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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="research-article" dtd-version="3.0" xml:lang="EN">
  <front>
    <journal-meta><journal-id journal-id-type="nlm-ta">PLoS ONE</journal-id><journal-id journal-id-type="publisher-id">plos</journal-id><journal-id journal-id-type="pmc">plosone</journal-id><!--===== Grouping journal title elements =====--><journal-title-group><journal-title>PLoS ONE</journal-title></journal-title-group><issn pub-type="epub">1932-6203</issn><publisher>
        <publisher-name>Public Library of Science</publisher-name>
        <publisher-loc>San Francisco, USA</publisher-loc>
      </publisher></journal-meta>
    <article-meta><article-id pub-id-type="publisher-id">PONE-D-11-13341</article-id><article-id pub-id-type="doi">10.1371/journal.pone.0032379</article-id><article-categories>
        <subj-group subj-group-type="heading">
          <subject>Research Article</subject>
        </subj-group>
        <subj-group subj-group-type="Discipline-v2">
          <subject>Medicine</subject>
          <subj-group>
            <subject>Neurology</subject>
          </subj-group>
          <subj-group>
            <subject>Radiology</subject>
            <subj-group>
              <subject>Diagnostic radiology</subject>
            </subj-group>
          </subj-group>
        </subj-group>
        <subj-group subj-group-type="Discipline-v2">
          <subject>Physics</subject>
          <subj-group>
            <subject>Medical physics</subject>
          </subj-group>
        </subj-group>
        <subj-group subj-group-type="Discipline">
          <subject>Physics</subject>
          <subject>Neurological Disorders</subject>
          <subject>Radiology and Medical Imaging</subject>
        </subj-group>
      </article-categories><title-group><article-title>Robust and Fast Whole Brain Mapping of the RF Transmit Field B1 at 7T</article-title><alt-title alt-title-type="running-head">Robust Whole Brain B1 Mapping at 7T</alt-title></title-group><contrib-group>
        <contrib contrib-type="author" xlink:type="simple">
          <name name-style="western">
            <surname>Lutti</surname>
            <given-names>Antoine</given-names>
          </name>
          <xref ref-type="aff" rid="aff1">
            <sup>1</sup>
          </xref>
          <xref ref-type="corresp" rid="cor1">
            <sup>*</sup>
          </xref>
        </contrib>
        <contrib contrib-type="author" xlink:type="simple">
          <name name-style="western">
            <surname>Stadler</surname>
            <given-names>Joerg</given-names>
          </name>
          <xref ref-type="aff" rid="aff2">
            <sup>2</sup>
          </xref>
        </contrib>
        <contrib contrib-type="author" xlink:type="simple">
          <name name-style="western">
            <surname>Josephs</surname>
            <given-names>Oliver</given-names>
          </name>
          <xref ref-type="aff" rid="aff1">
            <sup>1</sup>
          </xref>
        </contrib>
        <contrib contrib-type="author" xlink:type="simple">
          <name name-style="western">
            <surname>Windischberger</surname>
            <given-names>Christian</given-names>
          </name>
          <xref ref-type="aff" rid="aff3">
            <sup>3</sup>
          </xref>
        </contrib>
        <contrib contrib-type="author" xlink:type="simple">
          <name name-style="western">
            <surname>Speck</surname>
            <given-names>Oliver</given-names>
          </name>
          <xref ref-type="aff" rid="aff4">
            <sup>4</sup>
          </xref>
        </contrib>
        <contrib contrib-type="author" xlink:type="simple">
          <name name-style="western">
            <surname>Bernarding</surname>
            <given-names>Johannes</given-names>
          </name>
          <xref ref-type="aff" rid="aff5">
            <sup>5</sup>
          </xref>
        </contrib>
        <contrib contrib-type="author" xlink:type="simple">
          <name name-style="western">
            <surname>Hutton</surname>
            <given-names>Chloe</given-names>
          </name>
          <xref ref-type="aff" rid="aff1">
            <sup>1</sup>
          </xref>
        </contrib>
        <contrib contrib-type="author" xlink:type="simple">
          <name name-style="western">
            <surname>Weiskopf</surname>
            <given-names>Nikolaus</given-names>
          </name>
          <xref ref-type="aff" rid="aff1">
            <sup>1</sup>
          </xref>
        </contrib>
      </contrib-group><aff id="aff1"><label>1</label><addr-line>Wellcome Trust Centre for Neuroimaging, UCL Institute of Neurology, University College London, London, United Kingdom</addr-line>       </aff><aff id="aff2"><label>2</label><addr-line>Special Lab Non-Invasive Brain Imaging, Leibniz Institute for Neurobiology, Magdeburg, Germany</addr-line>       </aff><aff id="aff3"><label>3</label><addr-line>MR Centre of Excellence, Centre for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria</addr-line>       </aff><aff id="aff4"><label>4</label><addr-line>Otto-von-Guericke-University Magdeburg, Department Biomedical Magnetic Resonance, Institute for Experimental Physics, Magdeburg, Germany</addr-line>       </aff><aff id="aff5"><label>5</label><addr-line>Institute for Biometry and Medical Informatics, Faculty of Medicine, Otto-von-Guericke-University, Magdeburg, Germany</addr-line>       </aff><contrib-group>
        <contrib contrib-type="editor" xlink:type="simple">
          <name name-style="western">
            <surname>Zhan</surname>
            <given-names>Wang</given-names>
          </name>
          <role>Editor</role>
          <xref ref-type="aff" rid="edit1"/>
        </contrib>
      </contrib-group><aff id="edit1">University of Maryland, College Park, United States of America</aff><author-notes>
        <corresp id="cor1">* E-mail: <email xlink:type="simple">a.lutti@ucl.ac.uk</email></corresp>
        <fn fn-type="con">
          <p>Conceived and designed the experiments: AL JS JB NW OS CH CW. Performed the experiments: AL JS OJ CH NW. Analyzed the data: AL. Contributed reagents/materials/analysis tools: AL CH. Wrote the paper: AL NW.</p>
