faster inversion recovery prepared t1 weighted segmented turbo field echo sequence (ir-tfe):...

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POSTER PRESENTATION Open Access Faster Inversion Recovery Prepared T1 weighted segmented turbo field echo sequence (IR-TFE): Evaluating options for eliminating the start-up shot Ramkumar Krishnamurthy 1* , Amol Pednekar 2 , Benjamin Cheong 3 , Raja Muthupillai 3 From 2011 SCMR/Euro CMR Joint Scientific Sessions Nice, France. 3-6 February 2011 Introduction In conventional multi-shot IR-TFE sequences, e.g., clini- cal myocardial viability imaging, data collected during the first one or two shots is ignored, to minimize signal intensity variation across the shots. For a typical 8-10 heartbeat acquisition, such dummy shots results in scan overhead of 10-15% longer scan time. We evaluate the effect of removing the start-up shots in such IR-TFE sequences, and minimizing the effect of resulting artifacts Purpose The purposes of this work are two fold: (a) to theoreti- cally analyze and experimentally evaluate the impact of removing the startup shot in a conventional cardiac via- bility sequence, and (b) evaluate potential mechanisms for minimizing the artifacts stemming from the removal of start-up shots. Hypothesis We hypothesize that by reducing the flip-angle of the IR pulse during the first shot one can minimize the signal amplitude modulation between the shots. Theory and methods The magnetization preparation flip angle for the first shot was set to yield the steady state longitudinal mag- netization for the tissue of interest. The variable flip angle was calculated as follows: With the user entered inversion time (TI) value, and the time between IR pulses, the apparent T1 of the tissue to be nulled is cal- culated for the given heart rate. Based on this T1, an inversion flip angle which would yield nulling at the desired Td for the first shot [Fig 1]. Each simulation was performed for three different tissue types that had apparent T1 values of 555 ms (tissue of interest), 1215 ms (longer T1) and 300 ms (shorter T1). Other simula- tion parameters were: TR/TE/a = 7 ms/3 ms/15°; TFE factor = 22; startup echoes = 4. The simulation was car- ried out for 7 RR intervals, each 1000 ms long, leading to 154 phase encoding steps. Phantoms with the desired T1 values (as simulated) were created using water and Magnevist® (Bayer Healthcare Pharmaceuticals, USA). Scanning was performed in a 1.5 T Achieva scanner (Philips Healthcare) Results The theoretical point-spread function of IR-TFE sequence with/without the start up shots is shown in Figure 2. Experimental findings confirm theoretical pre- dictions. Figure 3 shows the efficacy of the variable flip angle preparation method, which yields significantly less artifacts than the conventional method. Conclusions Our theoretical and experimental models suggest that, by modulating the flip angle of the magnetization pre- paration pulse, it is possible to significantly reduce arti- facts arising from accepting data from dummy shots. Author details 1 Rice University, Houston, TX, USA. 2 Philips Health Care, Houston, TX, USA. 3 St. Lukes Episcopal Hospital, Houston, TX, USA. 1 Rice University, Houston, TX, USA Full list of author information is available at the end of the article Krishnamurthy et al. Journal of Cardiovascular Magnetic Resonance 2011, 13(Suppl 1):P28 http://jcmr-online.com/content/13/S1/P28 © 2011 Krishnamurthy et al; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Page 1: Faster Inversion Recovery Prepared T1 weighted segmented turbo field echo sequence (IR-TFE): Evaluating options for eliminating the start-up shot

POSTER PRESENTATION Open Access

Faster Inversion Recovery Prepared T1 weightedsegmented turbo field echo sequence (IR-TFE):Evaluating options for eliminating the start-upshotRamkumar Krishnamurthy1*, Amol Pednekar2, Benjamin Cheong3, Raja Muthupillai3

