Commissioning and implementing a Quality Assurance program for dedicated radiation oncology MRI scanners.

PURPOSE: ACR and AAPM task group's guidelines addressing commissioning for dedicated MR simulators were recently published. The goal of the current paper is to present the authors' 2-year experience regarding the commissioning and introduction of a QA program based on these guidelines and an associated automated workflow. METHODS: All mandatory commissioning tests suggested by AAPM report 284 were performed and results are reported for two MRI scanners (MAGNETOM Sola and Aera). Visual inspection, vendor clinical or service platform, third-party software, or in-house python-based code were used. Automated QA and data analysis was performed via vendor, in-house or third-party software. QATrack+ was used for QA data logging and storage. 3D geometric distortion, B0 inhomogeneity, EPI, and parallel imaging performance were evaluated. RESULTS: Contrasting with AAPM report 284 recommendations, homogeneity and RF tests were performed monthly. The QA program allowed us to detect major failures over time (shimming, gradient calibration and RF interference). Automated QA, data analysis, and logging allowed fast ACR analysis daily and monthly QA to be performed in 3 h. On the Sola, the average distortion is 1 mm for imaging radii of 250 mm or less. For radii of up to 200 mm, the maximum, average (standard deviation) distortion is 1.2  and 0.4 mm (0.3 mm). Aera values are roughly double the Sola for radii up to 200 mm. EPI geometric distortion, ghosting ratio, and long-term stability were found to be under the maximum recommended values. Parallel imaging SNR ratio was stable and close to the theoretical value (ideal g-factor). No major failures were detected during commissioning. CONCLUSION: An automated workflow and enhanced QA program allowed to automatically track machine and environmental changes over time and to detect periodic failures and errors that might otherwise have gone unnoticed. The Sola is more geometrically accurate, with a more homogenous B0 field than the Aera.

SNR efficiency of combined bipolar gradient echoes: Comparison of three-dimensional FLASH, MPRAGE, and multiparameter mapping with VFA-FLASH and MP2RAGE.

PURPOSE: High-bandwidth bipolar multiecho gradient echo sequences are increasingly popular in structural brain imaging because of reduced water-fat shifts, lower susceptibility effects, and improved signal-to-noise ratio (SNR) efficiency. In this study, we investigated the performance of three three-dimensional multiecho sequences (MPRAGE, MP2RAGE, and FLASH) with scan times < 9 min and 1-mm isotropic resolution against their single-echo, low-bandwidth counterparts at 3T. We also compared the performance of multiparameter mapping (PD, T1 , and T2*) with bipolar multiecho MP2RAGE versus the variable flip angle technique with multiecho FLASH (VFA-FLASH). METHODS: Multiecho sequences were optimized to yield equivalent contrast and improved SNR compared with their single-echo counterparts. Theoretical SNR gains were verified with measurements in a multilayered phantom. Robust image processing pipelines extracted PD, T1 , and T2* maps from MP2RAGE or VFA-FLASH, and the corresponding SNR was measured with varying SENSE accelerations (R = 1-5) and number of echoes (N = 1-12). All sequences were tested on four healthy volunteers. RESULTS: Multiecho sequences achieved SNR gains of 1.3-1.6 over single-echo sequences. MP2RAGE yielded comparable T1 -to-noise ratio to VFA-FLASH, but significantly lower SNR (<50%) in PD and T2* maps. Measured SNR gains agreed with the theoretical predictions for SENSE accelerations ≤3. CONCLUSION: Multiecho sequences achieve higher SNR efficiency over conventional single-echo sequences, despite three-fold higher sampling bandwidths. VFA-FLASH surpasses MP2RAGE in its ability to map three parameters with high SNR and 1-mm isotropic resolution in a clinically relevant scan time (∼8:30 min), whereas MP2RAGE yields lower intersubject variability in T1 . Magn Reson Med 77:2186-2202, 2017. © 2016 International Society for Magnetic Resonance in Medicine.

Analytical corrections of banding artifacts in driven equilibrium single pulse observation of T2 (DESPOT2).

PURPOSE: DESPOT2 is a single-component T2 mapping technique based on bSSFP imaging. It has seen limited application because of banding artifacts and magnetization transfer (MT) effects. In this work, acquisitions are optimized to minimize MT effects, while exact and approximate analytical equations enable automatic correction of banding artifacts within the T2 maps in mere seconds. THEORY AND METHODS: The technique was verified on an agar phantom at 3 tesla. The T2 resulting from four different data combination techniques was compared with the T2 from CPMG. Two comparable DESPOT2 scan protocols (short vs. long TR/TRF ) designed to minimize MT effects, were tested both in the phantom and in vivo. A third protocol was tested in the brain of 8 volunteers and analytical correction schemes were compared with DESPOT2-FM. RESULTS: The T2 measurements in agar agree with CPMG within ∼7% and in vivo results agree with values reported in the literature. The approximate analytical solutions provide increased robustness to hardware imperfections and higher T2 -to-noise ratio than the exact solutions. CONCLUSION: New analytical solutions enable fast and accurate whole-brain T2 mapping from previously measured T1 and B1 maps, and bSSFP images with at least two phase offsets and two flip angles (=4 datasets, 8 min scan). Magn Reson Med 76:1790-1804, 2016. © 2015 International Society for Magnetic Resonance in Medicine.