CSF flow artifact reduction using cardiac cycle ordered phase-encoding method

The flow effects appear as a change of phase as well as signal intensity in NMR imaging. Since the flow of blood and CSF (cerebrospinal fluid) is pulsatile due to the heart pumping, their velocities are not constant during NMR imaging. This type of velocity fluctuation such as the blood or CSF flow induces irregular flow-dependent phase shifts, which have been one of the main causes of flow artifacts in NMR imaging. In order to reduce the flow artifacts, especially the CSF flow artifacts, a new cardiac cycle ordered phase encoding method is proposed and has been studied. This proposed technique utilizes the cardiac cycle as a precursor for the phase encoding gradients similar to the ROPE (respiratory ordered phase encoding) technique which has been used for respiratory motion artifact reduction. The basic concept and its applications are discussed together with the experimental results obtained with human volunteers using the KAIS 2.0 2.0 T whole-body NMR imaging system.