Department of Radiation Oncology, Washington University School of Medicine, St Louis, Missouri 63110, USA.
Int J Radiat Oncol Biol Phys. 2013 May 1;86(1):198-204. doi: 10.1016/j.ijrobp.2012.12.014. Epub 2013 Feb 13.
To evaluate the feasibility of prospectively guiding 4-dimensional (4D) magnetic resonance imaging (MRI) image acquisition using triggers at preselected respiratory amplitudes to achieve T(2) weighting for abdominal motion tracking.
A respiratory amplitude-based triggering system was developed and integrated into a commercial turbo spin echo MRI sequence. Initial feasibility tests were performed on healthy human study participants. Four respiratory states, the middle and the end of inhalation and exhalation, were used to trigger 4D MRI image acquisition of the liver. To achieve T(2) weighting, the echo time and repetition time were set to 75 milliseconds and 4108 milliseconds, respectively. Single-shot acquisition, together with parallel imaging and partial k-space imaging techniques, was used to improve image acquisition efficiency. 4D MRI image sets composed of axial or sagittal slices were acquired.
Respiratory data measured and logged by the MRI scanner showed that the triggers occurred at the appropriate respiratory levels. Liver motion could be easily observed on both 4D MRI image datasets by sensing either the change of liver in size and shape (axial) or diaphragm motion (sagittal). Both 4D MRI image datasets were T(2)-weighted as expected.
This study demonstrated the feasibility of achieving T(2)-weighted 4D MRI images using amplitude-based respiratory triggers. With the aid of the respiratory amplitude-based triggering system, the proposed method is compatible with most MRI sequences and therefore has the potential to improve tumor-tissue contrast in abdominal tumor motion imaging.
评估使用预设呼吸幅度触发来前瞻性指导 4 维(4D)磁共振成像(MRI)图像采集的可行性,以实现腹部运动跟踪的 T2 加权。
开发了一种基于呼吸幅度的触发系统,并将其集成到商业的涡轮自旋回波 MRI 序列中。在健康的人类研究参与者中进行了初步可行性测试。使用四种呼吸状态,即吸气和呼气的中间和末端,来触发肝脏的 4D MRI 图像采集。为了实现 T2 加权,将回波时间和重复时间分别设置为 75 毫秒和 4108 毫秒。使用单次采集以及并行成像和部分 k 空间成像技术来提高图像采集效率。采集由轴向或矢状切片组成的 4D MRI 图像集。
MRI 扫描仪测量和记录的呼吸数据表明,触发发生在适当的呼吸水平。通过感知肝脏大小和形状的变化(轴向)或膈肌运动(矢状),可以很容易地在两组 4D MRI 图像数据集上观察到肝脏运动。两组 4D MRI 图像数据集都如预期那样具有 T2 加权。
本研究证明了使用基于幅度的呼吸触发来实现 T2 加权 4D MRI 图像的可行性。借助基于呼吸幅度的触发系统,所提出的方法与大多数 MRI 序列兼容,因此有可能提高腹部肿瘤运动成像中肿瘤组织的对比度。