Scanning time efficient slinky for non-contrast MRA at low field.

To eliminate slab boundary artifact (SBA) for non-contrast multi-slab three-dimensional time-of-flight magnetic resonance angiogram (3D TOF MRA), we have previously developed a novel technique, termed SLINKY (Sliding Interleaved kY) acquisition in which a thin slab continuously "walks" along the z-axis while data are acquired in an interleaved fashion along the kY-axis. It has been demonstrated in our earlier works that SLINKY can suppress the SBA without any assumption of blood flow behavior, such as velocity or direction. At the same time, SLINKY keeps the same SNR as conventional multiple overlapping thin slab acquisition (MOTSA). Yet, this method is sensitive to any phase error along the ky axis. In our earlier application of SLINKY, we used navigator echoes to measure and correct the phase errors along the kY axis. The cost of using navigator echo collection is an increase in the imaging time. We therefore propose an improved SLINKY technique which does not use navigator echo collection for correcting phase errors, reducing the imaging time while keeping the same suppression of slab boundary artifacts. The present study demonstrates that by using a specifically designed RF pulse, the navigator echo collection can be avoided without incurring any extra ghosting or SNR reduction in the reconstructed images.     

High-resolution intracranial MRA at 7T using autocalibrating parallel imaging: initial experience in vascular disease patients

Purpose

Greater spatial resolution in intracranial three-dimensional time-of-flight (TOF) magnetic resonance angiography (MRA) is possible at higher field strengths, due to the increased contrast-to-noise ratio (CNR) from the higher signal-to-noise ratio and the improved background suppression. However, at very high fields, spatial resolution is limited in practice by the acquisition time required for sequential phase encoding. In this study, we applied parallel imaging to 7T TOF MRA studies of normal volunteers and patients with vascular disease, in order to obtain very high resolution (0.12 mm³) images within a reasonable scan time.

Materials and Methods

Custom parallel imaging acquisition and reconstruction methods were developed for 7T MRA, based on generalized autocalibrating partially parallel acquisition (GRAPPA). The techniques were compared and applied to studies of seven normal volunteers and three patients with cerebrovascular disease.

Results

The technique produced high resolution studies free from discernible reconstruction artifacts in all subjects and provided excellent depiction of vascular pathology in patients.

Conclusions

7T TOF MRA with parallel imaging is a valuable noninvasive angiographic technique that can attain very high spatial resolution.     

Dual-echo breathhold T(2)-weighted fast spin echo MR imaging of liver lesions

The purpose of this study was to develop a multi-shot dual-echo breathhold fast spin echo technique (DFSE) and compare it with conventional spin echo (T2SE) for T(2)-weighted MR imaging of liver lesions. The DFSE acquisition (EffTE1/EffTE2/TR = 66/143/2100 ms) imaged 5 sections per 17 s breathhold. T2SE imaging (TE1/TE2/TR = 60/120/2500 ms) required 16:55 (min:s) for 14 sections. Both techniques used a receive-only phased-array abdominal multicoil and provided 192 x 256 effective resolution. The results showed first and second echo relative DFSE/T2SE contrast values for 27 representative lesions (15 consecutive patients) were 1.08 +/- 0.05 and 1.16 +/- 0.09 (mean +/- STD mean), respectively. Corresponding CNR values were 1.12 +/- 0.09 and 0.97 +/- 0.12. Overall DFSE was comparable-to-superior to T2SE for lesion sizing and image artifact. DFSE lesion detection was inferior to T2SE's in several patient studies because of decreased conspicuity of lesions located near multicoil edges and because of poor breathhold-to-breathhold reproducibility and lack of breathholding. However both DFSE (and T2SE) provided lesion detection rated to be of diagnostic quality for all patient studies. In conclusion, we found that DFSE provides diagnostically useful dual-echo T(2)-weighted MR liver images in a greatly decreased acquisition time.     

