The goal of this study was to develop an isotropic 3D lipid-insensitive T2 mapping technique of knee cartilage. Therefore we combined an existing isotropic 3D T2-prepared gradient-echo T2 mapping technique (Iso3DGRE) with the novel lipid-insensitive binomial off-resonant RF excitation (LIBRE) pulse. LIBRE pulse optimization was performed through numerical simulations and verified in phantom experiments, yielding complete fat signal nulling using a LIBRE pulse as short as 1 ms. T2 mapping of knee cartilage performed in five healthy volunteers with LIBRE excitation allowed for improved cartilage delineation and precise T2 values compared with normal excitation.
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