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Published in: Magnetic Resonance Materials in Physics, Biology and Medicine 5/2019

01-10-2019 | Research Article

Evaluation of variable flip angle, MOLLI, SASHA, and IR-SNAPSHOT pulse sequences for T1 relaxometry and extracellular volume imaging of the pancreas and liver

Authors: Temel Tirkes, Xuandong Zhao, Chen Lin, Alex Jordan Stuckey, Liang Li, Shivriman Giri, Dominik Nickel

Published in: Magnetic Resonance Materials in Physics, Biology and Medicine | Issue 5/2019

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Abstract

Purpose

Compare fourT1-mapping pulse sequences for T1 relaxometry and extracellular volume (ECV) fraction of the pancreas and liver

Materials and methods

In vitro phase of this prospective study was performed on a T1 phantom, followed by imaging 22 patients. Variable flip angle (VFA), modified Look-Locker inversion recovery (MOLLI), prototype saturation recovery single-shot acquisition (SASHA), and prototype inversion recovery (IR-SNAPSHOT) pulse sequences were used to obtain T1 and ECV maps on the same 1.5 T MR scanner using the same imaging protocol.

Results

In vitro tests showed almost perfect precision of MOLLI (ρc = 0.9998), SASHA (ρc = 0.9985), and IR-SNAPSHOT (ρc = 0.9976), while VFA showed relatively less, however, substantial precision (ρc = 0.9862). Results of patient scans showed similar ECV fraction of the liver (p = 0.08), pancreas (p = 0.43), and T1 of the liver (p = 0.08) with all pulse sequences. T1 of the pancreas with MOLLI, SASHA, and IR-SNAPSHOT was statistically similar (p > 0.05).

