Abdominal T2-Weighted Imaging and T2 Mapping Using a Variable Flip Angle Radial Turbo Spin-Echo Technique.

Abstract

T2 mapping is of great interest in abdominal imaging but current methods are limited by low resolution, slice coverage, motion sensitivity, or lengthy acquisitions. Develop a radial turbo spin-echo technique with refocusing variable flip angles (RADTSE-VFA) for high spatiotemporal T2 mapping and efficient slice coverage within a breath-hold and compare to the constant flip angle counterpart (RADTSE-CFA). Prospective technical efficacy. Testing performed on agarose phantoms and 12 patients. Focal liver lesion classification tested on malignant (N=24) and benign (N=11) lesions. 1.5 T/RADTSE-VFA, RADTSE-CFA. A constrained objective function was used to optimize the refocusing flip angles. Phantom and/or in vivo data were used to assess relative contrast, T2 estimation, specific absorption rate (SAR), and focal liver lesion classification. STATISTICAL TESTS: t-Tests or Mann-Whitney Rank Sum tests were used. Phantom data did not show significant differences in mean relative contrast (P=0.10) and T2 accuracy (P=0.99) between RADTSE-VFA and RADTSE-CFA. Adding noise caused T2 overestimation predominantly for RADTSE-CFA and low T2 values. In vivo results did not show significant differences in mean spleen-to-liver (P=0.62) and kidney-to-liver (P=0.49) relative contrast between RADTSE-VFA and RADTSE-CFA. Mean T2 values were not significantly different between the two techniques for spleen (T2VFA =109.2 ± 12.3msec; T2CFA =110.7 ± 11.1msec; P=0.78) and kidney-medulla (T2VFA =113.0 ± 8.7msec; T2CFA =114.0 ± 8.6msec; P=0.79). Liver T2 was significantly higher for RADTSE-CFA (T2VFA =52.6 ± 6.6msec; T2CFA =60.4 ± 8.0msec) consistent with T2 overestimation in the phantom study. Focal liver lesion classification had comparable T2 distributions for RADTSE-VFA and RADTSE-CFA for malignancies (P=1.0) and benign lesions (P=0.39). RADTSE-VFA had significantly lower SAR than RADTSE-CFA increasing slice coverage by 1.5. RADTSE-VFA provided noise-robust T2 estimation compared to the constant flip angle counterpart while generating T2-weighted images with comparable contrast. The VFA scheme minimized SAR improving slice efficiency for breath-hold imaging. 2 TECHNICAL EFFICACY STAGE: 1.