Systems and methods for designing magnetic resonance imaging radio frequency pulses that are robust against physiological motion errors
10247803 ยท 2019-04-02
Assignee
Inventors
- Sebastian Schmitter (Minneapolis, MN, US)
- Pierre-Francois Van de Moortele (Minneapolis, MN)
- Xiaoping Wu (Minneapolis, MN, US)
- Kamil Ugurbil (Minneapolis, MN)
Cpc classification
G01R33/543
PHYSICS
G01R33/567
PHYSICS
A61B5/055
HUMAN NECESSITIES
G01R33/56509
PHYSICS
G01R33/565
PHYSICS
G01R33/5612
PHYSICS
G01R33/5673
PHYSICS
A61B5/7289
HUMAN NECESSITIES
G01R33/443
PHYSICS
G01R33/5676
PHYSICS
A61B5/721
HUMAN NECESSITIES
G01R33/5659
PHYSICS
International classification
G01R33/567
PHYSICS
G01R33/54
PHYSICS
A61B5/055
HUMAN NECESSITIES
G01R33/24
PHYSICS
G01R33/565
PHYSICS
Abstract
Systems and methods for designing and/or using radio frequency (RF) pulses for in-vivo MRI applications, where the RF pulses are robust against errors due to physiological motion of organs during the respiratory cycle. For example, RF pulses are designed based on multi-channel B1+ maps correlated to different positions of the respiratory cycle.
Claims
1. A magnetic resonance imaging (MRI) system comprising: a magnet system configured to generate a polarizing magnetic field about at least a region of interest (ROI) of a subject arranged in the MRI system, the ROI being subject to cyclical physiological motion including a plurality of different states of physiological motion; a plurality of gradient coils configured to apply a gradient field with respect to the polarizing magnetic field; a radio frequency (RF) system configured to apply RF excitation fields to the subject and acquire MR image data therefrom; and a computer programmed to: acquire a B.sub.1.sup.+ calibration map for each of a plurality of selected ones of the plurality of different states of physiological motion in the subject, wherein each B.sub.1.sup.+ calibration map is correlated with a state of the physiological motion in the subject during acquisition of the B.sub.1.sup.+ calibration map; using the B.sub.1.sup.+ calibration maps and correlated state of the physiological motion in the subject, design an RF pulse waveform that reduces B1+ inhomogeneity at each correlated state of physiological motion; control the plurality of gradient coils and the RF system to produce an RF field based on a portion of the RF pulse waveform to acquire the image data from the subject, wherein the portion of the RF pulse waveform is correlated with a state of physiological motion of the subject during acquisition of the image data; and reconstruct an image of the subject from the image data.
2. The MRI system of claim 1, wherein the computer is further programmed to track a state of the physiological motion in the subject without performing a navigator pulse sequence.
3. The MRI system of claim 1, wherein the computer is further programmed to assemble the B.sub.1.sup.+ calibration maps into groups of virtual slices within the ROI and, to design the RF pulse waveform, the computer is further programmed to simultaneously design the RF pulse waveform using the groups of virtual slices to reduce errors induced by the physiological motion in the ROI.
4. The MRI system of claim 3, wherein the computer is further programmed to simultaneously optimize the RF pulse waveform using the groups of virtual slices to minimize errors induced by the physiological motion in the ROI.
5. The MRI system of claim 1, wherein the computer is further programmed to design the RF pulse waveform as a parallel transmission RF pulse waveform.
6. The MRI system of claim 1, wherein the computer is further programmed to acquire B.sub.0 calibration maps for each of a plurality of different states of physiological motion in a subject and use the B.sub.0 calibration maps to design the RF pulse waveform.
7. The MRI system of claim 1, wherein the physiological motion is respiratory motion.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
(1) The patent or application file contains at least one drawing executed in color. Copies of this patent or patent application publication with color drawings(s) will be provided by the Office upon request and payment of the necessary fee.
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DETAILED DESCRIPTION
(29) Described here are systems and methods for designing radio frequency (RF) pulses for in-vivo MRI applications, where the RF pulses are robust against errors due to physiological motion of organs for example caused by respiration. The existence of significant variations in B1+ maps and potentially B0 maps during the respiration cycle that have deleterious consequences on B1+ Shim and multi-channel RF Pulse design results is acknowledged. For example, RF pulses are designed based on multi-channel B1+ maps and potentially B0 maps acquired at different positions of the respiratory cycle (e.g., at least 2 points).
(30) More generally, the systems and methods described here can be used to design RF pulses that are robust against errors arising from physiological motion by tailoring one or more RF pulses for a specific state of physiological motion. For instance, as noted above, an RF pulse can be designed specifically for a single position in a respiratory cycle. In some other embodiments, an RF pulse can be designed for a specific position associated with another state of physiological motion, such as a position in a cardiac cycle.