        </fn>
      <fn fn-type="conflict">
        <p>The authors have declared that no competing interests exist.</p>
      </fn></author-notes><pub-date pub-type="collection">
        <year>2012</year>
      </pub-date><pub-date pub-type="epub">
        <day>12</day>
        <month>3</month>
        <year>2012</year>
      </pub-date><volume>7</volume><issue>3</issue><elocation-id>e32379</elocation-id><history>
        <date date-type="received">
          <day>14</day>
          <month>7</month>
          <year>2011</year>
        </date>
        <date date-type="accepted">
          <day>29</day>
          <month>1</month>
          <year>2012</year>
        </date>
      </history><!--===== Grouping copyright info into permissions =====--><permissions><copyright-year>2012</copyright-year><copyright-holder>Lutti et al</copyright-holder><license><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</license-p></license></permissions><abstract>
        <p>In-vivo whole brain mapping of the radio frequency transmit field B<sub>1</sub><sup>+</sup> is a key aspect of recent method developments in ultra high field MRI. We present an optimized method for fast and robust in-vivo whole-brain B<sub>1</sub><sup>+</sup> mapping at 7T. The method is based on the acquisition of stimulated and spin echo 3D EPI images and was originally developed at 3T. We further optimized the method for use at 7T. Our optimization significantly improved the robustness of the method against large B<sub>1</sub><sup>+</sup> deviations and off-resonance effects present at 7T. The mean accuracy and precision of the optimized method across the brain was high with a bias less than 2.6 percent unit (p.u.) and random error less than 0.7 p.u. respectively.</p>
      </abstract><funding-group><funding-statement>This study was financially supported by the Wellcome Trust (<ext-link ext-link-type="uri" xlink:href="http://www.wellcome.ac.uk/" xlink:type="simple">http://www.wellcome.ac.uk/</ext-link>, grant number 079866/Z/06/Z), the BMBF (German Federal Ministry of Education and Research, project number 13N9208) and the MAN-BIOPSY research cluster of the Medical University of Vienna and the University of Vienna, Austria (SO76300004). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.</funding-statement></funding-group><counts>
        <page-count count="7"/>
      </counts></article-meta>
  </front>
  <body>
    <sec id="s1">
      <title>Introduction</title>
      <p>Ultra high field (UHF) MRI has attracted an increasing level of attention over the recent years and offers interesting prospects for the future of MRI <xref ref-type="bibr" rid="pone.0032379-Vaughan1">[1]</xref>. The strong inhomogeneities of the transmit RF field B<sub>1</sub><sup>+</sup> present in the human head at UHF lead to severe signal and contrast nonuniformities. Multi-channel transmit methods alleviate this problem and are gradually being introduced on commercial scanners thanks to the remarkable developments that have taken place in the recent years <xref ref-type="bibr" rid="pone.0032379-Katscher1">[2]</xref>–<xref ref-type="bibr" rid="pone.0032379-Vaughan2">[4]</xref>. They require precise knowledge of the B<sub>1</sub><sup>+</sup> field to achieve homogeneous excitation and comply with safety limits <xref ref-type="bibr" rid="pone.0032379-Zelinski1">[5]</xref>, <xref ref-type="bibr" rid="pone.0032379-Ma1">[6]</xref>. Quantitative mapping methods give powerful insights into biological processes. However, B<sub>1</sub><sup>+</sup> inhomogeneities affect most quantitative methods <xref ref-type="bibr" rid="pone.0032379-Helms1">[7]</xref>–<xref ref-type="bibr" rid="pone.0032379-Wright1">[9]</xref> and an accurate measure of the B<sub>1</sub><sup>+</sup> distributions is required for appropriate correction <xref ref-type="bibr" rid="pone.0032379-Dick1">[10]</xref>. Robust whole-brain B<sub>1</sub><sup>+</sup> mapping is therefore critical for parallel transmit and quantitative mapping methods. A number of B<sub>1</sub><sup>+</sup> mapping methods have been introduced at field strengths ≤3T but the robustness of these methods at UHF has not been demonstrated in-vivo <xref ref-type="bibr" rid="pone.0032379-Cunningham1">[11]</xref>–<xref ref-type="bibr" rid="pone.0032379-Lutti1">[16]</xref>. In this study, we present improvements to an existing 3D EPI method that yield accurate and precise whole-brain maps of the magnitude of the B<sub>1</sub><sup>+</sup> field at 7T. If the phase of the B<sub>1</sub><sup>+</sup> field is also required, the present method can be combined with an existing phase mapping technique <xref ref-type="bibr" rid="pone.0032379-Metzger1">[17]</xref>. This B<sub>1</sub><sup>+</sup> method was originally introduced by Jiru and Klose <xref ref-type="bibr" rid="pone.0032379-Jiru1">[15]</xref> and later optimized by Lutti et al. <xref ref-type="bibr" rid="pone.0032379-Lutti1">[16]</xref> to yield highly accurate and reproducible B<sub>1</sub><sup>+</sup> maps at 3T in a short acquisition time (&lt;5 min). Although EPI readouts lead to image distortions that require offline post-processing, it is particularly suitable for 7T applications since the nominal values of the RF pulses used with this method can be set to match the large range of B<sub>1</sub><sup>+</sup> deviations present at 7T while the long repetition time reduces SAR levels. The improvements required for robust whole brain B<sub>1</sub><sup>+</sup> mapping at 7T are the increase of the dynamic range of the technique combined with parallel imaging for rapid image acquisition and the reduction of sensitivity to off-resonance effects. We assess the effect of the improvements on the accuracy and reproducibility of the B<sub>1</sub><sup>+</sup> maps. Using the optimal configuration we present whole-brain B<sub>1</sub><sup>+</sup> maps acquired in-vivo that exhibit a high level of accuracy and precision.</p>
    </sec>
    <sec id="s2" sec-type="methods">
      <title>Methods</title>
      <sec id="s2a">
        <title>Theory</title>
