Eric G. Stinson1, Joshua D. Trzasko1, Erin M. Gray1, Eric A. Borisch1, Jeffrey L. Gunter1, Norbert G. Campeau1, Matt A. Bernstein1, John Huston III1, and Stephen J. Riederer1
1Radiology, Mayo Clinic, Rochester, MN, United States
Synopsis
High spatiotemporal resolution contrast-enhanced MR angiography of the
whole brain was performed on a compact 3T system with a 32 channel RF coil and
compared to a spatial-resolution-matched study on a 60 cm bore whole-body 3T
scanner. The quality of images from both scanners was excellent. Higher
temporal resolution (4.18 s vs 5.75 s) on the compact 3T scanner was enabled by
high performance gradients and increased PNS limits compared to the whole-body
scanner.
Introduction
Since its advent in the early 1990s (1), contrast-enhanced MR angiography (CE-MRA) has benefitted
from advances in acquisition and reconstruction to more accurately portray the temporal
and spatial transit of contrast material through the vasculature. Specifically,
advances in gradient hardware that allow for faster traversal of k-space and
shorter scan times, parallel imaging techniques that facilitate reduced
sampling, and advanced reconstruction schemes that leverage a priori knowledge of signal sparsity
all combine to improve spatiotemporal resolution and signal-to-noise ratio
(SNR). While virtually all modern MR scanners are compatible with parallel
imaging and advanced reconstruction techniques, gradient hardware capabilities vary
widely, with maximum gradient strength (Gmax) and gradient slew rate
(SR) dependent on the gradient amplifier and the radius and length of the
gradient coil. A compact 3T (C3T) MR system (2) with high performance gradients, allowing for
reduced TE and TR, has recently been brought online at our institution. While
shortening the TE and TR is advantageous from a temporal resolution standpoint,
it is possible that the signal magnitude could suffer due to the reduced T1
recovery during the shorter TR. Further, like other modern scanners, this
scanner is compatible with parallel imaging through the use of a 32 channel RF
receive head coil. The purpose of this work is to perform high spatiotemporal
resolution 3D CE-MRA of the brain using the C3T and compare – with spatial-resolution-matched
acquisition – to exams performed on a whole-body, 60 cm bore 3T scanner.Methods
The C3T scanner used in this study features a lightweight and
low-cryogen (12 liters) superconducting cylindrical-bore main magnet and
high-performance gradient system (Gmax=80mT/m, SR=700 T/m/s). In
addition to the high gradient performance, the smaller gradient size (42 cm
inner diameter) allows for higher gradient switching rates without inducing
peripheral nerve stimulation (PNS) (3). The linear and B0 concomitant
fields of the asymmetric gradient design were corrected by real-time gradient
pre-emphasis (4) and frequency
tracking (5), respectively. In
this IRB-approved study, healthy volunteers were imaged with the 32-channel
head coil (Nova Medical, Wilmington, MA) on both the compact 3T scanner and a whole-body
3T scanner (MR750, GE Healthcare, Waukesha, WI) capable of 50 mT/m and 200
T/m/s. Typical scan parameters are shown in Table 1, but did vary to
accommodate different volunteer sizes. Protocols between the two scanners were
matched in spatial resolution (approximately 1mm isotropic), but were allowed
to vary in temporal resolution (due to different gradient capabilities). Images
were reconstructed with an iterative sparse reconstruction (6,7) and image quality
was compared qualitatively for this initial report.Results
The
studies were performed successfully, and no PNS was reported by any volunteer. Sagittal
maximum-intensity-projection images (MIPs) of time-resolved studies from the
compact 3T scanner (a) and whole-body 3T scanner (b) are shown in Figure 1.
The quality of the images from both exams is excellent; note that with the
same spatial resolution, the images acquired on the C3T scanner have higher
temporal resolution and were able to capture an arterial phase before venous
enhancement.
A time series of sagittal MIPs is
shown in Figure 2. An image update time of 2.6 s was achieved on the C3T, while
on the whole-body scanner with the same parameters the update time was 3.7 s. This
volunteer has not yet returned for imaging on the whole-body scanner.
Discussion
An approximately 31% reduction in TE and TR, and therefore image update
time, compared to a 60 cm bore whole-body 3T system was observed when using the
C3T system (Table 1), allowing for high spatial and temporal resolution in the
3D time-resolved exam. Future work includes comparative assessment of
additional subjects on both scanners with specific evaluation of image quality,
vessel conspicuity, spatial resolution, and temporal fidelity between images
from the two scanners.Acknowledgements
The authors would like to acknowledge study coordinator Kathy
Brown and the following sources of funding:
NIH EB000212, NIH
RR018898, NIH BRP-R01-EB010065, NIH U01-EB024450.References
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