This study was HIPAA compliant and institutional review board approved, and informed consent was obtained from all volunteers. The authors describe a method for generating a time-of-arrival (TOA) map of intravenously administered contrast material, as observed in a time series of three-dimensional (3D) contrast material-enhanced magnetic resonance (MR) angiograms. The method may enable visualization and interpretation, on one 3D image, of the temporal enhancement patterns that occur in the vasculature. Colorization of TOA values may further aid interpretation. The quality of the results depends not only on the adequacy of the frame rate, spatial resolution, and signal-to-noise ratio of the MR image acquisition method but also on the accuracy and clarity with which the leading edge of the contrast material bolus is depicted. The criteria for optimizing these parameters are described. The TOA mapping technique is demonstrated by using vascular studies of the hands, brain, and lower leg regions. Note: This copy is for your personal, non-commercial use only. To order presentation-ready copies for distribution to your colleagues or clients, use the Radiology Reprints form at the end of this article.
Since the introduction of contrast material-enhanced magnetic resonance (MR) angiography more than a decade ago (1), there have been steady improvements in the technique. Early advances include the reduction in repetition times for three-dimensional (3D) sequences (2), the development of centric view orders (3,4), and methods for synchronizing image acquisitions with the arterial phase of contrast enhancement (5-7). There has also been interest in generating a time series of 3D image sets (8), but this was subject to a trade-off in temporal resolution for adequate spatial resolution (9).In the late 1990s, several methods of parallel imaging (10,11) that facilitated a reduction in acquisition time for a given spatial resolution were developed. These methods were initially applied along one phase-encoding direction, and an early application was contrast-enhanced MR angiography (12,13). However, parallel acquisition was also shown to be applicable along the two phase-encoding directions of a 3D Fourier transform acquisition (14). Moreover, for a given acceleration factor, there will be a considerably lower penalty in lost signal-to-noise ratio (SNR) if one achieves the acceleration cumulatively by applying smaller accelerations in each of the two phase-encoding directions as opposed to applying the acceleration factor solely in one direction. Thus, for 3D contrast-enhanced MR angiography, twodimensional acceleration factors as high as five to eight can be routinely used (15)(16)(17)(18)(19).A consequence of the reduced acquisition time is that a series of highspatial-resolution 3D images can now be generated within a time period during which only one image might have been obtained previously. With this increased speed, it has become possible to visualize, with high spatial resolution, the dynamic processes that occur within ...