Motion artifacts reduction in brain MRI by means of a deep residual network with densely connected multi-resolution blocks (DRN-DCMB)

Objective: Magnetic resonance imaging (MRI) acquisition is inherently sensitive to motion, and motion artifact reduction is essential for improving image quality in MRI. Methods: We developed a deep residual network with densely connected multi-resolution blocks (DRN-DCMB) model to reduce the motion artifacts in T1 weighted (T1W) spin echo images acquired on different imaging planes before and after contrast injection. The DRN-DCMB network consisted of multiple multi-resolution blocks connected with dense connections in a feedforward manner. A single residual unit was used to connect the input and output of the entire network with one shortcut connection to predict a residual image (i.e. artifact image). The model was trained with five motion-free T1W image stacks (pre-contrast axial and sagittal, and post-contrast axial, coronal, and sagittal images) with simulated motion artifacts. Results: In other 86 testing image stacks with simulated artifacts, our DRN-DCMB model outperformed other state-of-the-art deep learning models with significantly higher structural similarity index (SSIM) and improvement in signal-to-noise ratio (ISNR). The DRN-DCMB model was also applied to 121 testing image stacks appeared with various degrees of real motion artifacts. The acquired images and processed images by the DRN-DCMB model were randomly mixed, and image quality was blindly evaluated by a neuroradiologist. The DRN-DCMB model significantly improved the overall image quality, reduced the severity of the motion artifacts, and improved the image sharpness, while kept the image contrast. Conclusion: Our DRN-DCMB model provided an effective method for reducing motion artifacts and improving the overall clinical image quality of brain MRI.     

High-resolution gadolinium-enhanced 3D MRA of the infrapopliteal arteries. Lessons for improving bolus-chase peripheral MRA

Peripheral magnetic resonance angiography (MRA) is growing in use. However, methods of performing peripheral MRA vary widely and continue to be optimized, especially for improvement in illustration of infrapopliteal arteries. The main purpose of this project was to identify imaging factors that can improve arterial visualization in the lower leg using bolus chase peripheral MRA. Eighteen healthy adults were imaged on a 1.5T MR scanner. The calf was imaged using conventional three-station bolus chase three-dimensional (3D) MRA, two dimensional (2D) time-of-flight (TOF) MRA and single-station Gadolinium (Gd)-enhanced 3D MRA. Observer comparisons of vessel visualization, signal to noise ratios (SNR), contrast to noise ratios (CNR) and spatial resolution comparisons were performed. Arterial SNR and CNR were similar for all three techniques. However, arterial visualization was dramatically improved on dedicated, arterial-phase Gd-enhanced 3D MRA compared with the multi-station bolus chase MRA and 2D TOF MRA. This improvement was related to optimization of Gd-enhanced 3D MRA parameters (fast injection rate of 2 mL/sec, high spatial resolution imaging, the use of dedicated phased array coils, elliptical centric k-space sampling and accurate arterial phase timing for image acquisition). The visualization of the infrapopliteal arteries can be substantially improved in bolus chase peripheral MRA if voxel size, contrast delivery, and central k-space data acquisition for arterial enhancement are optimized. Improvements in peripheral MRA should be directed at these parameters.     

Compressed sensing based simultaneous black- and gray-blood carotid vessel wall MR imaging

