Compressed Sensing with Signal Averaging for Improved Sensitivity and Motion Artifact Reduction in Fluorine-19 MRI

Fluorine-19 (19F) MRI of injected perfluorocarbon emulsions (PFCs) allows for the non-invasive quantification of inflammation and cell tracking, but suffers from a low signal-to-noise ratio and extended scan time. To address this limitation, we tested the hypothesis that a 19F MRI pulse sequence that combines a specific undersampling regime with signal averaging has increased sensitivity and robustness against motion artifacts compared to a non-averaged fully-sampled dataset, when both are reconstructed with compressed sensing. To this end, numerical simulations and phantom experiments were performed to characterize the point spread function (PSF) of undersampling patterns and the vulnerability to noise of acquisition-reconstruction strategies with paired numbers of x signal averages and acceleration factor x (NAx-AFx). At all investigated noise levels, the DSC of the acquisition-reconstruction strategies strongly depended on the regularization parameters and acceleration factor. In phantoms, motion robustness of an NA8-AF8 undersampling pattern versus NA1-AF1 was evaluated with simulated and real motions. Differences were assessed with Dice similarity coefficients (DSC), and were consistently higher for NA8-AF8 compared to NA1-AF1 strategy, for both simulated and real cyclic motions (P<0.001). Both acquisition-reconstruction strategies were validated in vivo in mice (n=2) injected with perfluoropolyether. These images displayed a sharper delineation of the liver with the NA8-AF8 strategy than with the NA1-AF1 strategy. In conclusion, we validated the hypothesis that in 19F MRI, the combination of undersampling and averaging improves both the sensitivity and the robustness against motion artifacts compared to a non-averaged fully-sampled dataset, when both are reconstructed with compressed sensing

Optimal Protocol for Contrast-enhanced Free-running 5D Whole-heart Coronary MR Angiography at 3T.

Free-running 5D whole-heart coronary MR angiography (MRA) is gaining in popularity because it reduces scanning complexity by removing the need for specific slice orientations, respiratory gating, or cardiac triggering. At 3T, a gradient echo (GRE) sequence is preferred in combination with contrast injection. However, neither the injection scheme of the gadolinium (Gd) contrast medium, the choice of the RF excitation angle, nor the dedicated image reconstruction parameters have been established for 3T GRE free-running 5D whole-heart coronary MRA. In this study, a Gd injection scheme, RF excitation angles of lipid-insensitive binominal off-resonance RF excitation (LIBRE) pulse for valid fat suppression and continuous data acquisition, and compressed-sensing reconstruction regularization parameters were optimized for contrast-enhanced free-running 5D whole-heart coronary MRA using a GRE sequence at 3T. Using this optimized protocol, contrast-enhanced free-running 5D whole-heart coronary MRA using a GRE sequence is feasible with good image quality at 3T

A Fetal Brain magnetic resonance Acquisition Numerical phantom (FaBiAN)

Accurate characterization of in utero human brain maturation is critical as it involves complex and interconnected structural and functional processes that may influence health later in life. Magnetic resonance imaging is a powerful tool to investigate equivocal neurological patterns during fetal development. However, the number of acquisitions of satisfactory quality available in this cohort of sensitive subjects remains scarce, thus hindering the validation of advanced image processing techniques. Numerical phantoms can mitigate these limitations by providing a controlled environment with a known ground truth. In this work, we present FaBiAN, an open-source Fetal Brain magnetic resonance Acquisition Numerical phantom that simulates clinical T2-weighted fast spin echo sequences of the fetal brain. This unique tool is based on a general, flexible and realistic setup that includes stochastic fetal movements, thus providing images of the fetal brain throughout maturation comparable to clinical acquisitions. We demonstrate its value to evaluate the robustness and optimize the accuracy of an algorithm for super-resolution fetal brain magnetic resonance imaging from simulated motion-corrupted 2D low-resolution series compared to a synthetic high-resolution reference volume. We also show that the images generated can complement clinical datasets to support data-intensive deep learning methods for fetal brain tissue segmentation

Respiratory Motion-Registered Isotropic Whole-Heart T₂ Mapping in Patients With Acute Non-ischemic Myocardial Injury.

