Borjan Gagoski

Blipped-controlled aliasing in parallel imaging for simultaneous multislice echo planar imaging with reduced g-factor penalty

Simultaneous multislice Echo Planar Imaging (EPI) acquisition using parallel imaging can decrease the acquisition time for diffusion imaging and allow full‐brain, high‐resolution functional MRI (fMRI) acquisitions at a reduced repetition time (TR). However, the unaliasing of simultaneously acquired, closely spaced slices can be difficult, leading to a high g‐factor penalty. We introduce a method to create interslice image shifts in the phase encoding direction to increase the distance between aliasing pixels. The shift between the slices is induced using sign‐ and amplitude‐modulated slice‐select gradient blips simultaneous with the EPI phase encoding blips. This achieves the desired shifts but avoids an undesired “tilted voxel” blurring artifact associated with previous methods. We validate the method in 3× slice‐accelerated spin‐echo and gradient‐echo EPI at 3 T and 7 T using 32‐channel radio frequency (RF) coil brain arrays. The Monte‐Carlo simulated average g‐factor penalty of the 3‐fold slice‐accelerated acquisition with interslice shifts is <1% at 3 T (compared with 32% without slice shift). Combining 3× slice acceleration with 2× inplane acceleration, the g‐factor penalty becomes 19% at 3 T and 10% at 7 T (compared with 41% and 23% without slice shift). We demonstrate the potential of the method for accelerating diffusion imaging by comparing the fiber orientation uncertainty, where the 3‐fold faster acquisition showed no noticeable degradation. Magn Reson Med, 2012.

Parallel RF transmission with eight channels at 3 tesla

Spatially selective RF waveforms were designed and demonstrated for parallel excitation with a dedicated eight‐coil transmit array on a modified 3T human MRI scanner. Measured excitation profiles of individual coils in the array were used in a low‐flip‐angle pulse design to achieve desired spatial target profiles with two‐ (2D) and three‐dimensional (3D) k‐space excitation with simultaneous transmission of RF on eight channels. The 2D pulse excited a high‐resolution spatial pattern in‐plane, while the 3D trajectory produced high‐quality slice selection with a uniform in‐plane excitation despite the highly nonuniform individual spatial profiles of the coil array. The multichannel parallel RF excitation was used to accelerate the 2D excitation by factors of 2–8, and experimental results were in excellent agreement with simulations based on the measured coil maps. Parallel RF transmission may become critical for robust and routine human studies at very high field strengths where B1 inhomogeneity is commonly severe. Magn Reson Med, 2006.

Magnitude least squares optimization for parallel radio frequency excitation design demonstrated at 7 Tesla with eight channels

Spatially tailored radio frequency (RF) excitations accelerated with parallel transmit systems provide the opportunity to create shaped volume excitations or mitigate inhomogeneous B1 excitation profiles with clinically relevant pulse lengths. While such excitations are often designed as a least‐squares optimized approximation to a target magnitude and phase profile, adherence to the target phase profile is usually not important as long as the excitation phase is slowly varying compared with the voxel dimension. In this work, we demonstrate a method for a magnitude least squares optimization of the target magnetization profile for multichannel parallel excitation to improve the magnitude profile and reduce the RF power at the cost of a less uniform phase profile. The method enables the designer to trade off the allowed spatial phase variation for the improvement in magnitude profile and reduction in RF power. We validate the method with simulation studies and demonstrate its performance in fourfold accelerated two‐dimensional spiral excitations, as well as for uniform in‐plane slice selective parallel excitations using an eight‐channel transmit array on a 7T human MRI scanner. The experimental results are in good agreement with the simulations, which show significant improvement in the magnitude profile and reductions in the required RF power while still maintaining negligible intravoxel phase variation. Magn Reson Med 59:908–915, 2008.

Slice-Selective RF pulses for In-vivo B1+ Inhomogeneity Mitigation at 7 Tesla using Parallel RF Excitation with a 16-Element Coil

Slice‐selective RF waveforms that mitigate severe B  1+ inhomogeneity at 7 Tesla using parallel excitation were designed and validated in a water phantom and human studies on six subjects using a 16‐element degenerate stripline array coil driven with a butler matrix to utilize the eight most favorable birdcage modes. The parallel RF waveform design applied magnitude least‐squares (MLS) criteria with an optimized k‐space excitation trajectory to significantly improve profile uniformity compared to conventional least‐squares (LS) designs. Parallel excitation RF pulses designed to excite a uniform in‐plane flip angle (FA) with slice selection in the z‐direction were demonstrated and compared with conventional sinc‐pulse excitation and RF shimming. In all cases, the parallel RF excitation significantly mitigated the effects of inhomogeneous B  1+ on the excitation FA. The optimized parallel RF pulses for human B  1+ mitigation were only 67% longer than a conventional sinc‐based excitation, but significantly outperformed RF shimming. For example the standard deviations (SDs) of the in‐plane FA (averaged over six human studies) were 16.7% for conventional sinc excitation, 13.3% for RF shimming, and 7.6% for parallel excitation. This work demonstrates that excitations with parallel RF systems can provide slice selection with spatially uniform FAs at high field strengths with only a small pulse‐duration penalty. Magn Reson Med 60:1422–1432, 2008.

