Reducing scan time burden for neonatal MRI of pulmonary structure using FLORET UTE
摘要
Pulmonary MRI in neonates can be performed with quality comparable to radial 3D ultrashort echo time (UTE) MRI in significantly less time using a FLORET trajectory.
Materials and methodsEighteen NICU patients with severe bronchopulmonary dysplasia (BPD), age 40.9 ± 3.0 weeks at time of imaging, underwent MRI using Radial and FLORET UTE at 1.5 T. Pulmonary signal-to-noise ratio (SNR), lung density, and radiologist scoring of motion artifacts and image quality were compared across sequence types.
ResultsFLORET UTE reduced scan time by ~ 75% (4:40 vs. 16:41 min.) while incurring only ~ 10–30% SNR reduction vs. radial (radial vs. 1-hub FLORET: 9.8 ± 2.8 vs. 9.0 ± 2.6, radial vs. 3-hub FLORET: 9.2 ± 3.0 vs. 7.7 ± 2.3), P < 0.05. Normalized lung density measurements were elevated in FLORET (radial vs. 1-hub FLORET: 0.42 ± 0.13 vs. 0.49 ± 0.14, radial vs. 3-hub FLORET: 0.49 ± 0.13 vs. 0.51 ± 0.13), P < 0.05. Accounting for scan time differences, normalized radial SNR was 19% and 16% lower than 1-hub and 3-hub FLORET, respectively (P < 0.05). No significant differences in radiologist scores were found.
ConclusionFLORET UTE images are of quality comparable to radial UTE at 75% of the total scan time, the current state of the art, and have a much greater time-SNR efficiency with enormous benefit in the neonatal population.