• Jong Bum Son, Ken-Pin Hwang, John E Madewell, Ersin Bayram, John D Hazle, Russell N Low, and Jingfei Ma.
• Department of Imaging Physics, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
• Magn Reson Med. 2017 Mar 1; 77 (3): 1049-1057.

PurposeTo develop a flexible fast spin echo (FSE) triple-echo Dixon (FTED) technique.MethodsAn FSE pulse sequence was modified by replacing each readout gradient with three fast-switching bipolar readout gradients with minimal interecho dead time. The corresponding three echoes were used to generate three raw images with relative phase shifts of -θ, 0, and θ between water and fat signals. A region growing-based two-point Dixon phase correction algorithm was used to joint process two separate pairs of the three raw images, yielding a final set of water-only and fat-only images. The flexible FTED technique was implemented on 1.5T and 3.0T scanners and evaluated in five subjects for fat-suppressed T2-weighted imaging and in one subject for post-contrast fat-suppressed T1-weighted imaging.ResultsThe flexible FTED technique achieved a high data acquisition efficiency, comparable to that of FSE, and was flexible in scan protocols. The joint two-point Dixon phase correction algorithm helped to ensure consistency in the processing of the two separate pairs of raw images. Reliable and uniform separation of water and fat was achieved in all of the test cases.ConclusionThe flexible FTED technique incorporates the benefits of both FSE and Dixon imaging and provided more flexibility than the original FTED in applications such as fat-suppressed T2-weighted and T1-weighted imaging. Magn Reson Med 77:1049-1057, 2017. © 2016 International Society for Magnetic Resonance in Medicine.© 2016 International Society for Magnetic Resonance in Medicine.

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