Abstract
Objective
In this perfusion magnetic resonance imaging study, the performances of different pseudo-continuous arterial spin labeling (PCASL) sequences were compared: two-dimensional (2D) single-shot readout with simultaneous multislice (SMS), 2D single-shot echo-planar imaging (EPI) and multishot three-dimensional (3D) gradient and spin echo (GRASE) sequences combined with a background-suppression (BS) module.
Materials and methods
Whole-brain PCASL images were acquired from seven healthy volunteers. The performance of each protocol was evaluated by extracting regional cerebral blood flow (rCBF) measures using an inline morphometric segmentation prototype. Image data postprocessing and subsequent statistical analyses enabled comparisons at the regional and sub-regional levels.
Results
The main findings were as follows: (i) Mean global CBF obtained across methods was were highly correlated, and these correlations were significantly higher among the same readout sequences. (ii) Temporal signal-to-noise ratio and gray-matter-to-white-matter CBF ratio were found to be equivalent for all 2D variants but lower than those of 3D-GRASE.
Discussion
Our study demonstrates that the accelerated SMS readout can provide increased acquisition efficiency and/or a higher temporal resolution than conventional 2D and 3D readout sequences. Among all of the methods, 3D-GRASE showed the lowest variability in CBF measurements and thus highest robustness against noise.
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Acknowledgements
This work was performed within the framework of the LABEX PRIMES (ANR-11-LABX-0063) of Université de Lyon, within the program “Investissements d’Avenir” (ANR-11-IDEX-0007) operated by the French National Research Agency (ANR).
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MN: Study conception and design; acquisition of data; analysis and interpretation of data; drafting of manuscript. TT: Study conception and design; acquisition of data; drafting of manuscript; critical revision. JP: Critical revision, provided the prototype 2D and 3D ASL sequences and protocol parameter optimization. BM: Acquisition of data, provided the prototype MorphoBox for inline segmentation. TH: Acquisition of data, provided the prototype GRAPPATINI for fast T2 mapping. TK: Acquisition of data and MP2RAGE protocol parameter optimization; critical revision. FS: Analysis and interpretation of data; drafting of manuscript; critical revision. PC: Analysis and interpretation of data. MV: Study conception and design; acquisition of data; analysis and interpretation of data; drafting of manuscript; critical revision.
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Nanjappa, M., Troalen, T., Pfeuffer, J. et al. Comparison of 2D simultaneous multi-slice and 3D GRASE readout schemes for pseudo-continuous arterial spin labeling of cerebral perfusion at 3 T. Magn Reson Mater Phy 34, 437–450 (2021). https://doi.org/10.1007/s10334-020-00888-8
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DOI: https://doi.org/10.1007/s10334-020-00888-8