(31) The systems and methods described here are also capable of designing RF pulses that are either specifically tailored for a single position in the respiratory cycle, or are tailored for multiple different positions in the respiratory cycle. For example, each position in the respiratory cycle can have a unique RF pulse associated with it. In another example, each position in the respiratory cycle can have the same RF pulse associated with it, wherein that RF pulse has been designed while taking into consideration all positions in the respiratory cycle. In still another example, a hybrid of these latter two approaches can be utilized. As one non-limiting example of a hybrid approach, if five positions are measured in the respiratory cycle, one RF pulse could be tailored for one position, another RF pulse tailored for another position, and a third RF pulse tailored to be robust against motion occurring across the remaining three positions.
(32) By way of example, two different strategies to address the problems discussed above and to obtain solutions robust against respiratory changes within an imaging scan or between different scans are provided. Both methods utilize calibration scans (B1+ and potentially B.sub.0 maps) performed at different respiratory positions (i.e., phase in the respiratory cycle). As an example, three positions can be sampled: exhalation, half-inhalation and inhalation. Each calibration scan is acquired together with a navigator scan capable of measuring the actual position of the diaphragm, which determines the phase in the respiratory cycle.
(33) Thus, in some embodiments, B1+ shim or RF pulse solutions that are robust enough to be compatible with any of the calibrated respiratory position (e.g., simultaneous multi-position optimization) are designed. For instance, a B1+ shimming solution can be obtained, or a pTX RF pulse designed, based on simultaneously using the calibration scans obtained for the three positions of the respiratory cycle (inhale, half-inhale and exhale).
(34) In some other embodiments, respiratory position is continuously sampled with navigator echoes measuring the diaphragm position in order to apply B1+ shim or RF pulses optimized for the particular measured position. For instance, an individual B1+ shim solution or pTX RF pulse can be calculated for each of the respiratory positions. Prior to the final imaging scan a fast navigator scan can be used to determine the current respiratory position and the B1+ shim solution or pTX RF pulse corresponding to this measured navigator position can then be applied for the subsequent acquisition.
(35) The variations in B.sub.1.sup.+ (and B.sub.0) can be attributable not only to the motion of internal organs during respiratory cycle, but also to deformations of those organs during the respiratory cycle. As one example, changes in the position of the heart during the respiratory cycle, changes in the shape of the heart during the respiratory cycle, or both, can result in variations in both B.sub.0 and B.sub.1.sup.+. Changes in the position of the heart can be estimated as three-dimensional rigid motion, which may be further refined with local distortions to more accurately account for total heart motion plus deformation. Changes in the heart shape can be estimated as three-dimensional spatial deformations to the shape of the heart.
(36) An example of a spoke pulse design that is informed by respiratory positions is now provided.
(37) Single-spoke and multi-spoke RF pulses for cardiac CINE imaging can be designed in the small tip angle regime based on a spatial domain method using a magnitude least squares optimization:
{circumflex over (b)}=arg min|Ab||m|.sub.w.sup.2+R(b)
[1]
The fidelity term |Ab||m|.sub.w.sup.2 denotes the quadratic deviation between the magnitude of the actual excitation pattern Ab and the target excitation pattern m (here m is constant throughout the region of interest). A is the concatenated system matrix including n=1 . . . N spatial points, k=1 . . . K transmit channels and s=1 . . . S spokes. Each element of the N(KS) matrix A can be expressed as:
a.sub.n,k+(s-1).Math.K=im.sub.0T.Math.B.sub.l,k.sup.+(r.sub.n).Math.e.sup.iB.sup.
with r.sub.n the spatial coordinates, B.sub.l,k.sup.+(r.sub.n) the spatial transmit B.sub.1 sensitivity profiles, k(t.sub.s) the spokes' k-space positions, t.sub.s the time at the center of each spoke RF pulse, T the total pulse duration, T the duration between two sub-pulses, B.sub.0 (r.sub.n) the susceptibility induced deviations of the magnetic field B.sub.0, the proton gyromagnetic ratio and m.sub.0 the equilibrium magnetization.
(38) Accordingly, the vector b denotes the SK complex weights for S spokes and K transmit elements (here S=2 and K=16). In this work, the regularization term R(b) in Eq. 1 is defined as R(b)=.sup.2b.sup.2, which includes the total RF energy represented by b.sup.2 weighted by a squared regularization parameter .
(39) After RF pulse calculation, the flip angle (FA) map (r), corresponding to the optimized result {circumflex over (b)}, is calculated using a Bloch simulation denoted by f.sub.Bloch:
(r)=f.sub.Bloch({circumflex over (b)},B.sub.l,k.sup.+,B.sub.0)[3]
(40) The Bloch simulation typically matches well the actual experiments, assuming correct timing and gradient trajectory and assuming that B.sub.1+ and potentially B.sub.0 did not change between the calibration scan and the actual imaging scan. The latter assumption, however, may be violated particularly in abdominal studies, because respiratory motion may alter spatial distributions of B.sub.1.sup.+ and B.sub.0.
