Advanced K-Space Based Parallel Imaging Methods Mark A. Griswold Universität Würzburg, Würzburg, Germany mark@physik.uni-wuerzburg.de Introduction: Since the development of the NMR phased array in the late 1980s, multicoil arrays have been designed to image almost every part of the human anatomy. These multicoil arrays are primarily used for their increased signal-to-noise ratio (SNR) compared to volume coils or large surface coils. Recently several partially parallel acquisition (PPA) strategies have been proposed which have the potential to revolutionize the field of fast MR imaging. These techniques use spatial information contained in the component coils of an array to partially replace spatial encoding which would normally be performed using gradients, thereby reducing imaging time. In a typical PPA acquisition, only a fraction of the phase encoding lines are acquired compared to the conventional acquisition. A specialized reconstruction is then applied to the data to reconstruct the missing information, resulting in the full FOV image in a fraction of the time. Even though all of these techniques solve essentially the same set of linear imaging equations, the various paths taken toward this inverse problem distinguishes the various parallel imaging methods from each other. In this talk, we will focus on a specific set of methods which have been developed to deal with specific problems in parallel imaging which cannot be dealt with using the most simple methods. Specifically we cover advanced methods to obtain coil sensitivity information with a specific focus on k-space based autocalibrating methods. Next, we will cover various methods to increase imaging efficiency which are based on using parallel imaging to encode more than one dimension of the image. A specific focus will be the newly developed class of methods which optimize multislice and volumetric acquisitions by modifying the appearance of the aliasing artifacts through modified imaging sequences. Finally, we will discuss how nonCartesian (e.g. projection reconstruction and spiral trajectories) impact a parallel imaging reconstruction. Basic Imaging Equations: Almost all parallel imaging methods solve the same basic set of imaging equations: G Ef [1] where the E matrix contains all of the encoding functions used in the imaging experiment. In a normal completely gradient based acquisition, this matrix would be the simple Fourier harmonics used in the acquisition. However, in parallel imaging, we include the additional modulations provided by the imaging array. Specifically, the encoding functions for a 2D image become: E j s j ( x, y )e ik y y ik x x [2] for a specific coil j. Once we have constructed the matrix of encoding functions, we only have to invert the matrix to obtain the desired image. However, real life application of this basic method is typically more difficult than it appears. In the normal Cartesian imaging situation, this is almost entirely due to the inherent difficulty of determining the coil sensitivity at each pixel in the image or at each line in k-space. This information is contaminated by 1) noise, which degrades the coil sensitivity information especially in regions of low spin density. Since the reconstruction involves a matrix inverse, small errors in the coil sensitivity can lead to large errors in the final image. 2) patient motion, which causes a misalignment between the undersampled data and the coil sensitivity maps which again can cause large errors in the final image. 3) off-resonance, which can cause chemical shift errors as well as distortions in EPI. 4) Aliasing, which can in some cases lead to errors in the coil sensitivity maps, especially when a low resolution acquisition or reconstruction is used. For these reasons, many methods have been developed in the last few years to deal with these problems. Coil Sensitivity Mapping in the Image Domain: Pruessmann et al [1] proposed what has become the standard method to deal with noise in the coil sensitivity maps in the SENSE method. The method is based on a special acquisition designed for coil sensitivity calibration which collects information from both the array and a coil with homogeneous sensitivity. (See Figure 1.) Upon division of these two images, a pure map of coil sensitivity would be obtained in the absence of noise. However, the presence of noise (particularly in the body coil image) can severely corrupt this simple map. Since it can normally be assumed that the coil sensitivity profiles are relatively smooth, a local polynomial fit is used to remove contribution due to noise. Besides noise, there can be regions of the image with no sensitivity in either image, which leaves holes in Figure 1: A) Raw array coil image B) Body coil image C) Raw coil sensitivity map obtained by dividing A by B. D) Intensity threshold E) Thresholded raw intensity map F) Final coil sensitivity map after polynomial fitting and extrapolation. the sensitivity map. This can lead to problems in later acquisitions if tissues move into these areas (e.g. the lungs in cardiac exams). For this reason, data is extrapolated a few pixels beyond the apparent borders of the object. This method works very well in situations where there is enough time to acquire coil sensitivity images of moderate resolution without patient motion, for example, in head exams. However, this method can be sensitive to patient motion, particularly in breathhold exams, and can produce serious errors whenever aliasing is present in the coil sensitivity maps, since the assumption of smoothness is violated. The final difficulty in this method is the requirement of an intensity threshold. Due to this threshold, all regions which fall below the threshold