Refocusing Flip Angle Research Articles

Optimized T1‐weighted contrast for single‐slab 3D turbo spin‐echo imaging with long echo trains: Application to whole‐brain imaging

T(1)-weighted contrast is conventionally obtained using multislice two-dimensional (2D) spin-echo (SE) imaging. Achieving isotropic, high spatial resolution is problematic with conventional methods due to a long acquisition time, imperfect slice profiles, or high-energy deposition. Single-slab 3D SE imaging was recently developed employing long echo trains with variable low flip angles to address these problems. However, long echo trains may yield suboptimal T(1)-weighted contrast, since T(2) weighting of the signals tends to develop along the echo train. Image blurring may also occur if high spatial frequency signals are acquired with low signal intensity. The purpose of this work was to develop an optimized T(1)-weighted version of single-slab 3D SE imaging with long echo trains. Refocusing flip angles were calculated based on a tissue-specific prescribed signal evolution. Spatially nonselective excitation was used, followed by half-Fourier acquisition in the in-plane phase encoding (PE) direction. Restore radio frequency (RF) pulses were applied at the end of the echo train to optimize T(1)-weighted contrast. Imaging parameters were optimized by using Bloch equation simulation, and imaging studies of healthy subjects were performed to investigate the feasibility of whole-brain imaging with isotropic, high spatial resolution. The proposed technique permitted highly-efficient T(1)-weighted 3D SE imaging of the brain.

Analytical derivation of multiple spin echo amplitudes with arbitrary refocusing angle

Explicit non-recursive expressions for spin echo amplitudes have been derived for CPMG sequences with arbitrary refocusing flip angle.

Contrast‐driven approach to intracranial segmentation using a combination of T2‐ and T1‐weighted 3D MRI data sets

To develop a strategy for structural brain imaging when using FSL software for segmentation and subsequent volumetry. Three-dimensional (3D) structural MRI of 1-mm isotropic resolution was performed on a 3-Tesla clinical imaging system. Prescribed signal evolution of a multiple spin-echo (SE) sequence with variable refocusing flip angle for T2 weighting, and a modified driven equilibrium Fourier transform (MDEFT) sequence were used for T1 weighting. Postprocessing included rigid-body coregistration, brain extraction, and segmentation using the tools of the FSL 3.2 software package. T2 weighting provided reliable delineation of the subarachnoidal space, while T1 weighting provided better segmentation of gray matter (GM) and white matter (WM). The combination of T1-weighted (T1-w) and T2-w data allowed the identification of a T2-hypointense class of "nonbrain" (NB) representing larger vessels and structures of connective tissue, as well as partial volume of bone and air-filled cavities. Brain extraction on T2-w data and subsequent segmentation of the combined T1- and T2-w intensity distribution into four classes are recommended.

Fast spin echo sequences with very long echo trains: Design of variable refocusing flip angle schedules and generation of clinical T2 contrast

Reducing and continuously varying the flip angle of the refocusing RF pulses in a rapid acquisition with relaxation enhancement (RARE; fast/turbo spin echo) sequence is a useful means of addressing high RF power deposition and modulation transfer function (MTF) distortion due to relaxation. This work presents a streamlined technique to generate a sequence of refocusing flip angles on a per-prescription basis that produces relatively high SNR and limits blurring in a wide range of materials encountered in vivo. Since the "effective TE" (traditionally defined as the time at which the center of k-space is sampled) no longer corresponds to the expected amount of spin-echo T2 contrast due to the mixing of stimulated and spin echoes, a "contrast-equivalent" TE is defined and experimentally demonstrated that allows annotation of a more accurate effective TE that matches the contrast produced by 180 degrees refocusing. Furthermore, contrast is shown to be manipulable by the addition of magnetization preparation pulse sequence segments, such as T2-prep, to produce clinically desirable contrast for routine head and body imaging.

Optimized clinical T2 relaxometry with a standard CPMG sequence

To optimize the accuracy and precision of T2 measurements using the standard Carr-Purcell-Meiboom-Gill (CPMG) sequence. T2 values obtained with this technique are normally sensitive to imperfect refocusing due to the formation of unwanted stimulated echoes. Modifications are made to the refocusing slice selection width and the interleaving scheme. A widened refocusing slice improves the uniformity of the refocusing flip angle across the slice. A slow spin echo acquisition provided "gold standard" T2 values. Repeated T2 measurements in phantom and human studies are used to compare the accuracy and precision of the optimized and non-optimized CPMG implementations. The required slice thickness ratio between refocusing and excitation slice widths is found to be 3:1 for typical optimized radiofrequency pulses. T2 values obtained using this optimized implementation more closely correspond to "gold standard" values. Repeated T2 measurements indicate significantly improved correspondence between data and model. A reduction in the fitting error of approximately 70% is demonstrated for phantoms. We demonstrate that a relatively simple change to the CPMG relaxometry sequence parameters from the default setup yields significant improvements in the accuracy and precision of T2 measurements.

Reduced RF power without blurring: correcting for modulation of refocusing flip angle in FSE sequences.

In order to reduce the RF power deposition of fast spin echo sequences operated at high field strength, the flip angles of the refocusing pulse train are varied from pulse to pulse using a modulated angle refocusing train method. The technique employs high flip angle pulses prior to sampling the center of k-space in order to preserve T(2) contrast, low flip angles after sampling the center of k-space to reduce power and prolong relaxation, and a smooth transition between the high and low flip angle regimes in order to maintain the pseudosteady-state, maximizing signal and avoiding artifact-inducing oscillations. An analytical expression is used to predict and correct for the flip angle dependence of the signal, thus eliminating any deleterious effects of flip angle modulation on the point spread function. Analysis of resolution and SNR were performed in simulation and phantom studies. In human imaging studies, it is shown that RF energy deposition per slice in a single-shot fast spin echo application can be reduced by up to 75%, making the sequence as practical at 3 T as it is has been at 1.5 T.

