8/1/2011 The Need for Speed: A Technical and Clinical Primer for Parallel MR Imaging Nathan Yanasak, Ph.D. Overview • General Description of Parallel Imaging • Applications of Parallel Imaging Chair, AAPM TG118 • pMRI Considerations Assistant Professor Department of Radiology Director, Core Imaging Facility for Small Animals (CIFSA) Georgia Health Sciences University • Quality Control What is pMRI? Speed: less phase encodes = smaller FOV (with same resolution) • Uses spatial information obtained from arrays of RF coils sampling data in parallel • Information is used to perform some portion of spatial encoding usually done by gradient fields (typically phase-encoding gradient) • Speeds up MRI acquisition times – without needing faster-switching gradients – without additional RF power deposited (key for higher field MR) aliasing Smaller FOV 4 1 8/1/2011 Phased-Array of Coil Elements Uneven SNR throughout volume, but … 6 5 Multichannel Coils 12-channel head coil Multi-element full body coil SIGNAL-TO-NOISE RATIO (Arbitrary Units) • Very high SNR at edge • Lower SNR in middle • SNR in middle is generally better than comparable volume coil. SNR: Surface Coil vs. Volume Coil Surface Coil (single element) Non-uniform SNR Great SNR up close a 5 4 3 (a) (b) (c) (d) Volume Coil Uniform SNR Average SNR 8 cm dia. Surface coil 10 cm dia. Surface coil 14 cm dia. Surface coil Head coil b c 2 1 0 head d body 5 10 15 DEPTH (in cm) 6 Use of Phased Array Coil in Parallel Imaging Spatial sensitivity varies for each element can use this in conjunction with undersampling. 7 Conventional use of phased-array (unaliased) Parallel reconstruction of data (aliased) 2 8/1/2011 Sensitivity Map Coil Sensitivity Profiles The spatial sensitivity of each coil element = sensitivity map. A calibration scan is usually required to calculate this. • Different approaches to solving the inverse problem that recovers spatial information. • The key information always required to solve this problem is information on the spatial distribution of the RF coils’ sensitivity. • How you collect and use this information different methods. Total s1 s2 10 Using Coil Sensitivity to Un-alias an Image: An Example Coil Locations and Sensitivity Maps Object being imaged 11 12 3 8/1/2011 Using Coil Sensitivity to Un-alias an Image 13 Two Parallel Approaches • Image based: Reconstruct images from each element, then untangle (SENSE, ASSET) (our demo) • k-Space based: Untangle data to create fully-filled kspace, then reconstruct image (SMASH, GRAPPA) 14 The Encoding Matrix S p B pj j j Sp: signal received by the coil, p. j: proton density at the pixel index, j Bpj: encoding function that connects the coil response to the proton signal at a location. In matrix notation: S = B or inverting: = B-1S Thus if B-1 can be calculated, can be determined. 4 8/1/2011 A Simplistic SENSE Example k-Space Based pMRI Salias,1=B1,AIA + B1,BIB A • Assumes spatial harmonics of phaseencoding gradients can be omitted and emulated by a linear combination of coil sensitivities IA B s1 I1 IB A B s2 • Coil sensitivity still required (measured in some manner, and complex). I2 Salias,2=B2,AIA + B2,BIB 17 A Simplistic SMASH Example A Simplistic SMASH Example • (from Sodickson, et al., MRM 41: 1009, 1999) Weighted linear combination of element responses are sensitive to different spatial scales (but…no recon yet). 5 8/1/2011 A Simplistic SMASH Example A Simplistic SMASH Example The black curves represent two of the effective sensitivities using elements in this example. The upper combination is sensitive Fundamental: CA (add signal for all three) to these spatial variations: First Harmonic: CB (subtract middle signal) …while the lower combination is sensitive to these spatial variations: • Resultant combinations (spatial harmonics) allow for filling of all lines in a composite k-space. Auto-Calibration Methods • Acquire reference lines (ACS lines) in k-space rather than whole coil sensitivity images (data from center of k-space acts like a sensitivity profile) 22 Parallel Imaging (Technique Pros/Cons) Image-based reconstruction: More artifacts, but easier to implement the sequence. Example: GRAPPA (k-space based) • Missing k-space lines are synthesized by fitting between reference data and nearest neighbor lines of data K-space based reconstruction: Depends more strongly on coil design, less artifacts, but longer to reconstruct. • Fitting determines the weighting factors for generating missing lines for each coil Hybrids between both also exist... 