(41) In the following, we consider P=3 different respiratory positions: end-exhalation (exhale), full inhalation (inhale) and half-inhale, with B.sub.0 and B.sub.1.sup.+ calibration maps being experimentally measured in each position. In the following, we consider the situation where an RF pulse, designed based on calibration maps acquired at position p.sub.reference, is actually applied during a scan at p.sub.actual. The resulting excitation pattern becomes:
a(r)|.sub.p.sub.
(42) For clarity, throughout the examples provided below, the position p.sub.reference for the conventional RF pulse design is taken to be exhalation and the superscript is neglected (p.sub.reference=exhale). To investigate the impact of respiration, the corresponding flip angles for three different positions p.sub.actual can be simulated to obtain
a(r)|.sub.exhale.sup.exhale,a(r)|.sub.half-inhale.sup.exhale and a(r)|.sub.inhale.sup.exhale.
(43) In order to achieve an RF pulse that is robust against respiratory changes, the optimization can be expanded to cover multiple respiratory positions. Assuming the calibration maps from {tilde over (P)} different positions are selected out of the P total acquired calibration positions, then the optimization can be performed simultaneously for all {tilde over (P)} positions by expanding matrix A (see equation 1) along the spatial dimension. This concept is equivalent to treating the different positions as virtual slices (i.e. with slice distance 0), and each virtual slice may have different target regions-of-interest (ROIs) w.sub.i and different target magnetizations m.sub.i:
(44)
(45) In this example, the magnitude of m is set to 1 for all positions and the {tilde over (P)} ROIs w.sub.1 . . . w.sub.{tilde over (P)} are defined for the different calibration datasets used for RF pulse design. The final optimized result is then obtained by solving the following minimization problem:
{circumflex over (b)}.sub.virtual=arg min(|A.sub.virtualb||m.sub.virtual|.sub.w.sub.
(46) The flip angle map expected for the respiration state p.sub.actual is then given by a(r)|.sub.p.sub.
(47) Referring particularly now to
(48) The pulse sequence server 110 functions in response to instructions downloaded from the operator workstation 102 to operate a gradient system 118 and a radiofrequency (RF) system 120. Gradient waveforms necessary to perform the prescribed scan are produced and applied to the gradient system 118, which excites gradient coils in an assembly 122 to produce the magnetic field gradients G.sub.x, G.sub.y, and G.sub.z used for position encoding magnetic resonance signals. The gradient coil assembly 122 forms part of a magnet assembly 124 that includes a polarizing magnet 126 and a whole-body RF coil 128.
(49) RF waveforms are applied by the RF system 120 to the RF coil 128, or a separate local coil (not shown in
(50) The RF system 120 also includes one or more RF receiver channels. Each RF receiver channel includes an RF preamplifier that amplifies the magnetic resonance signal received by the coil 128 to which it is connected, and a detector that detects and digitizes the I and Q quadrature components of the received magnetic resonance signal. The magnitude of the received magnetic resonance signal may, therefore, be determined at any sampled point by the square root of the sum of the squares of the I and Q components:
M={square root over (I.sup.2+Q.sup.2)}(7);
(51) and the phase of the received magnetic resonance signal may also be determined according to the following relationship:
(52)
(53) The pulse sequence server 110 also optionally receives patient data from a physiological acquisition controller 130. By way of example, the physiological acquisition controller 130 may receive signals from a number of different sensors connected to the patient, such as electrocardiograph (ECG) signals from electrodes, or respiratory signals from a respiratory bellows or other respiratory monitoring device. Such signals are typically used by the pulse sequence server 110 to synchronize, or gate, the performance of the scan with the subject's heart beat or respiration.
(54) The pulse sequence server 110 also connects to a scan room interface circuit 132 that receives signals from various sensors associated with the condition of the patient and the magnet system. It is also through the scan room interface circuit 132 that a patient positioning system 134 receives commands to move the patient to desired positions during the scan.
(55) The digitized magnetic resonance signal samples produced by the RF system 120 are received by the data acquisition server 112. The data acquisition server 112 operates in response to instructions downloaded from the operator workstation 102 to receive the real-time magnetic resonance data and provide buffer storage, such that no data is lost by data overrun. In some scans, the data acquisition server 112 does little more than pass the acquired magnetic resonance data to the data processor server 114. However, in scans that require information derived from acquired magnetic resonance data to control the further performance of the scan, the data acquisition server 112 is programmed to produce such information and convey it to the pulse sequence server 110. For example, during prescans, magnetic resonance data is acquired and used to calibrate the pulse sequence performed by the pulse sequence server 110. As another example, navigator signals may be acquired and used to adjust the operating parameters of the RF system 120 or the gradient system 118, or to control the view order in which k-space is sampled. In still another example, the data acquisition server 112 may also be employed to process magnetic resonance signals used to detect the arrival of a contrast agent in a magnetic resonance angiography (MRA) scan. By way of example, the data acquisition server 112 acquires magnetic resonance data and processes it in real-time to produce information that is used to control the scan.
