Rapid, high-resolution and distortion-free mapping of fetal brain using multi-echo radial FLASH and model-based reconstruction.

Purpose: To develop a rapid, high-resolution, and distortion-free technique for simultaneous water-fat separation, and mapping of the fetal brain at 3 T.

Methods: A 2D multi-echo radial FLASH sequence with blip gradients is adapted for data acquisition during maternal free breathing. A calibrationless model-based reconstruction with sparsity constraints is developed to jointly estimate water, fat, and field maps directly from k-space. This approach was validated and compared to reference methods using numerical and NIST phantoms and data from nine fetuses between 26 and 36 weeks of gestation age.

Results: Both numerical and experimental phantom studies confirm good accuracy and precision. In fetal studies, model-based reconstruction yields quantitative values in close agreement with those from a parallel imaging compressed sensing (PICS) technique using Graph Cut (intra-class correlation coefficient [ICC] = 0.9601), while providing enhanced image detail. Repeated scans confirm good reproducibility (ICC = 0.9213). Compared to multi-echo EPI, the proposed radial technique produces higher-resolution (1.1 1.1 3 mm vs. 2-3 2-3 3 mm ) maps with reduced distortion. Despite differences in motion, resolution, and distortion, values are comparable between the two acquisition strategies (ICC = 0.8049). Additionally, the proposed approach enables the synthesis of high-resolution and distortion-free -weighted images.

Conclusion: This study demonstrates the feasibility of using multi-echo radial FLASH combined with calibrationless model-based reconstruction for motion-robust, distortion-free mapping of the fetal brain at 3T, achieving a nominal resolution of mm within 2 s per slice.