Free-Breathing Abdominal Magnetic Resonance Fingerprinting Using a Pilot Tone Navigator

Background Quantitative T1 and T2 mapping in the abdomen provides valuable information in tissue characterization but is technically challenging due to respiratory motions. The proposed technique integrates magnetic resonance fingerprinting (MRF) and pilot tone (PT) navigator with retrospective gating to provide simultaneous quantification of multiple tissue properties in a single acquisition without breath-holding or patient set-up. Purpose To develop a free-breathing abdominal MRF technique for quantitative mapping in the abdomen. Study Type Prospective. Population Twelve healthy volunteers. Field Strength/Sequence A 3 T, two-dimensional (2D) and three-dimensional (3D) spiral MRF sequence with fast imaging with steady-state free precession (FISP) readout. Assessment The PT navigator was compared to standard respiratory belt performance. The T1 and T2 values acquired using 2D and 3D MRF with and without PT were obtained in a phantom and compared to reference values. Digital phantom simulation was performed to evaluate PT MRF reconstruction with varying breathing patterns. In the in vivo studies, T1 and T2 values derived from PT 2D MRF were compared to 2D breath-hold MRF. T1 and T2 values derived from PT 3D MRF were compared to published values. Statistical Tests Principal component analysis (PCA), linear regression, relative error, Pearson correlation, paired Student's t-test, Bland-Altman Analysis. Results The phantom study showed PT MRF T1 values had a mean difference of 0.2% +/- 0.1%, and T2 values had a mean difference of 0.1% +/- 0.4% when compared to no-PT MRF values. The digital phantom experiment suggested the T1 and T2 maps at both end-exhalation and end-inhalation states resemble the corresponding ground-truth maps. Data conclusion The phantom study showed good agreement between MRF T1 and T2 values and with reference values. In vivo studies demonstrated that 2D and 3D quantitative imaging in the abdomen could be achieved with integration of PT navigation with MRF reconstruction using retrospective gating of respiratory motion. Evidence Level 1 Technical Efficacy Stage 1

Automated summary

A free-breathing abdominal MRF technique was proposed for quantitative mapping in the abdomen, providing simultaneous quantification of multiple tissue properties in a single acquisition without breath-holding or patient set-up. Phantom and in vivo studies demonstrated accurate acquisition of T1 and T2 values with good agreement compared to reference values. The integration of PT navigator with MRF reconstruction enabled quantitative imaging in the abdomen with retrospective gating of respiratory motion.