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Abstract PurposeTo determine the feasibility of simultaneous multi‐slice (SMS) real‐time MRI (RT‐MRI) at 0.55T for the evaluation of cardiac function. MethodsCardiac CINE MRI is routinely used to evaluate left‐ventricular (LV) function. The standard is sequential multi‐slice balanced SSFP (bSSFP) over a stack of short‐axis slices using electrocardiogram (ECG) gating and breath‐holds. SMS has been used in CINE imaging to reduce the number of breath‐holds by a factor of 2–4 at 1.5T, 3T, and recently at 0.55T. This work aims to determine if SMS is similarly effective in the RT‐MRI evaluation of cardiac function. We used an SMS bSSFP pulse sequence with golden‐angle spirals at 0.55T with an SMS factor of three. We cover the LV with three acquisitions for SMS, and nine for single‐band (SB). Imaging was performed on 9 healthy volunteers and 1 patient with myocardial fibrosis and sternal wires. A spatio‐temporal constrained reconstruction is used, with regularization parameters selected by a board‐certified cardiologist. Images were quantitatively analyzed with a normalized contrast and an Edge Sharpness (ES) score. ResultsThere was a statistically significant 2‐fold difference in contrast between SMS and SB and no significant difference in ES score. The contrast for SMS and SB were 13.38/29.05 at mid‐diastole and 10.79/22.26 at end‐systole; the ES scores for SMS and SB were 1.77/1.83 at mid‐diastole and 1.50/1.72 at end‐systole. ConclusionsSMS cardiac RT‐MRI at 0.55T is feasible and provides sufficient blood‐myocardium contrast to evaluate LV function in three slices simultaneously without any gating or periodic motion assumptions. 

Abstract PurposeTo develop a small‐tip multidimensional RF pulse design procedure that incorporates linear time‐invariant gradient imperfections and concomitant field effects. This could be particularly important for contemporary low‐field MRI systems with high‐performance gradients. Theory and MethodsWe developed an extension of the small‐tip excitation k‐space formalism, where concomitant fields were approximated as a Bloch‐Siegert shift in the rotating frame. This was evaluated using realistic simulations of 2D selective excitation at various field strengths (0.2T, 0.55T, 1.5T, 3T, and 7T) with single and parallel transmit. Simulated excitation profiles from the original and extended k‐space formalisms were compared. Experimental validations were performed at 0.55T with a single‐channel transmit. ResultsThe extended formalism provides improved 2D excitation profiles in all scenarios simulated, compared against the original formalism. The proposed method corrects the concomitant field effects on 2D selective excitations forB₀ > 0.2T when the magnitude of theB₀is far larger than that of nonrotating concomitant fields. Simulation and phantom experiments at 0.55T match well for both original and proposed methods, with the proposed method providing sharper and more accurate excitation profiles at off‐isocenter distances up to 15 cm. The impact of the proposed method is greatest in scenarios where concomitant fields are substantial, such as low field strengths and off‐isocenter. ConclusionConcomitant fields can be modeled as a Bloch‐Siegert shift in the rotating frame during multidimensional RF pulse design, resulting in improved excitation profiles with sharp edges. This is important to consider for off‐isocenter excitations and imaging at low field strengths with strong gradients. 

Abstract PurposeTo compare T1 and T2 measurements across commercial and prototype 0.55T MRI systems in both phantom and healthy participants using the same vendor‐neutral pulse sequences, reconstruction, and analysis methods. MethodsStandard spin echo measurements and abbreviated protocol measurements of T1, B1, and T2 were made on two prototype 0.55 T systems and two commercial 0.55T systems using an ISMRM/NIST system phantom. Additionally, five healthy participants were imaged at each system using the abbreviated protocol for T1, B1, and T2 measurement. The phantom measurements were compared to NMR‐based reference measurements to determine accuracy, and both phantom and in vivo measurements were compared to assess reproducibility and differences between the prototype and commercial systems. ResultsVendor‐neutral sequences were implemented across all four systems, and the code for pulse sequences and reconstruction is freely available. For participants, there was no difference in the mean T1 and T2 relaxation times between the prototype and commercial systems. In the phantom, there were no significant differences between the prototype and commercial systems for T1 and T2 measurements using the abbreviated protocol. ConclusionQuantitative T1 and T2 measurements at 0.55T in phantom and healthy participants are not statistically different across the prototype and commercial systems. 

