Zhu Dan, Li Wenbo, Liu Dapeng, Liu Guanshu, Pei Yigang, Shin Taehoon, Sedaghat Farzad, Qin Qin
Department of Biomedical Engineering, Johns Hopkins University School of Medicine, Baltimore, Maryland.
The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Magn Reson Med. 2020 Sep;84(3):1173-1183. doi: 10.1002/mrm.28187. Epub 2020 Feb 4.
Most existing non-contrast-enhanced methods for abdominal MR arteriography rely on a spatially selective inversion (SSI) pulse with a delay to null both static tissue and venous blood, and are limited to small spatial coverage due to the sensitivity to slow arterial inflow. Velocity-selective inversion (VSI) based approach has been shown to preserve the arterial blood inside the imaging volume at 1.5 T. Recently, velocity-selective saturation (VSS) pulse trains were applied to suppress the static tissue and have been combined with SSI pulses for cerebral MR arteriography at 3 T. The aim of this study is to construct an abdominal MRA protocol with large spatial coverage at 3 T using advanced velocity-selective pulse trains.
Multiple velocity-selective MRA protocols with different sequence modules and 3D acquisition methods were evaluated. Sequences using VSS only as well as SSI+VSS and VSI+VSS preparations were then compared among a group of healthy young and middle-aged volunteers. Using MRA without any preparations as reference, relative signal ratios and relative contrast ratios of different vascular segments were quantitatively analyzed.
Both SSI+VSS and VSI+VSS arteriograms achieved high artery-to-tissue and artery-to-vein relative contrast ratios above aortic bifurcation. The SSI+VSS sequence yielded lower signal at the bilateral iliac arteries than VSI+VSS, reflecting the benefit of the VSI preparation for imaging the distal branches.
The feasibility of noncontrast 3D MR abdominal arteriography was demonstrated on healthy volunteers using a combination of VSS pulse trains and SSI or VSI pulse.
大多数现有的腹部磁共振血管造影非增强方法依赖于具有延迟的空间选择性反转(SSI)脉冲,以消除静态组织和静脉血,并且由于对缓慢动脉流入的敏感性而限于小空间覆盖范围。基于速度选择性反转(VSI)的方法已被证明在1.5T时可保留成像容积内的动脉血。最近,速度选择性饱和(VSS)脉冲序列被应用于抑制静态组织,并已与SSI脉冲结合用于3T时的脑磁共振血管造影。本研究的目的是使用先进的速度选择性脉冲序列构建3T时具有大空间覆盖范围的腹部MRA协议。
评估了具有不同序列模块和3D采集方法的多种速度选择性MRA协议。然后在一组健康的年轻和中年志愿者中比较仅使用VSS以及SSI + VSS和VSI + VSS准备的序列。以无任何准备的MRA为参考,定量分析不同血管段的相对信号比和相对对比比。
SSI + VSS和VSI + VSS动脉造影在主动脉分叉上方均实现了高动脉与组织以及动脉与静脉的相对对比比。SSI + VSS序列在双侧髂动脉处的信号低于VSI + VSS,这反映了VSI准备对远端分支成像的益处。
使用VSS脉冲序列与SSI或VSI脉冲相结合,在健康志愿者身上证明了非对比3D MR腹部血管造影的可行性。