Simon Michael Florian Triphan1,2, Ke Zhang1, Hans-Ulrich Kauczor1,2, and Mark Oliver Wielpütz1,2
1Diagnostic and Interventional Radiology, University Hospital Heidelberg, Heidelberg, Germany, 2Translational Lung Research Center Heidelberg, Member of the German Center for Lung Research, Heidelberg, Germany
Synopsis
Keywords: Lung, Lung
Motivation: Lung T1(TE) quantification using 2D UTE was demonstrated as an interesting tool but needs expansion to 3D UTE for better comparability and coverage. However, streaking artefacts originating from the edges of the Field of View are particularly problematic in Lung T1(TE) maps.
Goal(s): To reduce streakings in T1(TE) maps caused by B0 inhomogeneities.
Approach: A Shinnar LeRoux (SLR) minimum phase pulse was used to limit excitation to a 320mm slab in the Multi Ultra-short TE Look-Locker Inversion Recovery sequence.
Results: T1(TE) maps produced using sagittal SLR excitation showed less streakings than using transverse SLR excitation and rectangular pulses, but still had residual streaking.
Impact: Inhomogeneity streakings in 3D UTE lung T1(TE) maps were greatly reduced by employing a SLR pulse. With additional efforts during reconstruction, it may be possible to remove the remaining artefacts and quickly acquire parameter maps of the entire lungs.
Introduction
The
quantification of echo-time dependent T1
(T1(TE))
in the lungs has been shown to provide potentially useful information
both in patients with cystic fibrosis (CF) and chronic obstructive
pulmonary disease (COPD) [1,2,3]. T1
not
only depends
strongly on local perfusion because of the long T1
of blood protons, intra-
and inter-patient correlations
between T1
and
contrast-agent based perfusion MRI have
been shown to depend on TE [4].
Perfusion in the lungs is particularly interesting since the
mechanism of hypoxic pulmonary vasoconstriction
directly links perfusion to ventilation, which can thus
be used to depict functional impairment in obstructive lung diseases.
However,
correlations of
T1
with
measures of parenchymal abnormalities showed
different TE-dependence than with
perfusion [2,3].
So
far, T1(TE)
mapping has been demonstrated using a 2D UTE approach limited to
individual slices, while contrast-agent based 4D perfusion
measurements cover the entire lungs in 3D acquisitions (while
requiring breath-holds). Free breathing 3D lung T1
mapping using a radial approach has been shown, based on cylindrical
encoding, which thus could not provide ultra-short TE, which is of
particular interest in the further investigation of the TE-dependence
of lung T1,
in addition of potentially providing additional signal in the lungs
[5]. This work aims to further 3D UTE T1-mapping
specifically in the lungs.
Initially, 3D UTE utilized non-selective excitation using rectangular pulses. However, a primary problem are streaking artefacts from the edges of the Field of View, caused by the field inhomogeneities in the outer areas of the magnet bore. Normally, these would not be relevant, but since the proton density in the lungs is so low, they can easily distort T1. To reduce this, the use of Shinnar LeRoux (SLR) pulses has been suggested for morphological 3D UTE in the lungs [6].Methods
All
measurements were performed on healthy volunteers on a 1.5T scanner
(Avanto, Siemens Healthineers, Erlangen, Germany). All participants
provided written informed consent, and the study was approved by the
institutional ethics committee. Three excitation schemes were used: A
300μs duration SLR minimum phase-pulse with 4% ripple in both pass-
and stopband was used to limit the excitation to a 320mm thick slab,
separately in sagittal and in transverse orientation and a 60μs
rectangular pulse was used for a non-selective excitation. A
‘cooshball’ encoding scheme with 3D center-out radial
trajectories using ramp-sampling was employed. In all cases, a
2-dimensional golden angle increment adapted to the inversion
recovery was used [7]. The measurement was divided into blocks with a
global inversion pulse followed by 1000 radial projections, separated
by 3s delays. To avoid subjects synchronizing their breathing cycle
to the measurement, gradients were continued during the delay.
Further acquisition parameters were TR=3ms; TE1,2=70μs,1200μs; α=6°; total projections 54000. Images were reconstructed using a non-uniform Fourier Transform and a sliding window 4181 projections wide with 2584 step-width. The resolution was 1283 points at 4503 mm3 FoV. This gave an effective time-resolution of 117ms and 5min 24s acquisition time. T1 was fitted from the inversion recovery to yield 3D T1 maps.Results
Figure 1 shows representative coronal slices of 3D T1 maps at both TEs from one volunteer for different excitation schemes, figure 2 equivalent transverse slices and figure 3 all coronal lung slices acquired in the lungs of a second volunteer. Streaking artefacts were greatly reduced in the maps produced with SLR slice-excitation and worse with transverse SLR excitation compared to sagittal. However, residual streakings were still visible in the sagittal maps (arrows in figure 1 & 2).Discussion
It has been shown previously that in healthy subjects, lung T1 is generally homogenous. Thus, residual image artefacts that distort T1 maps are still recognizable in healthy subjects, where lung T1 should be homogenous. However, to discern pathological abnormalities on parameter maps, a very low amount of localized artefacts is desirable. As shown here, using an SLR pulse with a sagittal slab excitation greatly reduces the artefacts visible in T1 maps when compared to the non-selective excitation with a rectangular pulse and the same SLR pulse but using a transverse slab. However, as seen in figure 1, residual streaking artefacts were still visible when using the SLR to excite a sagittal slab. Accordingly, further research will be required to make 3D T1(TE) quantification in the lungs at UTE practical. Techniques that suppress inhomogeneity streakings during reconstruction or coil combination could further improve parameter map quality [8,9].Acknowledgements
No acknowledgement found.References
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