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    Inversion-recovery MR elastography of the human brain for improved stiffness quantification near fluid-solid boundaries
    (New York, NY [u.a.] : Wiley-Liss, 2021) Lilaj, Ledia; Herthum, Helge; Meyer, Tom; Shahryari, Mehrgan; Bertalan, Gergely; Caiazzo, Alfonso; Braun, Jürgen; Fischer, Thomas; Hirsch, Sebastian; Sack, Ingolf
    Purpose: In vivo MR elastography (MRE) holds promise as a neuroimaging marker. In cerebral MRE, shear waves are introduced into the brain, which also stimulate vibrations in adjacent CSF, resulting in blurring and biased stiffness values near brain surfaces. We here propose inversion-recovery MRE (IR-MRE) to suppress CSF signal and improve stiffness quantification in brain surface areas. Methods: Inversion-recovery MRE was demonstrated in agar-based phantoms with solid-fluid interfaces and 11 healthy volunteers using 31.25-Hz harmonic vibrations. It was performed by standard single-shot, spin-echo EPI MRE following 2800-ms IR preparation. Wave fields were acquired in 10 axial slices and analyzed for shear wave speed (SWS) as a surrogate marker of tissue stiffness by wavenumber-based multicomponent inversion. Results: Phantom SWS values near fluid interfaces were 7.5 ± 3.0% higher in IR-MRE than MRE (P =.01). In the brain, IR-MRE SNR was 17% lower than in MRE, without influencing parenchymal SWS (MRE: 1.38 ± 0.02 m/s; IR-MRE: 1.39 ± 0.03 m/s; P =.18). The IR-MRE tissue–CSF interfaces appeared sharper, showing 10% higher SWS near brain surfaces (MRE: 1.01 ± 0.03 m/s; IR-MRE: 1.11 ± 0.01 m/s; P <.001) and 39% smaller ventricle sizes than MRE (P <.001). Conclusions: Our results show that brain MRE is affected by fluid oscillations that can be suppressed by IR-MRE, which improves the depiction of anatomy in stiffness maps and the quantification of stiffness values in brain surface areas. Moreover, we measured similar stiffness values in brain parenchyma with and without fluid suppression, which indicates that shear wavelengths in solid and fluid compartments are identical, consistent with the theory of biphasic poroelastic media. © 2021 The Authors. Magnetic Resonance in Medicine published by Wiley Periodicals LLC on behalf of International Society for Magnetic Resonance in Medicine
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    Axisymmetric diffusion kurtosis imaging with Rician bias correction: A simulation study
    (New York, NY : Wiley-Liss, 2022) Oeschger, Jan Malte; Tabelow, Karsten; Mohammadi, Siawoosh
    Purpose: To compare the estimation accuracy of axisymmetric diffusion kurtosis imaging (DKI) and standard DKI in combination with Rician bias correction (RBC). Methods: Axisymmetric DKI is more robust against noise-induced variation in the measured signal than standard DKI because of its reduced parameter space. However, its susceptibility to Rician noise bias at low signal-to-noise ratios (SNR) is unknown. Here, we investigate two main questions: first, does RBC improve estimation accuracy of axisymmetric DKI?; second, is estimation accuracy of axisymmetric DKI increased compared to standard DKI? Estimation accuracy was investigated on the five axisymmetric DKI tensor metrics (AxTM): the parallel and perpendicular diffusivity and kurtosis and mean of the kurtosis tensor, using a noise simulation study based on synthetic data of tissues with varying fiber alignment and in-vivo data focusing on white matter. Results: RBC mainly increased accuracy for the parallel AxTM in tissues with highly to moderately aligned fibers. For the perpendicular AxTM, axisymmetric DKI without RBC performed slightly better than with RBC. However, the combination of axisymmetric DKI with RBC was the overall best performing algorithm across all five AxTM in white matter and axisymmetric DKI itself substantially improved accuracy in axisymmetric tissues with low fiber alignment. Conclusion: Combining axisymmetric DKI with RBC facilitates accurate DKI parameter estimation at unprecedented low SNRs ((Formula presented.)) in white matter, possibly making it a valuable tool for neuroscience and clinical research studies where scan time is a limited resource. The tools used here are available in the open-source ACID toolbox for SPM.