Segmented TOF at 7 T MRI: Technique and clinical applications

Purpose: Time-of-flight (TOF) MR angiography has an advantage of contrast and resolution in ultra-high field (7 T) MRI systems. However, increased specific absorption rate (SAR) prohibits the application of spatial saturation band, leading to venous contamination in maximum intensity projection (MIP) images.

Methods: A segmented k-space filling scheme with sparse venous saturation pulses was developed for 7 T TOF-MRA. The effectiveness of the segmented TOF sequence was verified by Bloch equation simulation and experiments on 3 T. The protocol on 7 T was optimized and applied for healthy volunteers and patients with vascular diseases.

Results: Segmented TOF achieved equivalent contrast and venous suppression effect as conventional methods, while SAR values had a remarkable reduction and obeyed the limit of a 7 T MRI system. The decreased number of saturation pulses allowed shorter acquisition time than existing solutions. The comparison of segmented TOF and conventional TOF revealed flow direction in vascular diseases.

Conclusion: Segmented TOF is proved to be a time-efficient way to achieve high-resolution angiograms without venous contamination at ultra-high field. The sequence holds strong promise for non-contrast clinical diagnosis on cerebrovascular diseases.