Investigation and modeling of magnetization transfer effects in two-dimensional multislice turbo spin echo sequences with low constant or variable flip angles at 3 T.

Magnetization transfer effects represent a major source of contrast in multislice turbo spin echo sequences (TSE)/fast spin echo sequences. Generally, low refocusing flip angles have become common in such MRI sequences, especially to mitigate specific absorption rate problems. Since the strength of magnetization transfer effects is related to the radiofrequency power and therefore specific absorption rate applied, magnetization transfer induced signal attenuations are investigated for a variety of TSE sequences with low constant and variable flip angles. Noticeable differences between the sequences have been observed. In particular, fewer signal attenuations are observed for TSE with low flip angles such as hyperecho-TSE and smooth transitions between pseudo steady states-TSE, leading to contrast that is less dependent on the number of slices. It is shown that the strength of the magnetization transfer-induced signal attenuations can be understood and described by a physical framework, which is based on the mean square flip angle of a given TSE sequence.