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Simultaneous T(2), T(2)*, and R(2)' mapping for multiple sclerosis using nonlinear model-based reconstruction of undersampled radial RARE-EPI MRI

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Item Type:Article
Title:Simultaneous T(2), T(2)*, and R(2)' mapping for multiple sclerosis using nonlinear model-based reconstruction of undersampled radial RARE-EPI MRI
Creators: Velasquez Vides, Jose Raul ORCID logoORCID: https://orcid.org/0009-0001-3250-8656, Herrmann, Carl J.J. ORCID logoORCID: https://orcid.org/0000-0002-5868-472X, Gladytz, Thomas ORCID logoORCID: https://orcid.org/0000-0003-1072-0098, Hetherington, Hoby P., Mattern, Hendrik ORCID logoORCID: https://orcid.org/0000-0002-9916-9572, Wang, Xiaoqing ORCID logoORCID: https://orcid.org/0009-0008-0541-9536, Millward, Jason M. ORCID logoORCID: https://orcid.org/0000-0003-4484-2798, Shalikar, Shahriar ORCID logoORCID: https://orcid.org/0009-0004-1307-2166, Tellez Ceja, Igor Fabian ORCID logoORCID: https://orcid.org/0009-0008-0541-9536, Endemann, Beate ORCID logoORCID: https://orcid.org/0009-0004-4976-4121, Waiczies, Sonia ORCID logoORCID: https://orcid.org/0000-0002-9916-9572, Kuchling, Joseph ORCID logoORCID: https://orcid.org/0000-0002-7981-2073, Paul, Friedemann ORCID logoORCID: https://orcid.org/0000-0002-6378-0070, Rose, Georg ORCID logoORCID: https://orcid.org/0000-0002-2215-150X, Ku, Min-Chi ORCID logoORCID: https://orcid.org/0000-0003-0963-2461, Schmitt, Franz and Niendorf, Thoralf ORCID logoORCID: https://orcid.org/0000-0001-7584-6527
Abstract:PURPOSE: To demonstrate the synergy of undersampled radial 2in1-RARE-EPI acquisition and nonlinear model-based reconstruction for accelerated and simultaneous T(2), T(2)*, and R(2)′ mapping in brains of patients with multiple sclerosis (MS). METHODS: 2in1-RARE-EPI combines a RARE module with an EPI module to capture T(2) and T(2)* information. Nonlinear model-based reconstruction was applied to estimate T(2), T(2)* maps directly from undersampled k-space data. A retrospective undersampling experiment was conducted to compare nonlinear model-based and parallel imaging compressed sensing (PICS) reconstruction. The proposed approach was validated and compared to reference methods multiecho spin-echo (T(2), MSE) and multiecho gradient-echo (T(2)*, MGRE) in a phantom, healthy subjects, and MS patients. RESULTS: 2in1-RARE-EPI together with nonlinear model-based reconstruction enabled T(2), T(2)*, and R(2)′ mapping with 7.5-fold scan-time acceleration relative to the references, while addressing key limitations of reference techniques, including long acquisition times, misregistration, motion and off-resonance sensitivity, and the need for calibration scans. Phantom and in vivo validation showed that the parametric maps obtained with this approach were in agreement with the reference methods. Compared with PICS, nonlinear model-based reconstruction showed more consistent spatial detail and accuracy at higher acceleration factors. The proposed method detected small focal lesions in T(2), T(2)*, and R(2)′ maps of MS patients and enabled visualization of the central vein sign. CONCLUSION: Scan time reduction facilitated by nonlinear model-based reconstruction of 2in1-RARE-EPI provides a technical foundation for enhanced patient compliance, and is a fundamental precursor for broader clinical studies on the potential of T(2), T(2)*, and R(2)′ as imaging biomarkers.
Keywords:Central Vein Sign, Multiple Sclerosis, Nonlinear Model-Based Reconstruction, Quantitative Multiparametric MRI, R2′ Mapping, Simultaneous T2 and T2* Mapping
Source:Magnetic Resonance in Medicine
ISSN:0740-3194
Publisher:Wiley / International Society for Magnetic Resonance in Medicine
Date:18 June 2026
Official Publication:https://doi.org/10.1002/mrm.70465
PubMed:View item in PubMed
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