MRI scan time can be reduced by acquiring less data or acquiring it more efficiently, but every change involves a trade-off among scan time, image signal-to-noise ratio (SNR), spatial resolution, contrast, motion sensitivity, and artifacts.
Common protocol-level approaches
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Use parallel imaging
- Techniques such as SENSE, GRAPPA, ASSET, and iPAT use multichannel receiver coils to reduce phase-encoding steps.
- Typical acceleration factors are about 2, sometimes higher depending on anatomy and coil performance.
- Trade-off: lower SNR and possible g-factor noise or residual aliasing. ISMRM overview
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Use compressed sensing or AI-assisted reconstruction
- Undersampled k-space data are reconstructed using sparsity-based or deep-learning methods.
- Particularly useful for 3D, dynamic, cardiac, abdominal, and musculoskeletal MRI, often in combination with parallel imaging.
- Trade-off: over-acceleration can cause smoothing, loss of subtle detail, or reconstruction artifacts. Review of compressed-sensing MRI
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Reduce matrix size or spatial resolution
- Lower the phase-encoding matrix, increase pixel size, use thicker slices, or slightly reduce through-plane resolution.
- This is one of the simplest ways to shorten a sequence.
- Trade-off: reduced ability to detect small lesions or fine anatomic detail.
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Reduce the number of slices or coverage
- Image only the clinically relevant region, avoid unnecessary overlap, and tailor coverage to the indication.
- For example, a focused lumbar spine protocol is faster than a whole-spine survey.
- Trade-off: pathology outside the prescribed field may be missed.
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Shorten TR, where contrast permits
- Reducing repetition time directly reduces scan duration in many 2D sequences.
- Trade-off: lower SNR and altered tissue contrast, especially in T1-, T2-, and proton-density-weighted imaging.
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Use fast sequences
- Fast spin echo/turbo spin echo, single-shot fast spin echo, echo-planar imaging, fast gradient echo, and rapid 3D acquisitions can substantially cut time.
- Use single-shot or highly accelerated sequences selectively for patients with motion, dyspnea, pain, or inability to cooperate.
- Trade-off: these may have lower resolution, more blurring, susceptibility artifact, or less reliable contrast than conventional sequences.
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Increase echo-train length in fast spin echo
- More k-space lines are acquired per TR.
- Trade-off: image blurring and changes in contrast, especially with very long echo trains.
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Reduce averages/NEX
- Acquiring one average instead of two nearly halves acquisition time.
- Trade-off: SNR falls approximately with the square root of the number of averages. Reducing NEX from 2 to 1 decreases SNR by about 29%.
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Use partial Fourier imaging
- Acquire slightly more than half of k-space and estimate the rest.
- Trade-off: reduced SNR and potentially more artifacts if used aggressively.
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Avoid repeat sequences through motion reduction
- Clear patient instruction, comfortable positioning, immobilization, appropriate coils, ear protection, and breath-hold coaching often save more time than sequence acceleration.
- For abdominal/cardiac scans, respiratory triggering, navigator methods, or free-breathing accelerated sequences may be preferable to repeated failed breath-holds.
Practical order of optimization
A sensible approach is:
- Remove nonessential sequences.
- Use the correct dedicated coil and parallel imaging.
- Apply moderate acceleration or compressed sensing.
- Reduce NEX to 1 when image quality remains adequate.
- Adjust matrix, slice thickness, and coverage only as the clinical question allows.
- Review images during the examination so repeats are limited.
Important caution: Do not reduce time indiscriminately for indications where small findings matter, such as epilepsy MRI, pituitary imaging, inner-ear MRI, prostate MRI, cartilage imaging, marrow lesions, or small metastases. Protocol changes should be approved by the supervising radiologist and validated on the specific scanner, coil, and reconstruction software.