Numerous diseases such as stroke, arteriovenous malformation (AVM), traumatic brain injury (TBI) and tumor evaluation require detailed vascular information for the best diagnostic interpretation1-4. Being able to collect both MR angiography and venography with sufficient SNR, CNR and co-registration in short time is critical for these diseases, especially for emergency patients. In this work, we developed a rapid 3D interleaved GRE sequence to acquire these vascular images simultaneously. Co-registered MRAV, MRA, QSM and tSWI for imaging arteries, veins and basal ganglia in 4 minutes and 24 seconds on a NMS 1.5T system covering the whole brain with 0.67×1.33 × 2.7 mm3 resolution
Multiple vascular images are often necessary for neuroscientific studies and clinical applications. Conventional individual acquisition scheme takes long acquisition time for a full set of MRA, MRV, SWI and QSM. Recently, a rapid interleaved sequence for simultaneous MRAV, MRA, SWI and QSM was published which provides full brain vascular imaging in 4 minutes at 3T5. The purpose of this work is to further optimize and extend the concept to 1.5T. Co-registered MRAV, MRA, tSWI and QSM for imaging arteries, veins , basal ganglia and susceptibility map in 4 minutes and 24 seconds on a NMS 1.5T system covering the whole brain with 0.67×1.33×2.7 mm3 resolution.
Sequence Design Similar to Ref 5, a fully flow compensation 3D GRE sequence with two TR blocks is acquired in an interleaved manner. Unlike Ref 5, there is only one echo in each TR. In the first TR block, flowing spins are rephased which providing a bright blood magnitude image. And in the second TR block flowing spins are dephased which providing a black blood magnitude image. The flow dephasing gradients are accomplished by bipolar gradients with very low velocity encoding (VENC) values. Figure 1 shows the interleaved GRE sequence.
Data Acquisition. Three healthy volunteers were scanned on a NMS S15P 1.5T system (Neusoft Medical System, Shenyang, China) with an 8-channel head coil (NMS, Shenyang, China). Using a SENSE factor of 1.5 along the L-R direction. Imaging parameters were: TR=22.5 ms, FA=15°, TE1/TE2=15 ms/15 ms, BW1/BW2=240/240Hz/pixel, voxel size=0.67 (readout) × 1.33 (phase) × 2.7 (partition) mm3, 48 transversal slices and TA = 4:24. The VENC value is about 2.5 cm/s to dephase both arteries and veins.
Data Processing. MRAV: The subtraction of two echoes that had identical imaging conditions but the phase preparation gave a MRAV image denoting flowing spins. QSM: iSWIM6 is used with the rephase echo data to reconstruct QSM; tSWI: The QSM map was used to generate a susceptibility mask, and then multiply it with the rephase echo magnitude image to create true-SWI image. MRA: the susceptibility mask that denoting veins was used to suppress veins on the MRAV image to generate a pure MRA image. An overview of the data processing steps is shown in Figure 2.