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Feasibility of a 2-Minute Multi-Echo UTE Acquisition for Simultaneous CT-Like Bone-Weighted Imaging and Quantitative T2* Mapping of Short-T2 Tissue

Do, H. P.; Bekku, M.; Berkeley, D.; Golden, M.; Kitane, S.; Uike, M.; Shinoda, K.; Takayanagi, R.; Takai, H.; Kawai, T.; Seballos, K.; Conley, R.; Sorfleet, K.; Devries, D.; Tymkiw, B.; AlGhuraibawi, W.; Caruthers, S. D.; Kadbi, M.; Provencher, M.; Tashman, S.; Ho, C. P.

2026-08-19 radiology and imaging
10.64898/2026.08.18.26360232 medRxiv
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Purpose: To determine the feasibility of a 2-minute multi-echo UTE (mecho-UTE) for CT-like bone-weighted contrast and T2* quantification of tissues with short T2/T2*. Methods: Mecho-UTE data acquired from four patients and five healthy subjects were used to assess image quality of the CT-like contrast. All data were reconstructed using conventional gridding (GRID+CONV) and compared with those reconstructed using conjugate gradient SENSE combined with deep learning-based denoising (CG+DLR). Image resolution and sharpness of the CT-like images were assessed using the full width at half maximum (FWHM) and relative edge sharpness (RESH), respectively. Calimetrix UTE-T2* phantom was used to assess the accuracy of T2* quantification of the mecho-UTE sequence. Results: Two-minute mecho-UTE with CG+DLR has similar accuracy (0.37 {+/-} 0.27 vs. 0.67 {+/-} 0.54 ms, p=0.20) and better precision (0.28 {+/-} 0.16 vs. 1.23 {+/-} 0.29 ms, p<0.001) compared to the 5-minute mecho-UTE with GRID+CONV. The 2-minute mecho-UTE with CG+DLR has higher resolution and sharpness compared to the 5-minute scan with GRID+CONV. Conclusion: It is feasible to achieve simultaneous CT-like contrast and T2* quantification of short-T2 tissues in two minutes. When appropriately used, it may simplify logistics, reduce costs, and eliminate radiation exposure risks.

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