Yi-Cheng Hsu1, Patrick Alexander Liebig2, and Ying-Hua Chu1
1MR Research Collaboration Team, Siemens Healthineers Ltd., Shanghai, China, 2Siemens Healthcare GmbH, Erlangen, Germany
Synopsis
Keywords: Quantitative Imaging, Diffusion/other diffusion imaging techniques
Motivation: High-resolution diffusion imaging is often perceived as less beneficial at ultra-high magnetic fields due to shorter T2 relaxation times. However, it is critical for detecting small lesions and assessing cartilage integrity.
Goal(s): Our goal was to achieve high-resolution diffusion imaging that leverages the advantages of ultra-high magnetic fields.
Approach: We employed diffusion-weighted DESS imaging to estimate diffusion tensor and fractional anisotropy in hand imaging.
Results: DW DESS yielded superior image quality compared to conventional spin-echo EPI. It shows promise as a high-resolution diffusion imaging method, harnessing the potential benefits of ultra-high magnetic fields for musculoskeletal applications.
Impact: Our study shows that DW DESS imaging offers high-resolution
diffusion imaging benefits at ultra-high magnetic fields, particularly in
musculoskeletal applications, with superior image quality and clinical
relevance.
Introduction
Diffusion-weighted imaging (DWI) has emerged as a promising
tool for the early assessment of muscle and cartilage damage1,2. The
knee cartilage, with a 2mm thickness, demands high-resolution image. However,
high-resolution spin-echo (SE) echo-planar imaging (EPI) often requires longer
echo times, posing challenges for tissues with inherently short T2 relaxation
times. This issue is further exacerbated at ultra-high magnetic field
strengths, where T2 is shorter.
To tackle these challenges, the diffusion-weighted (DW)
dual-echo steady-state (DESS) method was introduced. DW-DESS has already
demonstrated its effectiveness in achieving high-resolution T2 and ADC maps,
spanning applications from tumor detection to musculoskeletal disease and brain
imaging3,4,5.
However, the susceptibility of the DESS method to motion
artifacts has limited its application in estimating diffusion tensor
parameters. In this study, we demonstrate the use of high-resolution diffusion
tensor DESS imaging for hand imaging at 7T.Method
In the DESS research sequence, a dephasing gradient is
applied between the acquisition of the GRE echo (S+) and the reversed GRE echo
(Figure 1). The diffusion coefficients are estimated by comparing the signal
change between small and large dephasing gradients4. In this study,
we acquired images along six dephasing gradient directions with a gradient
moment of 149.5ms·mT/m and one image with a small dephasing gradient moment
(MOMT) of 39.8ms·mT/m. To simulate the signals of S+(MOMT,T1,T2,D,TR,TE,B1)
and S-(MOMT,T1,T2,D,TR,TE,B1), we employed extended phase graph
theory6. The T2 and diffusion coefficients were estimated by
identifying the highest correlation between the acquired signals and the
simulated signals for each voxel. The six estimated diffusion coefficients were
then used to calculate the diffusion tensor at each voxel and mean diffusivity
and fractional anisotropy were subsequently calculated. All imaging data were
acquired at a 7T MAGNETOM Terra (Siemens Healthineers, Erlangen, Germany) using
a 1Tx/32Rx head coil (Nova Medical, Wilmington, MA). Due to the absence of a
dedicated wrist coil, we used the available head coil off-label. The imaging
parameters are provided in the figures.
Results
Figure 2A illustrates the DESS images of kiwi fruits. In
comparison to the SE-EPI image (Figure 2B), the DESS image has high resolution
without discernible distortion. Notably, the calculated FA map reveals elevated
FA values in the central fibrous region, emphasizing the radially outward
orientation of its fibers. However, the ADC values differ considerably between
the two kiwi samples in the DESS images but remain similar in the SE-EPI
diffusion data.
Figure 3 presents two slices of the DESS images of the hand.
The S- signal appears notably smaller than the S+ signal, indicating the
presence of short T2 values in certain regions. Additionally, we can observe
that the ADC value of cartilage can be estimated (highlighted by the orange
arrow). The mean muscle ADC is measured at 1.43x10-3mm2/s, and the mean FA
is calculated to be 0.51.
Figure 4 displays the DESS images with varying directions of
strong dephasing gradients, illustrating how muscle signal changes as different
gradient directions (indicated by the orange arrow).
In Figure 5, the hand diffusion imaging results using SE EPI
are presented, showing strong distortion even at two times coarser resolution.
The mean muscle ADC is calculated as 1.32x10-3mm2/s, with a mean FA of
0.38.Discussion and Conclusion
DW-DESS imaging successfully produced high-resolution T2 and
ADC maps without any noticeable distortions. In addition to prior DW-DESS
studies, we also calculated diffusion tensors and FA maps. This expansion posed
challenges due to the method's inherent sensitivity to motion artifacts. To
address this challenge, we harnessed SNR efficiency at the ultra-high field
strength, rapidly acquiring six DW-DESS images as depicted in Figure 4, without
any observable artifacts. Ensuring stable immobilization of the imaging region
during the scan was a critical factor in our success.
ADC and FA values obtained through DW-DESS are higher than
those derived from conventional SE-EPI. This difference can be attributed to
several factors, including the influence of compartments with varying T2 values7
and water diffusion constrained by cell membranes8. These factors
render ADC values dependent on echo time and diffusion time.
Acquiring high-resolution single-shot SE-EPI diffusion
images at ultra-high field strengths is challenging, primarily due to the
shorter T2 and increased off-resonance effects. This challenge is particularly
evident in musculoskeletal hand imaging, characterized by its irregular shape
and the production of pronounced off-resonance artifacts. In contrast, our
utilization of DW-DESS convincingly demonstrated the feasibility of diffusion
tensor imaging in hand imaging. Moreover, we anticipate that this approach may
find broader applicability in various musculoskeletal clinical applications. The
DW-DESS method holds the potential to offer advantages in diffusion imaging for
ultra-high-field musculoskeletal applications.Acknowledgements
No acknowledgement found.References
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