Abstract PurposeTo develop a robust single breath‐hold approach for volumetric lung imaging at 0.55T. MethodA balanced‐SSFP (bSSFP) pulse sequence with 3D stack‐of‐spiral (SoS) out‐in trajectory for volumetric lung imaging at 0.55T was implemented. With 2.7× undersampling, the pulse sequence enables imaging during a 17‐s breath‐hold. Image reconstruction is performed using 3D SPIRiT and 3D l1‐Wavelet regularizations. In two healthy volunteers, single breath‐hold SoS out‐in bSSFP was compared against stack‐of‐spiral UTE (spiral UTE) and half‐radial dual‐echo bSSFP (bSTAR), based on signal intensity (SI), blood‐lung parenchyma contrast, and image quality. In six patients with pathologies including lung nodules, fibrosis, emphysema, and air trapping, single breath‐hold SoS out‐in and bSTAR were compared against low‐dose computed tomography (LDCT). ResultsSoS out‐in bSSFP achieved 2‐mm isotropic resolution lung imaging with a single breath‐hold duration of 17 s. SoS out‐in (2‐mm isotropic) provided higher lung parenchyma and blood SI and blood‐lung parenchyma contrast compared to spiral UTE (2.4 × 2.4 × 2.5 mm³) and bSTAR (1.6‐mm isotropic). When comparing SI normalized by voxel size, SoS out‐in has lower lung parenchyma signal, higher blood signal, and a higher blood‐lung parenchyma contrast compared to bSTAR. In patients, SoS out‐in bSSFP was able to identify lung fibrosis and lung nodules of size 4 and 8 mm, and breath‐hold bSTAR was able to identify lung fibrosis and 8 mm nodules. ConclusionSingle breath‐hold volumetric lung imaging at 0.55T with 2‐mm isotropic spatial resolution is feasible using SoS out‐in bSSFP. This approach could be useful for rapid lung disease screening, and in cases where free‐breathing respiratory navigated approaches fail. 

Abstract PurposeTo improve liver proton density fat fraction (PDFF) and quantification at 0.55 T by systematically validating the acquisition parameter choices and investigating the performance of locally low‐rank denoising methods. MethodsA Monte Carlo simulation was conducted to design a protocol for PDFF and mapping at 0.55 T. Using this proposed protocol, we investigated the performance of robust locally low‐rank (RLLR) and random matrix theory (RMT) denoising. In a reference phantom, we assessed quantification accuracy (concordance correlation coefficient [] vs. reference values) and precision (using SD) across scan repetitions. We performed in vivo liver scans (11 subjects) and used regions of interest to compare means and SDs of PDFF and measurements. Kruskal–Wallis and Wilcoxon signed‐rank tests were performed (p < 0.05 considered significant). ResultsIn the phantom, RLLR and RMT denoising improved accuracy in PDFF and with >0.992 and improved precision with >67% decrease in SD across 50 scan repetitions versus conventional reconstruction (i.e., no denoising). For in vivo liver scans, the mean PDFF and mean were not significantly different between the three methods (conventional reconstruction; RLLR and RMT denoising). Without denoising, the SDs of PDFF and were 8.80% and 14.17 s⁻¹. RLLR denoising significantly reduced the values to 1.79% and 5.31 s⁻¹(p < 0.001); RMT denoising significantly reduced the values to 2.00% and 4.81 s⁻¹(p < 0.001). ConclusionWe validated an acquisition protocol for improved PDFF and quantification at 0.55 T. Both RLLR and RMT denoising improved the accuracy and precision of PDFF and measurements. 