24 6 8/1/2011 Parallel Imaging Flavors Name SENSitivity Encoding Acronym SENSE Array Spatial Sensitivity Encoding Technique Auto-calibrating Reconstruction for Cartesian imaging ASSET integrated Parallel Acquisition Techniques iPAT GeneRalized Auto-calibrating Partially Parallel Acquisition GRAPPA modified SENSitivity Encoding mSENSE ARC SPEEDER Method Image-based, reference scan Image-based, reference scan Hybrid (imageand k-space based) Used by all pMRI k-space based, auto-calibrated with reference scan option image based, auto-calibrated with reference scan option image-based, reference scan Manufacturer Philips General Electric General Electric Advantages/Uses of pMRI Siemens Siemens Siemens Toshiba When Should You Use Parallel MR Imaging? • To reduce total scan time • To speed up single-shot MRI methods 25 26 Use #1: Body Imaging A: 22 sec acquisition w/ 15 sec breathhold B: 11 sec acquisition w/ 11 sec breathhold + R=2 • To reduce TE on long echo-train methods • To reduce total scan time (or eliminate breath holds) • To mitigate susceptibility, chemical shift and other artifacts (may cause others) • To decrease RF heating (SAR) by minimizing number of RF pulses • To decrease RF heating (SAR) by minimizing number of RF pulses (B2) Margolis D et al. Top Magn Reson Imag 2004; 15: 197-206 28 7 8/1/2011 Use #3: Reduce T2 Blurring (FSE) Use #2: Spinal Imaging D: non-pMRI E: R=2 • Image quality is of similar quality for ½ the scan time • Problem #1: Greater ETL lower SNR • Problem #2: T2 relaxation during acquisition of ETL results in ―T2 blurring‖. • Reductions in TEeff would be useful. Noebauer-Huhmann et al. Eur Radiol 2007; 17: 1147-1155 29 Use #3: Reduce T2 Blurring Augustine Me et al. Top Magn Reson Imag 2004; 15:207 Glockner et all. RadioGraphics 2005; 25: 1279-97 Use #4: Susceptibility Artifacts – Air Sinuses • Regions of air/bone/soft tissue causes local gradients due to differences in magnetic field susceptibility 8 8/1/2011 Susceptibility Artifact Reduction with Parallel Imaging ―Turn Key‖ Parallel Imaging ? R=1 R=2.0 R=2.8 R=3.2 R=4.0 • Shortening TE helps (must have less phase encodes to do this). • EPI-based sequences gain more in general (e.g., DWI, perfusion) Top – normal acquisition, Bottom – R=2 acceleration ―Turn Key‖ Parallel Imaging ? R=1 R=2.0 R=2.8 R=3.2 R=4.0 Use #5: Contrast-enhanced MR (MRA) Left: R~ 1.5; Right: non-pMRI with reduced FOV • Improved spatial resolution for a given scan time. Wilson, et al. Top Magn Reson Imag. 2004; 15: 169-185 9 8/1/2011 Use #6: Cardiac Imaging Balanced FFE MRI A&B: 11 sec breath holds C&D: 5 sec breath holds + R=2 Van den Brink, et al. Eur. J. Rad. 2003; 46: 3-27. Drawbacks/Consideration of pMRI: SNR Properties & Artifacts 37 SNR 38 Non-Uniformity of Noise SNR is a concern with pMRI for three reasons: • Non-uniformity of signal (array coils) • Non-uniformity of noise (pMRI) • Lower signal from acceleration (pMRI) Larkman DJ et al. Magn Reson Med 2006; 55:153-160 10 8/1/2011 Key SNR Parameters in Parallel Imaging Key SNR Parameters in Parallel Imaging • SNR depends on number, size and orientation of the coil elements • SNR depends on number, size and orientation of the coil elements norm SNR PI i , j ,k SNR i , j ,k g i , j ,k norm SNR 1 g (r , R) R 2 PI SNR (r ) R • R: acceleration factor • g: coil-dependent noise amplification factor (non-uniformity that we observed) • R: acceleration factor • g: coil-dependent noise amplification factor (non-uniformity that we observed) SNR vs. Acceleration g-Factor Calculated Maps 32-channel coil, 1.5 T magnet R=2 R=3 R=2 R=3 R=4 R=5 R=4 R=5 R=7 R=6 R=6 R-L Phase Encoding Short-axis cardiac images – 32-channel coil – 1.5 T magnet Reeder SB et al. MRM 54:748, 2005 • g-Factor changes with R R=7 A-P Phase Encoding Reeder SB et al. MRM 54:748, 2005 11 8/1/2011 Artifacts Artifacts associated with pMRI may or may not be subtle. Artifact #1: Tissue Outside