Magnetic resonance imaging (MRI) technology offers the most important diagnostic information for musculoskeletal (MSK) disorders, in comparison to other imaging modalities (1). However, human MSK system contains a lot of fat, by which the important tissue signals from the cartilage and the synovial fluid are obstructed. Even with fat suppression techniques, it is still difficult to distinguish tissues having similar proton density (PD), T1, and T2 values. In this abstract, a new contrast enhancing method for the color MR image based on parametric segmentation is introduced, using the modified bSSFP pulse sequence.
The bSSFP pulse sequence offers a good signal-to-noise ratio (SNR) with a short TR, so that imaging time can be substantially reduced. Thus, it is steadily applied to knee MR imaging (2, 3). The acquired signal from bSSFP pulse sequence is a combination of free-induction-decay (FID) signal and echo signal. In the proposed method, by using the alternating RF flip angles, the amount of the FID signal and the echo signal at each TR period are manipulated to make different weightings of T1, T2, and PD, as shown in Fig. 1. Since the proposed method is based on the bSSFP sequence, the banding artifacts are inherent problems. Thus, a phase-cycling (PC) method is used to reduce the banding artifacts. The proposed method offers two contrast images of Iα and Iβ acquired just after two alternating RF pulses, respectively. Then, Iα and Iβ have different weightings of T1, T2, and PD. In addition, water and fat components of Iα and Iβ can have different phases with respect to TR, since there is a resonance frequency shift of 3.5 ppm between water and fat components. Then, the complex weighted sum of Iα and Iβ can make various contrast images including fat-suppressed contrast, as follows,
$$\ I_{MC}(c,\theta,\alpha,\beta)=\mid c\times I_{\alpha}+(1-c)\times e^{j\theta}\times I_{\beta}\mid,\tag1\ $$
where IMC(c, θ, α, β) is the (c, θ)-weighted contrast image, and c and θ are a weighting factor of 0 ≤ c ≤ 1 and a phase shift term of 0 ≤ θ ≤ π, respectively. The optimized values of (c, θ) for maximum contrast of A and B are determined by maximizing the relative contrast (RC), as follows,
$$\ RC_{A/B}=\frac{S_{A}-S_{B}}{S_{A}},\tag2\ $$
where SA and SB are the signal intensities of A and B, respectively. Simulations were performed to analyze the signal intensities of the cartilage, muscle, synovial fluid, subcutaneous fat, and bone marrow. The PD, T1, and T2 values of the composed materials were determined by the references (3-6). The simulation parameters were determined as follows: TR/TE = 5.0/2.5 ms, flip angles = 7˚ and 10˚. In-vivo experiments were also performed using a 3 T MRI scanner to validate the proposed method. Imaging parameters were given as field of view (FOV) = 165×165 mm2, matrix size = 384×384, TR/TE = 5/2.5 ms, and number of averages = 4. For comparison, fast spin-echo (FSE) proton-density images with/without fat suppression were acquired with TR/TE = 3200/37 ms.
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