Diffusion-weighted MR imaging: behaviors of phenomenological models and enhanced PROPELLER data acquisition

The aim of this study was to investigate the microstructural sensitivity of the statistical distribution and diffusion kurtosis (DKI) models of non-monoexponential signal attenuation in the brain using diffusion-weighted MRI (DWI). We first developed a simulation of 2-D water diffusion inside simulated tissue consisting of semi-permeable cells and a variable cell size. We simulated a DWI acquisition using a pulsed gradient spin echo (PGSE) pulse sequence, and fitted the models to the simulated DWI signals using b-values up to 2500 s/mm2. For comparison, we calculated the apparent diffusion coefficient (ADC) of the monoexponential model (b-value = 1000 s/mm2). In separate experiments, we varied the cell size (5-10-15 μ), cell volume fraction (0.50-0.65-0.80), and membrane permeability (0.001-0.01-0.1 mm/s) to study how the fitted parameters tracked simulated microstructural changes. The ADC was sensitive to all the simulated microstructural changes except the decrease in membrane permeability. The σstat of the statistical distribution model increased exclusively with a decrease in cell volume fraction. The Kapp of the DKI model increased exclusively with decreased cell size and decreased with increasing membrane permeability. These results suggest that the non-monoexponential models have different, specific microstructural sensitivity, and a combination of the models may give insights into the microstructural underpinning of tissue pathology. Faster PROPELLER DWI acquisitions, such as Turboprop and X-prop, remain subject to phase errors inherent to a gradient echo readout, which ultimately limits the applied turbo factor and thus scan time reductions. This study introduces a new phase correction to Turboprop, called Turboprop+. This technique employs calibration blades, which generate 2-D phase error maps and are rotated in accordance with the data blades, to correct phase errors arising from off-resonance and system imperfections. The results demonstrate that with a small increase in scan time for collecting calibration blades, Turboprop+ had a superior immunity to the off-resonance related artifacts when compared to standard Turboprop and recently proposed X-prop with the high turbo factor (turbo factor = 7). Thus, low specific absorption rate (SAR) and short scan time can be achieved in Turboprop+ using a high turbo factor, while off-resonance related artifacts are minimized.