Fast slice‐selective radio‐frequency excitation pulses for mitigating B +1 inhomogeneity in the human brain at 7 Tesla

A novel radio‐frequency (RF) pulse design algorithm is presented that generates fast slice‐selective excitation pulses that mitigate B  +1 inhomogeneity present in the human brain at high field. The method is provided an estimate of the B  +1 field in an axial slice of the brain and then optimizes the placement of sinc‐like “spokes” in kz via an L1‐norm penalty on candidate (kx, ky) locations; an RF pulse and gradients are then designed based on these weighted points. Mitigation pulses are designed and demonstrated at 7T in a head‐shaped water phantom and the brain; in each case, the pulses mitigate a significantly nonuniform transmit profile and produce nearly uniform flip angles across the field of excitation (FOX). The main contribution of this work, the sparsity‐enforced spoke placement and pulse design algorithm, is derived for conventional single‐channel excitation systems and applied in the brain at 7T, but readily extends to lower field systems, nonbrain applications, and multichannel parallel excitation arrays. Magn Reson Med 59:1355–1364, 2008.

Wave‐CAIPI for highly accelerated 3D imaging

To introduce the wave‐CAIPI (controlled aliasing in parallel imaging) acquisition and reconstruction technique for highly accelerated 3D imaging with negligible g‐factor and artifact penalties.

Broadband slab selection with B1+ mitigation at 7T via parallel spectral-spatial excitation.

Chemical shift imaging benefits from signal‐to‐noise ratio (SNR) and chemical shift dispersion increases at stronger main field such as 7 Tesla, but the associated shorter radiofrequency (RF) wavelengths encountered require B  1+ mitigation over both the spatial field of view (FOV) and a specified spectral bandwidth. The bandwidth constraint presents a challenge for previously proposed spatially tailored B  1+ mitigation methods, which are based on a type of echovolumnar trajectory referred to as “spokes” or “fast‐kz”. Although such pulses, in conjunction with parallel excitation methodology, can efficiently mitigate large B  1+ inhomogeneities and achieve relatively short pulse durations with slice‐selective excitations, they exhibit a narrow‐band off‐resonance response and may not be suitable for applications that require B  1+ mitigation over a large spectral bandwidth. This work outlines a design method for a general parallel spectral‐spatial excitation that achieves a target‐error minimization simultaneously over a bandwidth of frequencies and a specified spatial‐domain. The technique is demonstrated for slab‐selective excitation with in‐plane B  1+ mitigation over a 600‐Hz bandwidth. The pulse design method is validated in a water phantom at 7T using an eight‐channel transmit array system. The results show significant increases in the pulses spectral bandwidth, with no additional pulse duration penalty and only a minor tradeoff in spatial B  1+ mitigation compared to the standard spoke‐based parallel RF design. Magn Reson Med 61:493–500, 2009.

3D GABA imaging with real-time motion correction, shim update and reacquisition of adiabatic spiral MRSI

Gamma-aminobutyric acid (GABA) and glutamate (Glu) are the major neurotransmitters in the brain. They are crucial for the functioning of healthy brain and their alteration is a major mechanism in the pathophysiology of many neuro-psychiatric disorders. Magnetic resonance spectroscopy (MRS) is the only way to measure GABA and Glu non-invasively in vivo. GABA detection is particularly challenging and requires special MRS techniques. The most popular is MEscher-GArwood (MEGA) difference editing with single-voxel Point RESolved Spectroscopy (PRESS) localization. This technique has three major limitations: a) MEGA editing is a subtraction technique, hence is very sensitive to scanner instabilities and motion artifacts. b) PRESS is prone to localization errors at high fields (≥3T) that compromise accurate quantification. c) Single-voxel spectroscopy can (similar to a biopsy) only probe steady GABA and Glu levels in a single location at a time. To mitigate these problems, we implemented a 3D MEGA-editing MRS imaging sequence with the following three features: a) Real-time motion correction, dynamic shim updates, and selective reacquisition to eliminate subtraction artifacts due to scanner instabilities and subject motion. b) Localization by Adiabatic SElective Refocusing (LASER) to improve the localization accuracy and signal-to-noise ratio. c) K-space encoding via a weighted stack of spirals provides 3D metabolic mapping with flexible scan times. Simulations, phantom and in vivo experiments prove that our MEGA-LASER sequence enables 3D mapping of GABA+ and Glx (Glutamate+Gluatmine), by providing 1.66 times larger signal for the 3.02ppm multiplet of GABA+ compared to MEGA-PRESS, leading to clinically feasible scan times for 3D brain imaging. Hence, our sequence allows accurate and robust 3D-mapping of brain GABA+ and Glx levels to be performed at clinical 3T MR scanners for use in neuroscience and clinical applications.

