Rapid, high-resolution and distortion-free mapping of fetal brain using multi-echo radial FLASH and model-based reconstruction.

PURPOSE

To develop a rapid, high-resolution, and distortion-free technique for simultaneous water-fat separation, and mapping of the fetal brain at 3 T.

METHODS

A 2D multi-echo radial FLASH sequence with blip gradients is adapted for data acquisition during maternal free breathing. A calibrationless model-based reconstruction with sparsity constraints is developed to jointly estimate water, fat, and field maps directly from k-space. This approach was validated and compared to reference methods using numerical and NIST phantoms and data from nine fetuses between 26 and 36 weeks of gestation age.

RESULTS

Both numerical and experimental phantom studies confirm good accuracy and precision. In fetal studies, model-based reconstruction yields quantitative values in close agreement with those from a parallel imaging compressed sensing (PICS) technique using Graph Cut (intra-class correlation coefficient [ICC] = 0.9601), while providing enhanced image detail. Repeated scans confirm good reproducibility (ICC = 0.9213). Compared to multi-echo EPI, the proposed radial technique produces higher-resolution (1.1 1.1 3 mm vs. 2-3 2-3 3 mm ) maps with reduced distortion. Despite differences in motion, resolution, and distortion, values are comparable between the two acquisition strategies (ICC = 0.8049). Additionally, the proposed approach enables the synthesis of high-resolution and distortion-free -weighted images.

CONCLUSION

This study demonstrates the feasibility of using multi-echo radial FLASH combined with calibrationless model-based reconstruction for motion-robust, distortion-free mapping of the fetal brain at 3T, achieving a nominal resolution of mm within 2 s per slice.