        <p>The presented method calculates distributions of B<sub>1</sub><sup>+</sup> fields (expressed as the local flip angle α<sub>local</sub>) from the ratio of stimulated echo (STE, nominal flip angle α/2) and spin echo (SE, nominal flip angle α) images acquired successively following spin excitation <xref ref-type="bibr" rid="pone.0032379-Jiru1">[15]</xref>:<disp-formula><graphic mimetype="image" position="float" xlink:href="info:doi/10.1371/journal.pone.0032379.e001" xlink:type="simple"/><label>(1)</label></disp-formula>where <italic>S<sub>SE</sub></italic> and <italic>S<sub>STE</sub></italic> are the intensities of the SE and STE images and <italic>TM</italic> is the time interval between the spin and stimulated echo RF pulses (<italic>mixing time</italic>). EPI phase images are affected by susceptibility effects and only magnitude images are used to calculate the local B<sub>1</sub><sup>+</sup> field. As a result, two possible values of α<sub>local</sub> (90+δ and 90−δ) exist at each voxel that obey equation 1. In order to overcome this ambiguity, <italic>N</italic> pairs of SE and STE images are acquired with different nominal flip angle values α and the correct α<sub>local</sub> values are identified as those yielding a constant α<sub>local</sub>/α ratio across the repetitions <xref ref-type="bibr" rid="pone.0032379-Jiru1">[15]</xref>. Here, the local B<sub>1</sub><sup>+</sup> values are calculated as a percentage of the nominal flip angle (in percent units = p.u.) using the hard pulse approximation <xref ref-type="bibr" rid="pone.0032379-Wang1">[18]</xref>:<disp-formula><graphic mimetype="image" position="float" xlink:href="info:doi/10.1371/journal.pone.0032379.e002" xlink:type="simple"/><label>(2)</label></disp-formula>As a result of the acquisition of <italic>N</italic> pairs of SE and STE images, <italic>N</italic> estimates of B<sub>1</sub><sup>+</sup> are calculated at each voxel. In the following, the average of these <italic>N</italic> values is used as a measure of the local B<sub>1</sub><sup>+</sup> value. The standard deviation SD<sub>B1+</sub> of B<sub>1</sub><sup>+</sup> across the <italic>N</italic> repetitions is used as a measure of the uncertainty in the B<sub>1</sub><sup>+</sup> calculation. Note that in the experiments described below, a large number of SE/STE pairs were acquired while the number of SE/STE pairs used for calculation of the B<sub>1</sub><sup>+</sup> field was kept smaller.</p>
        <sec id="s2a1">
          <title>Dynamic range optimization</title>
          <p>Because S<sub>SE</sub> is the denominator of equation 1, robust B<sub>1</sub><sup>+</sup> calculation requires maximum signal in the SE images which can be achieved by setting α to high (low) values where the local B<sub>1</sub><sup>+</sup> field is low (high). In a previous implementation of the method at 3T, 5 nominal values were used between 160° and 200° <xref ref-type="bibr" rid="pone.0032379-Lutti1">[16]</xref>. Due to the larger B<sub>1</sub><sup>+</sup> deviations present in the human head at 7T <xref ref-type="bibr" rid="pone.0032379-Vaughan3">[19]</xref>, whole-brain B<sub>1</sub><sup>+</sup> mapping requires increase of the dynamic range of the method by acquisition of data over a wider and densely sampled range of α values. In order to exclude data with low SE signal level, a sub-set of SE/STE image pairs is selected at each voxel corresponding to α values yielding maximum signal amplitude in the SE image. This voxel-specific sub-set is used for calculation of the local B<sub>1</sub><sup>+</sup> field.</p>
        </sec>
        <sec id="s2a2">
          <title>Minimizing off-resonance effects</title>
          <p>Large susceptibility-induced inhomogeneities in the polarising field B<sub>0</sub> are present in the human head at 7T. The resulting off-resonance effects during spin excitation might induce significant bias in the B<sub>1</sub><sup>+</sup> maps due to tilting of the axis of precession and frequency dispersion effects <xref ref-type="bibr" rid="pone.0032379-Wang2">[20]</xref>. However, these effects can be reduced by RF pulses with large amplitude and bandwidth. In previous implementations of the method, the amplitude of the RF pulses was proportional to the α values and their duration was kept constant <xref ref-type="bibr" rid="pone.0032379-Jiru1">[15]</xref>, <xref ref-type="bibr" rid="pone.0032379-Lutti1">[16]</xref>. Here, we present an alternative approach (<italic>off-resonance minimization</italic>) where the maximally achievable RF pulse amplitude is used for all nominal values and the RF pulse duration is proportional to the nominal flip angle value. The effect of off-resonance minimization on the measured B<sub>1</sub><sup>+</sup> maps is demonstrated both in-vivo and using numerical simulations of the Bloch equations of off-resonance spin precession during the application of the RF pulses.</p>
        </sec>
      </sec>
      <sec id="s2b">
        <title>Acquisition: general considerations</title>
        <p>Three volunteer subjects were scanned after giving written consent according to the declaration of Helsinki. The study was approved by the ethics committee of the University of Magdeburg. 3D EPI data were acquired on a 7T whole-body system (Siemens Healthcare, Erlangen, Germany), operated with head-only CP transmit and 24-channel receive coils (Nova Medical, Inc., Wilmington MA). One B<sub>1</sub><sup>+</sup> map was also acquired on each subject using the Actual Flip Imaging (AFI) B<sub>1</sub><sup>+</sup> mapping method <xref ref-type="bibr" rid="pone.0032379-Yarnykh1">[12]</xref>, <xref ref-type="bibr" rid="pone.0032379-Lutti1">[16]</xref>. Additional phantom experiments were conducted on another 7T whole-body system (Siemens Healthcare, Erlangen, Germany) operated with a 32-channel receive coil (Siemens Healthcare, Erlangen, Germany). Image processing was performed offline using Matlab (The MathWorks Inc., Natick, MA) version 7 and SPM8 (<ext-link ext-link-type="uri" xlink:href="http://www.fil.ion.ucl.ac.uk" xlink:type="simple">www.fil.ion.ucl.ac.uk</ext-link>).</p>
      </sec>
      <sec id="s2c">
        <title>3D EPI method</title>
        <sec id="s2c1">
          <title>Subject acquisitions</title>
