MR angiography with pulsatile flow.

Abstract

To achieve acceptable scan times, current multiple thin slice and 3D MR angiography (MRA) methods usually are based on continuous data acquisition, without ECG-synchronization. The purpose of this work is to study consequences of pulsatile blood flow for the 2D inflow method. Arterial blood flow and blood signal intensity versus cardiac phase were studied by a 2D phase based method with retrospective cardiac synchronization. Such studies were performed in different parts of the body and with different excitation flip angles. As expected, a clear relation between intensity enhancement and time dependent flow can be demonstrated. The raw data of these multiphase studies was used to simulate alternative inflow MRA data acquisition strategies to improve image quality, without the excessive increase in scan time implied by standard cardiac triggering. The alternatives investigated were data collection during part of the cardiac cycle and cardiac-ordered phase encoding. Simulation results indicate that the best results are obtained by a combination of both strategies. This method was implemented on Philips Gyroscan systems to compare it with standard nontriggered 2D inflow in practical MRA studies. For highly pulsatile flow, much better MR angiograms were obtained in this way.