ObjectiveIn this study, we sought to demonstrate the blood suppression performance, image quality and morphological measurements for compressed sensing (CS) based simultaneous 3D black- and gray-blood imaging sequence (CS-siBLAG) in carotid vessel wall MR imaging.Materials and methodsSeven healthy volunteers and five patients were recruited. Healthy subjects underwent five CS-siBLAG scans with 1, 2, 3, 4 and 5-fold accelerations. Signal-to-tissue ratio (STR) and contrast-to-tissue ratio (CTR) were computed as the measures of flowing signal suppression performance and the image quality for black-blood imaging of the technique. Vessel lumen area (LA) and wall area (WA) were compared between fully sampled acquisition and each accelerated acquisition. Patients underwent three CS-siBLAG scans with 1, 3 and 5-fold accelerations as well as a 3D time of flight (3D TOF) scan. Two radiologists reviewed the under-sampled black- and gray-blood image quality.ResultsSTR and CTR values obtained with 2 to 5-fold accelerations were not significantly different from those with full acquisition. LA and WA measured at 2 ×, 3 ×, 4 × and 5 × were all highly correlated to the corresponding values at 1 ×. For patients imaging, two radiologists both found that the dual-contrast images at 3 × acceleration exhibited comparable image quality to that of the fully sampled acquisition, and that the images at 5 × exhibited slightly blurred vessel wall and outer vessel wall boundaries.ConclusionBy combining the CS under-sampling pattern and reconstruction, pseudo-centric phase encoding order and dual blood contrast sequences, this technique provides spatially registered black- and gray-blood images and excellent visualization for vessel wall imaging and gray-blood imaging in a short scan time.     

Brain imaging: Comparison of T1W FLAIR BLADE with conventional T1W SE

IntroductionAlthough T1 weighted spin echo (T1W SE) images are widely used to study anatomical details and pathologic abnormalities of the brain, its role in delineation of lesions and reduction of artifacts has not been thoroughly investigated. BLADE is a fairly new technique that has been reported to reduce motion artifacts and improve image quality.ObjectiveThe primary objective of this study is to compare the quality of T1-weighted fluid attenuated inversion recovery (FLAIR) images with BLADE technique (T1W FLAIR BLADE) and the quality of T1W SE images in the MR imaging of the brain. The goal is to highlight the advantages of the two sequences as well as which one can better reduce flow and motion artifacts so that the imaging of the lesions will not be impaired.Materials and methodsBrain examinations with T1W FLAIR BLADE and T1W SE sequences were performed on 48 patients using a 1.5 T scanner. These techniques were evaluated by two radiologists based on: a) a qualitative analysis i.e. overall image quality, presence of artifacts, CSF nulling; and b) a quantitative analysis of signal-to-noise ratios (SNR), contrast-to-noise ratios (CNR) and Relative Contrast. The statistical analysis was performed using the Kruskal-Wallis non-parametric system.ResultsIn the qualitative analysis, BLADE sequences had a higher scoring than the conventional sequences in all the cases. The overall image quality was better on T1W FLAIR BLADE. Motion and flow-related artifacts were lower in T1W FLAIR BLADE. Regarding the SNR measurements, T1W SE appeared to have higher values in the majority of cases, whilst T1W-FLAIR BLADE had higher values in the CNR and Relative Contrast measurements.ConclusionT1W FLAIR BLADE sequence appears to be superior to T1W SE in overall image quality and reduction of motion and flow-pulsation artifacts as well as in nulling CSF and has been preferred by the clinicians. T1W FLAIR BLADE may be an alternative approach in brain MRI imaging.     

Artifact-free black-blood cine cardiac imaging in a single breath-hold

Fast imaging using the STimulated Echo Acquisition Mode (STEAM) sequence can produce cine images of the heart with black-blood contrast. Nevertheless, correction of deformation-related artifacts is required in order to maintain myocardial signal throughout the cardiac cycle. Recent work by our group has eliminated this artifact by combining two STEAM sequences acquired with two different demodulation gradients. Unfortunately, these two STEAM sequences were acquired on two separate breath-holds; thus, scan time doubled. In this work, we present a technique to reduce the total scan time by one half, without sacrificing image quality. The technique is based on interleaving two demodulations within one acquisition in order to obtain quality cine images of the heart in a single breath-hold. The technique was tested on animal models and human subjects, and the impact of interleaved acquisition on image quality was studied using quantitative and qualitative measures.     

