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Keywords:

  • dark blood MRI;
  • magnetization preparation;
  • TrueFISP;
  • steady state free precession;
  • bSSFP;
  • carotid stenosis

Abstract

Purpose

To describe a new method for performing dark blood (DB) magnetization preparation in TrueFISP (bSSFP) and apply the technique to high-resolution carotid artery imaging.

Materials and Methods

The developed method (HEFEWEIZEN) provides directional flow suppression, while preserving bSSFP contrast, by periodically applying spatial saturation in short repetition time (TR) TrueFISP. Steady-state free precession (SSFP) conditions are maintained throughout the acquisition for the imaging slice magnetization. HEFEWEIZEN was implemented on a 1.5 T scanner with standard receiver coils. Studies were performed in phantoms, eight asymptomatic volunteers, and two patients with low- and high-grade carotid artery stenosis.

Results

Average flow suppression was 88% ± 4% (arterial) and 85% ± 3% (venous) in a multislice study. Stationary signal, contrast, and fine details were maintained with only slight signal suppression (11% ± 11%). Comparison to diffusion-prepared SSFP in the common carotid artery demonstrated significant improvement in wall-lumen contrast-to-noise ratio efficiency (P = 0.024). DB contrast was achieved with only 13% increased acquisition time (14.3 sec). Further acceleration was possible by confining the DB preparation to the central 60% of k-space.

Conclusion

A fast, short TR, DB TrueFISP pulse sequence was developed and tested in the carotid arteries of asymptomatic volunteers and patients. J. Magn. Reson. Imaging 2009;29:1163–1174. © 2009 Wiley-Liss, Inc.