Reduction of slab boundary artifact with multiple overlapping thin slab acquisition in MR angiography of the cervical carotid artery

Abstract
Multiple overlapping thin slab acquisition (MOTSA) is a magnetic resonance (MR) angiography technique combining advantages of two‐ and three‐dimensional time‐of‐flight techniques. The authors studied three image acquisition parameters (flip angle, TR, and the slab excitation fraction [SEF]) and a postprocessing algorithm, to evaluate their effect on MOTSA image quality, including contrast‐to‐noise ratio (C/N) and the severity of the slab boundary artifact. By increasing SEF from 0.75 to 1.10, the slab boundary artifact was reduced by 29%‐56% (P <.0001). The boundary artifact can be reduced an additional 46% by postprocessing of the overlapping section data. In the healthy volunteers studied, C/N of the cervical carotid artery could be increased sixfold (P <.0001) by increasing the flip angle from 10° to 50°, without significant worsening of the boundary artifact due to top‐of‐slab saturation. The effect of TR on image quality was not statistically significant for the range studied (52‐70 msec). We conclude that the slab boundary artifact seen with the MOTSA MR angiography technique can be reduced significantly by optimizing imaging acquisition parameters and using a postprocessing algorithm to combine overlapping section information.