Respiratory triggering is a type of respiratory motion commonly used with fast imaging techniques. Images are acquired during the expiration phase. With this type of technique, the scan time is based on the selected TR per respiratory cycle and the patient's breathing patterns.

Quick Overview

Movement of the heart causes blurring and ghosting in the images. The artifacts appear in the phase encoding direction, independent of the direction of the motion.

These artifacts can be reduced by using cardiac synchronization: triggering, gating or retrospective triggering. Maximum reduction can be achieved by using triggering in combination with flow compensation, respiratory triggering or breath hold and regional saturation techniques.

See also Motion Artifact.

Lung imaging is furthermore a challenge in MRI because of the predominance of air within the lungs and associated susceptibility issues as well as low signal to noise of the inflated lung parenchyma. Cardiac and respiratory triggered or breath hold sequences allow diagnostic imaging, however a comparable image quality with computed tomography is still difficult to achieve.
Assumptions for lung MRI:
The current trends in MRI are the use of new imaging technologies and increasingly powerful magnetic fields. Among these technologies are parallel imaging techniques as well as ventilation agents like hyperpolarized helium for the use as an inert inhalational contrast agent to study lung ventilation properties. With hyperpolarized gases clear images of the lungs can be obtained without using a large magnetic field (see also back projection imaging). Single shot sequences (e.g. TSE or Half Fourier Acquisition Single Shot Turbo Spin Echo HASTE) used in lung MR imaging benefits from parallel imaging techniques due to reduced relaxation time effects during the echo train and therefore reduced image blurring as well as reduced motion artifacts.
In the future, more effective contrast agents may provide an alternative solution to the need for high field MRI. Dynamic contrast enhanced MRI perfusion has demonstrated a potential in the diagnosis of pulmonary embolism or to characterize lung cancer and mediastinal tumors. 3D contrast enhanced magnetic resonance angiography of the thoracic vessel.

See also the related poll result: 'MRI will have replaced 50% of x-ray exams by'

Respiratory compensation reduces motion artifacts due to breathing. The approach is to reassign the echoes that are sensitive to respiratory motion in the central region of k-space. The outer lines of phase encoding normally contain the echoes where the motion from expiration is the greatest. The central portion of k-space will have encoded the echoes where inspiration and expiration are minimal. By a bellows device fixed to the abdomen, monitoring of the diaphragm excursion is possible. Respiratory compensation does not increase scan time with most systems.
An advantage of very fast sequences is the possibility of breath holding during the acquisition to eliminate motion artifacts. Breath hold is commonly used on most abdominal studies where images are acquired using gradient echo-based sequences during a brief inspiratory period (20-30 seconds). To enhance the breath holding endurance of the patient, connecting the patient to oxygen at a 1-liter flow rate via a nasal cannula has been shown to be helpful.
Also called PEAR, Respiratory Trigger, Respiratory Gating, PRIZE, FREEZE, Phase Reordering.

See also Phase Encoding Artifact Reduction, Respiratory Ordered Phase Encoding.

From Hitachi Medical Systems America Inc.;
Hitachi expanded its portfolio with the Echelon™ 1.5T. The MRI scanner combines a compact magnet and a scalable 8-channel RF system with high-performance gradients and slew rate to select short echo times, small field of views, high matrices and thin slices. Standard features of the Echelon MRI system include higher-order active shim, RAPID (parallel imaging for use on brain MRI, body, cardiovascular imaging, and orthopedic coils), multiple coil ports, and an advanced reconstruction engine.