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Abstract #4760

Comparison of Fat Correction Methods in CEST Imaging: A Phantom Study at 3 T

Neele Kempa1,2, Philip S. Boyd1, Petr Menshchikov1, Mark E. Ladd1,2,3, Peter Bachert1,2, and Andreas Korzowski1
1Division of Medical Physics in Radiology, German Cancer Research Centre (DKFZ), Heidelberg, Germany, 2Faculty of Physics and Astronomy, University of Heidelberg, Heidelberg, Germany, 3Faculty of Medicine, University of Heidelberg, Heidelberg, Germany

Synopsis

Keywords: CEST / APT / NOE, CEST / APT / NOE

Motivation: CEST imaging has proven efficacy for neuro-oncological applications. However, for body applications (breast, liver, kidney etc.), severe challenges arising from fatty tissues prevent making full use of all available CEST contrasts.

Goal(s): To find the best fat correction method for clinical CEST imaging at B0=3T.

Approach: Using phantom measurements, we compared and ranked existing fat correction techniques with respect to feasibility and performance. Specifically, i.e. two-point Dixon (2PD), multi-point Dixon and IDEAL algorithms (Reeder et al.), and a CEST-specific re-normalisation approach (Zimmermann et al.).

Results: Overall, 2PD proved to be the best solution, providing reliable fat correction while maintaining clinically feasible examination durations.

Impact: We compared and ranked existing fat correction methods for CEST imaging in a phantom study, representing an important milestone towards application in vivo. Prospectively, these findings hold great promises for making full use of all CEST contrasts in lipid-containing tissues.

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