Recently the ultrashort echo time magnetization transfer (UTE-MT) technique with two-pool modeling has shown promise as a clinically compatible quantitative technique which is resistant to the magic angle effect. However, the UTE-MT quantitative technique requires multiple acquisitions, which result in suboptimal acquisition times. The purpose of this study is to assess the feasibility of undersampled acquisitions for quantitative UTE-MT modeling applications.
Specimens: This anonymized cadaveric study included 8 knee samples (4 females, 4 males; mean age 57 years-old, range 24-88 years-old) was approved by our Institutional Review Board. Specimens had undergone a single freeze-thaw cycle prior to scanning.
Protocol: Imaging was performed on a 3T clinical MRI scanner (GE MR750). An eight-channel knee coil was used for signal excitation and reception. The 3D UTE-MT-Cones sequence employed a MT preparation followed by multiple 3D UTE Cones interleaves to accelerate data acquisition3. The MT preparation consists of a Fermi shaped RF pulse (duration = 8 ms, bandwidth = 160 Hz) followed by a gradient crusher. The 3D UTE-MT imaging parameters include: TR = 102.3 ms, TE = 32 μs, FA = 7°, BW = ± 83.3 kHz, FOV = 15 cm, reconstruction matrix = 256 × 256, slice thickness = 2 mm, slice number = 60; nine interleaves per MT preparation pulse, three MT powers (500°, 1000° and 1500°) and five MT frequency offsets (2, 5, 10, 20 and 50 kHz), with a total of 15 different MT datasets. Undersampled acquisitions with acceleration factors (AF) equal to 1/2/4/6/8 were separately acquired, with the total scan time of ~60/30/15/10/7.5 min. T1 was measured with the 3D UTE-Cones fully-sampled acquisition with the same plane, spatial resolution and other imaging parameters including: TRs = 20/40/60/80/100 ms, TE = 32 μs, FA = 45°.
Image Reconstruction and Quantitative Measurement: Conventional regridding and the recently described l1-ESPIRiT reconstruction were performed on original k-space datasets using BART (Berkley Advanced Reconstruction Toolbox)4, 5. The quantitative measurement algorithm was written in MATLAB (MathWorks, 2016b, Natick, MA, USA) and was executed offline on the images obtained by the above reconstruction methods. A Levenberg-Marquardt algorithm was employed for the non-linear least squares fitting in MT modeling, as well as T1 fitting. Two-pool UTE-Cones-MT modeling and parameter mapping were performed on the datasets using previously described methods2, 3. Regions of interest (ROIs) were drawn using the fully sampled UTE-T1 images with an average of 100 pixels per ROI. The same ROI was executed among undersampled datasets for comparison. Mean and standard deviation of macromolecular proton fraction, relaxation time, exchange rates and water longitudinal relaxation were measured in various joint tissues including cartilage, meniscus, patellar tendon and the posterior cruciate ligament (PCL).
1. Wolff SD, Balaban RS. Magnetization transfer contrast (MTC) and tissue water proton relaxation in vivo. Magn Reson Med 1989; 10:135-144.
2. Ma YJ, Shao H, Du J, et al. Ultrashort echo time magnetization transfer (UTE-MT) imaging and modeling: magic angle independent biomarkers of tissue properties. NMR Biomed. 2016; 29(11):1546-1552.
3. Ma YJ, Chang EY, Carl M, et al. Quantitative Magnetization Transfer Ultrashort Echo Time Imaging Using a Time-Efficient 3D Multispoke Cones Sequence. Magn Reson Med. 2017 (in print).
4. Uecker M, Lai P, Murphy MJ, et al. ESPIRiT—An Eigenvalue Approach to Autocalibrating Parallel MRI: Where SENSE Meets GRAPPA. Magn Reson Med. 2014:71:990-1001.
5. Uecker, Martin, et al. "Berkeley advanced reconstruction toolbox." Proc. Intl. Soc. Mag. Reson. Med. 2015; Vol. 23