality in terms of SNR and reduced artifacts when compared with other techniques. However, the relatively low temporal resolution of these methods is a limitation relative to gated sequences. Hence, in this study spiral-based bSSFP sequences combined with parallel imaging and model-based temporal sparsity reconstruction2 were proposed to achieve a high acceleration.
Interleaved spiral-out and spiral-in/out bSSFP with linearly decreasing sampling density were both evaluated in this study. Both fully-sampled spiral trajectories contain 32 arms with 1.6 ms readout per arm, and four interleaves 90° apart from each other are utilized to reconstruct each frame with an undersampling rate of 8. Among frames the interleaves are rotated in a bit-reversed order to reduce temporal correlation. FOV was set to 340 × 340 mm2 for all of the experiments. Other sequence parameters and the resulting spatial and temporal resolutions are given in Table 1. A model-based k-space trajectory method3 was used to estimate the actual spiral trajectory for both sequences. A low resolution field map was acquired using two single-shot spirals before bSSFP acquisitions.
Two acceleration methods were used for reconstruction: CG-SPIRiT4 and low rank plus sparse (L&S)5. The field map data was used for the calibration kernel of CG-SPIRiT. For the L&S method, the low rank constraint was enforced for all time points with the same static cardiac structure and a joint sparsity constraint was used because the sparsity of different phases of cardiac circle between interleaves is assumed to be highly correlated. As multiple receiver coils were used in this study, the coil sensitivity was estimated from center k-space data of the field map using ESPIRiT6 and then used for L&S reconstruction. Low resolution linear field map and Chebyshev-based off-resonance correction7 methods were used for the gridding reconstruction without acceleration, CG-SPIRiT and L&S methods.
All the experiments were performed on a 1.5T scanner (MAGNETOM Avanto, Siemens Healthcare, Erlangen, Germany) with a 32-channel surface coil array. For each healthy volunteer, a midventricular short-axis view and a horizontal long-axis view were imaged under free-breathing conditions. For each set of experiments, the spiral-out and spiral-in/out bSSFP sequences were run consecutively at the same image plane with 30 fully-sampled frames per sequence collection.
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