Abstract
Fast, high resolution, longitudinal relaxation time (T1) mapping is invaluable in clinical and research applications. It has been shown that two spoiled gradient recalled echo (SPGR) images acquired in steady state with variable flip angles is an attractive alternative to the multi-image sets previously acquired with inversion or saturation recovery. The known sensitivity of the two-point method to transmit radio-frequency field (B1) inhomogeneity exacerbated at 3 Tesla and above, however, mandates its combination with an additional, time consuming and possibly SAR intensive B1 measurement, preventing direct migration of the method to these fields. To address this we introduce a method designed to be free of systematic errors caused by B1 inhomogeneity in which the value of T1 is extracted from three SPGR images acquired with EPI readout. The precision of the T1 maps produced is found to be comparable to the two-point method while the accuracy is greatly improved in the same time and spatial resolution. A welcome byproduct of the method is a map of B1 that can be used to correct other acquisitions in the same session. Tables of the optimal acquisition protocols are provided for several total imaging times.
Keywords: T1 mapping, fast volumetric imaging, high-field MRI, quantitative MRI, RF inhomogeneity, optimization methods
Introduction
The current most efficient strategy for obtaining T1 maps within clinically acceptable time is based on acquiring two spoiled gradient recalled echo (SPGR) images in steady states with variable flip angles [1, 2]. Although the method's efficiency can be maximized by introducing various repetition times and number of averages used to acquires each image in the pair [3], its fundamental premise remains: The actual values of the flip angles experienced by the spins are necessary for accurate T1 calculation. Fortunately, at 1.5 Tesla the imprecise knowledge of these angles caused by a combination of radio-frequency (RF) pulse imperfections, transmit coil profiles, standing wave effects, etc. results only in insignificant bias in T1 [4]. At higher field strengths, however, the transmit RF inhomogeneity (B1) becomes progressively worse. It leads to systematic errors in T1 that can no longer be neglected, preventing direct migration of the two-point method to 3 T and above. For example, Cheng et. al. [5] considered the two-SPGR technique and showed that a ±15% deviation in flip angle, a level of non-uniformity often encountered in vivo and in vitro at 3 T [5-7], will cause a ±30% systematic error in T1. This undermines the entire reason of T1 determination, be it tissue segmentation, pathology identification or measurement of contrast agent uptake.
In order to take advantage of the increased sensitivity offered by high field scanners adiabatic pulses that deliver uniform excitation [8] can be employed. Specific absorption rate (SAR) limits, however, especially at high fields, may lower the efficiency or even preclude this approach. In general, given a particular hardware setup, the only way to cope with the SAR limit is to decrease or re-design the flip angles and/or increase the time intervals between them, rendering the SAR a sequence design restriction. An alternative approach to mitigate the B1 inhomogeneity is to map it in situ using a separate B1 measuring sequence [5, 7]. Unfortunately, it is time consuming and possibly SAR prohibitive in itself. In addition, B1 measurement uncertainty propagates into the error of T1 estimate, further reducing the overall efficiency of the scheme. Other solutions offered in the literature employ different sequences, requiring various RF power levels, imaging time and post processing needs [5, 7, 9-13]. Ultimately, regardless of the approach, the quality of T1 estimation is given by its measurement error σT1 achieved in a given experimental time which includes the duration of calibration scans (if any) [3, 5, 7, 10, 14].
In the present paper, we introduce a new method based on three SPGR echo sequences for T1 quantification that is insensitive to flip angle inhomogeneities and examine the sequence parameters that influence the precision of its T1 estimation. Owing to the SPGR-triplet-for-T1-estimation approach, we name this new method TRITONE. We show that despite the complication caused by flip angle non-uniformity, TRITONE attains precision of T1 estimation comparable to that achieved by the two-SPGR methods [1-3] in the same time and spatial resolution and exceeds them in accuracy. If the two-SPGR methods are combined with B1 measurement for accuracy, then TRITONE supersedes them in precision. The post processing step of TRITONE is straightforward and can be incorporated into on-line reconstruction.