          <p>The following parameters were used for data acquisition with the 3D EPI method: matrix size 48×64×48, image resolution 4×4×4 mm<sup>3</sup>, image orientation: (phase, read, partition) = (R-L, A-P, H-F). Parallel imaging (acceleration factor 2) was used along the phase and partition directions with the scanner manufacturer's GRAPPA reconstruction algorithm <xref ref-type="bibr" rid="pone.0032379-Griswold1">[21]</xref>. A fully encoded set of reference images (no undersampling) was acquired prior to the image volumes. One partition segment was sampled per readout, the echo spacing was 500 µs and the bandwidth was 2298 Hz/pixel. The echo times were 35.9 ms and 67.55 ms for the SE and STE images respectively and TM was set to 34.08 ms. For all B<sub>1</sub><sup>+</sup> map acquisitions, the number of α values was set to 15 (i.e. 15 SE/STE image pairs). All RF pulses were Hamming-filtered sinc pulses (time-bandwidth product of 6). A slab-selective pulse was used for spin excitation, and the SE and STE pulses were non-selective. The nominal value of the excitation RF pulse was set to α, the nominal value of the STE pulse variable across repetitions in order to maximize SNR over the entire brain. The α values were played out in a decreasing order for a fast approach to the steady state <xref ref-type="bibr" rid="pone.0032379-Hanicke1">[22]</xref>. In preliminary experiments, dummy repetitions at each change of α value did not yield any visible change in the B<sub>1</sub><sup>+</sup> maps, suggesting rapid transition to the steady state for each new value of α. Dummy repetitions were therefore omitted in the actual experiments. An additional dataset was acquired on each subject for whole brain mapping of the B<sub>0</sub> field (TE = 5 ms and 6.02 ms, TR = 667 ms, matrix size: 64×64×64, image resolution 3 mm<sup>3</sup>, 2 min acquisition time). The EPI image distortions were corrected using the acquired B<sub>0</sub> mapping data and the toolbox described in <xref ref-type="bibr" rid="pone.0032379-Hutton1">[23]</xref>. This toolbox has been used in a large number of fMRI studies to correct for distortions of EPI time-series and was recently successfully used at 7T <xref ref-type="bibr" rid="pone.0032379-Hutton2">[24]</xref>. Distortion correction was followed by padding and smoothing of the B<sub>1</sub><sup>+</sup> maps, as described in <xref ref-type="bibr" rid="pone.0032379-Lutti1">[16]</xref>. The threshold for RMS padding was defined as the acceptable level of error in the B<sub>1</sub><sup>+</sup> calculations and was set to 5 p.u., unchanged from a previous implementation of the method at 3T <xref ref-type="bibr" rid="pone.0032379-Lutti1">[16]</xref>. Following the results of the numerical Bloch Equation simulations presented in the Results section, the threshold for B<sub>0</sub> padding was set to 150 Hz (110 Hz at 3T <xref ref-type="bibr" rid="pone.0032379-Lutti1">[16]</xref>). Despite the overlap between the regions affected by the RMS and B<sub>0</sub> padding, B<sub>0</sub> padding was still considered necessary in order to achieve systematic correction of bias due to off-resonance precession.</p>
          <p>We chose three complementary criteria in order to assess the robustness of the 3D EPI method and show the improvements from the optimization presented here.</p>
          <p>A measure of the reproducibility of the 3D EPI method was obtained by calculating the voxel-wise standard deviation of the B<sub>1</sub><sup>+</sup> maps over three successive acquisitions.</p>
          <p>Assessing the accuracy of the 3D EPI method requires a comparison of the B<sub>1</sub><sup>+</sup> maps with a gold-standard reference technique. For phantom acquisitions the long TR required by the reference acquisitions can be accommodated and such a comparison was implemented using the 2D DAM method described in (16) (see below). Due to the lack of a reference in-vivo B<sub>1</sub><sup>+</sup> mapping method comprehensively validated at 7T, in-vivo 3D EPI B<sub>1</sub><sup>+</sup> maps were compared to those obtained using the AFI method <xref ref-type="bibr" rid="pone.0032379-Yarnykh1">[12]</xref>. The comparison was restricted to the superior brain areas, since the limited dynamic range of the AFI method was expected to result in underperformance of the method in basal brain regions where the B<sub>1</sub><sup>+</sup> field is low <xref ref-type="bibr" rid="pone.0032379-Yarnykh2">[25]</xref>.</p>
          <p>We assessed the linearity of the 3D EPI B<sub>1</sub><sup>+</sup> mapping method against varying RF transmit reference voltage (which determines the amplitude of the RF pulses and therefore the scaling of the B<sub>1</sub><sup>+</sup> maps). An extra dataset was acquired with a reference voltage manually modified by 10% and the corresponding B<sub>1</sub><sup>+</sup> map was rescaled by the same amount. The difference between this rescaled B<sub>1</sub><sup>+</sup> map and those acquired using automated settings was taken as a measure of the non-linearity of the method against varying B<sub>1</sub><sup>+</sup> field amplitudes.</p>
          <p>We investigated the impact of the dynamic range optimization by using two ranges of α values on the first subject (using off-resonance minimization): α decreased from 240° to 100° in steps of 10° (experiment 1) and α decreased from 310° to 100° in steps of 15° (experiment 2). TR was 500 ms (600 ms) for experiment 1 (experiment 2) and the acquisition time was 3 min 48 s (4 min 34 s) per B<sub>1</sub><sup>+</sup> map. The B<sub>1</sub><sup>+</sup> value at each voxel was calculated using the 4 (3) pairs of SE/STE images (out of 15 pairs) yielding the maximum signal in the SE image.</p>
          <p>The range of α values leading to the most robust B<sub>1</sub><sup>+</sup> maps was used in all later experiments on 2 subjects where we investigated the impact of off-resonance minimization using two RF pulse implementations. For one implementation, the duration of the RF pulses was set to 8680 µs for all nominal flip angle values α. For this implementation, the amplitude of the RF pulses was therefore proportional to the current α value. For the second implementation (<italic>off-resonance minimization</italic>), the duration τ of the RF pulse was set according to: <inline-formula><inline-graphic mimetype="image" xlink:href="info:doi/10.1371/journal.pone.0032379.e003" xlink:type="simple"/></inline-formula>, yielding an RF voltage value close to the maximum allowed by the RF power amplifier. As a result, the same RF amplitude was used for all α values and the RF pulse duration was minimized. That is the RF amplitude was larger (and the RF duration was shorter) than for the first implementation for all but the maximum α value.</p>