which are also distant from the object are set to zero intensity. This can lead to unexpected results, especially if tissues move into these regions at a later time point. In recent years, several groups have also proposed other methods for the determination of the coil sensitivity maps. Walsh et al [2] initially proposed using an adaptive matched filter for normal array combination to optimize the suppression of background noise. This method has also been used for calculation of coil sensitivity maps in parallel imaging [3-4]. The method is based on the calculation of the local signal and noise covariance matrices at each pixel in the image. Walsh et al showed that the eigenvector of these covariance matrices provides a nearly optimal estimate of the coil sensitivity. The primary advantage of this method is that it works without a body coil image. The method can also be used in many cases to form an intensity normalization for the reconstructed image. Images are also produced with essentially normal background appearance. On the down side, the method is still rather sensitive to aliasing the coil images, and can be computationally slow. To counteract the slow calculation time, we have implemented this method using a low resolution grid followed by interpolation. While this works in many cases, large residual phase offsets from pixel to pixel resulting from the eigenvector calculation can cause serious problems during interpolation if this is not properly dealt with. Removing the phase of one coil from the phases of the others is one solution to this problem. Another approach to coil mapping is wavelet smoothing and denoising [5-6]. These methods are relatively standard signal processing operations which can be performed quickly. It is potentially possible to use these techniques without a body coil reference image, although the performance is much improved with a body coil image. The method can also work without an intensity threshold (when not using a body coil reference), so that the method is more user independent. However, edges can still remain in the final coil maps, which may require extrapolation, as in the polynomial fit method, in order to avoid motion induced artifacts. Autocalibration in K-Space and Image Domain Applications: All of the techniques discussed above work in the image domain using a SENSE-like reconstruction. Methods that operate in k-space have different coil mapping requirements, and can therefore be optimized for different imaging situations. The first kspace method SMASH performed the reconstruction in k-space, but actually used coil sensitivity maps in the image domain to determine the reconstruction parameters. For this reason, pure SMASH shares the limitations of the coil mapping technique as in the techniques above. The development of autocalibrated k-space methods (AUTOSMASH [7], VD-AUTOSMASH [8] and GRAPPA [9]) has removed many of these limitations. In these techniques, a small number of extra lines are acquired before, during or after the acquisition of the undersampled data. The required reconstruction parameters are then determined directly in kFigure 2. (Left) Aliased mSENSE image with residual aliasing artifacts in the space by fitting one or lung. (Right) GRAPPA reconstruction from the same source data with no several lines to other lines artifacts. in this calibration data set using an equation such as: N N b 1 S j (k y mk y ) n( j, b, l , m) Sl (k y bRk y ) [3] l 1 b0 where Sj(ky) is the signal in coil j at line ky. In this case, Nb lines which are separated by Rky are combined using the weights n(j,b,l,m) to form each line, corresponding to a reduction factor R. In this model, one reconstructs missing lines by first determining the weights to use in the linear combination. Normally, a few additional lines are acquired at positions that would normally be skipped. These data are then fit to the other normally acquired data using Eq. 4 to determine the appropriate weights necessary for the reconstruction of missing lines. By fitting data to data, a pure coil sensitivity map is not needed, only the few lines of extra data. No body coil image and no intensity thresholds are needed, thereby generating normal appearing images even in the background. In addition, aliasing in the reconstructed images is not a problem, thereby allowing slightly folded images to be acquired without any problem with the reconstruction. Finally, patient motion is in general not a problem when the extra data is acquired during the acquisition, since these data will accurately track the coil positions as they move. While reconstructions of this type are not guaranteed to be accurate (i.e. free from aliasing artifacts), they can be accurate enough in practice to generate images without any visible artifacts in most cases (e.g. Figure 2). In cases where this is not the case, any additional lines acquired in the center of k-space for coil sensitivity mapping can be used in the final image reconstruction to reduce any residual artifacts that may be present, as in refs [8, 9]. Volumetric Parallel Imaging In general, all parallel imaging methods are limited by the distribution of coil sensitivities at the various aliased pixel locations. Ideally we would build coil arrays with maximum possible intensity variations over the object, since this would in general provide the best PPA reconstruction. However, our ability to do this is limited by electromagnetics, which limits the maximum variations a given coil can have over a given distance, which in turn limits our ability to encode in any one direction with parallel imaging. The easiest solution therefore for very high acceleration PPA is to use parallel imaging in more than one direction