%0 Journal Article %T Time-division multiplexing (TDM) sequence removes bias in T2 estimation and relaxation-diffusion measurements. %A Liu Q %A Gagoski B %A Shaik IA %A Westin CF %A Wilde EA %A Schneider W %A Bilgic B %A Grissom WA %A Nielsen JF %A Zaitsev M %A Rathi Y %A Ning L %J Magn Reson Med %V 0 %N 0 %D 2024 Aug 13 %M 39136245 %F 3.737 %R 10.1002/mrm.30246 %X OBJECTIVE: To compare the performance of multi-echo (ME) and time-division multiplexing (TDM) sequences for accelerated relaxation-diffusion MRI (rdMRI) acquisition and to examine their reliability in estimating accurate rdMRI microstructure measures.
METHODS: The ME, TDM, and the reference single-echo (SE) sequences with six TEs were implemented using Pulseq with single-band (SB) and multi-band 2 (MB2) acceleration factors. On a diffusion phantom, the image intensities of the three sequences were compared, and the differences were quantified using the normalized RMS error (NRMSE). Shinnar-Le Roux (SLR) pulses were implemented for the SB-ME and SB-SE sequences to investigate the impact of slice profiles on ME sequences. For the in-vivo brain scan, besides the image intensity comparison and T2-estimates, different methods were used to assess sequence-related effects on microstructure estimation, including the relaxation diffusion imaging moment (REDIM) and the maximum-entropy relaxation diffusion distribution (MaxEnt-RDD).
RESULTS: TDM performance was similar to the gold standard SE acquisition, whereas ME showed greater biases (3-4× larger NRMSEs for phantom, 2× for in-vivo). T2 values obtained from TDM closely matched SE, whereas ME sequences underestimated the T2 relaxation time. TDM provided similar diffusion and relaxation parameters as SE using REDIM, whereas SB-ME exhibited a 60% larger bias in the  map and on average 3.5× larger bias in the covariance between relaxation-diffusion coefficients.
CONCLUSIONS: Our analysis demonstrates that TDM provides a more accurate estimation of relaxation-diffusion measurements while accelerating the acquisitions by a factor of 2 to 3.