SNR‐efficient distortion‐free diffusion relaxometry imaging using accelerated echo‐train shifted echo‐planar time‐resolving imaging (ACE‐EPTI)

To develop an efficient acquisition technique for distortion-free diffusion MRI and diffusion-relaxometry.A new accelerated echo-train shifted echo-planar time-resolved imaging (ACE-EPTI) technique is developed to achieve high-SNR, distortion-free diffusion, and diffusion-relaxometry imaging. ACE-EPTI uses a newly designed variable density spatiotemporal encoding with self-navigators for phase correction, that allows for submillimeter in-plane resolution using only 3-shot. Moreover, an echo-train-shifted acquisition is developed to achieve minimal TE, together with an SNR-optimal readout length, leading to ∼30% improvement in SNR efficiency over single-shot EPI. To recover the highly accelerated data with high image quality, a tailored subspace image reconstruction framework is developed, that corrects for odd/even-echo phase difference, shot-to-shot phase variation, and the B0 field changes because of field drift and eddy currents across different dynamics. After the phase-corrected subspace reconstruction, artifacts-free high-SNR diffusion images at multiple TEs are obtained with varying T2 * weighting.Simulation, phantom, and in vivo experiments were performed, which validated the 3-shot spatiotemporal encoding provides accurate reconstruction at submillimeter resolution. The use of echo-train shifting and optimized readout length improves the SNR-efficiency by 27%-36% over single-shot EPI. The level of image distortion was also evaluated, which shows no noticeable susceptibility and eddy-current distortions in ACE-EPTI images that are common in EPI. The time-resolved acquisition of ACE-EPTI also provides multi-TE images for diffusion-relaxometry analysis.ACE-EPTI was demonstrated to be an efficient and powerful technique for high-resolution diffusion imaging and diffusion-relaxometry, which provides high SNR, distortion- and blurring-free, and time-resolved multi-echo images by a fast 3-shot acquisition.