Abstract
Objective
Develop and optimize an accelerated, high-resolution (0.5 mm isotropic) 3D black blood MRI technique to reduce scan time for whole-brain intracranial vessel wall imaging.
Materials and methods
A 3D accelerated T1-weighted fast-spin-echo prototype sequence using compressed sensing (CS-SPACE) was developed at 3T. Both the acquisition [echo train length (ETL), under-sampling factor] and reconstruction parameters (regularization parameter, number of iterations) were first optimized in 5 healthy volunteers. Ten patients with a variety of intracranial vascular disease presentations (aneurysm, atherosclerosis, dissection, vasculitis) were imaged with SPACE and optimized CS-SPACE, pre and post Gd contrast. Lumen/wall area, wall-to-lumen contrast ratio (CR), enhancement ratio (ER), sharpness, and qualitative scores (1–4) by two radiologists were recorded.
Results
The optimized CS-SPACE protocol has ETL 60, 20% k-space under-sampling, 0.002 regularization factor with 20 iterations. In patient studies, CS-SPACE and conventional SPACE had comparable image scores both pre- (3.35 ± 0.85 vs. 3.54 ± 0.65, p = 0.13) and post-contrast (3.72 ± 0.58 vs. 3.53 ± 0.57, p = 0.15), but the CS-SPACE acquisition was 37% faster (6:48 vs. 10:50). CS-SPACE agreed with SPACE for lumen/wall area, ER measurements and sharpness, but marginally reduced the CR.
Conclusion
In the evaluation of intracranial vascular disease, CS-SPACE provides a substantial reduction in scan time compared to conventional T1-weighted SPACE while maintaining good image quality.
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Acknowledgements
This study is supported by National Institute of Health (NIH) Grants R01HL114118, R01NS059944 and K99HL136883.
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Protocol/project development: CZ, SA, GL, ER, CF, JL, CH, DS. Data collection or management: CZ, LC, QL, JL. Data analysis: CZ, BT, LE.
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Conflict of interest
Esther Raithel, Christoph Forman, Gerhard Laub and Sinyeob Ahn are employees of Siemens. Other authors declare that they have no conflict of interest.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This study was conducted under IRB approval of the University of California San Francisco (reference number: 10-03248) and Changhai Hospital in Shanghai (reference number: CHEC2013-204).
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Informed consent was obtained from all individual participants included in the study.
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10334_2017_667_MOESM1_ESM.tif
Figure S1. Bar plot showing the image scores of the SPACE and CS-SPACE protocols. Mean and SD are shown in the bar plot (TIFF 335 kb)
10334_2017_667_MOESM2_ESM.tif
Figure S2. Test of high parallel imaging acceleration in a volunteer. A) Sagittal SPACE image (scan time 10:50 s). B) Optimized CS-SPACE image (ETL60-20%, scan time 6:48 s). C) SPACE image with GRAPPA 2x2 (scan time 6:32 s). Red arrows show the internal carotid artery. CS-SPACE has comparable image quality with SPACE, but high GRAPPA factor significantly reduces the SNR (TIFF 1975 kb)
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Zhu, C., Tian, B., Chen, L. et al. Accelerated whole brain intracranial vessel wall imaging using black blood fast spin echo with compressed sensing (CS-SPACE). Magn Reson Mater Phy 31, 457–467 (2018). https://doi.org/10.1007/s10334-017-0667-3
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DOI: https://doi.org/10.1007/s10334-017-0667-3