of FOV (SENSE)—Wrap-around artifact Unalias What happens Undersampling… with pMRI when the FOV is too small? Similarities to conventional MRI artifacts (aliasing, ghosting). Important to prescribe the acquisition properly, and to avoid movement. Center region in this example should be unaliased, for Normal FOV acceleration R=2. Smaller Treated as non-aliased tissue during FOV reconstruction. Examples: Phantom and Patient • With SENSE-based technique, tissue outside of the FOV yields ―wrap-into‖ artifact Artifact #2: Motion After Calibration Scan (SENSE or GRAPPA) Calibration scan must accurately represent tissue position. Goldfarb, JMagn Reson Imag. 2004 Small FOV SENSE Normal FOV Small displacement Medium displacement Large displacement 12 8/1/2011 Artifact #2: Motion After Calibration Scan (SENSE or GRAPPA) Clinical Artifact Examples Affected by FOV choice as well. Small FOV Large FOV Not aliasing, folks! Clinical Artifact Examples Pseudo-‖failure‖ of fat sat: Patient moved between reference and 3D artifact: faintscans ghost nearIAC thestructure middle ofghosting FOV that resembles structures located at SENSE the edges of scanned volume (nose, ear). pMRI and Traditional Artifacts Appearance of traditional artifacts may be modified by pMRI Susceptibility (artifact not perfectly represented on sensitivity map) Thin, bright structures in the periphery of sensitivity map—mismatch between sensitivity and anatomy. simulation phantom 13 8/1/2011 ACR QC vs. pMRI QC SNR=Signal U=1|maxROILarge -minROI |/|maxROI +min ROI/Noise Small ROI ROI| Quality Control ACR approach to SNR, Uniformity (using volume coil, signal and noise are fairly uniform in many cases) TG118 Preliminary Results: SNR ACR QC vs. pMRI QC SNR=mean(I NAAD=11/N × (I /[sqrt(2I j,1+I j,2)ROI j - <I>)/<I> j,1-Ij,2)ROI] SNR In pMRI, signal is not uniform (array coils), and noise is not uniform (gfactor). With Update: SNR TG118 ROI in has center, will focused artifacton perturb differences in measurement? SNR, uniformity as acceleration changes. 14 8/1/2011 TG118 Preliminary Results: Uniformity Thoughts from TG118 on pMRI QA • One must always remember that metrics and system performance can be interconnected (e.g., SNR vs. uniformity vs. artifacts) • Not clear that any uniformity measure can satisfy all three criteria below • easy to measure Uniformity Update: TG118 has on differences Is focused more sensitivity good? in SNR, uniformity as acceleration changes. • Sensitive to aberrant non-uniformity • Insensitive to coil-inherent non-uniformity 2D SENSE (with 3DFT MRI) Acceleration > 1D 2D SENSE reconstruction (2X in L-R and 2X in A-P) from an 8-channel head array coil conjugated gradient iterative solver after 10 iterations . http://www.nmr.mgh.harvard.edu/~fhlin/tool_sense.htm 15 8/1/2011 Undersampling in the Temporal Domain TSENSE 2D Cine TrueFISP • Parallel imaging in the temporal domain: Time Auto-Calibrated GRAPPA (TGRAPPA); TSENSE • Self-Calibrating Non-Cartesian SENSE R=2 6 heartbeats R= 3 4 heartbeats R=4 3 heartbeats 36 msec true temporal resolution, 144 x 256 matrix Peter Kellman, NHLBI, and Al Zhang, Siemens R&D, Chicago Future Directions Importance of pMRI • Increases MR imaging speed • pMRI with massively parallel arrays • Transmit parallel imaging • Is applicable to all MRI sequences • Is complimentary to all existing MRI acceleration methods • Can often reduce artifacts • Alters SNR in MR images 16 8/1/2011 Application of pMRI • pMRI offers the promise of high resolution MR imaging at speeds as fast as MSCT • Applications of parallel imaging include FSE, cardiac MR, diffusion and perfusion EPI brain imaging methods, 3D FT MRI (and MRA). Acknowledgments • Current and Past Members of TG118 • Jason Stafford, Lisa Lemen, Max Amurao, Geoff Clarke, Ron Price, Ishtiaq Bercha, Michael Steckner • Parallel imaging is tool for managing RF heating in the body at 3T and higher field strengths • Frank Goerner (UTHSCSA) • Parallel imaging and dedicated RF coil design are enabling technologies for high Bo MRI • Ed Jackson (MDA), Lawrence Wald (MGH), Jerry Allison (MCG) The Future of the Future? • 64 strip detectors used to image a test object with a single readout (MacDougal and Wright, 2005). 17