Di Cui1, Xiaoxi Liu1, Peng Cao2, Angela Jakary1, Jing Liu1, Janine Lupo1, Yan Li1, and Duan Xu1
1University of California, San Francisco, San Francisco, CA, United States, 2The University of Hong Kong, Hong Kong, China
Synopsis
An MR fingerprinting method using dual echo EPI was developed in this
study for simultaneous quantification of T1, T2, T2*, proton density and off
resonance. In vivo evaluations performed in patients with lower grade glioma tumor demonstrated
the ability of the technique to acquire multiple reflexivity maps within a
clinically manageable scan time with each slice using 16 seconds and
achieving total brain coverage in approximately four minutes.
Introduction
Magnetic resonance fingerprinting (MRF) [1] is a novel multi-parametric
quantitative MRI approach, where quantification maps and images of multiple
contrasts can be acquired in a single scan. In this study, an MRF strategy for
simultaneous T1, T2 and T2* quantification of human brain is proposed using dual-echo echo planar imaging (EPI) readout and validated in brain tumor patients.Methods
Acquisition: An IR-GRE-SSFP MRF
sequence is developed, shown in Figure 1. Half scan is used for the first echo
for shorter echo time (TE), rendering improved T2 weighting in its signal
evolution. Each echo is from one of a 16-shot readout, and a Blip Up and Down
Acquisition (BUDA)-like [2] sampling strategy is utilized. Both the shot index
and phase encoding polarity are alternated between the 2 echoes, and among
consecutive time frames, ensuring better k-space coverage and incoherence of
image artifacts along time axis. Variable flip angle (maximum 70 degree) and
constant repetition time (TR) are used. RF spoiling is added in the first 100
time frames, making the sequence a concatenation of inversion recovery gradient
echo (IR-GRE) and steady-state free precession (SSFP). The flip angle train and
rf phase train are shown as Figure 2.
Reconstruction: Images for each individual
lobe are reconstructed with a time-resolved [3] approach. A low rank subspace reconstruction
method [4,5] is used to solve:$$\mathop{\arg \min}\limits_{\alpha}\frac{1}{2}{\parallel}FSφU_k^Hα-y{\parallel}_2^2+λ∑_r{\parallel}R(α)\parallel_*\qquad(1)$$. where $$$y$$$ is the acquired data, $$$F$$$ is Fourier transform, $$$S$$$ is coil sensitivity profile which can be self-estimated
from the data by temporal sharing. $$$φ$$$ is
phase increment term of off resonance map times the echo time of each lobe. The
off resonance map is calculated from the phase change of 2 echoes with smooth
spatial variation as a priori. $$$U_k$$$ is
suppressed from singular value decomposition (SVD) of pre-calculated
dictionary, with the first k singular vectors as subspace bases. $$$α={U_k}x$$$ is
the subspace representation of image series $$$x$$$. A locally low rank (LLR) term is used
as regularization for better conditioning. Eq (1) is iteratively solved in
reconstruction using alternating direction method of multipliers (ADMM) [6].
The dictionary was calculated using extended phase graph (EPG) [7] with
parameters T1 within 200~5000ms, T2 within 20~3000ms and T2* within 10~100ms, yielding 332672 dictionary entries of all 23 EPI lobes at 500 timeframes. A
comparison of the signal evolutions of different EPI lobes was shown in Figure
3 for the dictionary entry with T1 = 800ms, T2 = 80ms and T2* = 40ms. By SVD,
the first 5 singular vectors were selected to ensure <0.2% error after
compression, thus $$$23\times500=11500$$$ time points were represented by 5 subspace bases.
Since T1 and T2 affect the signal evolution across different TRs, T1 and T2
maps as well as proton density were presented by dictionary matching. However,
T2* weighted the images within each TR, so T2* was estimated by parameter
fitting of the straightforward $$$e^{-t/T_2^*}$$$ decay term.
Experiments: All the in-vivo data were acquired on a
GE 3T scanner (MR750, Waukesha, WI) with a 32-channel head coil. Other
parameters included: TR = 33ms, TE1 = 4.4ms, TE2 = 20ms, FOV = 224mm2,
resolution = 1 mm2 and EPI echo spacing = 1.2ms. 500 timeframes were
acquired for each slice, and the scan time is 16s per slice. Patients with lower grade glioma were consented for evaluating the performance of the sequence. The study was approved
by the Institutional Review Board.Results
Figure 3 shows the multiple-contrast
images of a grade 2, post-surgical resection, glioma patient based on the
dynamic images of different time frames (namely 5th, 48th,
258th and 400th timeframes). Intensity changes due to T2*
decay was shown with the comparison of 2 readout lobes of each selected TR#. Tumor
area can be observed in the images and an area with increased susceptibility due
to surgery is observed in the 16th lobe.
Figure
4 shows the quantitative maps of T1, T2, and T2* after dictionary matching.
Tumor area is delineated in each of the 3 maps and the area with severe
susceptibility is observed in the T2* map. Results of clinical protocols of
pre/post-gadolinium T1 weighted images from an IR-GRE sequence, and T2 weighted
image from fast spin echo (FSE) sequence are also presented as references to
show the consistency between MRF quantification maps and clinical images.Discussion
In this study, the T2* weighting, better k-space sampling coverage and
off resonance estimation from the two echoes contribute to subsequent
reconstruction and parametric mapping. However, one dynamic image is
reconstructed at every EPI lobe along the readout, providing more image
contrasts and more accurate parameter mapping. Multiple quantitative maps including
T1, T2, T2*, proton density, off resonance and multiple contrast images are
acquired in a single scan. The various contrasts from this method are
consistent with typical clinical scans. Off resonance and proton density maps
from MRF reconstruction have shown potential to provide additional information.
Further implementation would be improving the efficiency of the acquisition by
using fewer time frames and 3D acceleration.Conclusion
This application of MRF has demonstrated the potential to obtain
quantitative relaxation maps of the brain simultaneously, saving valuable
clinical scan time.Acknowledgements
No acknowledgement found.References
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