Retrospective respiratory gating using a 3D time series lung image reconstructed with sub-second temporal resolution is introduced to achieve accurate small pulmonary nodule detection with ultrashort echo time (UTE) MRI. Changes of the diaphragmatic level during free breathing were tracked using the 3D time series lung image. With the extracted respiratory motion, the data in exhalation were reconstructed to a high resolution image. The feasibility and robustness of the proposed retrospective gating method were tested by surveilling incident lung nodules in two UTE MRI examinations: a baseline scan and a follow-up scan in 10 weeks.
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