Theory
Since we wish to develop a method for T1 estimation to be used in clinical settings, we consider field of view (FOV), spatial resolution and total allocated examination time (T) as exogenous variables determined by the experimenter. The remaining SPGR sequence parameters: nominal flip angle (α), repetition time (TR), number of averages of a scan (N), echo time (TE) and readout duration (Tadc) are to be optimized for the highest quality in the resultant T1 maps regardless of the unknown spatial flip angle non-uniformity. The observed SPGR intensity (S) in each pixel is a function of the sequence parameters, longitudinal (T1) and transverse () relaxation times, flip angle inhomogeneity described by the actual-to-nominal flip angle ratio (B1) and a factor proportional to the equilibrium magnetization (ρ0):
(1) |
From the structure of this equation it is clear that having three images Sm, m = 1, 2, 3, acquired with di erent TR's and/or flip angles is su cient to estimate T1. Indeed, if the three share identical bandwidth, readout, FOV and spatial resolution (to ensure identical reconstruction artifacts and weighting), then the ratio of any two images depends only on the unknown T1 and B1 in a pixel. Therefore, a pair of such ratios, say S1/S3 and S2/S3, or equivalently a pair of spherical angles ϕ = arctan(S3, S1) and are related to T1 and B1. Given sequence parameters, a two dimensional look-up table T1(ϕ, θ) can be easily generated and then polled for fast, on-line, T1 extraction. The precision of the result depends on the SNR of the raw images, sequence settings (TRm, αm, Nm, TE, Tadc) and on the actual values of T1 and B1 in that pixel.
The sequence parameter optimization will be performed with the goal of minimizing the standard deviation, σT1, of T1 estimation in the vicinity of the “expected” relaxation time . Since ±15% variations in B1 around the “expected” are common at 3 Tesla [5-7] we will minimize the “average error” at and :
(2) |
The choice of TE and Tadc (Tadc ≤ 2TE) does not alter the spin excitation memory under investigation but a ects SNR and with it — the T1 estimation precision. Their influence was considered in [3] where it was shown that the SNR due to decay is proportional to (eq. (2) of [3]). Knowing that this function attains its maximum at , we consider SNR at this readout as a benchmark that is SNR at any other Tadc will be a fraction of the maximum given by:
(3) |
Since the SNR of the raw images also depends on the RF coil, receiver hardware, spatial resolution, spin density and its T1, it is convenient to introduce a benchmark that would summarize all these properties and enable hardware and sample independent comparison of different sequences and protocols. One such measure that lends itself to the task is the maximum SNR attainable by running the SPGR sequence at the Ernst angle with the optimal readout in the same total imaging time as the proposed TRITONE experiment. Under these conditions the image intensity (Eq. 1) is given by , so that the SNR achieved by averaging SPGR images over time T is given by (see Eq. 4.3.26 in [15]) which increases monotonically as TR diminishes and approaches the maximum value of
(4) |
where σ0 is the standard deviation of the noise in a single image before averaging.
Using these results, χ2 fitting [16] is executed to relate the standard deviation of T1 to the three SPGR sequence parameters (see appendix A for full derivation):
(5) |
where qm's are defined in Eq. (A.3) in the appendix and SNRmax is the maximal SNR (Eq. 4) achievable in the time allocated: .
Similar to the two-SPGR T1 experiment [3], the error comprises three factors: (i) describing hardware and sample properties, (ii) accounting for signal decay and noise due to imaging readout and (iii) reflecting sensitivity of the sequence to T1. It is thus the last two terms that are subject to optimization and, in fact, of interest. Following [3], we will use a dimensionless normalized coefficient of variation, εT1, as a sample- and hardware-independent measure of the precision of T1 estimation:
(6) |
where smaller εT1 indicates more efficient use of the imaging time for T1 estimation in addition to the usual “square root of time” law contained in SNRmax (Eq. 4). The normalized coefficient of variation corresponding to the average error to be minimized is then given by:
(7) |
Observing the structure of Eqs. (5), (6) and (7), the derivation of the expression for entails only redefinition of q's to , where qB1's are the same q's defined by Eq. (A.3) but evaluated at the corresponding B1's.
Minimization of this metric yields optimal acquisition parameters for T1 measurement in the vicinity of the assumed values of and . Nevertheless, once a protocol is chosen Eqs. (5) and (6) can be used to evaluate εT1 for any combinations of T1 and B1. The map of εT1(T1, B1) can then be examined on how the precision degrades as T1 and B1 deviate from their tuning values. The wider the region over which the error remains small, i.e. the flatter the map, the better. Choosing to minimize the average error at ±15% rather than that simply at helps this cause.