Abstract PurposeBreath‐held fat‐suppressed volumetric T1‐weighted MRI is an important and widely‐used technique for evaluating the abdomen. Both fat‐saturation and Dixon‐based fat‐suppression methods are used at conventional field strengths; however, both have challenges at lower field strengths (<1.5T) due to insufficient fat suppression and/or inadequate resolution. Specifically, at lower field strengths, fat saturation often fails due to the short T1 of lipid; and Cartesian Dixon imaging provides poor spatial resolution due to the need for a long ∆TE, due to the smaller ∆f between water and lipid. The purpose of this work is to demonstrate a new approach capable of simultaneously achieving excellent fat suppression and high spatial resolution on a 0.55T whole‐body system. MethodsWe applied 3D stack‐of‐spirals Dixon imaging at 0.55T, with compensation of concomitant field phase during reconstruction. The spiral readouts make efficient use of the requisite ∆TE. We compared this with 3D Cartesian Dixon imaging. Experiments were performed in 2 healthy and 10 elevated liver fat volunteers. ResultsStack‐of‐spirals Dixon imaging at 0.55T makes excellent use of the required ∆TE, provided high SNR efficiency and finer spatial resolution (1.7 × 1.7 × 5 mm³) compared Cartesian Dixon (3.5 × 3.5 × 5 mm³), within a 17‐s breath‐hold. We observed successful fat suppression, and improved definition of structures such as the liver, kidneys, and bowel. ConclusionWe demonstrate that high‐resolution single breath‐hold volumetric abdominal T1‐weighted imaging is feasible at 0.55T using spiral sampling and concomitant field correction. This is an attractive alternative to existing Cartesian‐based methods, as it simultaneously provides high‐resolution and excellent fat‐suppression. 

Abstract PurposeTo demonstrate speech‐production real‐time MRI (RT‐MRI) using a contemporary 0.55T system, and to identify opportunities for improved performance compared with conventional field strengths. MethodsExperiments were performed on healthy adult volunteers using a 0.55T MRI system with high‐performance gradients and a custom 8‐channel upper airway coil. Imaging was performed using spiral‐based balancedSSFPand gradient‐recalled echo (GRE) pulse sequences using a temporal finite‐difference constrained reconstruction. Speech‐production RT‐MRI was performed with three spiral readout durations (8.90, 5.58, and 3.48 ms) to determine trade‐offs with respect to articulator contrast, blurring, banding artifacts, and overall image quality. ResultsBoth spiral GRE and bSSFP captured tongue boundary dynamics during rapid consonant‐vowel syllables. Although bSSFP provided substantially higher SNR in all vocal tract articulators than GRE, it suffered from banding artifacts at TR > 10.9 ms. Spiral bSSFP with the shortest readout duration (3.48 ms, TR = 5.30 ms) had the best image quality, with a 1.54‐times boost in SNR compared with an equivalent GRE sequence. Longer readout durations led to increased SNR efficiency and blurring in both bSSFP and GRE. ConclusionHigh‐performance 0.55T MRI systems can be used for speech‐production RT‐MRI. Spiral bSSFP can be used without suffering from banding artifacts in vocal tract articulators, provide better SNR efficiency, and have better image quality than what is typically achieved at 1.5 T or 3 T. 