(56) The data processing server 114 receives magnetic resonance data from the data acquisition server 112 and processes it in accordance with instructions downloaded from the operator workstation 102. Such processing may, for example, include one or more of the following: reconstructing two-dimensional or three-dimensional images by performing a Fourier transformation of raw k-space data; performing other image reconstruction algorithms, such as iterative or backprojection reconstruction algorithms; applying filters to raw k-space data or to reconstructed images; generating functional magnetic resonance images; calculating motion or flow images; and so on.
(57) Images reconstructed by the data processing server 114 are conveyed back to the operator workstation 102 where they are stored. Real-time images are stored in a data base memory cache (not shown in
(58) The MRI system 100 may also include one or more networked workstations 142. By way of example, a networked workstation 142 may include a display 144; one or more input devices 146, such as a keyboard and mouse; and a processor 148. The networked workstation 142 may be located within the same facility as the operator workstation 102, or in a different facility, such as a different healthcare institution or clinic.
(59) The networked workstation 142, whether within the same facility or in a different facility as the operator workstation 102, may gain remote access to the data processing server 114 or data store server 116 via the communication system 140. Accordingly, multiple networked workstations 142 may have access to the data processing server 114 and the data store server 116. In this manner, magnetic resonance data, reconstructed images, or other data may exchanged between the data processing server 114 or the data store server 116 and the networked workstations 142, such that the data or images may be remotely processed by a networked workstation 142. This data may be exchanged in any suitable format, such as in accordance with the transmission control protocol (TCP), the internet protocol (IP), or other known or suitable protocols.
(60) Provided hereafter are several non-limiting examples of particular implementations of systems and methods consistent with the present disclosure.
Example 1: pTX RF Pulse Design Robust Against Respiration in Cardiac MRI at 7T System and Setup
(61) In this example, experiments were performed on a whole body 7T magnet equipped with a prototype 16-channel pTX system. A 16-channel transmit/receive body coil was used having 8 posterior elements positioned under the subject's back and 8 anterior coil elements positioned on the chest. Four subjects were scanned, who signed a consent form approved by a local Institutional Review Board. The cardiac cycle was recorded using an electrocardiogram (ECG) with three leads attached to the subject's chest. Due to the magneto-hydrodynamic effect, the detection of the cardiac cycle using an ECG is challenging at 7T; therefore, the electrodes were repositioned if the cardiac trigger was erroneous. Scans were acquired in all four subjects in three different orientations: transversal, short axis and pseudo four-chamber view. Post-processing of the calibration scans, RF pulse design and Bloch simulations were performed offline using Matlab (The Mathworks, Nattick, Mass., USA).
Respiratory Controlled Calibration Scans
(62) Above, P=3 different respiratory positions were described unless otherwise noted: exhale; half inhale and inhale. In one of the subjects in this example, P=4 different positions were investigated between end-expiration and end-inhalation, that were treated analogous to the P=3 scans. For each of these positions calibration datasets including B.sub.1.sup.+ sensitivity profile mapping of the K=16 TX channels and spatial maps of B.sub.0 were acquired. These scans were performed during one breath-hold in a single slice of the heart in each orientation.
(63) B.sub.1.sup.+ maps were obtained using a modified fast B.sub.1.sup.+ estimation technique. The method used acquires 16 cardiac triggered small flip angle gradient echo (GRE) images for which only a single TX channel is active per image while all channels are enabled for reception. Parameters for this scan were chosen as follows:
(64) TE=2.6 ms/TR=4.7 ms,
(65) Bandwidth=801 Hz/Pixel,
(66) Matrix=160104, and
(67) Resolution=2.82.85 mm.
(68) Each GRE image was acquired in a FLASH-like approach during diastole of a single heartbeat which allowed for a total acquisition time of less than 20 s, which was a feasible breath-hold duration for all subjects. The short acquisition duration of 436 ms allowed for a second image acquired during the same heartbeat prior to each GRE image in sagittal view covering the diaphragm dome (see
(69) B.sub.0 mapping was performed in a similar way for each respiratory position and each orientation using an ECG triggered dual-TE GRE acquisition performed under breath-hold. Either of the two phase images was acquired during a single cardiac cycle together with an image of the diaphragm obtained at the same sagittal location as for B.sub.1.sup.+ mapping. TE was alternated between subsequent heartbeats and B.sub.0 maps were averaged over 4 acquisitions. The following parameters were used:
(70) TE1=3.1 ms/TE2=4.1 ms/TR=4.7 ms,
(71) Bandwidth=919 Hz/Pixel,
(72) Matrix=160104,
(73) Resolution=2.82.85 mm
(74) A third scan was performed targeting only the diaphragm. During this non-triggered acquisition the subject was asked to slowly but deeply breath in and out for several breathing cycles. The following parameters were used:
(75) TE=2.3 ms/TR=4.1 s,
(76) Bandwidth=1488 Hz/Pixel,
(77) Matrix=160160,
(78) Resolution=2.82.85 mm.