Conclusion

MOLLI, SASHA, and IR-SNAPSHOT provided almost perfect in vitro precision and similar T1 during in vivo scans. Similar ECV fractions of the liver and pancreas were obtained with all sequences. More refinement of pulse sequences to provide sufficient spatial coverage in one breath hold together with high precision would be desirable in abdominal imaging.
Literature
1.
go back to reference Messroghli DR, Radjenovic A, Kozerke S, Higgins DM, Sivananthan MU, Ridgway JP (2004) Modified Look-Locker inversion recovery (MOLLI) for high-resolution T 1 mapping of the heart. Magn Reson Med 52(1):141–146CrossRef Messroghli DR, Radjenovic A, Kozerke S, Higgins DM, Sivananthan MU, Ridgway JP (2004) Modified Look-Locker inversion recovery (MOLLI) for high-resolution T 1 mapping of the heart. Magn Reson Med 52(1):141–146CrossRef
2.
go back to reference Moon JC, Messroghli DR, Kellman P, Piechnik SK, Robson MD, Ugander M, Gatehouse PD, Arai AE, Friedrich MG, Neubauer S, Schulz-Menger J, Schelbert EB, Society for Cardiovascular Magnetic Resonance I, Cardiovascular Magnetic Resonance Working Group of the European Society of C (2013) Myocardial T 1 mapping and extracellular volume quantification: a Society for Cardiovascular Magnetic Resonance (SCMR) and CMR Working Group of the European Society of Cardiology consensus statement. J Cardiovasc Magn Reson 15:92CrossRef Moon JC, Messroghli DR, Kellman P, Piechnik SK, Robson MD, Ugander M, Gatehouse PD, Arai AE, Friedrich MG, Neubauer S, Schulz-Menger J, Schelbert EB, Society for Cardiovascular Magnetic Resonance I, Cardiovascular Magnetic Resonance Working Group of the European Society of C (2013) Myocardial T 1 mapping and extracellular volume quantification: a Society for Cardiovascular Magnetic Resonance (SCMR) and CMR Working Group of the European Society of Cardiology consensus statement. J Cardiovasc Magn Reson 15:92CrossRef
3.
go back to reference Ou HY, Bonekamp S, Bonekamp D, Corona-Villalobos CP, Torbenson MS, Geiger B, Kamel IR (2013) MRI arterial enhancement fraction in hepatic fibrosis and cirrhosis. Am J Roentgenol 201(4):W596–602CrossRef Ou HY, Bonekamp S, Bonekamp D, Corona-Villalobos CP, Torbenson MS, Geiger B, Kamel IR (2013) MRI arterial enhancement fraction in hepatic fibrosis and cirrhosis. Am J Roentgenol 201(4):W596–602CrossRef
4.
go back to reference Tirkes T, Lin C, Fogel EL, Sherman SS, Wang Q, Sandrasegaran K (2017) T1 mapping for diagnosis of mild chronic pancreatitis. J Magn Reson Imaging 45(4):1171–1176CrossRef Tirkes T, Lin C, Fogel EL, Sherman SS, Wang Q, Sandrasegaran K (2017) T1 mapping for diagnosis of mild chronic pancreatitis. J Magn Reson Imaging 45(4):1171–1176CrossRef
5.
go back to reference Kim KA, Park MS, Kim IS, Kiefer B, Chung WS, Kim MJ, Kim KW (2012) Quantitative evaluation of liver cirrhosis using T 1 relaxation time with 3 tesla MRI before and after oxygen inhalation. J Magn Reson Imaging 36(2):405–410CrossRef Kim KA, Park MS, Kim IS, Kiefer B, Chung WS, Kim MJ, Kim KW (2012) Quantitative evaluation of liver cirrhosis using T 1 relaxation time with 3 tesla MRI before and after oxygen inhalation. J Magn Reson Imaging 36(2):405–410CrossRef
6.
go back to reference Luetkens JA, Klein S, Traber F, Schmeel FC, Sprinkart AM, Kuetting DLR, Block W, Uschner FE, Schierwagen R, Hittatiya K, Kristiansen G, Gieseke J, Schild HH, Trebicka J, Kukuk GM (2018) Quantification of liver fibrosis at T 1 and T 2 mapping with extracellular volume fraction MRI: preclinical results. Radiology 288(3):748–754CrossRef Luetkens JA, Klein S, Traber F, Schmeel FC, Sprinkart AM, Kuetting DLR, Block W, Uschner FE, Schierwagen R, Hittatiya K, Kristiansen G, Gieseke J, Schild HH, Trebicka J, Kukuk GM (2018) Quantification of liver fibrosis at T 1 and T 2 mapping with extracellular volume fraction MRI: preclinical results. Radiology 288(3):748–754CrossRef
7.
go back to reference Banerjee R, Pavlides M, Tunnicliffe EM, Piechnik SK, Sarania N, Philips R, Collier JD, Booth JC, Schneider JE, Wang LM, Delaney DW, Fleming KA, Robson MD, Barnes E, Neubauer S (2014) Multiparametric magnetic resonance for the non-invasive diagnosis of liver disease. J Hepatol 60(1):69–77CrossRef Banerjee R, Pavlides M, Tunnicliffe EM, Piechnik SK, Sarania N, Philips R, Collier JD, Booth JC, Schneider JE, Wang LM, Delaney DW, Fleming KA, Robson MD, Barnes E, Neubauer S (2014) Multiparametric magnetic resonance for the non-invasive diagnosis of liver disease. J Hepatol 60(1):69–77CrossRef
8.
