Background. Magnetic resonance elastography (MRE) is used to non-invasively estimate biomechanical tissue properties via the imaging of propagating mechanical shear waves. Several factors including mechanical transducer design, MRI sequence design and viscoelastic reconstruction influence data quality and hence the reliability of the derived biomechanical properties.Purpose. To design and characterize a novel mechanical MRE transducer concept based on a rotational eccentric mass, coined the gravitational transducer.Materials and methods. Table top measurements were performed using accelerometers to characterize the frequency response of the new transducer concept at different driving frequencies (f VIB ) and different rotating masses. These were compared to a commercially available pneumatically driven MRE transducer. MR data were acquired on a 3T scanner using a fractionally encoded gradient echo MRE sequence in three healthy volunteers. Acceleration and displacement spectra were plotted in units of g and mm, respectively, and visually compared, emphasizing the ratio between the peaks at f VIB and its 2nd harmonic, a known cause of error in the reconstruction of biomechanical properties as is explored in more detail in numerical simulations here. No formal statistical testing was performed in this proof-of-principle paper.Results. The new transducer concept shows-as expected from theory-a quadratic or linear increase of acceleration amplitude with increase in f VIB or mass, respectively. Furthermore, different versions of the transducer show markedly lower 2nd harmonic-to-f VIB ratios compared to the commercially available pneumatically driven transducer. Displacement was constant over a range of f VIB , in accordance with theory. Phantom and in vivo data show low nonlinearity and excellent data quality.Conclusion. The table top measurements are in concordance with the theory behind a transducer based on a rotational eccentric mass. The resulting constant displacement amplitude irrespective of f VIB and low 2nd harmonic-to-f VIB ratio result in low nonlinearity and high data fidelity in both phantom and in vivo examples. PAPER Original content from this work may be used under the terms of the Creative Commons Attribution 3.0 licence.

The purpose of this study is to investigate the use of fundamental rheological parameters as quantified by MR elastography (MRE) to measure liver fibrosis and inflammation simultaneously in humans. MRE was performed on 45 patients at 3 T using a vibration frequency of 56 Hz. Fibrosis and inflammation scores were obtained from liver biopsies. Biomechanical properties were quantified in terms of complex shear modulus G as well as shear wave phase velocity c and shear wave attenuation α. A rheological fractional derivative order model was used to investigate the linear dependence of the free model parameters (dispersion slope y, intrinsic speed c , and intrinsic relaxation time τ) on histopathology. Leave-one-out cross-validation was then utilized to demonstrate the effectiveness of the model. The intrinsic speed c increases with hepatic fibrosis, while an increased relaxation time τ is reflective of more inflammation of the liver parenchyma. The dispersion slope y does not depend either on fibrosis or on inflammation. The proposed rheological model, given this specific parameterization, establishes the functional dependences of biomechanical parameters on histological fibrosis and inflammation. The leave-one-out cross-validation demonstrates that the model allows identification, from the MRE measurements, of the histology scores when grouped into low-/high-grade fibrosis and low-/high-grade inflammation with significance levels of P = 0.0004 (fibrosis) and P = 0.035 (inflammation). The functional dependences of intrinsic speed and relaxation time on fibrosis and inflammation, respectively, shed new light onto the impact hepatic pathological changes on liver tissue biomechanics in humans. The dispersion slope y appears to represent a structural parameter of liver parenchyma not impacted by the severity of fibrosis/inflammation present in this patient cohort. This specific parametrization of the well-established rheological fractional order model is valuable for the clinical assessment of both fibrosis and inflammation scores, going beyond the capability of the plain shear modulus measurement commonly used for MRE.

In order to acquire consistent k‐space data in MR elastography, a fixed temporal relationship between the MRI sequence and the underlying period of the wave needs to be ensured. To this end, conventional GRE‐MRE enforces synchronization through repeated triggering of the transducer and forcing the sequence repetition time to be equal to an integer multiple of the wave period. For wave frequencies below 100 Hz, however, this leads to prolonged acquisition times, as the repetition time scales inversely with frequency. A previously developed multi‐shot approach (eXpresso MRE) to multi‐slice GRE‐MRE tackles this issue by acquiring an integer number of slices per wave period, which allows acquisition to be accelerated in typical scenarios by a factor of two or three. In this work, it is demonstrated that the constraints imposed by the eXpresso scheme are overly restrictive. We propose a generalization of the sequence in three steps by incorporating sequence delays into imaging shots and allowing for interleaved wave‐phase acquisition. The Ristretto scheme is compared in terms of imaging shot and total scan duration relative to eXpresso and conventional GRE‐MRE and is validated in three different phantom studies. First, the agreement of measured displacement fields in different stages of the sequence generalization is shown. Second, performance is compared for 25, 36, 40, and 60 Hz actuation frequencies. Third, the performance is assessed for the acquisition of different numbers of slices (13 to 17). In vivo feasibility is demonstrated in the liver and the breast. Here, Ristretto is compared with an optimized eXpresso sequence, leading to scan accelerations of 15% and 5%, respectively, without compromising displacement field and stiffness estimates in general. The Ristretto concept allows us to choose imaging shot durations on a fine grid independent of the number of slices and the wave frequency, permitting 2‐ to 4.5‐fold acceleration of conventional GRE‐MRE acquisitions.