Materials and Methods
Minimization of the average normalized coefficient of variation was performed numerically using brute-force algorithm on a grid in the sequence-parameter space reported in Table 1. The value of needed for numerical minimization (since it enters Eq. (5)), was chosen to be as a good and practical approximation. It is however clear that if is substantially different, the minimization has to be repeated. The computation took several hours on a Pentium IV class workstation and yielded the set of acquisition parameters presented in Table 2. The granularity of the search grid is dictated by the numerical complexity of the problem. It is therefore possible that the absolute minimum was not reached. It is also possible that there are several minima. However, we are not interested in finding absolutely the best protocol per se, we only look for a protocol whose precision is as close to the absolute minimum as we can practically get.
Table 1.
Experiment duration | Minimum TRm | Step in TRm | Step in αm, (°) |
---|---|---|---|
T ≤ 2.0T1 | 0.01T1 | 0.01T1 | 5 |
T > 2.0T1 | 0.1T1 | 0.1T1 | 5 |
Table 2.
N1 | N2 | N3 | ||||||||
---|---|---|---|---|---|---|---|---|---|---|
0.1 | 20.6648 | 0.03 | 15 | 1 | 0.03 | 35 | 1 | 0.04 | 135 | 1 |
0.2 | 14.1786 | 0.06 | 15 | 1 | 0.05 | 40 | 1 | 0.09 | 135 | 1 |
0.3 | 12.3081 | 0.09 | 15 | 1 | 0.04 | 35 | 2 | 0.13 | 135 | 1 |
0.4 | 11.3185 | 0.11 | 15 | 1 | 0.04 | 35 | 3 | 0.17 | 135 | 1 |
0.5 | 10.7166 | 0.13 | 15 | 1 | 0.05 | 40 | 3 | 0.22 | 135 | 1 |
0.6 | 10.3048 | 0.14 | 15 | 1 | 0.05 | 40 | 4 | 0.26 | 135 | 1 |
0.7 | 10.0273 | 0.16 | 15 | 1 | 0.05 | 40 | 5 | 0.29 | 135 | 1 |
0.8 | 9.8308 | 0.17 | 15 | 1 | 0.05 | 40 | 6 | 0.33 | 135 | 1 |
0.9 | 9.6718 | 0.21 | 15 | 1 | 0.05 | 40 | 6 | 0.39 | 135 | 1 |
1.0 | 9.5240 | 0.22 | 15 | 1 | 0.05 | 40 | 7 | 0.43 | 135 | 1 |
1.1 | 9.3959 | 0.22 | 15 | 1 | 0.05 | 45 | 8 | 0.48 | 135 | 1 |
1.2 | 9.2705 | 0.23 | 15 | 1 | 0.05 | 45 | 9 | 0.52 | 135 | 1 |
1.3 | 9.1371 | 0.30 | 20 | 1 | 0.05 | 40 | 9 | 0.55 | 135 | 1 |
1.4 | 8.9933 | 0.31 | 20 | 1 | 0.05 | 40 | 10 | 0.59 | 135 | 1 |
1.5 | 8.8622 | 0.32 | 20 | 1 | 0.05 | 40 | 11 | 0.63 | 135 | 1 |
1.6 | 8.7272 | 0.33 | 20 | 1 | 0.05 | 40 | 11 | 0.72 | 135 | 1 |
1.7 | 8.5948 | 0.34 | 20 | 1 | 0.05 | 40 | 12 | 0.76 | 135 | 1 |
1.8 | 8.4580 | 0.35 | 20 | 1 | 0.05 | 40 | 12 | 0.85 | 135 | 1 |
1.9 | 8.3222 | 0.34 | 20 | 1 | 0.05 | 45 | 13 | 0.91 | 135 | 1 |
2.0 | 8.1808 | 0.36 | 20 | 1 | 0.05 | 40 | 13 | 0.99 | 135 | 1 |
3.0 | 6.9789 | 0.4 | 20 | 1 | 0.1 | 55 | 9 | 1.7 | 135 | 1 |
4.0 | 6.0072 | 0.4 | 20 | 1 | 0.1 | 50 | 11 | 2.5 | 120 | 1 |
5.0 | 5.3975 | 0.6 | 25 | 1 | 0.1 | 50 | 15 | 2.9 | 120 | 1 |
6.0 | 5.0339 | 0.9 | 30 | 1 | 0.1 | 50 | 19 | 3.2 | 125 | 1 |
7.0 | 4.8082 | 1.1 | 30 | 1 | 0.1 | 50 | 23 | 3.6 | 125 | 1 |
8.0 | 4.6607 | 1.3 | 35 | 1 | 0.1 | 50 | 28 | 3.9 | 125 | 1 |
9.0 | 4.5709 | 1.6 | 40 | 1 | 0.1 | 50 | 32 | 4.2 | 125 | 1 |
10.0 |
4.5035 |
2.2 |
50 |
1 |
0.1 |
50 |
36 |
4.2 |
130 |
1 |
11.0 | 4.4396 | 3.1 | 65 | 1 | 0.1 | 50 | 39 | 4.0 | 135 | 1 |
