Clinical knee MRI examinations usually consist of a series of 2D acquisitions with different contrasts and orientations. In this work, we propose to simplify and shorten the examination by performing multi-contrast imaging using a single acquisition by directly reconstructing parametric maps (PD and T2) and then synthesizing the contrasts of clinical interest (PD-weighted and T2-weighted with and without fat suppression). The proposed SyntheticTSE method uses a Bloch-simulation signal model for parametric mapping and a combination of compressed sensing and simultaneous multislice acceleration. Initial feasibility is demonstrated using retrospective undersampling of multi-spin-echo knee dataset
A 2D MSE acquisition accelerated with in-plane CS (random ky undersampling) and through-plane SMS was employed to simultaneously encode PD, T2 and transmit field distribution (B1+). The relationship between these physical parameters are modeled using the echo-modulation curve (EMC) approach, as proposed in [5]:
$$ {\psi(\rho,T_2,B_1)=EMC(T_2,B{_1}{^+})\cdot{C}.\cdot{\rho} \space{...}\space (1)} $$
Using this forward model, PD, T2, and B1+ maps are directly computed from k-space data by solving the inverse problem which minimizes the following cost function:
$$ {\phi(\rho,T_2,B{_1}{^+})=\frac{1}{2}||F\cdot{\psi}-y||^2_2+\lambda_\rho||W_\rho\cdot\rho||_1+\lambda_{T_{2}}||W_{T_{2}}\cdot{T_2}||_1+\lambda_{B_{1}}||W_{B_{1}}\cdot{B{_1}{^+}}||_{1}\space{...}\space{(2)}} $$
where $$$y$$$ is the undersampled MSE k-space data, $$${\psi}$$$ is the EMC operator that models PD, T2 and B1, $$$F$$$ is the Fourier transform according to the sampling pattern, $$$\lambda_i$$$’s are regularization factors and $$$W_i$$$’s are regularization transforms (spatial Wavelets to exploit sparsity in the parametric maps). Images with synthetic contrast are generated using PD and T2 maps for different echo times (TE):
$$ {S=PD \cdot \exp{-\frac{TE}{g(T_2)}} \space{...}\space (3)} $$
where $$$ g(T_2) $$$ performs fat suppression by attenuating regions with a T2 to the ones reported for fat tissue [7] (see Fig. 2 for more details).
SyntheticTSE was evaluated on a fully-sampled MSE knee data acquired on axial orientation using a 3T Siemens Skyra scanner with a 15-channel coil array. Relevant imaging parameters include: image matrix = 256x256, 6 slices, FOV = 140x140mm2, TR = 3.5s, TE = 10ms, 20 echoes, slice thickness = 3mm, scan time = 15 min. The acquired dataset was retrospectively undersampled in-plane by CS factors 2, 3 and 4, and through-plane by SMS factors 2, 3 and 4. Maximum acceleration was selected based on the PD and T2 error between the accelerated and fully-sampled reconstructions. Synthetic TSE results with PD, T2 and fat-saturated T2 were compared against three different conventional TSE acquisitions. The total scan time for the conventional acquisitions was 6:48 min.
Results
The combined CS and SMS approach can accelerate the acquisition of MSE up to a factor of 6 (2-fold in-plane CS and 3-fold SMS accelerations), resulting in PD and T2 maps with less than 7% and 5% averaged error respectively (Fig. 3). T2 tissue values were also in concordance with values listed in previous work [7], 122.9±4.6ms (ROI 1, bone marrow), 123.3±4.6ms (ROI 2, fat) and 35.3±1.6ms (ROI 3, muscle). Synthesized T2-weighted images without fat suppression achieved similar quality and contrast as conventional TSE acquisitions (Figure 4). Fat-suppressed (FS) images also presented a contrast close to conventional TSE, at the expense of SMS-related noise amplification at the center.Discussion
SyntheticTSE proposes to synthesize contrast by reconstructing MR parameter maps directly from a single acquisition instead of using different acquisitions with fixed contrast. The proposed method provides stable and reproducible contrast for different scan settings by using ideas from model-based reconstruction and fingerprinting [8], in addition, acceleration based on CS and SMS reduces the acquisition time making it feasible for clinical studies. Compared to other multicontrast knee MRI approaches such as T2-shuffling [9], SyntheticTSE also offers access to quantitative information provided by the reconstructed PD and T2 maps.
The combination of Bloch simulation-based modeling of the temporal signal evolution in multi-spin-echo imaging and acceleration using CS and SMS enables to perform multicontrast MRI without and with fat suppression from a single acquisition. The proposed SyntheticTSE can generate flexible image contrast and enable access to quantitative T2 information, potentially reducing the number of acquisitions in the conventional knee MRI protocol and therefore the time required for imaging.
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