Balanced steady-state free precession with parallel imaging gives distortion-free fMRI with high temporal resolution

Research on the functions of the human brain requires that functional magnetic resonance imaging (MRI) moves towards producing images with less distortion and higher temporal and spatial resolution. This study compares passband balanced steady-state free precession (bSSFP) acquisitions with and without parallel imaging (PI) to investigate whether combining PI with this pulse sequence is a viable option for functional MRI. Such a novel combination has the potential to offer the distortion-free advantages of bSSFP with the reduced acquisition time of PI. Scans were done on a Philips 3T Intera, using the installed bSSFP pulse sequence, both with and without the sensitivity encoding (SENSE) PI option. The task was a visual flashing checkerboard, and the viewing window covered the visual cortex. Sensitivity comparisons with and without PI were done using the same manually drawn region of interest for each time course of the subject, and comparing the z-score summary statistics: number of voxels with z>2.3, the mean of those voxels, their 90th percentile and their maximum value. We show that PI greatly improves the temporal resolution in bSSFP, reducing the volume acquisition time by more than half in this study to 0.67 s with 3-mm isotropic voxels. At the same time, a statistically significant increase was found for the maximum z-score using bSSFP with PI as compared to without it (P=.02). This improvement can be understood in terms of physiological noise, as demonstrated by noise measurements. This produces observed increases in the overall temporal signal to noise of the functional time series, giving greater sensitivity to functional activations with PI. This study demonstrates for the first time the possibility of combining PI with bSSFP to achieve distortion-free functional images without loss of sensitivity and with high temporal resolution.