The variable flip-angle (VFA) experiment is an efficient way to measure T1 using a spoiled steady-state sequence compared to the gold standard inversion recovery experiment 1-3. The VFA signal curves can be easily linearized and hence only two acquisitions are required 4, although in practice the number of flip-angles used varies 5-8. Deoni et al. showed that the same methods could be used to measure T2 using a balanced steady-state free precession (bSSFP) sequence 9. This method has been less widely used, likely due to off-resonance artifacts at higher field strengths 10-12. If two flip-angles are used, they must be selected carefully. An obvious criterion is that the measurement variance of T1 or T2 should be minimized. Wang et al. derived an expression for the variance in T1 that contains a sum over all flip-angles 13, and found the optimal two by numerical optimization. In contrast, Deoni et al. hypothesized that the optimal flip-angles will generate equal signal intensity but lie either side of the maximum, and derived a formula for the flip-angles in terms of the measured fractional signal f compared to the Ernst signal. Deoni et al. then numerically optimized the product of signal intensity and the distance between points on the regression line and found f = 0.71 for both T1 and T2 (9). This hypothesis, while intuitive and well grounded, was only checked by comparison to a pair of flip-angles calculated by Wang. Instead, if Wang and Deoni's formulas are combined f can be found analytically to be and this value shown to minimize the experimental variance. The following analysis used the Sympy symbolic algebra package (version 0.7.5, www.sympy.org), provided as part of the Canopy distribution (www.enthought.com). The code used is available as Supporting Information. These values also make the derivatives of (5) equal to zero, confirming that the assumption of equal signal intensity is correct. Using values of , given previously in (9,13), yields identical values of and . More practical values of yields and , which differ from those given in (9) by only 1°. This result is more concise than equations [A14–17] in (9). Deoni does not give an example flip-angle for a T2 experiment. For , Eq. 8 gives and . Figure 1 plots Eqs. 5 and 11, expressed as a noise factor (13), across a range of T1 and T2 values with flip-angles chosen with (8) or (13) for T1 or T2, respectively. TR was 5 ms and for the T2 simulations. These plots give an indication of how far from the respective target T1 or T2 the relative accuracy of the two flip-angle method is maintained. For T1, a short target value produces the best accuracy but only over a very narrow range, whereas for T2 a long target gives the best accuracy. For T1 and T2, the curves are broader for long target values, implying more equal accuracy over a range of values. However, the accuracy for values lower than the target becomes compromised, particularly in the case of T2. Plots of Eq. 5 (a) and Eq. 11 (b) using angles optimized for T1 or T2 values given in the legends. Tobias Charles Wood Department of Neuroimaging King's College London London, UK The author would like to thank Professor Gareth Barker for reading the article and Doctor Anna Völker for helpful suggestions. In accordance with the procedures described in our Authors' Guidelines, Drs. Deoni, Peters and Rutt were sent a copy of this Letter to the Editor after it was accepted, along with an invitation to respond. While they did not submit a formal Response manuscript, they pointed out the following reference, which they think may be useful to readers who are interested in this topic: Schabel MC, Morrell GR. Uncertainty in T(1) mapping using the variable flip angle method with two flip angles. Phys Med Biol. 2009;54 N1-8. doi: 10.1088/0031-9155/54/1/N01. Additional Supporting Information may be found in the online version of this article. The derivation of equations [5] to [8] using the Sympy symbolic algebra package. The derivation of equations [11] to [13] using the Sympy symbolic algebra package. Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
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