simultaneously. In general, higher acceleration factors can be achieved, approaching the number of coil elements. In our lab, we have developed a GRAPPA/SENSE hybrid which essentially uses SENSE to encode one direction, while GRAPPA is used in the other. However, the reconstruction is performed using a single 2D GRAPPA reconstruction which unaliases both directions simultaneously. This removes the need for accurate coil sensitivity maps as well as intensity thresholds, etc. Figure 3 shows an example of this GRAPPA/SENSE hybrid used with an eight element head array to achieve an acceleration factor of 6 with excellent image quality. Figure 3. A single partition from a 3D GRAPPA/SENSE hybrid reconstruction (Acceleration factor = 6.0) Controlled Aliasing in Parallel Imaging (CAIPI) Up to now, the all parallel MRI techniques have employed similar gradient fields and identical pulse sequences to acquire k-space data. In this section we describe a new approach in which the aliasing artifacts are controlled by modifying the data acquisition period. As an example, aliasing artifacts in multislice imaging can be influenced by shifting the individual slices by a fraction of the field of view with respect to other slices using a POMP-type RF-phase cycle. In this case odd lines are acquired using a specialized RF pulse which excites the two different slices with the same RF-phase (++). On the other hand, the even lines are excited with a RF-phase difference of 180° (+-). This acquisition scheme causes the appearance of one slice to be shifted with respect to the other after Fourier transform. An example is shown in Figure 4. In this case, two slices were excited which were separated by only 5mm, resulting in essentially identical coil sensitivities in the two slices. In the normal case (Figure 4a), the two slices appear exactly on top of one another, while the slices appear shifted with respect to each other in the acquisition with CAIPI. When these two folded slices are reconstructed with a conventional SENSE (Figure 4c), the two slices cannot be reasonably separated from each other, resulting in a near total SNR loss. However, since the two slices are shifted in the CAIPI acquisition, the aliased areas of the two slices appear with different coil sensitivities and can therefore be reconstructed with near perfect image quality. In this case, the CAIPI approach provides a calculated SNR within a few percent of the ideal, while the conventional SENSE approach leads to a 10 times increased geometry factor due to the essentially identical coil sensitivity profiles. A Conv.: C CAIPI: Slice 1 Slice 1 + Slice 2 Slice 2 Slice 1 B Conv.: R=2 D CAIPI Slice 1 Slice 1 Slice 2 Slice 2 Non-Cartesian Parallel Imaging All of the methods discussed so far assume the simple aliasing pattern found with normal mode of sampling on a Cartesian grid. The fact that this aliasing is simple allows the simplification of the imaging equations substantially. For example, a normal SENSE reconstruction with acceleration R and L coils requires only an inverse of an R x R matrix in the pseudoinverse calculation. This is adequate to resolve the R pixels which are aliased together in the undersampled acquisition. However, this approach cannot be used with the more complicated aliasing patterns found in non-Cartesian acquisitions, such as projection reconstruction or spiral. For example, in accelerated spiral acquisitions, each pixel is aliased with entire rings! For higher accelerations, multiple rings of pixels are aliased together. This clearly requires a more complex method. In general, this requires direct solution of the imaging equations (Eq. 1), which requires the inverse of very large matrices with sizes on the order of the number of the square of the number of pixels in the image. To date, the most used method for solution of these large matrix systems is the conjugate gradient method [12]. This iterative method gradually approaches the solution of the inverse. While this method works well in practice, the method is computationally intensive, so that most reconstructions can take several minutes, compared to several hundred milliseconds for a normal SENSE reconstruction. Figure 5. (Left) Undersampled PR images with 2x (top) and For this reason, we have focused 4x undersampling (bottom) on using the simple GRAPPA fitting (Right) Direct GRAPPA reconstructions concepts used above to derive fitting relationships for simple nonCartesian trajectories, in particular, projection reconstruction trajectories. Figure 5 shows two in vivo scans obtained with an 8 channel array and a real-time True-FISP acquisition. The top, left image shows the 32 (projection) x 256 (read-out) normal reconstruction, while the right shows the 2x GRAPPA reconstruction (64x256). The bottom row shows an example from swallowing, however in this case the GRAPPA reconstruction is 3x resulting in a 96x256 image. As can be seen, the aliasing artifacts are largely removed using GRAPPA. Using this approach, all missing projections can be reconstructed in a time comparable to several small GRAPPA reconstructions, each of which can be done in much less than 1 sec using optimized code. However, further studies are needed to determine if the accuracy of this method is good enough for practical clinical implementation. References: 1. K. P. Pruessmann, M. Weiger, M. B. Scheidegger and P. Boesiger, “SENSE: Sensitivity Encoding for Fast MRI,” Magnetic Resonance in Medicine, Vol. 42, 952 – 962, 1999 2. D. O. Walsh, A. F. Gmitro and M. W. Marcellin, “Adaptive Reconstruction and Enhancement of Phased Array MR Imagery,” Magnetic Resonance in Medicine, Vol. 43, No. 5, pp. 682 – 690, 2000. 3. 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