go back to reference Hoad CL, Palaniyappan N, Kaye P, Chernova Y, James MW, Costigan C, Austin A, Marciani L, Gowland PA, Guha IN, Francis ST, Aithal GP (2015) A study of T(1) relaxation time as a measure of liver fibrosis and the influence of confounding histological factors. NMR Biomed 28(6):706–714CrossRef Hoad CL, Palaniyappan N, Kaye P, Chernova Y, James MW, Costigan C, Austin A, Marciani L, Gowland PA, Guha IN, Francis ST, Aithal GP (2015) A study of T(1) relaxation time as a measure of liver fibrosis and the influence of confounding histological factors. NMR Biomed 28(6):706–714CrossRef
9.
go back to reference Pavlides M, Banerjee R, Sellwood J, Kelly CJ, Robson MD, Booth JC, Collier J, Neubauer S, Barnes E (2016) Multiparametric magnetic resonance imaging predicts clinical outcomes in patients with chronic liver disease. J Hepatol 64(2):308–315CrossRef Pavlides M, Banerjee R, Sellwood J, Kelly CJ, Robson MD, Booth JC, Collier J, Neubauer S, Barnes E (2016) Multiparametric magnetic resonance imaging predicts clinical outcomes in patients with chronic liver disease. J Hepatol 64(2):308–315CrossRef
10.
go back to reference Huang Y, Sadowski EA, Artz NS, Seo S, Djamali A, Grist TM, Fain SB (2011) Measurement and comparison of T 1 relaxation times in native and transplanted kidney cortex and medulla. J Magn Reson Imaging 33(5):1241–1247CrossRef Huang Y, Sadowski EA, Artz NS, Seo S, Djamali A, Grist TM, Fain SB (2011) Measurement and comparison of T 1 relaxation times in native and transplanted kidney cortex and medulla. J Magn Reson Imaging 33(5):1241–1247CrossRef
11.
go back to reference Tirkes T, Lin C, Cui E, Deng Y, Territo PR, Sandrasegaran K, Akisik F (2018) Quantitative MR evaluation of chronic pancreatitis: extracellular volume fraction and MR relaxometry. Am J Roentgenol 210(3):533–542CrossRef Tirkes T, Lin C, Cui E, Deng Y, Territo PR, Sandrasegaran K, Akisik F (2018) Quantitative MR evaluation of chronic pancreatitis: extracellular volume fraction and MR relaxometry. Am J Roentgenol 210(3):533–542CrossRef
12.
go back to reference Kellman P, Wilson JR, Xue H, Bandettini WP, Shanbhag SM, Druey KM, Ugander M, Arai AE (2012) Extracellular volume fraction mapping in the myocardium, part 2: initial clinical experience. J Cardiovasc Magn Reson 14:64CrossRef Kellman P, Wilson JR, Xue H, Bandettini WP, Shanbhag SM, Druey KM, Ugander M, Arai AE (2012) Extracellular volume fraction mapping in the myocardium, part 2: initial clinical experience. J Cardiovasc Magn Reson 14:64CrossRef
13.
go back to reference Kellman P, Wilson JR, Xue H, Ugander M, Arai AE (2012) Extracellular volume fraction mapping in the myocardium, part 1: evaluation of an automated method. J Cardiovasc Magn Reson 14:63CrossRef Kellman P, Wilson JR, Xue H, Ugander M, Arai AE (2012) Extracellular volume fraction mapping in the myocardium, part 1: evaluation of an automated method. J Cardiovasc Magn Reson 14:63CrossRef
14.
go back to reference Ugander M, Oki AJ, Hsu LY, Kellman P, Greiser A, Aletras AH, Sibley CT, Chen MY, Bandettini WP, Arai AE (2012) Extracellular volume imaging by magnetic resonance imaging provides insights into overt and sub-clinical myocardial pathology. Eur Heart J 33(10):1268–1278CrossRef Ugander M, Oki AJ, Hsu LY, Kellman P, Greiser A, Aletras AH, Sibley CT, Chen MY, Bandettini WP, Arai AE (2012) Extracellular volume imaging by magnetic resonance imaging provides insights into overt and sub-clinical myocardial pathology. Eur Heart J 33(10):1268–1278CrossRef
15.
go back to reference Cheng HL, Wright GA (2006) Rapid high-resolution T(1) mapping by variable flip angles: accurate and precise measurements in the presence of radiofrequency field inhomogeneity. Magn Reson Med 55(3):566–574CrossRef Cheng HL, Wright GA (2006) Rapid high-resolution T(1) mapping by variable flip angles: accurate and precise measurements in the presence of radiofrequency field inhomogeneity. Magn Reson Med 55(3):566–574CrossRef
16.
go back to reference Nekolla S, Gneiting T, Syha J, Deichmann R, Haase A (1992) T 1 maps by K-space reduced snapshot-FLASH MRI. J Comput Assist Tomogr 16(2):327–332CrossRef Nekolla S, Gneiting T, Syha J, Deichmann R, Haase A (1992) T 1 maps by K-space reduced snapshot-FLASH MRI. J Comput Assist Tomogr 16(2):327–332CrossRef
17.
