Accelerated image acquisition, advanced reconstruction and registration methods, and perfusion modeling have recently enabled free-breathing and quantitative 4D DCE MRI in the liver. However, the reconstruction, registration and model fitting steps are performed offline as they are time consuming; each data set takes more than a day to analyze. This makes quantitative 3D liver perfusion unsuitable for clinical deployment. We propose using a GPU-based Gadgetron framework for parallelized and near-immediate provision of all data, including a Spiral GRAPPA reconstruction, non-rigid image registration, and pharmacokinetic modeling using a dictionary-based approach. This approach reduces the reconstruction time from hours to minutes.
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