From 2011 SCMR/Euro CMR Joint Scientific SessionsNice, France. 3-6 February 2011

IntroductionIn conventional multi-shot IR-TFE sequences, e.g., clini-cal myocardial viability imaging, data collected duringthe first one or two shots is ignored, to minimize signalintensity variation across the shots. For a typical 8-10heartbeat acquisition, such dummy shots results in scanoverhead of 10-15% longer scan time. We evaluate theeffect of removing the start-up shots in such IR-TFEsequences, and minimizing the effect of resultingartifacts

PurposeThe purposes of this work are two fold: (a) to theoreti-cally analyze and experimentally evaluate the impact ofremoving the startup shot in a conventional cardiac via-bility sequence, and (b) evaluate potential mechanismsfor minimizing the artifacts stemming from the removalof start-up shots.

HypothesisWe hypothesize that by reducing the flip-angle of the IRpulse during the first shot one can minimize the signalamplitude modulation between the shots.

Theory and methodsThe magnetization preparation flip angle for the firstshot was set to yield the steady state longitudinal mag-netization for the tissue of interest. The variable flipangle was calculated as follows: With the user enteredinversion time (TI) value, and the time between IR

pulses, the apparent T1 of the tissue to be nulled is cal-culated for the given heart rate. Based on this T1, aninversion flip angle which would yield nulling at thedesired Td for the first shot [Fig 1]. Each simulationwas performed for three different tissue types that hadapparent T1 values of 555 ms (tissue of interest), 1215ms (longer T1) and 300 ms (shorter T1). Other simula-tion parameters were: TR/TE/a = 7 ms/3 ms/15°; TFEfactor = 22; startup echoes = 4. The simulation was car-ried out for 7 RR intervals, each 1000 ms long, leadingto 154 phase encoding steps. Phantoms with the desiredT1 values (as simulated) were created using water andMagnevist® (Bayer Healthcare Pharmaceuticals, USA).Scanning was performed in a 1.5 T Achieva scanner(Philips Healthcare)

ResultsThe theoretical point-spread function of IR-TFEsequence with/without the start up shots is shown inFigure 2. Experimental findings confirm theoretical pre-dictions. Figure 3 shows the efficacy of the variable flipangle preparation method, which yields significantly lessartifacts than the conventional method.

ConclusionsOur theoretical and experimental models suggest that,by modulating the flip angle of the magnetization pre-paration pulse, it is possible to significantly reduce arti-facts arising from accepting data from dummy shots.

Author details1Rice University, Houston, TX, USA. 2Philips Health Care, Houston, TX, USA.3St. Luke’s Episcopal Hospital, Houston, TX, USA.

1Rice University, Houston, TX, USAFull list of author information is available at the end of the article

Krishnamurthy et al. Journal of Cardiovascular Magnetic Resonance 2011, 13(Suppl 1):P28http://jcmr-online.com/content/13/S1/P28

© 2011 Krishnamurthy et al; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the CreativeCommons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, andreproduction in any medium, provided the original work is properly cited.

Page 2: Faster Inversion Recovery Prepared T1 weighted segmented turbo field echo sequence (IR-TFE): Evaluating options for eliminating the start-up shot

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Krishnamurthy et al. Journal of Cardiovascular Magnetic Resonance 2011, 13(Suppl 1):P28http://jcmr-online.com/content/13/S1/P28

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Page 3: Faster Inversion Recovery Prepared T1 weighted segmented turbo field echo sequence (IR-TFE): Evaluating options for eliminating the start-up shot

Published: 2 February 2011

doi:10.1186/1532-429X-13-S1-P28Cite this article as: Krishnamurthy et al.: Faster Inversion RecoveryPrepared T1 weighted segmented turbo field echo sequence (IR-TFE):Evaluating options for eliminating the start-up shot. Journal ofCardiovascular Magnetic Resonance 2011 13(Suppl 1):P28.

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Krishnamurthy et al. Journal of Cardiovascular Magnetic Resonance 2011, 13(Suppl 1):P28http://jcmr-online.com/content/13/S1/P28

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