Accuracy and reproducibility of T1rho mapping sequences
Journal of Cardiovascular Magnetic Resonance volume 17, Article number: P22 (2015)
Previous studies have shown that T1rho-weighted imaging using long spin locking pulses enables high discrimination between infarct and myocardium without the need for exogenous contrast agents. To optimize imaging protocols, it's beneficial to understand the factors that influence the measurement. We measured the accuracy and reproducibility of spin echo-spin lock (SESL) T1rho-prepared balanced-steady-state free precession (bSSFP) sequences for myocardial relaxation time mapping. We subsequently performed in vivo studies and determined the average T1rho values in normal myocardium.
A phantom containing 8 homogeneous H2O cylinders with MnCl2 concentrations of 0.01- 0.15 g/mL was used for the comparison of 24 T1rho mapping sequences with various repetition times (TR = 1.8-10 sec), flip angles (0-70 degrees), and numbers of segments (Nseg = 10-70). The scans were performed on a 1.5 T MRI (Avanto model, Siemens), and reference T1rho measurements were obtained by using gradient echo acquisition with TR = 10 sec, flip angle = 90 degrees, Nseg = 1. The overall scan time for this exam was approximately 1.5 hours. Three fitting methods were used to estimate T1rho recovering times,
linear model: log[S(t)] = -TSL/A + B;
2-parameter model: S(t) = B*exp(-TSL/A); and,
3-parameter model: S(t) = B*exp(-TSL/A) + C,
where t is the inversion time, A is the T1rho value, B is the initial magnetization M0 and C is the rms noise level (Figure 1a).
In vivo data were acquired on 10 healthy subjects on a 1.5 T scanner (Siemens). Two sequences were applied on each subject (TR = 1.8 sec, flip angle = 70 degrees, Nseg = 31).
For T1rho lower than 50 ms, we found that the 3-parameter model was the most accurate and reproducible. 2-parameter and linear models are preferred for higher T1rho values. As shown in Figure 1-a, the signal intensity decayed to the rms noise level (C, a positive nonzero value) and the 3-parameter fitting model is the only model that captured this behavior.
As shown in Figure 1-b and 1-c, substantial variations were observed in T1rho estimates measured and computed using preferred fitting models, from the 24 sequences. We observed that lower flip angle and higher Nseg increases T1rho underestimation, while higher flip angle and lower Nseg were more accurate and reproducible. SNR is related to the component of amplitude of the transverse magnetization which also varies with flip angle, there's a thus trade-off between T1rho measurement precision and accuracy. Although long TR and small Nseg allows the full relaxation of magnetization producing more accurate results, the resulting long scan time was not very practical in clinical settings.
Figure 2 shows an example of in vivo T1rho and its error map obtained in a 24-year-old healthy male subjects.
We described a number of adjustable factors in T1rho mapping. These factors depend on protocol adjustments, and can potentially influence the accuracy and reproducibility.
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Han, J.Q., Han, Y. & Witschey, W.R. Accuracy and reproducibility of T1rho mapping sequences. J Cardiovasc Magn Reson 17 (Suppl 1), P22 (2015). https://doi.org/10.1186/1532-429X-17-S1-P22