12.0 | 4.3789 | 3.4 | 70 | 1 | 0.1 | 50 | 44 | 4.2 | 135 | 1 |
13.0 | 4.3370 | 3.8 | 75 | 1 | 0.1 | 50 | 49 | 4.3 | 135 | 1 |
14.0 | 4.3144 | 4.0 | 75 | 1 | 0.1 | 50 | 55 | 4.5 | 135 | 1 |
15.0 | 4.3055 | 4.4 | 80 | 1 | 0.1 | 50 | 60 | 4.6 | 135 | 1 |
16.0 | 4.3095 | 4.5 | 80 | 1 | 0.1 | 50 | 66 | 4.9 | 135 | 1 |
17.0 | 4.3248 | 4.7 | 80 | 1 | 0.1 | 50 | 74 | 4.9 | 135 | 1 |
18.0 | 4.3514 | 4.9 | 80 | 1 | 0.1 | 50 | 82 | 4.9 | 135 | 1 |
19.0 | 4.3885 | 4.9 | 80 | 1 | 0.1 | 50 | 92 | 4.9 | 135 | 1 |
20.0 | 4.4134 | 3.9 | 85 | 2 | 0.1 | 45 | 74 | 4.8 | 135 | 1 |
The experiments were done in a 3 T Trio whole body imager (Siemens AG, Erlangen, Germany) using its transmit-receive head coil, on a uniform 15cm diameter × 40cm length cylindrical water phantom and then in the brain of a volunteer. The volunteer was briefed on the procedure and gave institutional review board-approved written consent. Conventional 3D EPI data was acquired with 192 × 192 × 96mm3 field of view and 64 × 64 × 32 matrix on a phantom and with 224 × 224 × 64mm3 field of view and 224 × 224 × 64 matrix on a human head. As an example, we chose a protocol from Table 2 (underlined) and acquired data assuming in the phantom and in vivo. In order to satisfy the shortest TR, as indicated in Table 2, 32 k-space lines were acquired after each excitation in the phantom experiment and 64 on the volunteer. The corresponding TEs were 13 and 45ms. After on-line image reconstruction, the three image values in each pixel were converted into the spherical angles that were used to look up the values of T1 and B1 from the precomputed tables. The look-up table approach replaces computationally expensive non-linear χ2 fitting but is equivalent to it since the number of unknowns is equal to the number of images. Additional advantage of the approach is that the table can be generated during data acquisition while data is still unavailable dramatically reducing the postprocessing time.
The look-up table (Fig. 1) is a 300 × 3000 array in the (ϕ, θ) plane. Each of its cells of is filled with the average value of T1 whose underlying spherical angles fall within it. Entries into the cells are generated by computing the corresponding SPGR intensity triplet using Eq. (1) and then spherical angles for each combination of in steps of 0.001. The cells where the maximum and the minimum entries differ by more than were marked as bad with a NAN (not-a-number). The table thus filled represents a single valued function T1(ϕ, θ). In other words, for any measured intensity triplet, the spherical angles are computed and then the corresponding T1 is unambiguously looked-up in the table (or NAN is assigned). The look up table B1(ϕ, θ) (not presented) was generated in a similar fashion.
After T1 and B1 in each pixel are determined, the – and receive-B1–weighted spin density, ρ0, is extracted from Eq. (1). Since the receive/transmit coil was used, following the reciprocity principle [17] the B1-corrected -weighted spin density is obtained by dividing the extracted value by the corresponding B1 in that pixel.
