A 1-minute full brain MR exam using a multicontrast EPI sequence

作者:Skare Stefan*; Sprenger Tim; Norbeck Ola; Ryden Henric; Blomberg Lars; Avventi Enrico; Engstrom Mathias
来源:Magnetic Resonance in Medicine, 2018, 79(6): 3045-3054.
DOI:10.1002/mrm.26974

摘要

PurposeA new multicontrast echo-planar imaging (EPI)-based sequence is proposed for brain MRI, which can directly generate six MR contrasts (T-1-FLAIR, T-2-w, diffusion-weighted (DWI), apparent diffusion coefficient (ADC), T2*-w, T-2-FLAIR) in 1min with full brain coverage. This could enable clinical MR clinical screening in similar time as a conventional CT exam but with more soft-tissue information.
MethodsEleven sequence modules were created as dynamic building blocks for the sequence. Two EPI readout modules were reused throughout the sequence and were prepended by other modules to form the desired MR contrasts. Two scan protocols were optimized with scan times of 55-75 s. Motion experiments were carried out on two volunteers to investigate the robustness against head motion. Scans on patients were carried out and compared to conventional clinical images.
ResultsThe pulse sequence is found to be robust against motion given its single-shot nature of each contrast. For excessive out-of-plane head motion, the T-1-FLAIR and T-2-FLAIR contrasts suffer from incomplete inversion. Despite lower signal-to-noise ratio (SNR) and resolution, the 1-min multicontrast EPI data show promising correspondence with conventional diagnostic scans on patients.
ConclusionA 1min multicontrast brain MRI scan based on EPI readouts has been presented in this feasibility study. Preliminary data show potential for clinical brain MRI use with minimal bore time for the patient. Such short examination time could be useful (e.g., for screening and acute stroke). The sequence may also help planning conventional brain MRI scans if run at the beginning of an examination. Magn Reson Med 79:3045-3054, 2018.

  • 出版日期2018-6