(79) The objective for this scan was to acquire images of the diaphragm at different respiratory phases of the breathing cycle covering the entire spectrum from end-exhalation to end-inspiration. This scan was used as a reference to identify and verify the respiratory positions.
RF Pulse Design and RF Pulse Performance
(80) Single-spoke and 2-spoke RF pulses were designed using the conventional RF pulse design based on exhale calibration maps and using an energy based regularization parameter as defined above. Therefore, for each orientation three ROIs denoted by w.sub.exhale, w.sub.half-inhale and w.sub.inhale were manually generated based on the B.sub.1.sup.+ calibration data, covering the heart in each respiratory position. The two spokes were placed symmetrically with respect to k.sub.x=k.sub.y=0 and played out along the k.sub.z axis. The spokes axis, which is defined by the connecting line from spoke 1 to spoke 2 (compare dashed line in
(81)
varied from 0 to 10 m.sup.1 in steps of 1 m.sup.1. Each RF pulse design was performed for the resulting 361 different 2-spoke trajectories using two 800 s long, SINC shaped RF sub-pulses with bandwidth-time-product (BWTP) of 4 in combination with a slice selection gradient achieving 5 mm slice thickness. The 1-spoke RF pulses were played out along k.sub.z at k.sub.x=k.sub.y=0 an the optimization was performed 361 times using different starting phase pattern for the target vector m, thus yielding the same number of solutions as for 2-spokes. The same SINC shaped RF pulse with BWTP=4 was used as the 2-spoke sub-pulse, but the duration was stretched to 1600 s to maintain the same total duration.
(82) In addition to the conventional RF pulse design, the robust RF pulse design was applied for the 2-spoke RF pulses and demonstrated in-vivo. Here, the RF pulse design was based on both the exhale and the inhale respiratory position, while the RF pulse duration, shape and BWTP were unchanged compared to the conventional RF pulse design.
(83) For each solution the normalized energy E.sub.n (20,25) was calculated by normalizing the total pulse energy b.sup.2 by the square of the average value of the FA over the ROI of the reference calibration, denoted by mean |Ab|.sub.w.sub.
(84)
(85) Here, N.sub.p.sub.
(86) In situations when high RF power levels are utilized to achieve small nRMSE|.sub.exhale.sup.exhale values, small changes of a few percent are of significantly higher importance compared to excitations with larger nRMSE|.sub.exhale.sup.exhale values. Therefore, relative changes in nRMSE were also calculated for the conventional RF pulses:
(87)
(88) For the 2-spoke pulses, nRMSE, E.sub.n and E.sub.max are displayed in polar coordinates as a function of the spoke radius k.sub.r and the spoke angle .
SAR Calculation
(89) Electromagnetic (EM) simulations of the 16 channel transceiver coil loaded with a body model at exhale respiratory position were performed using a finite difference time domain solver (such as available from Remcom, Pittsburgh, Pa.). Based on the resulting EM fields, the same conventional RF pulse optimization was performed as for the in-vivo CINE acquisition, as described below, and global and local 10 g average SAR were calculated using identical sequence parameters. The lack of body EM models for other respiratory positions made it impossible to perform numerical simulations (including SAR) using the respiration robust RF pulse design. Therefore, to ensure safe in-vivo operation in compliance with the IEC guidelines, all experiments were obtained within conservative SAR limits: 10 g local SAR values, calculated according to the RF pulses effectively applied, amounted to 4 W/kg (global SAR: 0.33 W/kg), thus providing a safety factor of 10 towards the short term 10 g average local SAR first level limit. Furthermore, each CINE acquisition (with a maximum duration of 30 s each) was only applied at intervals of 3 minutes, corresponding to 6 minute averaged 10 g local SAR values of 0.67 W/kg providing a safety margin of a factor 30 compared to the 6 minute first level IEC guideline limit of 20 W/kg. These same conservative settings were applied to perform the CINE in-vivo scan, using an RF excitation pulse obtained with the robust RF pulse design, which was chosen to have similar energy (102%) as the conventional RF pulse. In this study, the configuration of our pTX system imposed a same absolute upper limit in RF power for each of the 16 channels; therefore the RF energy was identically limited for each channel (rather than considering the maximum sum of RF energy through the 16 channels).
CINE Acquisition
(90) A comparison of the conventional and the robust RF pulse design is performed in-vivo using 2-spoke RF pulses with an ECG triggered CINE acquisition in transverse view. This acquisition is performed for both RF pulse designs with breath-hold positions exhale, half-inhale and inhale, respectively. CINE acquisitions were performed using the following parameters:
(91) TE=2.6 ms/TR=44.8 ms/echo-spacing=5.6 ms,
(92) 8 segments,
(93) 25 cardiac phases,
(94) Bandwidth=554 Hz/Pixel,
(95) Matrix=192124,
(96) Resolution=2.32.35 mm,
(97) GRAPPA=2.
