We introduce VUDU (Variable flip, blip-Up and -Down Undersampling) for motion-robust, distortion-free multi-shot EPI (msEPI) acquisition. VUDU uses FLEET-ordering to acquire all shots of a given slice successively before proceeding to the next slice, and employs variable flip angle (vfa) excitation to maximize the signal. Phase encoding polarities are reversed between shots to estimate and eliminate distortions, and low-rank constraint mitigates shot-to-shot inconsistencies. VUDU thus utilizes vfa-FLEET excitation and blip-up and -down acquisition (BUDA) to encode each slice in 250ms. We demonstrate VUDU with GRE, SE/diffusion contrasts in the brain, and expect that this will enable msEPI in the abdomen.
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Fig2. shows individual SENSE reconstructions for each shot of vfa-FLEET acquisition with GRE contrast. At TRslice=80 msec, it took vfa-FLEET 160 msec to encode each slice, and 5.1 sec for the entire volume.
Horizontal lines help compare the geometric fidelity of distortion-free VUDU reconstruction relative to each shot. Yellow and blue arrows point to distortion artifacts in the sagittal views of SENSE reconstructions, which were eliminated in the VUDU result.
Fig3a. shows b=0 images from a standard slice-ordered msEPI acquisition, where BUDA was able to eliminate distortion by jointly reconstructing the two shots, as indicated by the horizontal dashed lines.
Fig3b. presents individual SENSE and joint VUDU reconstructions for the vfa-FLEET acquisition. VUDU successfully eliminated distortion, and encoded each slice in 226 msec.
Standard and vfa-FLEET images are windowed identically. VUDU / BUDA signal ratio was 78%, and was slightly higher than theoretical 1/sin45°. Arrows point to low signal regions in the blip-down vfa-FLEET shot.
Fig4. 6-direction vfa-FLEET diffusion acquisition with VUDU reconstruction at b=1000 s/mm2. With TRslice = 113 ms, acquisition of each slice was completed in 226 ms to provide motion robustness. Estimating the field map per each direction allowed VUDU to correct both the bulk B0 and eddy current distortions, providing high geometric consistency between the directions.
Fig5. shows average diffusion images across the 6 directions for the vfa-FLEET acquisition. Individual SENSE reconstructions for the blip-up and -down shots exhibit distortions, whereas VUDU is able to provide high geometric fidelity even in these lower slices with poor field homogeneity. Low signal regions are present in the blip-down shot (blue arrows), which have in part propagated to the VUDU reconstruction, and will likely be mitigated with gradient spoiling.