Magn Reson Med. 2019;00:1–15. wileyonlinelibrary.com/journal/mrm | 1 © 2019 International Society for Magnetic Resonance
in Medicine
Received: 24 March 2019
|
Revised: 12 September 2019
|
Accepted: 5 October 2019
DOI: 10.1002/mrm.28052
FULL PAPER
Effect of respiratory motion on free‐breathing 3D stack‐of‐radial
liver R
∗
2
relaxometry and improved quantification accuracy using
self‐gating
Xiaodong Zhong
1
|
Tess Armstrong
2,3
|
Marcel D. Nickel
4
|
Stephan A.R. Kannengiesser
4
|
Li Pan
5
|
Brian M. Dale
6
|
Vibhas Deshpande
7
|
Berthold Kiefer
4
|
Holden H. Wu
2,3
1
MR R&D Collaborations, Siemens Healthcare, Los Angeles, California
2
Department of Radiological Sciences, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California
3
Physics and Biology in Medicine Interdepartmental Program, David Geffen School of Medicine, University of California Los Angeles, Los Angeles,
California
4
MR Application Development, Siemens Healthcare GmbH, Erlangen, Germany
5
MR R&D Collaborations, Siemens Healthcare, Baltimore, Maryland
6
MR R&D Collaborations, Siemens Healthcare, Cary, North Carolina
7
MR R&D Collaborations, Siemens Healthcare, Austin, Texas
Xiaodong Zhong and Tess Armstrong contributed equally to this work.
Correspondence
Xiaodong Zhong, PhD, MR R&D
Collaborations, Siemens Healthcare, 10945
Le Conte Ave, Suite 3371J, Los Angeles,
CA 90095.
Email: xiaodong.zhong@siemens-
healthineers.com
Funding information
This study was supported in part by
Siemens Medical Solutions USA, Inc. and
the Department of Radiological Sciences at
the University of California, Los Angeles.
Purpose: To develop an accurate free‐breathing 3D liver R
∗
2
mapping approach and
to evaluate it in vivo.
Methods: A free‐breathing multi‐echo stack‐of‐radial sequence was applied in
5 normal subjects and 6 patients at 3 Tesla. Respiratory motion compensation was
implemented using the inherent self‐gating signal. A breath‐hold Cartesian acquisi-
tion was the reference standard. Proton density fat fraction and R
∗
2
were measured
and compared between radial and Cartesian methods using Bland‐Altman plots.
The normal subject results were fitted to a linear mixed model (P < .05 considered
significant).
Results: Free‐breathing stack‐of‐radial without self‐gating exhibited signal attenu-
ation in echo images and artifactually elevated apparent R
∗
2
values. In the Bland‐
Altman plots of normal subjects, compared to breath‐hold Cartesian, free‐breathing
stack‐of‐radial acquisitions of 22, 30, 36, and 44 slices, had mean R
∗
2
differences of
27.4, 19.4, 10.9, and 14.7 s
−1
with 800 radial views, and they had 18.4, 11.9, 9.7,
and 27.7 s
−1
with 404 views, which were reduced to 0.4, 0.9, −0.2, and −0.7 s
−1
and to −1.7, −1.9, −2.1, and 0.5 s
−1
with self‐gating, respectively. No substantial
proton density fat fraction differences were found. The linear mixed model showed
free‐breathing radial R
∗
2
results without self‐gating were significantly biased by
17.2 s
−1
averagely (P = .002), which was eliminated with self‐gating (P = .930).
Proton density fat fraction results were not different (P > .234). For patients,