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Updated: Jul 15, 2025

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A Magnetic Resonance Imaging Protocol for Stroke Onset Time Estimation in Permanent Cerebral Ischemia
Published on: September 16, 2017
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Simultaneous perfusion, diffusion, T2 *, and T1 mapping with MR fingerprinting
Hongli Fan1,2, Lisa Bunker3, Zihan Wang1,2
1Department of Biomedical Engineering, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Magnetic Resonance in Medicine
|September 26, 2023
Summary
This study introduces a new MRI technique using magnetic resonance fingerprinting (MRF) to simultaneously map brain perfusion, diffusion, T2*, and T1. This novel approach offers excellent image quality and is promising for stroke patients.
Area of Science:
- Neuroimaging
- Magnetic Resonance Imaging (MRI)
- Cerebrovascular Diseases
Background:
- Quantitative mapping of brain perfusion, diffusion, T2*, and T1 is crucial for cerebrovascular disease diagnosis.
- Current MRI techniques require separate sequences for each parameter, increasing scan time.
Purpose of the Study:
- To develop a novel MRI technique for simultaneous estimation of perfusion, diffusion, T2*, and T1 parameters.
- To reduce scan time and improve efficiency in multi-parametric brain mapping.
Main Methods:
- A modified magnetic resonance fingerprinting (MRF) sequence, based on MRF-arterial spin labeling (ASL), was developed.
- The sequence incorporated modified acquisition modules with varying echo times (TEs) and diffusion-weighting gradients.
- Quantitative values were compared against reference methods (MRF-ASL, DWI, T2* mapping), and test-retest repeatability was assessed.
Main Results:
- The novel method achieved a 24% reduction in scan time compared to separate sequences.
- Parametric maps demonstrated excellent image quality with strong correlations to reference methods.
- High reliability was observed for ADC, T2*, T1, and B1+ estimation (CoV <5%).
- The technique successfully detected both ischemic and hemorrhagic stroke in initial patient applications.
Conclusions:
- The proposed simultaneous multi-parametric mapping technique is a promising advancement in MRI.
- This method has significant potential for clinical application in stroke patients, offering efficient and comprehensive brain assessment.
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