          <p>In summary, the optimal 3D EPI protocol (large range of nominal flip angles with off-resonance minimization) was used on a group of 3 subjects on which the linearity, reproducibility and accuracy (compared to the AFI method) of the method were assessed. The different aspects of the method optimization (flip angle range and off-resonance minimization) were tested on separate fractions of this group.</p>
        </sec>
        <sec id="s2c2">
          <title>Phantom acquisitions</title>
          <p>The larger range of nominal flip angle values (α decreased from 310° to 100° in steps of 15°) was also tested on an oil phantom. The duration τ of the RF pulse was set according to: <inline-formula><inline-graphic mimetype="image" xlink:href="info:doi/10.1371/journal.pone.0032379.e004" xlink:type="simple"/></inline-formula> in order to minimize off-resonance effects. Parallel imaging was not implemented for this acquisition. As a result, the echo time TE was 50.98 ms, the mixing time TM was 47.13 ms and the total acquisition time was 7 min12 s. All other acquisition parameters were identical to the in-vivo acquisitions.</p>
        </sec>
        <sec id="s2c3">
          <title>Bloch simulation of B<sub>1</sub><sup>+</sup> bias due to off-resonance</title>
          <p>Numerical simulations of the Bloch equations were used to model the bias in measured B<sub>1</sub><sup>+</sup> due to spin off-resonance precession during the application of the RF pulses used by the 3D EPI method. The B<sub>1</sub><sup>+</sup> bias was simulated when off-resonance minimization was on or off using RF characteristics (shape, amplitude, duration and nominal value) identical to those used experimentally. The off-resonance bias was simulated for local B<sub>1</sub><sup>+</sup> values ranging from 40 p.u. to 150 p.u. by steps of 10 p.u. and B<sub>0</sub> inhomogeneities ranging from 0 Hz to 200 Hz by steps of 10 Hz.</p>
        </sec>
      </sec>
      <sec id="s2d">
        <title>AFI method</title>
        <p>The following parameters were used for data acquisition with the AFI method: matrix size 64×60×48, image resolution 4×4×4 mm<sup>3</sup>, image orientation: (phase, read, partition) = (A-P, H-F, R-L), FOV 256×240×192 mm<sup>3</sup>, TE = 2.93 ms. The RF excitation pulse was a non-selective Hamming-filtered sinc pulse with a nominal time-bandwidth product of 1. The RF duration was 820 µs and the nominal flip angle value was 60°. The MR parameters for spoiling of transverse coherences were set following the recommendations given in <xref ref-type="bibr" rid="pone.0032379-Yarnykh2">[25]</xref>. The spoiler duration was set to 11 and 55 ms for TR<sub>1</sub> and TR<sub>2</sub> respectively. The spoiler amplitude was set to 26 mT/m, leading to gradient moment values A<sub>G1</sub>/A<sub>G2</sub> = 286/1430 mT.ms/m <xref ref-type="bibr" rid="pone.0032379-Yarnykh2">[25]</xref>. The repetition times were set to the minimum achievable value given the spoiler duration i.e. 20 ms and 100 ms for TR<sub>1</sub> and TR<sub>2</sub> respectively. RF spoiling was used with a linear phase increment <inline-formula><inline-graphic mimetype="image" xlink:href="info:doi/10.1371/journal.pone.0032379.e005" xlink:type="simple"/></inline-formula>°. Partial Fourier (factor 6/8) was used along the partition direction. The total acquisition time was 4 min 32 s. Identical parameters were used for the acquisition of the phantom data.</p>
      </sec>
      <sec id="s2e">
        <title>Reference 2D DAM method</title>
        <p>A reference B<sub>1</sub><sup>+</sup> map was acquired on an oil phantom using the 2D DAM method described in <xref ref-type="bibr" rid="pone.0032379-Lutti1">[16]</xref>. The acquisition parameters were as follows: matrix size: 64×48, image resolution: 4 mm<sup>3</sup>, TE = 25 ms, image orientation (read, phase, slice) = (R-L, A-P, H-F). 48 slices were acquired and the repetition time was set to 25 s in order to avoid bias due to longitudinal relaxation. The presaturation pulse was a rectangular pulse of duration 500 us and its nominal flip angle value was set to 22° and 66°. The excitation RF pulse was a slice-selective sinc pulse of duration 2560 us. The total acquisition time was 40 min. Due to this long acquisition time this method was only used on the phantom.</p>
      </sec>
    </sec>
    <sec id="s3">
      <title>Results</title>
      <p>In the oil phantom data, the B<sub>1</sub><sup>+</sup> values obtained with the reference 2D DAM method were found to vary between 45 p.u. and 100 p.u.. The deviation between the reference 2D DAM method and 3D AFI method was −5.5±3 p.u. (mean and standard deviation) and the deviation between the reference 2D DAM method and 3D EPI method was −4.3±0.9 p.u. (mean and standard deviation). <xref ref-type="fig" rid="pone-0032379-g001">Figures 1a) and b)</xref> show B<sub>1</sub><sup>+</sup> maps acquired with the 3D EPI and AFI methods respectively, calculated as a percentage of the nominal flip angle (percent units = p.u.) to allow direct comparison between the B<sub>1</sub><sup>+</sup> maps. <xref ref-type="fig" rid="pone-0032379-g001">Figure 1c</xref>) represents the difference between the B<sub>1</sub><sup>+</sup> maps acquired using the 3D EPI and AFI methods. In the superior half of the field of view (represented as red contour lines in <xref ref-type="fig" rid="pone-0032379-g001">figure 1</xref>), the mean (standard deviation, ±SD) difference between the B<sub>1</sub><sup>+</sup> maps was 2.6 (±4.1) p.u. averaged across 3 subjects. In the inferior half of the field of view, larger differences were observed in the orbitofrontal cortex (OFC) and temporal lobes as expected from the limited dynamic range of the AFI method implementation <xref ref-type="bibr" rid="pone.0032379-Yarnykh2">[25]</xref>.</p>
      <fig id="pone-0032379-g001" position="float">
        <object-id pub-id-type="doi">10.1371/journal.pone.0032379.g001</object-id>
        <label>Figure 1</label>
        <caption>
          <title>Comparison of 3D EPI and AFI methods.</title>
