Jia Guo1
1Bioengineering, University of California Riverside, Riverside, CA, United States
Synopsis
Keywords: Arterial Spin Labelling, Arterial spin labelling
Motivation: Current Fourier Transform-based velocity-selective inversion (VSI) pulses are sensitive to field inhomogeneities, leading to labeling errors or inefficiency.
Goal(s): To improve the labeling robustness and efficiency of the VSI pulses for more robust and high-SNR perfusion measurement.
Approach: A new design with 6-segment FT-VSI pulse was implemented and tested in healthy subjects using dual-module VSI labeling.
Results: Compared with the existing VSI pulse, the new pulse significantly improved the labeling robustness against field inhomogeneities and the overall labeling efficiency, leading to >15% higher ASL signal (p<0.0002) and >20% higher temporal SNR (p<0.009).
Impact: This new VSI pulse can effectively improve the labeling robustness
against field inhomogeneities, while increasing the labeling efficiency and
reducing the SAR. These features are especially beneficial with dm-VSASL implementation and in ultra-high field applications
for delay-insensitive ASL perfusion imaging.
Introduction
Velocity-selective arterial spin labeling (VSASL) 1, 2,
especially those inversion based labeling methods 3, 4,
holds great promise in imaging perfusion without the sensitivity to arterial
transit artefacts. Current velocity-selective inversion (VSI) pulses are mainly
based on the Fourier Transform (FT) principles 5, 6, and implemented with hard
RF pulses that exhibit sensitivities to field inhomogeneities 3, 4, 7.
Methods, such as applying phase cycling to the RF pulses 3, 8,
help improve the robustness, but are not designed to improve the labeling
efficiency.Methods
The
labeling efficiency of VS pulses are attenuated by the T2 relaxation
during the pulses, i.e. e-eTE/T2a, where eTE is the effective
echo time of the labeling pulse and T2a is the T2 of arterial blood. The T2 relaxation can be reduced by shortening
the eTE, for example, by applying a sinc-shaped modulation
(sinc-VSI) on the rectangular-shaped VSI pulse (rect-VSI) of the same length 4, 7. Current implementation of FT-VSI pulses, including rect-VSI
3 and sinc-VSI 4, consist of 8 repeated segments of a small-flip-angle RF
and a pair of composite 180° refocusing pulses, and a small-flip-angle (SFA) RF
pulse at the end. The 180° pulses use a MLEV-16 phase cycling pattern to reduce
its B1 sensitivity 3.
Using
less segments in the VSI labeling pulse can reduce the eTE, and therefore,
improve its labeling efficiency. In addition, a
shorter VSI pulse duration may potentially improve its robustness against
motion and field inhomogeneities, and can reduce the SAR. In this study,
we designed a 6-segmented FT-VSI pulse, with the flip-angles of the 7 SFA
pulses to be (11.6°, 24.5°, 34.7°, 38.5°, 34.7°, 24.5°, 11.6°) for sinc-VSI
(and 25.7° each for rect-VSI), and an (MLEV-8 + MLEV-4) phase-cycling scheme.
The
performance of the new VSI pulses were evaluated in vivo with dual-module VSASL (dm-VSASL) 7. Five healthy subjects (1 female, age 25-40)
were scanned on a 3T scanner (Siemens Prisma, Erlangen, Germany) under an IRB
approval. The labeling parameters included: 1) PCASL 9 as a reference: LD/PLD=1.8/1.8s; dm-VSI (TI1/TI2=1.45/0.55s,
PLD=0.03s) with 2) 8-segment sinc-VSI; and 3) 6-segment sinc-VSI. Other imaging
parameters included: single-shot 3D GRASE EPI readout with GRAPPA 10 (x2 PE acceleration), FOV=220x220mm
(64x64), 24 slices, 4mm thickness, TR/TE=5s/21.4ms, 20 label/control pairs,
cutoff velocity=2cm/s along S/I in VSASL. Fully relaxed M0 and T1w
anatomical images were acquired.
The ASL signals were obtained after complex image reconstruction and pair-wise
subtraction, and then normalized by the M0 image. Temporal
SNR (tSNR) 11 of the ASL signal was
estimated. Gray matter (GM) and white matter (WM) regions of interest were obtained
from the co-registered anatomical images using FSL 12. The ASL signal and tSNR
in GM and WM were compared between 8-segment and 6-segment VSI using paired
t-tests. Results
The
normalized ASL signal, the ratio of the ASL signals between dm-VSI and PCASL,
and the tSNR maps are shown in Figure 1.
Compared to 8-segment dm-VSI, notable ASL signal and labeling efficiency
improvement can be observed in regions with compromised field homogeneities
with 6-segment dm-VSI, and was more evident in the ratio maps when compared
with PCASL (Figure 1B), and in the
tSNR maps. In addition, higher ASL signals were observed throughout the brain with
6-segment dm-VSI with reduced eTE.
The
percentage improvement of 6-segment vs. 8-segment dm-VSI are shown in Figure 2. The ASL signal and tSNR were
improved throughout the brain, especially in the regions with field
inhomogeneities.
Averaged normalized ASL signals and tSNR across the subjects are shown
in Figure 3 and Table 1. Compared to 8-segment
VSI, 6-segment VSI improved the ASL signal by 17.0±3.3% in GM (p=0.0001) and
28.7±7.7% in WM (p=0.0002), and improved the tSNR by 23.0%±11.7 in GM (p=0.009)
and 29.9±9.9% in WM (p=0.0006).Discussion
Demonstrated by
the in vivo results, this simple modification can effectively improve the
labeling robustness against field inhomogeneities, while increasing the
labeling efficiency by shortening the eTE, and reducing the SAR. These features
are especially beneficial with dm-VSASL
implementation and in ultra-high field applications.
Similar
improvements were observed with the 6-segment design when implemented with
rect-VSI pulses (results not shown), but the ASL signals were lower due to a longer
eTE. Four-segment implementation was also experimented, but the initial
results showed compromised labeling robustness. Further optimization of the
FT-VSI pulses is needed, including the sensitivity
to eddy currents and diffusion.
The dynamic
phase-cycling scheme 8 can be applied with the proposed 6-segment VSI to further
improve its robustness, but at the expense of reduced temporal resolution.Conclusion
6-segment
FT-VSI can significantly improve the labeling efficiency and robustness of VSI
labeling.Acknowledgements
This work was supported by National Institutes of Health,
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