Azadeh Sharafi1, Marcelo V. W. Zibetti1, Gregory Chang1, Martijn Cloos 2, and Ravinder Regatte1
1Radiology, NYU Langone Health, New York, NY, United States, 2University of Queensland, Brisbane, Brisbane, Australia
Synopsis
Conventional quantitative cartilage
MRI (e.g., T1, T2, and T1ρ) approaches measure one single
parameter at a time. Magnetic
resonance fingerprinting (MRF) is a flexible, non-invasive measurement
technique that simultaneously quantifies multiple MR parameters. In this work, we
proposed a 3D-MRF sequence for the simultaneous volumetric acquisition of
submillimetric proton density (PD) image and T1, T2, T1ρ,
and B1+ maps of the knee cartilage in clinically feasible
scan time (~11 minutes).
Purpose
To implement a 3D-magnetic
resonance fingerprinting (3D-MRF) technique for concurrent volumetric mapping
of T1, T2, and T1ρ in the knee articular
cartilage.Methods
Our 3D-MRF sequence consists of three preparation
modules encoding T1, T2, B1+,
and T1ρ. Following an adiabatic inversion pulse, two fast imaging
with steady‐state precession (FISP) segments consisting of 250 slab-selective
variable flip angle excitations encode T1 and T2.
Subsequently, two fast low‐angle shot (FLASH) segments seperate T1/ T2
and B1+. The third, and final, part consists of N=6
balanced (1) T1ρ preparation modules with
different spin-lock durations (TSL=2, 4, 7, 13, 24, and 45ms) each followed by
a FLASH segment with 125 variable FA excitations. A golden angle stack of stars
readout (2) was used (Figure 1b) with Cartesian sampling
along the partition direction (Figure 1c). A complete FA train consisting of
1750 excitation is called a "shot". 192 radial spokes were acquired
per shot. To increase SNR and k-space coverage (3), the whole train was acquired multiple times (n
shots) by adding an offset angle (180°/n) at the beginning of each train (Figure
1b).
The extended phase graph technique (4)
was used to simulate the signal evolutions and create a dictionary containing a
wide range of possible T1, T2, T1ρ, and B1+
values. SVD (5)
compression was used to speed up the reconstruction, which was performed offline.
We scanned the ISMRM/NIST (6) phantom on a 3T MRI scanner (MAGNETOM Prisma,
Siemens Healthcare GmbH, Germany) using an Rx only 20 channel birdcage head
coil (Siemens Healthcare) using our proposed 3D-MRF and a customized
turbo-flash, T1ρ-TFL (7)
sequence. To evaluate the repeatability and reproducibility, the 3D-MRF
sequence was repeated on the same scanner and ran on another 3T MRI scanner
(MAGNETOM Skyra, Siemens Healthcare GmbH, Germany).
IRB-approved
MRF imaging was performed on a healthy volunteer on the same 3T scanner using a
15 channel Tx/Rx knee coil (Quality
Electrodynamics [QED], Mayville, OH) with 1, 2, 4 shots. A single shot
3D-MRF sequence was acquired without applying RF excitation pulse (noise scan)
to calculate the SNR. Considering the results from multi-shot experiments, n =
2 shots was chosen for the rest of the in-vivo scans in which three
subjects (age: 29.7 ± 4.3) were scanned twice in the same session to
assess the in-vivo repeatability.Results
Figure 2a shows representative PD
weighted images of the NIST/ISMRM
system. Representative T1, T2,
T1ρ relaxation time, and ΔB1+ maps are shown
in Figure 2b. The estimated relaxation times were compared with the references
from ISMR/NIST data sheet and measured
by T1ρ-TFL(7)
using regression and Bland-Altman plot analysis to select the optimal number of
shots. As shown in Figure 3, there is good agreement between 3D MRF and conventional
mapping techniques for T1, T2, T1ρ estimation.
The experiment result also showed excellent repeatability and reproducibility.
Analysis of the Bland-Altman plot (Figure 4) demonstrated an average difference
of 25.6 ± 58.6 ms, 1.4 ± 3.6 ms, and
2.3 ± 4.3 ms between two scans from the same 3T scanner (Figure 4a
for repeatability), and -25.6 ± 58.6 ms,
2.8 ± 6.4 ms, and 4.4 ± 7.6 ms between the scans
acquired on two different 3T scanners for T1, T2, and T1ρ (Figure 4b for
reproducibility), respectively. Figure 5 demonstrates an example of in-vivo
the 3D and multi-plane PD images (Figure 5a) and T1, T2,
T1ρ relaxation time, and ΔB1+ maps in lateral
and medial side (Figure 5b). The SNRs were 62.3, 124.3, and 253.1 for 1, 2, and 4
shots. Using the four shots as a reference, the overall estimation error
decreased from 7% to 5% for T1, 17% to 11% for T2, and
17% to 9% for T1ρ when acquiring two shots instead of one. Hence, we
selected two shots as a good trade-off between scan time and accuracy for the
rest of the in-vivo experiments. Representative test-retest knee MRF maps (Figure5b), and Bland-Altman plots show good
agreement between two scans (Figure5c).
Our in-vivo study showed excellent repeatability with rmsCV less
than 1%, 2%, and 1% across cartilage for T1, T2, and T1ρ,
respectively. Discussion and Conclusion
The proposed approach enables rapid and
reproducible 3D-MRF sequence for the simultaneous volumetric acquisition of the
human knee joint's T1, T2, T1ρ, and B1+
maps and PD images. Compared to separate acquisitions, there is no need for an
additional co-registration step for voxel-wise mapping using simultaneous
measurement, reducing the possible mismatch due to experimental imperfections
such as field inhomogeneities.Acknowledgements
This study was supported by NIH grants R21-AR075259-01A, R01 AR070297, R01 AR076328, R01 AR076985, and R01 AR068966, and was performed under the rubric of the Center of Advanced Imaging Innovation and Research (CAI2R) at the Grossman School of Medicine and NIBIB Biomedical Technology Resource Center (NIH P41 EB017183).References
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