          <p>B<sub>1</sub><sup>+</sup> maps acquired with the 3D EPI (a) and AFI (b) methods. Difference between the B<sub>1</sub><sup>+</sup> maps acquired using the two methods (c). The red contour lines represent the superior part of the brain, used as a region of interest for quantitative comparison of both methods. Note that due to imperfect spoiling, the AFI method is expected to underperform in regions with low B<sub>1</sub><sup>+</sup> amplitudes such as the temporal lobes.</p>
        </caption>
        <graphic mimetype="image" position="float" xlink:href="info:doi/10.1371/journal.pone.0032379.g001" xlink:type="simple"/>
      </fig>
      <p><xref ref-type="fig" rid="pone-0032379-g002">Figure 2a)</xref> represents a typical whole brain B<sub>1</sub><sup>+</sup> map acquired with the larger flip angle dynamic range (100°–310°) and off-resonance minimization. The local B<sub>1</sub><sup>+</sup> values ranged from 40 to 150 p.u.. <xref ref-type="fig" rid="pone-0032379-g002">Figure 2b) and 2c)</xref> show typical non-linearity and instability maps. The brain-averaged non-linearity and instability of the B<sub>1</sub><sup>+</sup> maps were 1.6 and 0.7 p.u. averaged over all 3 subjects. The non-linearity of the local B<sub>1</sub><sup>+</sup> values was below 5 p.u. for 97.6% of the voxels inside the brain. The remaining 2.4% voxels had a mean non-linearity of 7.9 p.u. and were mostly located near the cerebellum and temporal lobes. The instability of the B<sub>1</sub><sup>+</sup> values was below 5 p.u. for 99.91% of the voxels. The remaining 0.09% voxels had a mean instability of 6.3 p.u.. <xref ref-type="fig" rid="pone-0032379-g002">Figure 2d)</xref> shows a typical SD<sub>B1+</sub> map, representing the errors in the local B<sub>1</sub><sup>+</sup> values calculated using 3 SE/STE pairs at each voxel. SD<sub>B1+</sub> values between 1 and 2 p.u. were found over most brain regions. Local regions with higher errors (∼5 p.u.) were found around the OFC due to residual off-resonance effects and temporal lobes.</p>
      <fig id="pone-0032379-g002" position="float">
        <object-id pub-id-type="doi">10.1371/journal.pone.0032379.g002</object-id>
        <label>Figure 2</label>
        <caption>
          <title>Precision and linearity of the 3D EPI method.</title>
          <p>Typical B<sub>1</sub><sup>+</sup> (a), non-linearity (b) instability (c) and SD<sub>B1+</sub> (d) maps obtained with the optimal configuration using a maximum RF nominal value of 310° and off-resonance minimization.</p>
        </caption>
        <graphic mimetype="image" position="float" xlink:href="info:doi/10.1371/journal.pone.0032379.g002" xlink:type="simple"/>
      </fig>
      <p><xref ref-type="fig" rid="pone-0032379-g003">Figures 3a) and 3b)</xref> represent changes in non-linearity and instability of the B<sub>1</sub><sup>+</sup> maps when the flip angle range was increased from 100°–240° to 100°–310°. The mean (±SD) reduction in non-linearity/instability was 3.1(±10.9)/0.1(±0.7) p.u. averaged over the brain. 3.3/4.6% of voxels showed changes above a significance threshold of mean–2xSD and the mean reduction was 53/2.4 p.u. for these voxels. <xref ref-type="fig" rid="pone-0032379-g003">Figures 3c) and 3d)</xref> represent changes in non-linearity and instability of the B<sub>1</sub><sup>+</sup> maps when off-resonance minimization was used. The changes in non-linearity/instability were 0.2(±1.7)/−0.9(±0.8) p.u. averaged over 2 subjects. 4.1/5% of the voxels showed changes above the significance threshold and the mean reduction was 5.2/3.1 p.u. for these voxels. Regions showing significant changes in non-linearity and instability are marked by red contour lines in <xref ref-type="fig" rid="pone-0032379-g003">figure 3</xref>. The most significant improvements due to the increase of the flip angle range were found in the temporal lobes and cerebellum, where the local B<sub>1</sub><sup>+</sup> values were lowest. The most significant improvements following off-resonance minimization were found in the OFC, where B<sub>0</sub> gradients and off-resonance effects were highest due to susceptibility effects (see <xref ref-type="fig" rid="pone-0032379-g003">figure 3e</xref>). The Bloch equation simulations of off-resonance spin precession during the application of the RF pulses showed a bias in the calculated B<sub>1</sub><sup>+</sup> value above 5 p.u. for B<sub>0</sub> inhomogeneities &gt;∼140 Hz and 60p.u.≤B<sub>1</sub><sup>+</sup>≤90p.u. without off-resonance minimization. The off-resonance bias was found below 5p.u. for B<sub>1</sub><sup>+</sup>&lt;60p.u. because large local flip angles were not achieved for these B<sub>1</sub><sup>+</sup> values given the range of nominal flip angle values used in-vivo. The main effect of off-resonance minimization was to reduce the off-resonance bias by ∼7 p.u. in regions where B<sub>1</sub><sup>+</sup>∼80p.u. and B<sub>0</sub> inhomogeneities &gt;∼150 Hz. This is in good agreement with the experimental data showing a reduction in off-resonance bias around the OFC when off-resonance minimization is used. Results from the Bloch simulations showed that a bias of up to ∼8p.u. might remain in the B<sub>1</sub><sup>+</sup> maps when off-resonance minimization is used where B<sub>0</sub> inhomogeneities reach ∼200 Hz.</p>
      <fig id="pone-0032379-g003" position="float">
        <object-id pub-id-type="doi">10.1371/journal.pone.0032379.g003</object-id>
        <label>Figure 3</label>
        <caption>
          <title>Improvements due to increase of the dynamic range of the method and off-resonance minimization.</title>
          <p>Changes in non-linearity (a) and instability (b) of the B<sub>1</sub><sup>+</sup> maps following an increase of the maximum RF nominal value to 310°. Change in non-linearity (c) and instability (d) of the B<sub>1</sub><sup>+</sup> maps after off-resonance minimization. Regions showing significant changes in non-linearity and instability are marked by red contour lines. B<sub>0</sub> map acquired on the subject shown in c and d (e). The red contour lines in figure e show that off-resonance minimization improved the linearity of the method in areas with high B<sub>0</sub> offsets.</p>
        </caption>
        <graphic mimetype="image" position="float" xlink:href="info:doi/10.1371/journal.pone.0032379.g003" xlink:type="simple"/>
