Purpose: To suppress static and background tissue in time-resolved MRA studies of the full thorax or abdomen without the need of a mask image or operator intervention.
Materials and Methods:The time course of each voxel is projected onto the orthogonal complement space of a matrix that spans static and linearly enhancing signal vectors. The norm of the solution, or the projection length, acts as a confidence measure for segmenting vascular and nonvascular tissue. Voxels whose confidence measures fall below an automatically detected threshold value are considered nonvascular. These voxels undergo an increasing level of suppression as the distance of the confidence measure from the threshold grows.Results: MIPs of processed volunteer studies were compared to the original unaltered studies to assess the improvement in clarity of vascular structures. Qualitative and quantitative comparisons of full body MIPs verify excellent suppression of nonvascular tissue in time-resolved threedimensional image volumes.
Conclusion:Contrast increased by an average factor of 13 in five volunteer studies, quantitatively emphasizing the improvement in MIP processing achieved by this method. Improvement in the clarity of vascular structures in subvolume MIPs is also demonstrated to emphasize the significant increase in ease with which regions of interest can be identified.
DRAMATIC INCREASES IN CONTRAST in diagnostic angiography exams have been achieved in numerousmodalities by subtracting a mask image acquired prior to the arrival of a contrast injection. Significant artifacts result from this subtraction if patient motion occurs between the mask acquisition and the scan with injected contrast. For this reason, angiography techniques using subtraction are applied when the acquisition time is less than the typical period over which motion can be considered insignificant. Thus using subtraction to improve contrast on angiography of the peripheral vessels or cerebral vasculature is relatively easy, while it is not used for coronary imaging. The improved contrast from the subtraction operation also results in a theoretical ͱ2 loss in signal-to-noise ratio (SNR) when the noise properties of the mask and acquisition are similar.The relatively slow speed of thoracic and abdominal contrast-enhanced magnetic resonance angiography (CE-MRA) normally allows only one three-dimensional image volume at high resolution with good anatomic coverage to be completed within a breath-hold. If a mask acquisition is acquired, it must be acquired under a separate breath-hold. The position of internal organs during breath-holds at end-exhalation has been shown to be reproducible, but positions at end-inspiration vary significantly. Therefore, breathhold feedback is required to enable optimal visualization of arteries in angiography exams (1). In the absence of this feedback, since patients can maintain much longer breath-holds at end-inspiration, most CE-MRA exams are performed this way. As misregistration between the mask and image volumes in thoracic and a...