Objectives:Magnetic resonance imaging (MRI) using 1.5T or 3.0T systems is routinely employed for assessing wrist pathology; however, due to off-resonance artifacts and high power deposition, these high-field systems have drawbacks for real-time (RT) imaging of the moving wrist. Recently, high-performance 0.55T MRI systems have become available. In this proof-of-concept study, we tested the hypothesis that RT-MRI during continuous, active, and uninterrupted wrist motion is feasible with a high-performance 0.55T system at temporal resolutions below 100 ms and that the resulting images provide visualization of tissues commonly interrogated for assessing dynamic wrist instability. Methods:Participants were scanned during uninterrupted wrist radial-ulnar deviation and clenched fist maneuvers. Resulting images (nominal temporal resolution of 12.7–164.6 ms per image) were assessed for image quality. Feasibility of static MRI to supplement RT-MRI acquisition was also tested. Results:The RT images with temporal resolutions < 100 ms demonstrated low distortion and image artifacts, and higher reader assessment scores. Static MRI scans showed the ability to assess anatomical structures of interest in the wrist. Conclusion:RT-MRI of the wrist at a high temporal resolution, coupled with static MRI, is feasible with a high-performance 0.55T system, and may enable improved assessment of wrist dynamic dysfunction and instability. Advances in knowledge:Real-time MRI of the moving wrist is feasible with high-performance 0.55T and may improve the evaluation of dynamic dysfunction of the wrist. 

Abstract PurposeThe reproducibility of scientific reports is crucial to advancing human knowledge. This paper is a summary of our experience in replicating a balanced SSFP half‐radial dual‐echo imaging technique (bSTAR) using open‐source frameworks as a response to the 2023 ISMRM “repeat it with me” Challenge. MethodsWe replicated the bSTAR technique for thoracic imaging at 0.55T. The bSTAR pulse sequence is implemented in Pulseq, a vendor neutral open‐source rapid sequence prototyping environment. Image reconstruction is performed with the open‐source Berkeley Advanced Reconstruction Toolbox (BART). The replication of bSTAR, termed open‐source bSTAR, is tested by replicating several figures from the published literature. Original bSTAR, using the pulse sequence and image reconstruction developed by the original authors, and open‐source bSTAR, with pulse sequence and image reconstruction developed in this work, were performed in healthy volunteers. ResultsBoth echo images obtained from open‐source bSTAR contain no visible artifacts and show identical spatial resolution and image quality to those in the published literature. A direct head‐to‐head comparison between open‐source bSTAR and original bSTAR on a healthy volunteer indicates that open‐source bSTAR provides adequate SNR, spatial resolution, level of artifacts, and conspicuity of pulmonary vessels comparable to original bSTAR. ConclusionWe have successfully replicated bSTAR lung imaging at 0.55T using two open‐source frameworks. Full replication of a research method solely relying on information on a research paper is unfortunately rare in research, but our success gives greater confidence that a research methodology can be indeed replicated as described. 

PurposeTo demonstrate the feasibility of high‐resolution morphologic lung MRI at 0.55 T using a free‐breathing balanced steady‐state free precession half‐radial dual‐echo imaging technique (bSTAR). MethodsSelf‐gated free‐breathing bSTAR (TE₁/TE₂/TR of 0.13/1.93/2.14 ms) lung imaging in five healthy volunteers and a patient with granulomatous lung disease was performed using a 0.55 T MR‐scanner. A wobbling Archimedean spiral pole (WASP) trajectory was used to ensure a homogenous coverage of k‐space over multiple breathing cycles. WASP uses short‐duration interleaves randomly tilted by a small polar angle and rotated by a golden angle about the polar axis. Data were acquired continuously over 12:50 min. Respiratory‐resolved images were reconstructed off‐line using compressed sensing and retrospective self‐gating. Reconstructions were performed with a nominal resolution of 0.9 mm and a reduced isotropic resolution of 1.75 mm corresponding to shorter simulated scan times of 8:34 and 4:17 min, respectively. Analysis of apparent SNR was performed in all volunteers and reconstruction settings. ResultsThe technique provided artifact‐free morphologic lung images in all subjects. The short TR of bSTAR in conjunction with a field strength of 0.55 T resulted in a complete mitigation of off‐resonance artifacts in the chest. Mean SNR values in healthy lung parenchyma for the 12:50 min scan were 3.6 ± 0.8 and 24.9 ± 6.2 for 0.9 mm and 1.75 mm reconstructions, respectively. ConclusionThis study demonstrates the feasibility of morphologic lung MRI with a submillimeter isotropic spatial resolution in human subjects with bSTAR at 0.55 T.