Results
Impact of Respiration on Conventional Spoke RF Pulse Design
(98)
(99) Changes of the B.sub.1.sup.+ magnitude with increasing respiratory volume are illustrated in
(100)
(101)
Analysis of 2-Spoke Pulses in Polar Coordinates
(102)
(103) To better characterize the potential impact of neglecting B.sub.0 in pulse design, an additional case was considered, shown in
Impact of Slice Orientation on 2-Spoke Pulses
(104)
(105) Again, optimization was based on calibration maps (B.sub.1.sup.+ and B0) obtained in exhale, respectively, and flip angle maps were calculated in this subject for 4 different respiratory positions between end-expiration and end-inhalation. In agreement with
(106) Similar observation can be made in short axis view although both, energy and nRMSE|.sub.exhale.sup.exhale, show lower values as in transverse view, due to size and orientation of the optimization ROI. In this view, the black circle solution (k.sub.r=6 m.sup.1, =170) shows an nRMSE|.sub.exhale.sup.exhale value close to the minimum (5.9%) and a low E.sub.n of 4.4. Like in transverse view this preferable solution is particularly prone to respiration achieving an nRMSE|.sub.inhale.sup.exhale value of 33.3%. Instead the white solution (k.sub.r=9 m.sup.1, =100) achieves less optimal E.sub.n=6.6 and nRMSE|.sub.exhale.sup.exhale=6.6%, but is less prone to respiration with nRMSE|.sub.inhale.sup.exhale=17.2%. Still, a local flip angle reduction in the inferior part of the ROI can be observed in the Bloch simulation for inhale. Results shown in pseudo 4 chamber view (
Robust and Conventional RF Pulse Design Applied In-Vivo
(107)
Discussion
(108) The study in this example was designed to investigate the impact of respiration on cardiac RF pulse design using either 1-spoke (equivalent to B.sub.1.sup.+ shimming with phase and magnitude optimization) or 2-spoke pTX excitation. For this investigation B.sub.1.sup.+ and B.sub.0 mapping sequences were modified in order to include interleaved navigator images of the diaphragm. However, as will be described, navigators are optional.
(109) RF pulses are often designed based on one set of calibration maps obtained in a single physiological condition, including the respiratory position. When subsequently applied at different phases of the respiration cycle, such RF pulses can result in substantial deviations of the excitation pattern. We identified two predominant sources of respiration induced errors: i) the alteration of the B.sub.1.sup.+ profiles (magnitude and phase) of the transmit coil elements during the respiratory cycle, and ii) the use of small regularization weight in RF pulse optimization yielding higher excitation fidelity but relatively larger sensitivity to respiration quantified by R.sub.exhale.sup.inhale. Interestingly, respiration induced variations of B.sub.0 only had a marginal impact on excitation patterns, even though they altered the optimal 2-spoke positions in excitation k-space. The same overall trend was observed for all orientations (transversal, short axis or four chamber view), with excitation pattern alterations already visible at half-inhale and more pronounced at inhale using conventional RF pulse design based on B.sub.1.sup.+/B.sub.0 calibration at exhale. Similar results were obtained in all five subjects investigated in the study as listed in Table 1.
(110) TABLE-US-00001 TABLE 1 Summary of nRMSE values with standard 2-spoke excitation in all subjects and all views Minimum nRMSE [%] Maximum nRMSE [%] Mean nRMSE [%] Exh. Half-Inh. Inh. Exh Half-Inh. Inh Exh. Half-Inh. Inh. Subject transversal 7.7 7.3 13.4 13.5 17.0 46.7 9.7 11.0 23.4 1 short axis 7.8 7.0 13.3 12.5 23.3 56.4 8.6 10.4 24.5 4 chamber 6.9 9.1 12.4 10.5 15.4 40.6 8.6 12.3 18.4 Subject transversal 7.6 11.4 18.1 12.3 18.0 61.1 8.7 13.8 32.2 2 short axis 5.8 8.0 16.7 7.6 11.2 63.2 6.3 9.7 28.0 4 chamber 6.9 10.9 10.0 9.7 26.5 39.3 8.1 16.0 19.5 Subject transversal 6.7 13.1 15.7 16.3 36.1 48.2 9.7 21.9 28.7 3 short axis 6.1 10.4 17.0 12.3 37.7 64.8 7.9 17.2 29.1 4 chamber 6.9 10.0 15.7 9.7 26.5 55.2 8.1 16.0 27.6 Subject transversal 7.0 9.1 10.7 10.5 20.3 32.0 8.4 12.8 17.7 4 short axis 7.8 11.3 17.7 12.1 19.7 38.2 8.9 13.8 26.1 4 chamber 7.8 9.4 9.9 17.5 20.0 32.2 9.7 13.0 15.4 Subject transversal 8.5 18.4 18.5 15.9 44.7 56.4 9.8 27.3 31.3 5 short axis 8.5 14.4 15.7 14.4 42.3 52.0 10.5 23.6 28.1 4 chamber 7.1 15.7 15.5 13.4 33.9 64.5 8.3 20.7 25.6
(111) In Table 1, the RF pulses were optimized only based on the exhale state as indicated by gray shading. In subject 2, where 4 different respiratory positions were investigated, the middle columns (half-inhale) denote the respiratory position of 33% inhale.