Background: T &lt;sub&gt;2&lt;/sub&gt; mapping is a magnetic resonance imaging technique that can be used to detect myocardial edema and inflammation. However, the focal nature of myocardial inflammation may render conventional 2D approaches suboptimal and make whole-heart isotropic 3D mapping desirable. While self-navigated 3D radial T &lt;sub&gt;2&lt;/sub&gt; mapping has been demonstrated to work well at a magnetic field strength of 3T, it results in too noisy maps at 1.5T. We therefore implemented a novel respiratory motion-resolved compressed-sensing reconstruction in order to improve the 3D T &lt;sub&gt;2&lt;/sub&gt; mapping precision and accuracy at 1.5T, and tested this in a heterogeneous patient cohort. Materials and Methods: Nine healthy volunteers and 25 consecutive patients with suspected acute non-ischemic myocardial injury (sarcoidosis, n = 19; systemic sclerosis, n = 2; acute graft rejection, n = 2, and myocarditis, n = 2) were included. The free-breathing T &lt;sub&gt;2&lt;/sub&gt; maps were acquired as three ECG-triggered T &lt;sub&gt;2&lt;/sub&gt; -prepared 3D radial volumes. A respiratory motion-resolved reconstruction was followed by image registration of the respiratory states and pixel-wise T &lt;sub&gt;2&lt;/sub&gt; mapping. The resulting 3D maps were compared to routine 2D T &lt;sub&gt;2&lt;/sub&gt; maps. The T &lt;sub&gt;2&lt;/sub&gt; values of segments with and without late gadolinium enhancement (LGE) were compared in patients. Results: In the healthy volunteers, the myocardial T &lt;sub&gt;2&lt;/sub&gt; values obtained with the 2D and 3D techniques were similar (45.8 ± 1.8 vs. 46.8 ± 2.9 ms, respectively; P = 0.33). Conversely, in patients, T &lt;sub&gt;2&lt;/sub&gt; values did differ between 2D (46.7 ± 3.6 ms) and 3D techniques (50.1 ± 4.2 ms, P = 0.004). Moreover, with the 2D technique, T &lt;sub&gt;2&lt;/sub&gt; values of the LGE-positive segments were similar to those of the LGE-negative segments (T &lt;sub&gt;2LGE-&lt;/sub&gt; = 46.2 ± 3.7 vs. T &lt;sub&gt;2LGE+&lt;/sub&gt; = 47.6 ± 4.1 ms; P = 0.49), whereas the 3D technique did show a significant difference (T &lt;sub&gt;2LGE-&lt;/sub&gt; = 49.3 ± 6.7 vs. T &lt;sub&gt;2LGE+&lt;/sub&gt; = 52.6 ± 8.7 ms, P = 0.006). Conclusion: Respiratory motion-registered 3D radial imaging at 1.5T led to accurate isotropic 3D whole-heart T &lt;sub&gt;2&lt;/sub&gt; maps, both in the healthy volunteers and in a small patient cohort with suspected non-ischemic myocardial injury. Significantly higher T &lt;sub&gt;2&lt;/sub&gt; values were found in patients as compared to controls in 3D but not in 2D, suggestive of the technique's potential to increase the sensitivity of CMR at earlier stages of disease. Further study will be needed to demonstrate its accuracy

Motion-resolved fat-fraction mapping with whole-heart free-running multiecho GRE and pilot tone.

PURPOSE To develop a free-running 3D radial whole-heart multiecho gradient echo (ME-GRE) framework for cardiac- and respiratory-motion-resolved fat fraction (FF) quantification. METHODS (NTE  = 8) readouts optimized for water-fat separation and quantification were integrated within a continuous non-electrocardiogram-triggered free-breathing 3D radial GRE acquisition. Motion resolution was achieved with pilot tone (PT) navigation, and the extracted cardiac and respiratory signals were compared to those obtained with self-gating (SG). After extra-dimensional golden-angle radial sparse parallel-based image reconstruction, FF, R2 *, and B0 maps, as well as fat and water images were generated with a maximum-likelihood fitting algorithm. The framework was tested in a fat-water phantom and in 10 healthy volunteers at 1.5 T using NTE  = 4 and NTE  = 8 echoes. The separated images and maps were compared with a standard free-breathing electrocardiogram (ECG)-triggered acquisition. RESULTS The method was validated in vivo, and physiological motion was resolved over all collected echoes. Across volunteers, PT provided respiratory and cardiac signals in agreement (r = 0.91 and r = 0.72) with SG of the first echo, and a higher correlation to the ECG (0.1% of missed triggers for PT vs. 5.9% for SG). The framework enabled pericardial fat imaging and quantification throughout the cardiac cycle, revealing a decrease in FF at end-systole by 11.4% ± 3.1% across volunteers (p < 0.0001). Motion-resolved end-diastolic 3D FF maps showed good correlation with ECG-triggered measurements (FF bias of -1.06%). A significant difference in free-running FF measured with NTE  = 4 and NTE  = 8 was found (p < 0.0001 in sub-cutaneous fat and p < 0.01 in pericardial fat). CONCLUSION Free-running fat fraction mapping was validated at 1.5 T, enabling ME-GRE-based fat quantification with NTE  = 8 echoes in 6:15 min