Fast carotid artery MR angiography with compressed sensing based three-dimensional time-of-flight sequence

ObjectiveIn this study, we sought to investigate the feasibility of fast carotid artery MR angiography (MRA) by combining three-dimensional time-of-flight (3D TOF) with compressed sensing method (CS-3D TOF).Materials and methodsA pseudo-sequential phase encoding order was developed for CS-3D TOF to generate hyper-intense vessel and suppress background tissues in under-sampled 3D k-space. Seven healthy volunteers and one patient with carotid artery stenosis were recruited for this study. Five sequential CS-3D TOF scans were implemented at 1, 2, 3, 4 and 5-fold acceleration factors for carotid artery MRA. Blood signal-to-tissue ratio (BTR) values for fully-sampled and under-sampled acquisitions were calculated and compared in seven subjects. Blood area (BA) was measured and compared between fully sampled acquisition and each under-sampled one.ResultsThere were no significant differences between the fully-sampled dataset and each under-sampled in BTR comparisons (P > 0.05 for all comparisons). The carotid vessel BAs measured from the images of CS-3D TOF sequences with 2, 3, 4 and 5-fold acceleration scans were all highly correlated with that of the fully-sampled acquisition. The contrast between blood vessels and background tissues of the images at 2 to 5-fold acceleration is comparable to that of fully sampled images. The images at 2 × to 5 × exhibit the comparable lumen definition to the corresponding images at 1 ×.ConclusionBy combining the pseudo-sequential phase encoding order, CS reconstruction, and 3D TOF sequence, this technique provides excellent visualizations for carotid vessel and calcifications in a short scan time. It has the potential to be integrated into current multiple blood contrast imaging protocol.     

HASTE sequence with parallel acquisition and T2 decay compensation: application to carotid artery imaging

T2-weighted carotid artery images acquired using the turbo spin-echo (TSE) sequence frequently suffer from motion artifacts due to respiration and blood pulsation. The possibility of using HASTE sequence to achieve motion-free carotid images was investigated. The HASTE sequence suffers from severe blurring artifacts due to signal loss in later echoes due to T2 decay. Combining HASTE with parallel acquisition (PHASTE) decreases the number of echoes acquired and thus effectively reduces the blurring artifact caused by T2 relaxation. Further improvement in image sharpness can be achieved by performing T2 decay compensation before reconstructing the PHASTE data. Preliminary results have shown successful suppression of motion artifacts with PHASTE imaging. The image quality was enhanced relative to the original HASTE image, but was still less sharp than a non-motion-corrupted TSE image.     

Feasibility of free-breathing T1-weighted 3D radial VIBE for fetal MRI in various anomalies

Rationale and objectivesIn magnetic resonance (MR) fetal imaging, the image quality acquired by the traditional Cartesian-sampled breath-hold T1-weighted (T1W) sequence may be degraded by motion artifacts arising from both mother and fetus. The radial VIBE sequence is reported to be a viable alternative to conventional Cartesian acquisition for both pediatric and adult MR, yielding better image quality. This study evaluated the role of radial VIBE in fetal MR imaging and compared its image quality and motion artifacts with those of the Cartesian T1W sequence.Materials and methodsWe included 246 pregnant women with 50 lesions on 1.5-T MR imaging. Image quality and lesion conspicuity were evaluated by two radiologists, blinded to the acquisition schemes used, using a five-point scale, where a higher score indicated a better trajectory method. Mixed-model analysis of variance and interobserver variability assessment were performed.ResultsThe radial VIBE sequence showed a significantly better performance than conventional T1W imaging in the head and neck, fetal body, and placenta region: 3.92 ± 0.88 vs 3 ± 0.74, p < 0.001, 3.8 ± 0.94 vs 3.15 ± 0.87, p < 0.001, and 4.17 ± 0.63 vs 3.12 ± 0.72, p < 0.001, respectively. Additionally, fewer motion artifacts were observed in all regions with the radial VIBE sequence (p < 0.01). Of 50 lesions, 49 presented better lesion conspicuity on radial VIBE images than on T1W images (4.34 ± 0.91 vs 3.48 ± 1.46, p < 0.001).ConclusionFor fetal imaging, the radial VIBE sequences yielded better image quality and lesion conspicuity, with fewer motion artifacts, than conventional breath-hold Cartesian-sampled T1W sequences.     