(112) Table 2 provides nRMSE values with 2-spoke excitation in all subjects and all views.
(113) TABLE-US-00002 Table 2 Summary of nRMSE values with respiration robust 2-spoke excitation in all subjects and all views. Minimum nRMSE [%] Maximum nRMSE [%] Mean nRMSE [%] Exh. Half-Inh. Inh. Exh Half-Inh. Inh Exh. Half-Inh. Inh. Subject 1 transversal 7.4 8.7 7.3 10.8 16.4 11.9 8.8 10.8 8.8 short axis 5.8 6.4 7.0 8.8 14.4 10.1 6.8 9.0 7.9 4 chamber 6.1 8.2 7.8 10.1 15.1 12.2 7.7 11.3 9.6 Subject 2 transversal 7.6 11.5 10.0 15.2 19.8 17.4 10.5 14.6 13. short axis 5.1 7.3 7.4 9.9 12.6 13.2 6.0 9.1 8.8 4 chamber 6.5 10.1 7.8 10.9 19.5 12.7 8.9 13.8 9.6 Subject 3 transversal 5.9 9.7 8.7 14.0 26.1 18.7 8.5 16.5 11. short axis 6.1 7.7 6.4 17.8 26.9 16.7 7.8 12.5 10. 4 chamber 8.0 11.7 8.2 15.6 26.0 17.2 10.5 17.9 11. Subject 4 transversal 5.5 7.1 7.4 9.8 15.5 12.1 7.1 10.1 9.5 short axis 5.3 7.0 6.6 10.9 12.7 10.3 6.8 9.6 8.2 4 chamber 6.4 7.4 6.2 16.4 15.0 11.3 8.3 9.4 8.0 Subject 5 transversal 11.0 14.5 10.1 21.6 26.9 17.7 12.7 17.6 13. short axis 9.7 11.9 8.4 18.3 30.1 19.8 12.1 15.1 12. 4 chamber 7.0 11.9 9.3 17.4 26.2 22.9 8.4 14.6 11.
(114) RF pulses were optimized using the robust pulse design based on both, the exhale and the inhale state, indicated by gray shading. In subject 2, where 4 different respiratory positions were investigated, the middle columns (half-inhale) denote the respiratory position of 33% inhale.
(115) These excitation defects can significantly impact cardiovascular applications, as shown here in cardiac CINE acquisitions. Many of these applications rely on breath-hold acquisitions, and the observations indicate that, even with careful breath-hold instructions, significant variations of respiratory position may occur for some subjects between subsequent breath-holds, resulting in a mismatch between B.sub.1.sup.+/B.sub.0 calibration and actual imaging scans. Instability between breath-holds is a known issue; one way to ensure excitation profile consistency is to include a navigator prior to the imaging scan and discard images based on the diaphragm position determined by the navigator. Alternatively, as will be described, different pTX RF pulses can be designed for different respiratory positions, and the actual RF pulse to be played out be determined by the navigator image collected prior to each imaging scan.
(116) As described above and further outlined below, the present disclosure provides an approach using for RF pulse design that includes calibration maps obtained at multiple positions in a physiological cycle, such as multiple respiratory positions. These maps are assembled as a group of virtual slices that can be optimized simultaneously over the target region, resulting in pTX RF pulses robust against respiration induced errors. This design is not restricted to degradation caused by cyclical physiological motion, such as respiratory motion.
(117) The framework described herein is not limited to spokes or slice selective pulses. It can be applied to 3D slab selective, localized or non-selective pTX RF pulses, as well as to simultaneous multi-slice pTX acquisitions (pTX Multiband) demonstrated in cardiac CINE acquisitions at 7T. Furthermore, other regularization terms such as local or global SAR constraints can be included in the optimization.
(118) It is known that respiration changes the heart position within the body. To follow heart motion with respiration, slice-tracking techniques are often applied based on the diaphragm position using a typical scaling factor of 0.6. In one subject, we investigated respiration induced excitation pattern changes including slice tracking with different factors between 0 and 1.5. Slice tracking did not significantly change the exhale polar plot pattern, however, nRMSE|.sub.inhale.sup.exhale values overall tend to increase with increasing tracking factor.
(119) Referring to
(120) In any case, at decision block 210, a check is made to determine if B.sub.1.sup.+ mapping has been performed for all channels. If not, the process iterates. Once B.sub.1.sup.+ mapping has been performed for all channels, at process block 212, the acquired information is used to design an RF pulse waveform that is robust against the physiological motion, such as respiratory motion, by designing the RF pulse waveform for specific states of physiological motion. That is, the B1+ calibration maps and, if optionally included, the B.sub.0 maps, provided for the specific states of physiological motion are used to create an RF pulse waveform that is robust to the physiological motion of the subject, which in this non-limiting example, is respiratory motion. At process block 214, the RF pulse waveform is used to direct the MRI system to produce an RF field based on the designed RF pulse waveform. More particularly, the one or more maps can be assembled as a group of virtual slices that can be optimized simultaneously over the target region, such as described above, resulting in pTX RF pulses robust against errors caused by cyclical physiological motion, such as respiratory motion.