To illustrate the influence of the B1 inhomogeneity on T1 estimation we also acquired phantom data using optimal two-point 3D EPI of the same total imaging time and tuning (). The protocol was: TR1 = 30ms, α1 = 55°, N1 = 55, TR2 = 1440ms, α2 = 85°, N2 = 1 [3] with 32 k-space lines acquired after each excitation, as in TRITONE. This data was processed as described in [3].
Results
The theoretically expected performance of the T1 estimation using selected protocol is demonstrated in Fig. 2 where the map of normalized coefficient of variation, εT1, is presented. Its minimal value is . (Note that Table 2 lists the average coefficient, , which is larger than the minimum.) The surface of this plot is flat for a wide range of T1's and B1's, that is the precision remains within 20% of the minimum in the large, blue egg-shaped area ().
Experimentally, a uniform phantom is the ideal test bed to evaluate the sensitivity of a method to spatial B1 inhomogeneity. Since the phantom is uniform, its T1-map should be as well. A T1 map at a slice near the center of the excited volume is depicted in Fig. 3a. A histogram of the T1's, the width of which can be used to gauge the precision, is shown in Fig. 3b. If we assume that the width is due to noise alone (ignoring contributions due to possible remaining B1 inhomogeneity), the precision is rather remarkable, 1.8%. The B1 map in Fig. 3c demonstrates a large flip angle non-uniformity that if left uncorrected would lead to considerable systematic errors in T1 estimation [5] (see below). Since a receive-transmit coil was used, the reciprocity principle was utilized to correct for its receive profile and obtain a -weighted spin density map (panel d). In analogy to the T1 map, the -weighted spin density of the phantom should also be uniform. However, unlike the T1 map, is sensitive to the residual B0 inhomogeneity that was not compensated by shimming, making it less uniform (Fig. 3d).
To appreciate the accuracy of the TRITONE method we present, in Fig. 4, a T1 map acquired with the nearest equivalent optimal 2-point method (with the same tuning and acquisition time). It is evident from the map (panel a) and the histogram (panel b) that uncorrected B1 inhomogeneity is responsible for very large variation of T1's that is absent in Fig. 3b.
An in vivo 1×1×1 mm3 resolution map of T1 is shown in Fig. 5a. The histogram of the T1 values (panel b) exhibits a narrow peak at 950ms, a broad peak at about 1550ms and a tail at longer T1's. These features can be ascribed to the white matter, gray matter and CSF, respectively [13]. Although the in vivo B1 map (Fig. 5c) demonstrates less non-uniformity compared to the phantom, it is still substantial. Left uncorrected, it would result in large systematic errors in the T1 map. The receive-coil-profile corrected -weighted spin density image is presented in Fig. 5d. Note that the effects of residual B0 inhomogeneity that were not compensated by shimming are not apparent but can not be excluded.
Discussion
In vivo and in vitro studies demonstrated that despite substantial efforts in coil design and excitation pulse synthesis, the flip angles they produce still vary spatially at and above 3 T. This precludes the use of the current efficient two-SPGR method of T1 estimation [1, 3] at these fields, because it requires precise flip angles [5, 7]. As a remedy we have proposed adding a third SPGR acquisition and showed how the unknown B1 inhomogeneity can be excluded in post processing. We then presented a method for selecting the three sequence parameters to achieve the most efficient use of the available imaging time for T1 mapping. We have demonstrated that the proposed TRITONE method of T1 estimation is indeed insensitive to spatial variations and deviations of B1 from its nominal value. All that remains is to compare the performances of TRITONE with the two-SPGR methods.
Since time is at a premium in in vivo MRI, performance comparisons of different methods have to be conducted assuming fixed total experiment duration including any time needed for the in situ B1 calibration scan. The normalized coe cient of variation εT1 at of the DESPOT1 method [1] can be as small as 4.5 [3] which, even without accounting for the calibration scan's duration, is worse than can be achieved with TRITONE (see Table 2). Combining the most efficient two-point method [3], characterized by εT1 = 3.6, with a calibration scan (which can claim more than 40% of the total time [5, 7]) rises its normalized coefficient of variation above that of TRITONE at intermediate and long experiment durations (). Furthermore, B1 measurement error from the calibration scan has to be incorporated into the error of the final T1 estimate making exact comparisons of the efficiencies more difficult and dependent on the calibration procedure. Nevertheless, this contribution is not negligible because it is double the B1 measurement error [5]: ±15% deviation in B1 causes ±30% error in T1 and thus even if the 2-point T1 measurement were noise-free, the error in T1 due to noise in the calibration scan alone would have been:
(8) |
Combining both sources of noise in quadrature (because noise in T1 and B1 measurements are independent) we can write for the precision of B1-corrected 2-point method:
(9) |
where we assumed 60%/40% split of the total experimental time for T1 and B1 measurements, as above. The normalized coefficient of variation for calibration scan, , depends on the protocol. For the sake of the argument let's assume that calibration is very precise, so that . Then, making TRITONE the most efficient at about (see in Table 2).
