German Center for Neurodegenerative Diseases (DZNE), Bonn, Germany.
Department of Physics and Astronomy, University of Bonn, Bonn, Germany.
Magn Reson Med. 2022 Nov;88(5):2217-2232. doi: 10.1002/mrm.29383. Epub 2022 Jul 25.
Quantitative multi-parameter mapping (MPM) has been shown to provide good longitudinal and cross-sectional reproducibility for clinical research. Unfortunately, acquisition times (TAs) are typically infeasible for routine scanning at high resolutions.
A fast whole-brain MPM protocol based on interleaved multi-shot 3D-EPI with controlled aliasing (SC-EPI) at 3T and 7T is proposed and compared with MPM using a standard spoiled gradient echo (FLASH) sequence. Four parameters (R , PD, , and MTsat) were measured in less than 3 min at 1 mm isotropic resolution. Five subjects went through the same scanning sessions twice at each scanner. The intra-subject coefficient of variation (scan-rescan) (CoV) was estimated for each protocol and scanner to assess the longitudinal reproducibility.
At 3T, the CoV of SC-EPI ranged between 1.2%-4.8% for PD and R , 2.8%-10.6% for and MTsat, which was comparable with FLASH (0.6%-4.9% for PD and R , 2.6%-11.3% for and MTsat). At 7T, where the SC-EPI TA was reduced to ∼2 min, the CoV of SC-EPI (1.4%-10.6% for PD, R , and ) was 1.2-2.4 times larger than the CoV of FLASH (1.0%-15%) and MTsat showed much higher variability across subjects. The SC-EPI-MPM protocol at 3T showed high reproducibility and yielded stable quantitative maps at a clinically feasible resolution and scan time, whereas at 7T, MT saturation homogeneity needs to be improved.
SC-EPI-based MPM is feasible as an additional MRI modality in clinical or population studies where the parameters offer great potential as biomarkers.
定量多参数映射(MPM)已被证明在临床研究中具有良好的纵向和横向可重复性。不幸的是,在高分辨率下,采集时间(TA)通常不切实际。
本研究提出了一种基于 3T 和 7T 时的交替多 shot 3D-EPI 与控制混杂(SC-EPI)的快速全脑 MPM 协议,并与使用标准扰相梯度回波(FLASH)序列的 MPM 进行了比较。在不到 3 分钟的时间内,以 1mm 各向同性分辨率测量了 4 个参数(R 、PD、 、和 MTsat)。5 名受试者在每台扫描仪上进行了两次相同的扫描。为了评估纵向可重复性,针对每个协议和扫描仪估计了受试者内的变异系数(扫描-重扫)(CoV)。
在 3T 时,SC-EPI 的 PD 和 R 的 CoV 范围为 1.2%-4.8%, 为 2.8%-10.6%,MTsat 的 CoV 为 2.8%-10.6%,与 FLASH(PD 和 R 的 CoV 为 0.6%-4.9%, 为 2.6%-11.3%,MTsat 的 CoV 为 2.6%-11.3%)相当。在 7T 时,SC-EPI 的 TA 减少到约 2 分钟,SC-EPI 的 PD、R 和 的 CoV(1.4%-10.6%)比 FLASH 的 CoV(1.0%-15%)大 1.2-2.4 倍,MTsat 在不同受试者之间的变异性更高。3T 时的 SC-EPI-MPM 协议具有很高的可重复性,并在临床可行的分辨率和扫描时间下产生稳定的定量图,而在 7T 时,MT 饱和度均匀性需要提高。
基于 SC-EPI 的 MPM 可以作为临床或人群研究中的附加 MRI 模式,其参数具有作为生物标志物的巨大潜力。