      </fig>
    </sec>
    <sec id="s4">
      <title>Discussion</title>
      <p>We have presented a 3D EPI method for optimized whole brain B<sub>1</sub><sup>+</sup> mapping at 7T. To our knowledge, this study is the first systematic analysis of the accuracy and reproducibility of a whole-brain B<sub>1</sub><sup>+</sup> mapping method at 7T (as determined by a literature search of the PubMed database for titles and abstracts containing the terms “7T AND (B1 OR RF)”). The accuracy of the 3D EPI method was assessed on a phantom by comparison with a reference technique. This comparison was not performed in-vivo due to the lack of a fast reference method comprehensively validated at 7T. The 3D EPI method was validated in-vivo using three complementary criteria: reproducibility across repetitions, accuracy (measured as the deviation from the well-established 3D AFI method <xref ref-type="bibr" rid="pone.0032379-Yarnykh1">[12]</xref>, <xref ref-type="bibr" rid="pone.0032379-Lutti1">[16]</xref>) and linearity against varying reference voltage. Improvements to the existing 3D EPI method <xref ref-type="bibr" rid="pone.0032379-Lutti1">[16]</xref> were introduced in order to address the challenges of B<sub>1</sub><sup>+</sup> mapping at 7T. The use of RF pulses with large amplitudes reduced bias due to off-resonance spin precession in brain regions with strong B<sub>0</sub> inhomogeneities (<italic>off-resonance minimization</italic>). The large range of RF nominal values increased the dynamic range of the method, enabling accurate B<sub>1</sub><sup>+</sup> mapping over the large range of B<sub>1</sub><sup>+</sup> values present in the brain at 7T. The total acquisition time was minimized by extensive use of parallel imaging (4 min34 s+2 min B<sub>0</sub> map).</p>
      <sec id="s4a">
        <title>Validation of the 3D EPI method</title>
        <p>The 3D EPI and 3D AFI methods were compared with a reference 2D DAM method on an oil phantom. A deviation of −4.3±0.9 p.u was observed between the 3D EPI and the 2D DAM method and a deviation of −5.5±3 p.u. was found between the 3D AFI and the 2D DAM method. Note that parallel imaging was not implemented for the 3D EPI acquisition on the oil phantom, degrading the quality of the results obtained for this method. In-vivo quantitative measures of the accuracy, reproducibility and linearity of the optimized 3D EPI method were extracted from a group of 3 subjects.</p>
        <p>Since no fast reference technique has been validated in-vivo at 7T, accuracy estimates were obtained by calculating the deviations between the 3D EPI and 3D AFI methods. The acquisition parameters of the 3D AFI method were carefully set in order to achieve maximal spoiling of the transverse coherences and highly accurate B<sub>1</sub><sup>+</sup> maps <xref ref-type="bibr" rid="pone.0032379-Yarnykh2">[25]</xref>. Only small (2.6±4.1 p.u.) differences in B<sub>1</sub><sup>+</sup> values were observed between the two methods in the superior part of the brain. B<sub>1</sub><sup>+</sup> values larger by 5 to 10 p.u. were measured with the 3D EPI method in the temporal lobes, where the local B<sub>1</sub><sup>+</sup> values were particularly low. This is in agreement with systematic underestimation of the B<sub>1</sub><sup>+</sup> field by the 3D AFI method due to suboptimal spoiling conditions where the actual flip angle is low <xref ref-type="bibr" rid="pone.0032379-Yarnykh2">[25]</xref> and supports the claim that our method maps the B<sub>1</sub><sup>+</sup> field accurately over the entire brain. The discrepancies between the two methods in the OFC most likely stem from the off-resonance sensitivity of both methods (see <xref ref-type="sec" rid="s3">Results</xref> section for estimates of the sensitivity of the 3D EPI method to off-resonance effects obtained from numerical Bloch Equation simulations).</p>
        <p>The linearity of the 3D EPI B<sub>1</sub><sup>+</sup> mapping method against varying RF transmit reference voltage is a necessary though not sufficient condition to demonstrate the robustness of the method and is therefore complementary to the reproducibility and accuracy measures supplied here. An average non-linearity of 1.6 p.u. was found across the 3 scanned subjects, demonstrating a highly linear relationship between the measured B<sub>1</sub><sup>+</sup> maps and RF transmit voltage. The 10% increase in reference voltage used for the linearity test proved to be sufficient in order to demonstrate the improvements from our optimization procedure and was significantly higher than the level of inaccuracy (compared with the 3D AFI method), reproducibility and non-linearity demonstrated here. If a stronger variation of the reference voltage is desired to enhance the sensitivity of the test, special attention should be given to the maximum RF voltage in order to avoid clipping of RF pulses.</p>
        <p>A measure of the reproducibility of the 3D EPI method was obtained by calculating the voxel-wise standard deviation of the B<sub>1</sub><sup>+</sup> maps over three successive acquisitions. An average level of instability of 0.7 p.u. was observed, illustrating the robustness of the method against physiological effects.</p>
      </sec>
      <sec id="s4b">
        <title>Optimization of the 3D EPI method</title>
        <p>A large number of α values was used to allow dense sampling of the large B<sub>1</sub><sup>+</sup> inhomogeneities present at 7T and increase the dynamic range of the technique. A sub-sample of SE/STE images was selected for each voxel to avoid low signal to noise in the calculation of the B<sub>1</sub><sup>+</sup> values. This implied a reduction in data sampling efficiency but enabled accurate and precise B<sub>1</sub><sup>+</sup> mapping over the whole brain. An improved modelling and weighted fitting procedure may allow for use of the whole dataset and increase precision further. Highly accelerated image acquisitions helped keep the total acquisition time sufficiently short (4 min34 s+2 min B<sub>0</sub> map) so that B<sub>1</sub><sup>+</sup> mapping can remain only a small fraction of a larger scanning protocol. The increased dynamic range of the optimized method led to a 53 p.u. reduction in the non-linearities of the 3D EPI method against RF transmit voltage in the temporal lobes and cerebellum and is essential for whole-brain B<sub>1</sub><sup>+</sup> mapping at 7T.</p>