The two-point approach remains the method of choice for dynamic T1 studies where acquisition time available must be short. In these studies the B1 map acquired with a calibration scan may be assumed to be time invariant. To maintain high accuracy of B1-corrected T1's the excitation pulse and slice selection should be identical in the calibration and T1 mapping sequences, a feature automatically offered by the TRITONE method.
Similar to previous studies [1-3, 5, 7, 10], we assumed a single compartment model, i.e., that the signal from each pixel is characterized by unique values of T1 and B1. While this assumption can definitely be satisfied for T1 in phantoms, uniqueness of B1 is always an approximation. Unaccounted intravoxel flip angle variation, especially at the edges of the excited volume and intravoxel T1 variation produce systematic errors in T1 estimation. They may even lead to seemingly impossible signal behavior that can not be described by Eq. (1). In the previous and the presented methods such a situation can also arise due to sample motion through misregistration between images or disruption of the steady state. For the above reasons, 3D excitations (used here) which have more uniform excitation profiles than 2D ones are preferred.
In the numerical optimization leading to Table 2 all parameters were allowed to vary without any restrictions (within the search grid of Table 1). At higher fields, however, it may be necessary to exclude certain TR and flip angle combinations in order to satisfy SAR restrictions which are pulse shape and transmit coil dependent and thus need to be evaluated on a case by case basis. However, a protocol that passes SAR limits at high fields is likely to do so at low fields as well. Therefore, common protocol with identical look-up table can be utilized across all such fields.
Finally, we note that while we utilized the commercially available 3D EPI SPGR sequence, it would be simple to setup spiral, radial or any other type of SPGR sequence under the TRITONE umbrella to generate B1-invariant T1 maps. This is because the choice of k-space trajectory does not interfere with the spin excitation history and the only user-selectable parameters are the FOV, spatial resolution, and total examination time. The remaining SPGR sequence parameters are derived from these inputs through Table 2.
Conclusion
Fast efficient high resolution T1 mapping techniques rely on precise knowledge of flip angles for accurate determination of the relaxation rate. Unfortunately, at higher magnetic fields the notion of flip angle is poorly defined due to non-uniform transmit coil profiles, wave effects, etc., degrading the accuracy of many quantitative techniques. The proposed TRITONE method addresses the issue of B1 inhomogeneity by collecting three conventional 3D SPGR EPI images to produce both unbiased and precise T1 maps. The post processing step, although computationally somewhat more involved than in the two-point methods, is still straightforward and can be incorporated into on-line reconstruction.
Appendix A
In the χ2 fitting procedure, the variances of the estimated parameters are related to the variances of the average images Sm through the diagonal elements of the covariance matrix C = (AT A)−1 where m-th row of matrix A is given by [16]
(A.1) |
Since in the problem considered the number of unknowns is equal to the number of images, the matrix A is square and therefore C = A−1(A−1)T. Denoting and , the computation can be carried out to yield the diagonal element of C corresponding to the variance of T1:
(A.2) |
where
(A.3) |
and δi,j is the Kronecker symbol (δi=j = 1, δi≠j = 0). The explicit expressions of fm, gm and hm for the SPGR sequence (Eq. 1) are:
(A.4) |
If the m-th scan is averaged Nm times, then , combining with Eq. (3) and using Eq. (4) the variance of T1 becomes
(A.5) |
Thus, given the set of three SPGR sequence settings (TRm αm, Nm, Tadc), the values of the partial derivatives fm, gm, hm are computed using equation (A.4). The auxiliary quantities, qm, are then evaluated using equation (A.3) and the error in T1 estimate is computed via equation (A.5).
Footnotes
This work is supported by NIH grants number EB001015, CA111911 and NS050520.
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