Neurologic 3D MR Spectroscopic Imaging with Low-Power Adiabatic Pulses and Fast Spiral Acquisition

PURPOSE To improve clinical three-dimensional (3D) MR spectroscopic imaging with more accurate localization and faster acquisition schemes. MATERIALS AND METHODS Institutional review board approval and patient informed consent were obtained. Data were acquired with a 3-T MR imager and a 32-channel head coil in phantoms, five healthy volunteers, and five patients with glioblastoma. Excitation was performed with localized adiabatic spin-echo refocusing (LASER) by using adiabatic gradient-offset independent adiabaticity wideband uniform rate and smooth truncation (GOIA-W[16,4]) pulses with 3.5-msec duration, 20-kHz bandwidth, 0.81-kHz amplitude, and 45-msec echo time. Interleaved constant-density spirals simultaneously encoded one frequency and two spatial dimensions. Conventional phase encoding (PE) (1-cm3 voxels) was performed after LASER excitation and was the reference standard. Spectra acquired with spiral encoding at similar and higher spatial resolution and with shorter imaging time were compared with those acquired with PE. Metabolite levels were fitted with software, and Bland-Altman analysis was performed. RESULTS Clinical 3D MR spectroscopic images were acquired four times faster with spiral protocols than with the elliptical PE protocol at low spatial resolution (1 cm3). Higher-spatial-resolution images (0.39 cm3) were acquired twice as fast with spiral protocols compared with the low-spatial-resolution elliptical PE protocol. A minimum signal-to-noise ratio (SNR) of 5 was obtained with spiral protocols under these conditions and was considered clinically adequate to reliably distinguish metabolites from noise. The apparent SNR loss was not linear with decreasing voxel sizes because of longer local T2* times. Improvement of spectral line width from 4.8 Hz to 3.5 Hz was observed at high spatial resolution. The Bland-Altman agreement between spiral and PE data is characterized by narrow 95% confidence intervals for their differences (0.12, 0.18 of their means). GOIA-W(16,4) pulses minimize chemical-shift displacement error to 2.1%, reduce nonuniformity of excitation to 5%, and eliminate the need for outer volume suppression. CONCLUSION The proposed adiabatic spiral 3D MR spectroscopic imaging sequence can be performed in a standard clinical MR environment. Improvements in image quality and imaging time could enable more routine acquisition of spectroscopic data than is possible with current pulse sequences.

Seven-Tesla Proton Magnetic Resonance Spectroscopic Imaging in Adult X-Linked Adrenoleukodystrophy

BACKGROUND Adults with X-linked adrenoleukodystrophy (X-ALD) remain at risk for progressive neurological deterioration. Phenotypes vary in their pathology, ranging from axonal degeneration to inflammatory demyelination. The severity of symptoms is poorly explained by conventional imaging. OBJECTIVE To test the hypothesis that neurochemistry in normal-appearing brains differs in adult phenotypes of X-ALD and that neurochemical changes correlate with the severity of symptoms. PATIENTS AND METHODS Using a 7-Tesla scanner, we performed structural and proton magnetic resonance spectroscopic imaging in 13 adult patients with X-ALD: 4 patients with adult cerebral ALD, 5 patients with adrenomyeloneuropathy (AMN), and 4 female heterozygotes. Nine healthy controls were included. RESULTS Among adult X-ALD phenotypes, the myo-inositol to creatine ratio was 46% higher and the choline to creatine ratio was 21% higher in normal-appearing white matter of those with adult cerebral ALD compared with those with AMN (P < .05). Both N-acetylaspartate to creatine (P = .03) and glutamate to creatine (P = .04) ratios were lower in AMN patients than in controls. There were no significant differences between patients with AMN and female heterozygotes. In the cortex, patients with adult cerebral ALD had lower N-acetylaspartate to creatine ratios compared with female heterozygotes and controls (P = .02). The global myo-inositol to creatine ratio demonstrated a significant association with Expanded Disability Status Scale score (Spearman rho = 0.66, P = .04). CONCLUSIONS Seven-Tesla proton magnetic resonance spectroscopic imaging reveals differences in the neurochemistry of adult cerebral ALD but cannot distinguish AMN patients from female heterozygotes. Myo-inositol to creatine ratio correlates with the severity of the symptoms and may be a meaningful biomarker in adult X-ALD.