A projected fat navigator module was added to a diffusion weighted EPI sequence to allow prospective rigid body motion correction without additional hardware. Improved image quality was demonstrated by imaging the brain of a volunteer subject who performed prescribed patterns of large motion with and without prospective correction. Improvements were most evident for through-plane motion. For in-plane motion only, the image quality was comparable to images acquired without motion. Ghosting due to gradient delays following FOV updates was avoided by acquiring phase reference lines directly after the excitation pulse.
An EPI sequence developed in-house (3) was modified by inserting a rapid fat navigator module (4) before each EPI readout (Fig 1), and additional phase reference lines directly after the excitation pulse for ghost correction (Fig 2). The navigator module acquires three orthogonal projections, which are heavily accelerated to minimize the duration (17 ms) and distortions. At the beginning of the sequence, three fully sampled multi-shot 3D calibration volumes were acquired, to allow registration of the navigators to projections of the calibration volumes in order to estimate the motion and update the FOV.
A volunteer was imaged on a 3T GE DVMR750 clinical system using a standard eight-channel head coil. Four different motion patterns were repeated with and without FOV updates, denoted “still”, “yaw”, “roll”, and “pitch”. These eight series were then reconstructed with and without retrospective motion correction. Acquisition parameters were: FOV 24 cm, matrix 156×102 (partial Fourier), 5 mm slices, TE 83 ms. TR was set to 4 s, but the acquisitions with FOV updates additionally included waiting for calculation of motion estimates. Diffusion encoding was performed in 25 directions with b=1000 s/mm2. GRAPPA was performed with R=3, but the b=0 s/mm2 volume was acquired without acceleration, i.e. 3-shot, allowing calculation of GRAPPA weights.
Since the FOV was updated each shot and slice, zero- and first-order phase correction between k-space lines of opposite polarity was made for each shot and slice according to the phase reference lines, to avoid Nyquist ghosting.
This experiment demonstrates that prospective motion correction by projection fat navigators is capable of decreasing the motion sensitivity of DWI, even in the presence of very large motion. For in-plane motion (“yaw”), prospective and retrospective motion correction were able to achieve an image quality similar to the acquisition without motion. For through plane motion (“roll” and “pitch”), some residual blurring remains. Still, the image quality is significantly improved compared to retrospective correction alone. Even with perfect prospective correction, some blurring due to B0 distortion is expected, since the susceptibility-induced field will vary with head position.
Even with very small FOV updates, it is essential to perform ghost correction for each update. This works well with the added phase reference lines. The GRAPPA weights could also be rotated along with the FOV. This was not done in these experiments, but despite the large motion, no aliasing artifacts were seen.
The scan time penalty can be reduced by playing the navigator less often, but the current bottleneck is the calculation of motion estimates, which takes about 0.2 s per navigator.