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QSM Throughout the Body
Alexey V Dimov1, Jiahao Li1, Thanh D Nguyen1
1Department of Radiology, Weill Cornell Medicine, New York, New York, USA.
Quantitative susceptibility mapping (QSM) now extends beyond the brain to analyze magnetic materials in various body tissues. Essential fat-water separation and motion correction techniques enable new applications in diverse organs and conditions.
Area of Science:
- Biomedical Engineering
- Medical Imaging
- Magnetic Resonance Imaging
Background:
- Quantitative susceptibility mapping (QSM) is a technique used to study magnetic materials in biological tissues.
- While predominantly used in the brain, QSM's application is expanding to non-cranial tissues.
- QSM leverages the magnetic susceptibility of substances like iron, calcium, and collagen to create contrast in MRI.
Purpose of the Study:
- To highlight the adaptation and application of quantitative susceptibility mapping (QSM) for imaging outside the human brain.
- To address the challenges and necessary corrections for implementing QSM in body imaging.
- To showcase the diverse potential applications of body QSM in clinical and research settings.
Main Methods:
- QSM relies on the phase shifts in gradient echo MRI sequences caused by magnetic susceptibility variations.
- A critical step for body QSM is water-fat separation to correct for the confounding chemical shift of fat.
- Techniques for compensating cardiac and respiratory motion artifacts are employed to improve image quality.
Main Results:
- Successful application of body QSM requires accurate water-fat separation to isolate susceptibility effects.
- Motion compensation techniques are vital for reliable QSM in dynamic body regions.
- Body QSM has demonstrated utility in evaluating liver iron/fibrosis, cardiac blood oxygenation, myocardial hemorrhage, and more.
Conclusions:
- Quantitative susceptibility mapping (QSM) is a versatile technique adaptable for non-brain imaging.
- Water-fat separation and motion correction are crucial for accurate body QSM.
- Body QSM offers promising avenues for diagnosing and monitoring various conditions affecting organs, vasculature, and calcifications.
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