(121) Referring now to
(122) Once B.sub.1.sup.+ mapping has been performed for all channels and physiological positions, at process block 310, the acquired information is used to design an RF pulse waveform that is robust against the physiological motion, such as respiratory motion, by designing the RF pulse waveform for specific states of physiological motion. That is, the B1+ calibration maps and, if optionally included, the B.sub.0 maps, provided for the specific states of physiological motion are used to create an RF pulse waveform that is robust to the physiological motion of the subject, which in this non-limiting example, is respiratory motion. At process block 312, the RF pulse waveform is used to direct the MRI system to produce an RF field based on the designed RF pulse waveform. More particularly, the one or more maps can be assembled as a group of virtual slices that can be optimized simultaneously over the target region, such as described above, resulting in pTX RF pulses robust against errors caused by cyclical physiological motion, such as respiratory motion.
(123) The systems and methods of the present disclosure can also be applied to other (periodic) changes of the physiological state that alter B.sub.1.sup.+ maps. That is, as described herein this formalism has been applied on respiration robust 1-spoke cardiac imaging and expanded to 2-spoke pTX pulses that have been shown to be capable of improving further image homogeneity at 7T. The 1-spoke excitation can be initialized with different starting phase patterns, as can the 2-spoke excitations, such as with symmetric placement in k-space. This symmetric k-space approach, which has demonstrated high quality cardiac images at 7T, offers the advantage of being less sensitive if the RF pulses are scaled to larger FA and allows a straightforward visualization of optimization results as a function of spoke positions. However, the presented method is not restricted to a symmetric placement of the RF spokes; also, an asymmetric spoke placement, as well as more than 2 spokes can be used. It should be noted, however, that lower numbers of spokes are often preferable because cardiac RF pulses are typically fairly short and RF pulses durations from the vendor-standard sequences are between 0.6 ms and 2 ms, which becomes increasingly challenging to achieve with rising number of spokes.
(124) As stated, the proposed RF pulse design is not limited to breath-hold applications. In practice, a variety of medical conditions preclude single or multiple breath-holds scans and therefore acquisitions are performed under free breathing. This is the case, for example, in children with congenital heart disease and in patients with arrhythmia who may not able to perform breath-holds, as well as in some elderly people who may have difficulties hearing breath-hold instructions. For these patients, the proposed algorithm can be used to improve image quality, based on the modified calibration scans, for example, with navigator images prior to each image, compatible with free-breathing as well. In the latter case, calibration maps could be acquired during a few training breathing cycles and retrospectively reordered according to the respiratory position or prospectively acquired using the navigator image information. In other clinical situations, active respiration is desirable for diagnostic purpose. In constrictive pericardial disease, pathological ventricular coupling can lead to an abnormal motion or bending of the septum, which is highly dependent on respiration, requiring fast 2D acquisitions to be performed while the patient is asked to breathe deeply in and out. For these acquisitions, reduction of the FA and impaired contrast homogeneity may be expected as demonstrated in this study.
(125) Besides patient restrictions, many sequences cannot be performed during breath-hold due to long scan times. Commonly those acquisitions use respiration navigator tracking that discard images that are outside the navigator acceptance window which typically achieve acceptance efficiencies between 30-50%. However, recently there have been significant advances in increasing 2D or 3D scan efficiency up to 100% (i.e. using data of the entire respiratory cycle) for coronary MRA, cardiac perfusion or cardiac CINE acquisitions, while prospectively or retrospectively correcting for respiratory motion. Some have reported a 3D cardiac T.sub.1 mapping approach that uses 100% scan efficiency for outer k-space lines and a reduced efficiency on the inner k-space part. Furthermore, improved hardware and novel acceleration techniques contribute to enable free-breathing real-time cardiac imaging with temporal resolutions below 50 ms as demonstrated by several groups.
(126) Notably, even at 3T, heterogeneous B.sub.1.sup.+ and B.sub.0 patterns can significantly impact image quality, which has resulted in the recent development of clinical 3T pTX scanners operating now with 2 transmit channels, with improved flip angle homogeneity for cardiac applications. Thus, the systems and methods of the present disclosure can also be highly valuable at lower field strengths. In the context of UHF, where CMR can benefit from longer T.sub.1 relaxation, higher SNR and better parallel imaging performance, addressing respiratory induced excitation profile degradations with the proposed robust RF pulse design is expected to have a substantial impact on potential clinical outcome.
(127) The present invention has been described in terms of one or more preferred embodiments, and it should be appreciated that many equivalents, alternatives, variations, and modifications, aside from those expressly stated, are possible and within the scope of the invention.