go back to reference Chow K, Flewitt JA, Green JD, Pagano JJ, Friedrich MG, Thompson RB (2014) Saturation recovery single-shot acquisition (SASHA) for myocardial T(1) mapping. Magn Reson Med 71(6):2082–2095CrossRef Chow K, Flewitt JA, Green JD, Pagano JJ, Friedrich MG, Thompson RB (2014) Saturation recovery single-shot acquisition (SASHA) for myocardial T(1) mapping. Magn Reson Med 71(6):2082–2095CrossRef
18.
go back to reference Chung S, Kim D, Breton E, Axel L (2010) Rapid B1+ mapping using a preconditioning RF pulse with TurboFLASH readout. Magn Reson Med 64(2):439–446PubMedPubMedCentral Chung S, Kim D, Breton E, Axel L (2010) Rapid B1+ mapping using a preconditioning RF pulse with TurboFLASH readout. Magn Reson Med 64(2):439–446PubMedPubMedCentral
19.
go back to reference Lin LI (1989) A concordance correlation coefficient to evaluate reproducibility. Biometrics 45(1):255–268CrossRef Lin LI (1989) A concordance correlation coefficient to evaluate reproducibility. Biometrics 45(1):255–268CrossRef
20.
go back to reference Roujol S, Weingartner S, Foppa M, Chow K, Kawaji K, Ngo LH, Kellman P, Manning WJ, Thompson RB, Nezafat R (2014) Accuracy, precision, and reproducibility of four T 1 mapping sequences: a head-to-head comparison of MOLLI, ShMOLLI, SASHA, and SAPPHIRE. Radiology 272(3):683–689CrossRef Roujol S, Weingartner S, Foppa M, Chow K, Kawaji K, Ngo LH, Kellman P, Manning WJ, Thompson RB, Nezafat R (2014) Accuracy, precision, and reproducibility of four T 1 mapping sequences: a head-to-head comparison of MOLLI, ShMOLLI, SASHA, and SAPPHIRE. Radiology 272(3):683–689CrossRef
21.
go back to reference Treier R, Steingoetter A, Fried M, Schwizer W, Boesiger P (2007) Optimized and combined T 1 and B1 mapping technique for fast and accurate T 1 quantification in contrast-enhanced abdominal MRI. Magn Reson Med 57(3):568–576CrossRef Treier R, Steingoetter A, Fried M, Schwizer W, Boesiger P (2007) Optimized and combined T 1 and B1 mapping technique for fast and accurate T 1 quantification in contrast-enhanced abdominal MRI. Magn Reson Med 57(3):568–576CrossRef
22.
go back to reference Yoon JH, Lee JM, Kim E, Okuaki T, Han JK (2017) Quantitative liver function analysis: volumetric T 1 mapping with fast multisection B1 inhomogeneity correction in hepatocyte-specific contrast-enhanced liver MR imaging. Radiology 282(2):408–417CrossRef Yoon JH, Lee JM, Kim E, Okuaki T, Han JK (2017) Quantitative liver function analysis: volumetric T 1 mapping with fast multisection B1 inhomogeneity correction in hepatocyte-specific contrast-enhanced liver MR imaging. Radiology 282(2):408–417CrossRef
23.
go back to reference Robson MD, Piechnik SK, Tunnicliffe EM, Neubauer S (2013) T 1 measurements in the human myocardium: the effects of magnetization transfer on the SASHA and MOLLI sequences. Magn Reson Med 70(3):664–670CrossRef Robson MD, Piechnik SK, Tunnicliffe EM, Neubauer S (2013) T 1 measurements in the human myocardium: the effects of magnetization transfer on the SASHA and MOLLI sequences. Magn Reson Med 70(3):664–670CrossRef
24.
go back to reference Bandula S, Banypersad SM, Sado D, Flett AS, Punwani S, Taylor SA, Hawkins PN, Moon JC (2013) Measurement of Tissue interstitial volume in healthy patients and those with amyloidosis with equilibrium contrast-enhanced MR imaging. Radiology 268(3):858–864CrossRef Bandula S, Banypersad SM, Sado D, Flett AS, Punwani S, Taylor SA, Hawkins PN, Moon JC (2013) Measurement of Tissue interstitial volume in healthy patients and those with amyloidosis with equilibrium contrast-enhanced MR imaging. Radiology 268(3):858–864CrossRef
25.
go back to reference Gai N, Turkbey EB, Nazarian S, van der Geest RJ, Liu CY, Lima JA, Bluemke DA (2011) T 1 mapping of the gadolinium-enhanced myocardium: adjustment for factors affecting interpatient comparison. Magn Reson Med 65(5):1407–1415CrossRef Gai N, Turkbey EB, Nazarian S, van der Geest RJ, Liu CY, Lima JA, Bluemke DA (2011) T 1 mapping of the gadolinium-enhanced myocardium: adjustment for factors affecting interpatient comparison. Magn Reson Med 65(5):1407–1415CrossRef
Metadata
Title
Evaluation of variable flip angle, MOLLI, SASHA, and IR-SNAPSHOT pulse sequences for T1 relaxometry and extracellular volume imaging of the pancreas and liver
Authors
Temel Tirkes
Xuandong Zhao
Chen Lin
Alex Jordan Stuckey
Liang Li
Shivriman Giri
Dominik Nickel
Publication date
01-10-2019
Publisher
Springer International Publishing
Published in
Magnetic Resonance Materials in Physics, Biology and Medicine / Issue 5/2019
Print ISSN: 0968-5243
Electronic ISSN: 1352-8661
DOI
https://doi.org/10.1007/s10334-019-00762-2

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