Vessel contrast at three Tesla in time-of-flight magnetic resonance angiography of the intracranial and carotid arteries

The effects of the increased field strength of 3T on blood vessel contrast in three-dimensional time-of-flight (TOF) MR angiography (MRA) of the intracranial and carotid arteries was evaluated. Bloch equation simulations based on measured longitudinal relaxation times suggested superior blood-to-background contrast might be expected at 3T over 1.5T when using typical 3D TOF MRA parameters. A 15-volunteer study found that 3T was preferable over 1.5T for visualising distal intracranial vessels and the carotid arteries, by providing superior background suppression and excellent fat suppression. The combination of improved background suppression and improved signal-to-noise at 3T, enabled high resolution intracranial 3D TOF MRA with voxel volumes as small as 0.14 mm(3) to be acquired.     

Electrocardiograph-triggered two-dimensional time-of-flight versus optimized contrast-enhanced three-dimensional MR angiography of the peripheral arteries

We determined whether the accuracy of magnetic resonance angiography (MRA) in the peripheral run-off vessels can be improved by using contrast-enhanced (CE) three-dimensional (3D) technique in comparison to electrocardiograph (ECG)-triggered two-dimensional (2D) time-of-flight (TOF) technique. In a prospective study 20 patients with occlusions of the pelvic and/or femoral arteries underwent a CE 3D MRA (repetition time (TR): 5 ms, (TE) echo time: 2 ms, flip angle (FA): 30°) and an ECG-triggered 2D time-of-flight (TOF) technique (TR: 408 resp. 608 ms, TE: 7 ms, FA: 70°) of the run-off vessels on a 1.5 T MR system. Each patient received a contrast material volume of 0.15 mmol/kg of body weight of gadolinium (Gd)/DTPA using an automatic injector. The tube system to the patient was flushed by 50 mL of a saline solution applied with the same injection rate as the contrast material administration. The start of the 3D MR sequence was tailored individually to the applied contrast material after determination of circulation times by a prior bolus. All patients underwent each conventional or digital arteriography for comparison, as well. The visualization of the run-off vessels was ranked on a scale of 0–3 (0 = poor, 1 = fair, 2 = good, 3 = excellent) by three blinded reviewers. They also graded the vascular segments as either occluded or significantly altered (>50% reduction in diameter) or free of significant stenosis. CE 3D MRA was significantly faster in imaging the run-off vessels in comparison to the ECG-triggered 2D TOF technique. All 160 vascular segments were visualized with the 3D method, whereas only 142/160 segments were seen with 2D technique. The resulting image quality ranking of all vascular segments was significantly higher (p < 0.05) using CE 3D MRA (2.8) than with the 2D TOF technique (2.4). The detection of the stenoses was possible with both techniques. The grading of seven of seven stenoses was correct with 3D method and in five of seven cases with the 2D TOF technique. All vessel occlusions were detected by using both techniques. Small collaterals were visualized in more detail with the CE 3D MR angiography. These data demonstrate an improvement in image quality and accuracy of MRA of the peripheral arteries using a CE 3D technique in comparison to an ECG-triggered 2D TOF sequence.     

