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Simultaneous T<sub>1</sub> and T<sub>2</sub> Mapping in the Brain With QuantoRAGE: An MP2RAGE Variant Using T<sub>2</sub>-Prepared Inversion.

October 4, 2026pubmed logopapers

Authors

Pato Montemayor N,Nguyên TJ,Marques JP,Açikgöz BC,Bastiaansen JAM,Kreis R,Radojewski P,Stelter J,Karampinos D,Philippe J,Bacha L,Di Noto T,Maréchal B,Nickel D,Liebig PA,Heidemann RM,Kober T,Thiran JP,Hilbert T,Yu T,Piredda GF,Bonanno G

Affiliations (16)

  • Swiss Innovation Hub, Siemens Healthineers International AG, Lausanne, Switzerland.
  • LTS5, Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland.
  • Department of Radiology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
  • Laboratory of Computational Neuroscience, School of Computer and Communication Sciences and School of Life Sciences, EPFL, Lausanne, Switzerland.
  • Laboratory of Sensory Processing, School of Life Sciences, EFPL, Lausanne, Switzerland.
  • Donders Institute for Brain Cognition and Behaviour, Radboud University, Nijmegen, the Netherlands.
  • Translational Imaging Center, Swiss Institute for Translational and Entrepreneurial Medicine, Bern, Switzerland.
  • Department of Diagnostic, Interventional and Pediatric Radiology (DIPR), University Hospital Bern, Bern, Switzerland.
  • Graduate School for Cellular and Biomedical Sciences, University of Bern, Bern, Switzerland.
  • Magnetic Resonance Methodology, Institute of Diagnostic and Interventional Neuroradiology, University Hospital Bern, Bern, Switzerland.
  • Support Center for Advanced Neuroimaging, Institute of Diagnostic and Interventional Neuroradiology, University Hospital Bern, Bern, Switzerland.
  • Laboratory of Magnetic Resonance Imaging Systems and Methods, EPFL, Lausanne, Switzerland.
  • CIBM Center for Biomedical Imaging (CIBM), Lausanne, Switzerland.
  • Research & Clinical Translation, Magnetic Resonance, Siemens Healthineers AG, Erlangen, Germany.
  • Siemens Healthineers AG, Erlangen, Germany.
  • Swiss Innovation Hub, Siemens Healthineers International AG, Bern, Switzerland.

Abstract

To develop and validate a repeatable and reproducible approach, QuantoRAGE, for simultaneous whole-brain T<sub>1</sub> and T<sub>2</sub> mapping using adiabatic magnetization preparation. QuantoRAGE is a 3D FLASH-based sequence using an adiabatic T<sub>2</sub>-prepared inversion followed by two readout blocks. Sequence repetitions with different preparation durations and inversion times provide T<sub>1</sub>- and T<sub>2</sub>-weighted images. Quantitative parameters are voxel-wise estimated by matching signal evolutions to a dictionary generated from extended phase graph simulations. To accelerate the method, the protocol was optimized using Cramér-Rao lower bound analysis, and a neural-network was trained on sequence-specific dictionaries for fast matching. The optimized protocol was evaluated in phantom and healthy volunteers at 3 T and compared against reference MP2RAGE T<sub>1</sub> and multi-echo spin-echo T<sub>2</sub> measurements. In vivo repeatability and reproducibility were quantified using scan-rescan experiments. Feasibility of QuantoRAGE at 7 T was tested in vivo. At 3 T, T<sub>1</sub> and T<sub>2</sub> phantom quantification agreed with nominal values (T<sub>1</sub>: r = 0.98, T<sub>2</sub>: r = 0.99). In eight healthy volunteers, high repeatability (bias ± SD, T<sub>1</sub>: 14.1 ± 30.2 ms, T<sub>2</sub>: 1.2 ± 1.7 ms) and reproducibility (T<sub>1</sub>: 18.9 ± 32.6 ms, T<sub>2</sub>: 1.1 ± 2.1 ms) were observed across brain regions, with T<sub>1</sub> estimates comparable to reference methods (r = 0.96, slope = 0.74), and T<sub>2</sub> underestimated (r = 0.79, slope = 0.44). Fast matching produced results consistent with dictionary-matching and significantly reduced parameter estimation time. At 7 T, the adiabatic preparation resulted in homogeneous T<sub>1</sub> and T<sub>2</sub> maps at 0.8-mm isotropic resolution. QuantoRAGE enabled reproducible simultaneous T<sub>1</sub> and T<sub>2</sub> mapping at 3 T, providing an efficient framework for longitudinal and cross-sectional quantitative MRI studies and showed feasibility at 7 T.

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Journal Article

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