Jessica Schäper1,2 and Oliver Bieri1,2
1Department of Biomedical Engineering, University of Basel, Basel, Switzerland, 2Division of Radioligical Physics, Department of Radiology, University of Basel Hospital, Basel, Switzerland
Synopsis
Brain relaxometry with phase-cycled bSSFP shows systematically lower T1 values, if compared to spoiled-GRE or inversion-recovery spin echo methods. One explanation can be the pronounced asymmetry in the bSSFP's frequency profile, observed for tissues. It was recently shown that this asymmetry decreases towards shorter TR, possibly leading to an adjustment of T1 estimates from bSSFP to spoiled-GRE. Here, it was investigated how T1 and T2 quantification is influenced by TR. Contrary to expectation, a stronger mismatch between bSSFP and spoiled-GRE was observed towards shorter TR. The origin of this mismatch can thus not be attributed to the bSSFP profile asymmetry.
Introduction
The concept of balanced steady-state free precession (bSSFP) has been first introduced by Carr1 in the late 1950s featuring a frequency response profile that is always symmetric around the on-resonance (e.g. see Freeman and Hill2). However, it was reported by Miller3 that especially white matter (WM) intrinsically exhibits a strong and rather unexpected asymmetry in its frequency response profile. This was attributed to local asymmetric intra-voxel frequency distributions3,4.
Interestingly, brain tissue relaxometry using multiple phase-cycled bSSFP5,6,7 leads to systematically lower T1 values than variable flip angle (VFA) spoiled gradient echo (spoiled-GRE). Because in the analytical model a symmetric frequency response is presumed, the observed asymmetric frequency response function may lead to the T1 bias between bSSFP and spoiled-GRE. There have been approaches to symmetrize the profile by means of using neural networks8. In a previous work, however, it has been shown that the bSSFP profile becomes symmetric in the limit of TR→09. As a result, the effect of the profile asymmetry on bSSFP relaxometry can be investigated. Here, we compare T1 estimates between VFA spoiled-GRE and multiple phase-cycled bSSFP as a function of TR and thus of the profile asymmetry at 1.5T.Methods
MRI: Imaging was performed at 1.5T, using a Cartesian ultrafast bSSFP sequence10. Scans were performed on in vivo brain where a strong profile asymmetry is usually observed. Four different values of TR (2.5ms,4ms,8ms and 12ms) were used. The same bandwidth (1628Hz/px) was used for all TR. N scans with equally distributed linear RF phase increments were recorded. A dummy preparation period of 4s was used to ensure steady state conditions. A field-of-view of 256 with 75% resolution in phase direction, a base resolution of 128 and a slice thickness of 2.0mm were chosen, yieding an image matrix of 128×80 and an isotropic resolution of 2.0mm. To minimize finite pulse effects, the pulse length was set to 200μs. In order to counteract magnetization transfer effects, the flip angle was set to α=10∘. Consequently, the quantification was done with N=12 to account for the low flip angle. To depict the profile asymmetry N=36 was used for the shortest and longest TR. Five averages were taken for TR=2.5ms, three for TR=4ms and two for TR=8ms. Scanning took 30min (TR=2.5ms), 9min (TR=4ms), 14min (TR=8min) and 27min (TR=12ms) to complete.
Additionally, a spoiled-GRE sequence was recorded in order to compute T1 via the variable flip angle (VFA) method. Resolution parameters were the same as above and TR=7000ms was used with flip angles α={4∘,16∘}. The acquisition took 1:35min per flip angle.
A B1 measurement was done to correct for B1 inhomogeneities.
Quantification: The obtained phase-cycled datasets were 12-point Fourier transformed to obtain the modes in configuration space11. T1 and T2 were then calculated from the mode ratios of the lowest order modes F0, F−1 and F112.
The spoiled-GRE data was evaluated using DESPOT113 to obtain T1 via the VFA method.
Both calculations were B1-corrected.Results/Discussion
Fig. 1 shows the bSSFP profiles for TR=2.5ms and TR=12ms in WM. An asymmetric profile is observed for TR=12ms, while the profile is almost symmetric for TR=2.5ms. This provides a good foundation to investigate the change in quantification with decreasing asymmetry.
In Fig. 2, the T1 and T2 maps for all TR are shown. Additionally, the T1-map, obtained via the VFA method is shown, as well as an anatomical reference, obtained by taking the sum-of-squares from the TR=12ms scan. Averaged T1 and T2 values from a WM ROI, which is drawn in the spoiled-GRE image in Fig. 2, are summarized in Fig. 3. As can be seen from these values, the expected improvement in matching the quantification of phase-cycled bSSFP and spoiled-GRE towards a symmetric profile is not observed. In fact, T1 values decrease with decreasing TR, therefore deviating stronger from the spoiled-GRE result, despite the improvement of profile symmetry. T2 seems to be less affected by this, but also slightly decreases towards lower TR. Overall, this behaviour indicates that there are other effects, which have a stronger influence on quantification than the profile asymmetry. One possible reason could be the biexponential longitudinal relaxation14 and the multiexponential T2-decay in myelin15. How exactly these are influenced by a change of TR is unclear and needs to be investigated by incorporating these models into the quantification.Conclusion
The expected matching of phase-cycled bSSFP and spoiled-GRE T1 quantification towards symmetric bSSFP profiles at lower TR could not be confirmed. On the contrary, a stronger mismatch of phase-cycled bSSFP and spoiled-GRE T1 values for shorter TR was observed. This suggests that there are other underlying phenomena, most likely the multi-compartment tissue behaviour of T1 and T2 in WM, which need to be investigated.Acknowledgements
This work was supported by the Swiss National Science Foundation (SNF grant No. 325230_182008).References
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