Purpose
To improve triggering efficiency of the prospective respiratory amplitude triggered 4DMRI method and to develop a 4DMRI imaging protocol that can offer T2 weighting for better tumor visualization, good spatial coverage, spatial resolution and respiratory motion sampling within a reasonable amount of time for radiation therapy applications.
Methods and Materials
The respiratory state splitting (RSS) method and the multi-shot acquisition (MSA) method were analytically compared and validated in a simulation study using the respiratory signals from 10 healthy human subjects. The RSS method was identified to be more effective in improving triggering efficiency. It was implemented in the prospective respiratory amplitude triggered 4DMRI. 4DMRI image datasets were acquired from 5 healthy human subjects. Liver motion was estimated using the acquired 4DMRI image datasets.
Results
The simulation study showed that the RSS method was more effective in improving triggering efficiency compared to the MSA method. The average reductions in 4DMRI acquisition time were 36% and 10% for the RSS and MSA methods, respectively. The human subject study showed that T2-weighted 4DMRI with 10 respiratory states, 60 slices at a spatial resolution of 1.5×1.5×3.0 mm3 could be acquired in 9-18 minutes, depending on individual's breath pattern. Based on the acquired 4DMRI image datasets, the ranges of peak-to-peak liver displacements among 5 human subjects were 9.0-12.9 mm, 2.5-3.9 mm and 0.5-2.3 mm in superior-inferior, anterior-posterior and left-right directions, respectively.
Conclusions
We demonstrated that with the RSS method, it was feasible to acquire high quality T2-weighted 4DMRI within a reasonable amount of time for radiation therapy applications.