Simultaneous Optimization of MP2RAGE T₁‐weighted (UNI) and FLuid And White matter Suppression (FLAWS) brain images at 7T using Extended Phase Graph (EPG) Simulations

Purpose The MP2RAGE sequence is typically optimized for either T 1 ‐weighted uniform image (UNI) or gray matter–dominant fluid and white matter suppression (FLAWS) contrast images. Here, the purpose was to optimize an MP2RAGE protocol at 7 Tesla to provide UNI and FLAWS images simultaneously in a clinically applicable acquisition time at <0.7 mm isotropic resolution. Methods Using the extended phase graph formalism, the signal evolution of the MP2RAGE sequence was simulated incorporating T 2 relaxation, diffusion, RF spoiling, and B 1 + variability. Flip angles and TI were optimized at different TRs (TR MP2RAGE ) to produce an optimal contrast‐to‐noise ratio for UNI and FLAWS images. Simulation results were validated by comparison to MP2RAGE brain scans of 5 healthy subjects, and a final protocol at TR MP2RAGE = 4000 ms was applied in 19 subjects aged 8–62 years with and without epilepsy. Results FLAWS contrast images could be obtained while maintaining >85% of the optimal UNI contrast‐to‐noise ratio. Using TI 1 /TI 2 /TR MP2RAGE of 650/2280/4000 ms, 6/8 partial Fourier in the inner phase‐encoding direction, and GRAPPA factor = 4 in the other, images with 0.65 mm isotropic resolution were produced in <7.5 min. The contrast‐to‐noise ratio was around 20% smaller at TR MP2RAGE = 4000 ms compared to that at TR MP2RAGE = 5000 ms; however, the 20% shorter duration makes TR MP2RAGE = 4000 ms a good candidate for clinical applications example, pediatrics. Conclusion FLAWS and UNI images could be obtained in a single scan with 0.65 mm isotropic resolution, providing a set of high‐contrast images and full brain coverage in a clinically applicable scan time. Images with excellent anatomical detail were demonstrated over a wide age range using the optimized parameter set.