Imaging Physics, Fraunhofer Institute for Digital Medicine MEVIS, Bremen, Germany.
Faculty 1 (Physics/Electrical Engineering), University of Bremen, Bremen, Germany.
Magn Reson Med. 2022 Apr;87(4):1876-1885. doi: 10.1002/mrm.29083. Epub 2021 Nov 14.
Arterial spin labeling allows noninvasive measurement of cerebral blood flow by magnetically labeling inflowing blood, using it as endogenous tracer. Unfortunately, sensitivity to subject motion is high due to the subtractive nature of arterial spin labeling, which is especially problematic if Cartesian segmented 3D gradient and spin echo (GRASE) is applied. Using a 3D GRASE PROPELLER (3DGP) segmentation, retrospective correction of in-plane rigid body motion is possible before final combination of different segments. However, the standard 3DGP reconstruction is affected by off-resonance effects and has not yet been validated with different motion patterns and levels of background suppression.
The standard algorithm (1) and a Cartesian segmented 3D GRASE (2), as well as a new 3DGP reconstruction algorithm, which allows joint estimation of motion and geometric distortion (called 3DGP-JET), are validated in 5 healthy volunteers. Image quality of perfusion-weighted images was investigated for background suppression levels of 0%, 5%, and 10% in combination with no motion, as well as slow and fast intentional motion patterns during the scan.
The proposed 3DGP-JET algorithm allowed robust estimation of field maps and motion for all scenarios, and greatly reduced motion-related artifacts in perfusion-weighted images when compared with Cartesian segmented 3D GRASE.
Further improvements of the presented 3DGP-JET routine and a combination with prospective motion correction are recommended to compensate for through-plane motion, making the presented technique a good candidate for dealing with motion-related artifacts in arterial spin labeling images in clinical reality.
动脉自旋标记法通过对流入血液进行磁标记,将其作为内源性示踪剂,从而实现对脑血流的非侵入性测量。然而,由于动脉自旋标记法具有相减性质,因此对受试者运动非常敏感,如果应用笛卡尔分段 3D 梯度和自旋回波(GRASE),则尤其成问题。使用 3D GRASE 推进器(3DGP)分段,在最终组合不同分段之前,可以对平面内刚体运动进行回顾性校正。然而,标准的 3DGP 重建受到离频效应的影响,并且尚未针对不同的运动模式和背景抑制水平进行验证。
在 5 名健康志愿者中验证了标准算法(1)和笛卡尔分段 3D GRASE(2)以及一种新的 3DGP 重建算法,该算法允许联合估计运动和几何变形(称为 3DGP-JET)。研究了在结合无运动以及在扫描过程中存在缓慢和快速有意运动模式时,背景抑制水平为 0%、5%和 10%的情况下,灌注加权图像的图像质量。
与笛卡尔分段 3D GRASE 相比,所提出的 3DGP-JET 算法允许对所有场景进行稳健的场图和运动估计,并大大减少了灌注加权图像中的运动相关伪影。
建议进一步改进所提出的 3DGP-JET 例程并结合前瞻性运动校正,以补偿平面内运动,从而使所提出的技术成为在临床实践中处理动脉自旋标记图像中与运动相关的伪影的良好候选技术。