Multiecho sequences with variable refocusing flip angles: optimization of signal behavior using smooth transitions between pseudo steady states (TRAPS).

A variation of the rapid acquisition with relaxation enhancement (RARE) sequence (also called turbo spin-echo (TSE) or fast spin-echo (FSE)) is presented. This technique uses variable flip angles along the echo train such that magnetization is initially prepared into the static pseudo steady state (PSS) for a low refocusing flip angle (alpha < 180 degrees ). It is shown that after such a preparation, magnetization will always stay very close to the static PSS even after significant variation of the subsequent refocusing flip angles. This allows the design of TSE sequences in which high refocusing flip angles yielding 100% of the attainable signal are applied only for the important echoes encoding for the center of k-space. It is demonstrated that a reduction of the RF power (RFP) by a factor of 2.5-6 can be achieved without any loss in signal intensity. The contribution of stimulated-echo pathways leads to a reduction of the effective TE by a factor f(t), which for typical implementations is on the order of 0.5-0.8. This allows the use of longer echo readout times, and thus longer echo trains, for acquiring images with a given T(2) contrast.

The sensitivity of low flip angle RARE imaging.

It is demonstrated that the stability of the Carr-Purcell-Meiboom-Gill (CPMG) sequence reflects the existence of a steady state solution to the Bloch equations in the absence of T2 and T1 decay. The steady state theory is then used to evaluate the performance of low flip angle RARE imaging sequences with both constant and optimally varied refocusing flip angles. The theory is experimentally verified in phantoms and then optimized, single shot, low flip angle RARE is used to obtain artifact-free images from the brain of a normal volunteer.

45.可変Refocusing Flip Angleを用いたFast SE法の検討(1.5T MRI)

45.可変Refocusing Flip Angleを用いたFast SE法の検討(1.5T MRI)

Dynamic spin-echo imaging: theoretical assessment and implementation.

A spin-echo method for obtaining dynamic magnetic resonance (MR) images is described. The method combines the RARE (rapid acquisition with relaxation enhancement) pulse sequence with a data acquisition scheme in which only a centric fraction of the raw data is sampled to increase the time resolution of the dynamic images. The missing high-resolution data are supplied from reference images. By these means, an effective time resolution of about 10 seconds per image is achieved, which is suitable for diagnostic assessment of contrast enhancement procedures. A promising clinical application is contrast-enhanced MR imaging of the pituitary. Although the resolution of small objects in this size range is potentially degraded, this shortcoming is compensated for with use of variable refocusing flip angles. In the context of pituitary imaging, the centric 30%-40% of the raw data is shown to be the optimal fraction to acquire for the low-resolution dynamic images. Ten patients with previous history of pituitary disease have been imaged with dynamic and conventional spin-echo techniques. In six of these patients, an equivalent diagnosis was reached with dynamic and conventional images, while in two, only the dynamic images showed the lesion; in the final two patients, only the conventional images showed the lesion.

Coupling effects in volume selective 1H spectroscopy of major brain metabolites

The effect of PRESS and STEAM sequences on the spectra of coupled substances are discussed using the examples of weakly coupled AX and A2X systems. Maximum differences compared to uncoupled spins occur if the RF pulses are applied to antiphase magnetization. In this case, the spin echo of the PRESS experiment shows a modified dependence on the refocusing flip angle, which may lead to an attenuation of the acquired signal. In STEAM spectroscopy the evolution within the middle interval tm is dominated by zero quantum coherences and longitudinal polarization, whose maximum efficiencies are 25 and 12.5%, respectively. Zero quantum coherences may lead to strong modulations when the tm value is varied. The effects on the spectra of important coupled metabolites of the human brain such as glutamate, GABA, inositol, and particularly lactate, are demonstrated. The observed modulations seem to make the quantification of the spectra rather difficult at echo times above 50 ms.

Multiecho imaging sequences with low refocusing flip angles

A simple algorithm is presented, which permits recognition of all echos occurring in periodic multipulse sequences. The calculated and observed signal amplitudes are considerably higher than expected from primary echo formation alone. T 2 relaxation time measurements neglecting the formation of stimulated and indirect echoes lead to erroneous results. A method is demonstrated for a T 2-sensitive multiecho experiment. A RARE experiment based on these principles delivers sufficient signal intensity even with small refocusing flip angles.

SAR reduced pulse sequences

Three techniques were considered for reducing the RF (radiofrequency) power deposition in the body while maintaining scan time efficiency: reducing the RF peak amplitude while increasing the pulse width, substituting gradient echoes for spin echoes, and reducing the flip angle of the phase reversal pulse. The use of gradient echoes was found to be the most efficient means to reduce the power delivered to the patient and to obtain rapid data acquisition. The effect upon SAR (specific absorption rate) and SNR (signal-to-nois ratio) was demonstrated on a phantom when the phase reversal pulse was reduced from the standard 180° to 90°. Data in the body indicated a fairly constant SNR down to a refocusing flip angle between 110° and 135°. An initial clinical evaluation was performed at three institutions using the method of reducing the flip angle of the phase reversal pulse. The scan with θ = 120° was rated by readers in a blinded study as having acceptable diagnostic image quality while the 135° scan had comparable image quality to a conventional 90°–180° pulse sequence. The use of reduced phase reversal pulses was seen as an efficient protocol to obtain T 1-weighted images at rapid data rates while reducing the power delivered to the body by about 40%.