基于优化后流动敏感黑血序列的豆纹动脉3 T磁共振成像

豆纹动脉是大脑内部的重要动脉,其阻塞往往会导致腔隙性脑梗死.现在在临床上主要利用数字减影血管造影(Digital Subtraction Angiography,DSA)技术实现豆纹动脉成像,然而DSA的有创性是其重要的限制因素.有研究表明,在高场磁共振系统(7 T)下,时间飞跃法(Time-Of-Flight,TOF)已经能够得到较好的豆纹动脉影像,但是在临床使用的1.5 T或3 T磁共振系统下,由于豆纹动脉的管腔直径非常小(大约为0.3~0.7 mm)、血流速度比较慢,对其成像仍然是个挑战.该文主要研究了在3 T磁共振系统下使用流动敏感黑血(Flow-Sensitive Black-Blood,FSBB)序列对豆纹动脉进行成像的方法,并对该成像序列中流动敏感梯度的设计进行了优化,使其在扫描时间和图像分辨率、对比度、信噪比等方面都能够基本满足临床使用的要求.     

Reduction of flow- and eddy-currents-induced image artifacts in coronary magnetic resonance angiography using a linear centric-encoding SSFP sequence

Coronary magnetic resonance angiography (MRA) acquired using steady-state free precession (SSFP) sequences tends to suffer from image artifacts caused by local magnetic field inhomogeneities. Flow- and gradient-switching-induced eddy currents are important sources of such phase errors, especially under off-resonant conditions. In this study, we propose to reduce these image artifacts by using a linear centric-encoding (LCE) scheme in the phase-encoding (PE) direction. Abrupt change in gradients, including magnitude and polarity between consecutive radiofrequency cycles, is minimized using the LCE scheme. Results from numeric simulations and phantom studies demonstrated that signal oscillation can be markedly reduced using LCE as compared to conventional alternating centric-encoding (ACE) scheme. The image quality of coronary arteries was improved at both 1.5 and 3.0 T using LCE compared to those acquired using ACE PE scheme (1.5 T: ACE/LCE=2.2+/-0.8/3.0+/-0.6, P=.02; 3.0 T: ACE/LCE=2.1+/-1.1/3.0+/-0.8, P=.01). In conclusion, flow- and eddy-currents-induced imaging artifacts in coronary MRA using SSFP sequence can be markedly reduced with LCE acquisition of PE lines.     

Motion artifact reduction technique for dual-contrast FSE imaging

There is considerable similarity between proton density-weighted (PDw) and T2-weighted (T2w) images acquired by dual-contrast fast spin-echo (FSE) sequences. The similarity manifests itself in image space as consistency between the phases of PDw and T2w images and in k-space as correspondence between PDw and T2w k-space data. A method for motion artifact reduction for dual-contrast FSE imaging has been developed. The method uses projection onto convex sets (POCS) formalism and is based on image space phase consistency and the k-space similarity between PDw and T2w images. When coupled with a modified dual-contrast FSE phase encoding scheme the method can yield considerable artifact reduction, as long as less than half of the acquired data is corrupted by motion. The feasibility and efficiency of the developed method were demonstrated using phantom and human MRI data.     

Time-resolved contrast-enhanced coronary magnetic resonance angiography with highly constrained projection reconstruction

Contrast-enhanced magnetic resonance angiography (MRA) is a promising technique for coronary artery imaging. The blood signal changes during the contrast injection will result in image artifacts, blurring and relatively low signal-to-noise ratio, when the k-space segments from different cardiac cycles are combined to reconstruct the final image as “time averaged.” Thus, it is important to acquire data during maximal blood signal enhancement for first-pass, contrast-enhanced MRA, and relatively high temporal resolution is required. This work demonstrated the feasibility of highly constrained backprojection reconstruction for time-resolved, contrast-enhanced coronary MRA. With this method, the temporal resolution can be increased. In addition, coronary artery images around blood signal enhancement peak have significantly improved contrast-to-noise ratio and suppressed artifacts compared to the composite images which were collected during a much longer acquisition time during substantial blood signal changes.     

