Rapid Whole-Knee Quantification of Cartilage Using T 1, T 2 ∗, and T RAFF2 Mapping With Magnetic Resonance Fingerprinting
João L. Tourais (TU Delft - ImPhys/Weingärtner group)
T.W. Ploem (TU Delft - ImPhys/Medical Imaging)
Tijmen A.van Zadelhoff (Erasmus MC)
Christal Van De Steeg-Henzen (HollandPTC)
E. H. Oei (Erasmus MC)
S.D. Weingärtner (TU Delft - ImPhys/Computational Imaging, TU Delft - ImPhys/Weingärtner group)
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Abstract
Objective: Quantitative Magnetic Resonance Imaging (MRI) holds great promise for the early detection of cartilage deterioration. Here, a Magnetic Resonance Fingerprinting (MRF) framework is proposed for comprehensive and rapid quantification of T
1, T
2
∗, and T
RAFF2 with whole-knee coverage. Methods: A MRF framework was developed to achieve quantification of Relaxation Along a Fictitious Field in the 2nd rotating frame of reference (T
RAFF2) along with T
1 and T
2
∗. The proposed sequence acquires 65 measurements of 25 high-resolution slices, interleaved with 7 inversion pulses and 40 RAFF2 trains, for whole-knee quantification in a total acquisition time of 3:25 min. Comparison with reference T
1, T
2
∗, and T
RAFF2 methods was performed in phantom and in seven healthy subjects at 3 T. Repeatability (test-retest) with and without repositioning was also assessed. Results: Phantom measurements resulted in good agreement between MRF and the reference with mean biases of -54, 2, and 5 ms for T
1, T
2
∗, and T
RAFF2, respectively. Complete characterization of the whole-knee cartilage was achieved for all subjects, and, for the femoral and tibial compartments, a good agreement between MRF and reference measurements was obtained. Across all subjects, the proposed MRF method yielded acceptable repeatability without repositioning (R
2≥ 0.94) and with repositioning (R
2≥ 0.57) for T
1, T
2
∗, and T
RAFF2. Significance: The short scan time combined with the whole-knee coverage makes the proposed MRF framework a promising candidate for the early assessment of cartilage degeneration with quantitative MRI, but further research may be warranted to improve repeatability after repositioning and assess clinical value in patients.
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