Ulrich Katscher1, Jakob Meineke1, and Jochen Keupp1
1Philips Research Europe, Hamburg, Germany
Synopsis
Keywords: Pulse Sequence Design, Diffusion/other diffusion imaging techniques
Double-Echo Steady-State (DESS) sequences are a promising candidate for
diffusion weighted imaging (DWI) free of geometric distortions. While diffusion
weighted DESS (dwDESS) sequences were originally introduced with a unipolar diffusion
weighting gradient
GD, a bipolar
GD is required to obtain
a motion robust fully balanced sequence. The inevitable banding artefacts
occurring for bipolar
GD can be handled via different techniques like gradient
spoiling (thus deviating from the fully balanced sequence) or phase cycling.
This study compares these techniques to optimize SNR for a given scan time and given diffusion
weighting.
Introduction
To avoid the pervasive geometric distortions of diffusion weighted imaging
(DWI), the use of diffusion-weighted Double-Echo Steady-State (dwDESS)
sequences was suggested 1. Such
dwDESS sequences were originally introduced with a unipolar diffusion weighting
gradient GD 2, but to achieve a motion
robust fully balanced sequence, a bipolar GD is required 3, leading inevitably to
banding artefacts 4. This
study investigates two different techniques to remove these banding artefacts:
(a) phase cycling is applied by repeating the dwDESS sequence with different
phase offsets of the RF pulse, and suitable subsequent combination of the
different images (see, e.g. 5), (b) a spoiler gradient is inserted
between the two lobes of the bipolar diffusion gradient lobes, thus introducing
a slight imbalance of GD (see, e.g. 6). These techniques are
compared with respect to obtained SNR and required gradient moment. The
comparison is performed for a fixed scan time and a fixed diffusion weighting,
which implies that first an (effective) b-value for the different sequence
types needs to be determined.Methods
The phantom “Breast Standard Model 131” (CaliberMRI,
Boulder, USA) was investigated with a clinical 1.5T MRI system (Ingenia,
Philips Healthcare, Best, Netherlands) and a 32-channel anterior/posterior coil
array.
Determination of effective b-values: For standard, EPI-based DWI as well as for
the dwDESS sequences investigated in this study (Fig. 1), the corresponding b-value
is given by b=qγ2G2t3 with γ the gyromagnetic ratio, G the diffusion gradient strength, and t the total duration of the diffusion gradient (i.e. including
both, positive and negative lobe, with no gap between the lobes assumed). The
constant q depends on the type of
sequence and was verified in a preparation experiment (Fig. 2) as q=1/3
for dwDESS with spoiling (in line with 7) and q=1/6 for
dwDESS without spoiling (in line with 8). Thus, to achieve the same b as for dwDESS without spoiling, dwDESS
with spoiling can be implemented by (a) reducing G by 21/2 maintaining t or (b) shortening t by
21/3 maintaining G (or a
suitable mixture of both, which however was not further pursued in this study).
Sequences: All dwDESS sequences of this study used a voxel size of 1.8 ×
1.8 × 2.0 mm³ and flip angle α=25°. Three different variants (A, B, C) of
dwDESS were tested, sequences A and B with gradient spoiling and sequence C
without gradient spoiling (parameters see Fig. 3a). As mentioned above, G
was lowered for sequence A and t was lowered for sequence B such that
both spoiled sequences yield the same b=200 s/mm2 as sequence
C. For sequence C, phase cycling was performed by repeating the sequence with 8
different, equidistant phase offsets. Sequence A (having same TR as sequence C)
was performed with 8 averages, and sequence B (having shorter TR than sequence
C) with 10 averages, such that all sequences had a comparable total acquisition
time of about 4:50 min. “Nonlinear Averaging” was applied to combine the 8
phase offsets of sequence C to the final image 5.
From the two echoes S1 and S2,
the Coefficient of Variation (CoV) was determined in 5 different phantom compartments
specified in Fig. 3b, and plotted versus normalized gradient moment G×t.Results
Examples images of the FBG compartment are shown in Fig. 4 to illustrate
the obtained image quality of the two echoes. A trade-off between SNR (in terms
of CoV) and gradient moments required for the different sequence types was
found for S2, while SNR
was almost constant for S1
(Fig. 5). The maximum SNR gain for S2 and FBG was ×1.95 (C vs A) and ×1.26 (C vs B). Substances
with short T2 showed a
larger impact of the sequence type than substances with long T2.Discussion and Conclusion
This phantom study
exhibited a significant impact of the dwDESS sequence type on the obtained SNR
of echo S2 for equivalent
b-values, which thus is also obtained for the resulting diffusion weighted
image given by S2/S1 1. The
effect was exemplarily demonstrated for b=200
s/mm2, but applies accordingly for the whole range of b-values. It can be explained by
higher configuration states evoked by the gradient spoiler, having lower signal
but higher diffusion sensitivity 9. As long as phase-cycling
techniques sufficiently remove banding artefacts of dwDESS without gradient
spoiling, a significantly higher SNR can be expected for tissue types with
short T2. For instance,
the investigation of breast cancer shall benefit from applying a phase-cycled
dwDESS without spoiling to obtain distortion-free, diffusion weighted breast
images with high SNR.Acknowledgements
The authors cordially thank Peter Koken and Peter Vernickel for system maintenance.References
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