Comparison of 7 T and 3 T MRI in patients with moyamoya disease

Magnetic resonance imaging and magnetic resonance angiography (MRI/MRA) are widely used for evaluating the moyamoya disease (MMD). This study compared the diagnostic accuracy of 7 Tesla (T) and 3 T MRI/MRA in MMD. In this case control study, 12 patients [median age: 34 years; range (10–66 years)] with MMD and 12 healthy controls [median age: 25 years; range (22–59 years)] underwent both 7 T and 3 T MRI/MRA. To evaluate the accuracy of MRI/MRA in MMD, five criteria were compared between imaging systems of 7 T and 3 T: Suzuki grading system, internal carotid artery (ICA) diameter, ivy sign, flow void of the basal ganglia on T2-weighted images, and high signal intensity areas of the basal ganglia on time-of-flight (TOF) source images. No difference was observed between 7 T and 3 T MRI/MRA in Suzuki stage, ICA diameter, and ivy sign score; while, 7 T MRI/MRA showed a higher detection rate in the flow void on T2-weighted images and TOF source images (p < 0.001). Receiver operating characteristic curves of both T2 and TOF criteria showed that 7 T MRI/MRA had higher sensitivity and specificity than 3 T MRI/MRA. Our findings indicate that 7 T MRI/MRA is superior to 3 T MRI/MRA for the diagnosis of MMD in point of detecting the flow void in basal ganglia by T2-weighted and TOF images.     

Fluoroscopically triggered contrast-enhanced 3D MR DSA and 3D time-of-flight turbo MRA of the carotid arteries: first clinical experiences in correlation with ultrasound, x-ray angiography, and endarterectomy findings

The aim of this article was to obtain initial experiences with fluoroscopically triggered contrast-enhanced (CE) 3D MR DSA with elliptical centric k-space order and 3D time-of-flight (TOF) turbo MRA of the carotid arteries. In this prospective study we examined 16 consecutive patients with suspicion of atherosclerotic disease involving the carotid arteries. Ultrasound was available in all, x-ray angiography in 12, surgical correlation in 9, and intraoperative x-ray angiography in 4 patients. All examinations were done on a 1.5 T unit applying: transverse plain 3D TOF turbo MRA and coronal CE MRA with fluoroscopic triggering. Combining head and neck array coils allowed the visualization of supraaortic arteries from the aortic arch to the circle of Willis. MRA results (maximum intensity projections) were compared with x-ray angiography, ultrasound, and inspection of endarterectomy specimens. Volume rendering was performed in selected cases additionally. Agreement between CE MRA, 3D TOF turbo MRA and x-ray angiography regarding stenoses of the internal and external carotid artery was very good. CE MRA was able to detect correctly intracranial stenoses, but delineation of the aortic arch and proximal common carotid arteries was sometimes reduced. Volume rendering was suited for visualization of MRA images providing a realistic three-dimensional impression. In conclusion, high-resolution fluoroscopically triggered CE MRA as non-invasive technique is another important step on the way to replace invasive x-ray angiography for the evaluation of atherosclerotic carotid artery disease. High resolution 3D TOF turbo MRA might be a helpful adjunct to increase the diagnostic reliability for the carotid bifurcation.     

Fast 3D T(2)-weighted MRI with Hadamard encoding in the slice select direction

A fast method to obtain 3-dimensional (3D) magnetic resonance imaging with long repetition times is presented. It can be used to obtain fast 3D MRI with for example T(2) or diffusion weighted imaging. The method uses a 3D multiple thin slab sequence with radio frequency encoding, preferably Hadamard encoding, in the slice select direction. The point-spread function of the Hadamard-encoded slices is close to ideal even at low encoding numbers. This allows the acquisition of 3D data volumes with tolerable image quality up to four times faster than is possible using Fourier phase encoding. The scope of the method includes both longitudinal and transverse encoding. Longitudinal encoding provides a better point spread function than transverse encoding, at the expense of having to discard one slice per slab. The method is demonstrated experimentally for 4th order longitudinal Hadamard encoding to obtain 3D T(2)-weighted images.