Yang Wu1, Peng Sun2, Zhigang Wu2, Xiaoxiao Zhang2, Jing Zhang2, and Jiazheng Wang2
1Department of Medical Imaging, Wuhan Asia General Hosipital, Wuhan, China, 2Philips Healthcare, Beijing, China
Synopsis
Keywords: Myocardium, Cardiovascular
Diffusion
MRI delivers unique information about the heart without the use of external
contrast agents, Because of B0 inhomogeneity within the thorax and short
transverse relaxation durations, which cause substantial distortion and signal
loss, it has proven technically problematic. DWI with Zoom imaging with 2D RF
pulse (iZoom) could significantly minimize distortion, but it is still
vulnerable to field inhomogeneity when it is big. iZoom with SENSE could reduce
distortion and signal loss even further. An in vivo research on volunteers with
various SENSE factors revealed that combining iZoom with SENSE considerably
improves visual quality.
Introduction
Diffusion MRI provides
unique information on the structure, organization, and integrity of the
myocardium without the need for exogenous contrast agents1. The
conventional single-shot EPI (ssEPI) remains suffering from geometric
distortion and blurring due to B0 inhomogeneity and tissue susceptibility. Diffusion
MRI in the heart, however, has proven technically challenging because of the
intrinsic non-rigid deformation during the cardiac cycle, displacement of the
myocardium due to respiratory motion, signal inhomogeneity within the thorax,
and short transverse relaxation times1-2. By exciting a small region
of interest (ROI), 2D RF could realize zoomed imaging (iZoom) for specific ROI3,
which could help in acquiring high resolution imaging, reducing distortion with
reduced FOV, and reducing image blurring and other artifacts from
non-interesting areas. SENSE can also be used to reduce distortion and signal
loss4. iZoom combined with SENSE should be further improve the image
quality of DWI, however due to the reduced FOV will have geometry penalty for
parallel imaging, there has no any study on this combination on 3T. We hereby
do a preliminary study of iZoom using SENSE to find an optimized SENSE for cardiac
diffusion MRI.Methods
iZoom could excited the
specific reduced the FOV using 2D RF pulse, Fig. 1 shows the pulse sequence for
iZoom. Due to the reduced FOV the variation of coil sensitivity map will also
be decreased than full FOV, which will reduce the performance of parallel
imaging, such as SENSE. To investigate the feasibility of iZoom with SENSE, different
SENSE factor was used to evaluate the performance on decreasing signal loss and
reducing of distortion. bTFE for morphology imaging, Conventional DWI based on
ssEPI with Full FOV (sDWI), iZoom with SENSE 1.0, 1.5 and 2.0 was compared by
volunteer test. Diffusion weighted and ADC map were both compared. All scans
were scanned on a Philips 3.0T system (Elition, Philips Healthcare, Best, Netherland)
with a 32-ch torso and spine coil. Detailed scan parameters were summarized in
Table 1. Results
Fig 2 shows that the comparison
between singl shot balanced turbo FFE (sbTFE) as anatomical images without
distortion (A), sDWI with SENSE = 2.0 (B), and DWI based on iZoom with SENSE
1.0(C), 1.5(D), 2.0(E) respectively. To spatially compare the degree of image
distortion, the ROIs for Left ventricle and right ventricle were manually
delineated on each subject’s sbTFE images, and were mapped to all DW images acquired by the
abovementioned schemes. The scan time It shows that DWI based on iZoom has less
signal loss (as brown arrow marked) and less distortion as freeform polygon
showed. To evaluate the SENSE performance for iZoom, Fig 3 showed that iZoom were
separate as different b value with different SENSE factors. It showed iZoom
with SENSE = 1.5 has best performance, iZoom with SENSE = 2.0 could see some
noise breakthrough. Fig.4 showed that the comparison of ADC map for sDWI and
iZoom with different SENSE factor. It shows the ADC map sDWI has the largest
nonuniform map, its ADC value is significantly low than all ADC map based on
iZoom. It also showed iZoom with SENSE = 1.5 has best performance, iZoom with
SENSE = 2.0 could see some noise breakthrough.Discussion and conclusions
The preliminary
study shows that iZoom with SENSE could reduce the distortion and signal loss
further for cardiac diffusion MRI, due to iZoom could only excite the signal of
the region of interest. With 3.0T system, the geometry penalty is relatively
small, the results showed that iZoom with SENSE equals 1.5 is the best option
for cardiac diffusion in this study. This technique holds the potential for
swift clinical translation and implementation for major vendors with
simplicity. This strategy could enhance the applicability of cardiac diffusion.Acknowledgements
No acknowledgement.References
1. Timothy GR, Marcel PJ, Himanshu B and David ES, Diffusion MRI in the heart, NBM 2017;30:e3426.
2. Sonia NV, Andrew S, Pedro F, Zohya K, Dudley P, David F, Cardiac Diffusion: Technique and Practical Applications. J. MAGN. RESON. IMAGING 2020;52(2):348-368.
3. Wu ZG, Zhang J, Fang WX, Huang F, B1 insensitive zoomed FOV imaging, ISMRM., 2015; 0953.
4. Pruessmann KP, Weiger M, Scheidegger M, Boesiger P,SENSE: sensitivity encoding for fast MRI, Magn. Reason. Med., 1999;42(5):952-62.