        <p>Minimization of off-resonance effects consisted of the use of RF pulses with maximal amplitude and minimal duration for all nominal values. This led to a reduction of the non-linearities by 5.2 p.u. in the OFC, in good agreement with the results from the Bloch Equation simulations. Further improvements to the method might involve correcting for the effect of off-resonance precession on the local B<sub>1</sub><sup>+</sup> values using the results of the Bloch simulations presented here and the acquired B<sub>0</sub> maps.</p>
      </sec>
      <sec id="s4c">
        <title>Considerations</title>
        <p>The average non-linearity and reproducibility of the B<sub>1</sub><sup>+</sup> maps after optimization was 1.6 p.u. and 0.7 p.u. averaged over the whole brain and across subjects. However, local regions with non-linearities greater than 5 p.u. remained in the temporal lobes and cerebellum. A larger maximum α value (leaving the spacing between consecutive values unchanged) would improve the robustness of the method in these regions without compromising the quality of the B<sub>1</sub><sup>+</sup> maps in other brain regions. Alternatively, other methods may be suitable for fast and robust whole brain B<sub>1</sub><sup>+</sup> mapping at 7T (e.g. <xref ref-type="bibr" rid="pone.0032379-Yarnykh1">[12]</xref>, <xref ref-type="bibr" rid="pone.0032379-Sacolick1">[14]</xref>, <xref ref-type="bibr" rid="pone.0032379-Lutti1">[16]</xref>, <xref ref-type="bibr" rid="pone.0032379-Helms2">[26]</xref>), although a systematic analysis of the performance of these methods at UHF has not been reported. The 2D STEAM method described in <xref ref-type="bibr" rid="pone.0032379-Lutti1">[16]</xref>, <xref ref-type="bibr" rid="pone.0032379-Helms2">[26]</xref> is particularly fast but sensitive to physiological artefacts and requires independent calibration. The 3D STEAM method presented in <xref ref-type="bibr" rid="pone.0032379-Jiru1">[15]</xref> might alleviate these difficulties and benefit from the shorter acquisition time. However, the problems related to off-resonance and large B<sub>1</sub><sup>+</sup> deviations present at 7T might also prove problematic for this technique. Long TR gradient-echo techniques such as in <xref ref-type="bibr" rid="pone.0032379-Metzger1">[17]</xref> yield robust B<sub>1</sub><sup>+</sup> estimates due to their simplicity. However, their long acquisition time (∼20 mins per slice, see e.g. <xref ref-type="bibr" rid="pone.0032379-Metzger1">[17]</xref>) renders these methods impractical for in-vivo applications.</p>
        <p>The optimized B<sub>1</sub><sup>+</sup> mapping protocol described here could be implemented on all subjects without clipping of the RF pulses and/or exceeding the SAR safety limits. The reference RF voltage was typically ∼315 V for the subjects scanned, leading to a maximum RF voltage of ∼450 V. This was sufficiently low to accommodate a 10% increase in reference voltage to test the linearity of the method without clipping the RF pulses or exceeding the SAR limit. A maximum nominal flip angle of 340° should therefore be achievable. However, if higher nominal flip angle values are desirable, longer RF pulses should be used with longer TR values in order to comply with safety limitations. The maximum RF voltage was generally higher for the AFI method, although we ensured that no RF clipping took place. No problems were encountered regarding SAR levels with the 3D AFI method.</p>
        <p>Note that the 3D EPI method can easily be tuned to produce high quality B<sub>1</sub><sup>+</sup> maps in one specific region of interest only by setting the range of nominal flip angles appropriately. The number of required nominal flip angles might be significantly reduced as a result, leading to a significant reduction in acquisition time. Although this method has not been tested outside the brain, the possibility of tuning the nominal flip angle values according to a specific region of interest might prove advantageous when other body parts are targeted. However, specific features of the body part of interest (size, tissue density, B<sub>0</sub> homogeneity, …) should be considered with care.</p>
        <p>Parallel imaging was essential to reduce the acquisition time and the image distortions present in the EPI images. Despite parallel imaging, image distortions remained visible in the SE and STE images which required correction. For this purpose, B<sub>0</sub> mapping data were acquired using a standard dual-echo gradient-echo sequence. The two corresponding echo times were carefully chosen to provide a high SNR, result in a fat signal in-phase across both echo images and avoid phase wrapping problems in the B<sub>0</sub> map calculated as part of the unwarping procedure. Due to the lack of a distortion correction software on the scanner console, image distortion was implemented offline <xref ref-type="bibr" rid="pone.0032379-Lutti1">[16]</xref>, <xref ref-type="bibr" rid="pone.0032379-Hutton1">[23]</xref>.</p>
      </sec>
      <sec id="s4d">
        <title>Conclusion</title>
        <p>We have presented an optimized SE/STE 3D EPI method for mapping of the RF transmit field B<sub>1</sub><sup>+</sup> at 7T. A robust offline unwarping procedure was used in order to correct for image distortions. The dynamic range of the method was increased to match the higher level of B<sub>1</sub><sup>+</sup> inhomogeneities at 7T and off-resonance effects were minimized using RF pulses with large amplitudes and short durations. The improvements induced by our optimization were most significant in the temporal lobes, cerebellum and orbitofrontal regions, which are notoriously problematic brain regions at ultra high fields. Whole brain B<sub>1</sub><sup>+</sup> maps were obtained in a total acquisition time of 4 min34 s (+2 min B<sub>0</sub> map) with non-linearity and reproducibility of 1.6 p.u. and 0.7 p.u. respectively and deviations of 2.6 p.u. from the 3D AFI method in brain regions where the latter method performed satisfactorily.</p>
      </sec>
    </sec>
  </body>
  <back>
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