UTE framework, combined with center-
out rosette sampling, allows reliable
detection and spatial localization of
myelin signal components.
In addition to
1
H-based applica-
tions, another recent study
5
highlighted
PETALUTE’s performance in
31
P MR
spectroscopic imaging (MRSI), where it
showed superior spatial coverage and
sensitivity compared with conventional
methods. This enables high-resolution
mapping of phosphorus-containing
metabolites such as adenosine tri-
phosphate (ATP) and phosphocre-
atine (PCr)—key indicators of cellular
energy metabolism—further expanding
PETALUTE’s potential in neurological,
oncological, and metabolic imaging.
This unique ability to detect ultrashort
T2* signals with high spatiotemporal
accuracy positions PETALUTE as a
transformative tool for microstructural
and metabolic brain imaging, with
significant implications for both basic
research and preclinical disease models.
Beyond the Brain
While initially developed for neuro-
imaging, the PETALUTE sequence
has demonstrated significant transla-
tional potential across multiple organ
systems, including musculoskeletal
and abdominal imaging, especially in
tissues characterized by rapid signal
decay, such as cartilage, bone, and liver.
By utilizing UTEs ranging from tens to
hundreds of microseconds, PETALUTE
enables the direct detection of short-T2*
components that are typically invisible
to conventional sequences.
One key application is osteoarthri-
tis, a degenerative joint disease affect-
ing over 528 million people worldwide,
according to the World Health Orga-
nization.
6
Early-stage osteoarthritis
involves the loss of glycosaminogly-
cans from cartilage. Sodium (
23
Na) MRI
provides a noninvasive way to measure
glycosaminoglycan content, but tra-
ditional sodium imaging faces chal-
lenges such as long scan times and low
spatial resolution. A clinical study in
Skeletal Radiology
7
showed that PETA-
LUTE enables in vivo sodium imag-
ing at 3 T with accuracy comparable
to standard methods, while reducing
scan time by 41%, and it enhances SNR
and central k-space sampling for better
spatial detail in thin cartilage layers.
Furthermore, PETALUTE has
proven effective in
31
P MRSI, where
rapid signal decay and low resolution
have historically limited the ability to
quantify metabolic intermediates such
as ATP, PCr, and inorganic phosphate. A
study by Bozymski et al
8
demonstrated
that PETALUTE achieves superior point
spread function, SNR, and acquisition
uniformity compared with traditional
31
P-MRSI approaches—advancing non-
invasive assessments of energy metabo-
lism in the brain and skeletal muscles.
Importantly, PETALUTE’s design
incorporates self-gating through
frequent central k-space sampling,
enabling retrospective motion cor-
rection in anatomies affected by
physiological motion, particularly
the abdomen, where respiration and
peristalsis commonly impair image
quality. This makes PETALUTE highly
suitable for imaging the liver, kidneys,
and gastrointestinal structures and
also supports its integration into
dynamic imaging protocols.
Specifically, PETALUTE facilitates
dynamic contrast-enhanced (DCE)
MRI, with its high temporal resolution
and multiecho setup enabling track-
ing of contrast kinetics in vascular and
perfusion studies. The sequence’s UTE
capabilities allow early-phase contrast
detection with enhanced sensitivity to
T1 changes, making it ideal for quan-
titative DCE studies in oncology, liver
fibrosis, and renal function evaluation.
In summary, the advances behind
PETALUTE, combining ultrashort TE
acquisition with efficient k-space sam-
pling, enable detailed multiparamet-
ric and multinuclear imaging across
various tissues for a wide range of bio-
medical applications. Its versatility in
supporting
23
Na,
31
P, and, potentially,
2
H
and
13
C imaging; resilience in motion-
prone contexts; and suitability for both
structural and DCE protocols establish
it as an all-in-one UTE platform for high-
impact translational research.
With robust preclinical results and
proven clinical feasibility, PETALUTE
bridges the gap between basic science
and clinical practice, supporting a uni-
fied approach to imaging fast-decaying
molecular signals, energy metabolism,
and perfusion dynamics. Its combina-
tion of motion resilience, multinuclear
capabilities, and dynamic imaging posi-
tions it as a next-generation framework
for both early-phase clinical studies and
mechanistic research in animal models.
The potential for PETALUTE to drive
discoveries in both clinical and preclini-
cal imaging is increasingly evident. As
adoption of this methodology expands
across the imaging research commu-
nity, PETALUTE is being integrated into
a growing range of applications, includ-
ing multiecho spectroscopic imaging,
balanced steady-state free precession
contrast strategies, and iron oxide
nanoparticle quantification in oncology
models. Its compatibility with a wide
array of pulse sequences and contrast
mechanisms, combined with its motion
resilience and rapid acquisition, makes
PETALUTE a versatile platform capable
of accelerating biomarker development
and translational imaging pipelines. By
enabling high-resolution, multinuclear,
and artifact-resistant imaging, PETA-
LUTE supports a new generation of non-
invasive tools for tackling global health
challenges through earlier diagnosis,
treatment monitoring, and mechanistic
insight across disease models. ■
Uzay Emir, PhD, recently joined the
University of North Carolina department of
radiology with a joint appointment in the
department of biomedical engineering. He
is a member of the Biomedical Research
Imaging Center as an associate professor
from Purdue University.
Stephen Sawiak, PhD, is a senior research
associate and fellow of Fitzwilliam College
of the University of Cambridge in the
United Kingdom.
MRI Monitor
!e potential for
PETALUTE to drive
discoveries in
both clinical and
preclinical imaging is
increasingly evident.
For references, view this article on our
website at www.RadiologyToday.net.
30!RADIOLOGY TODAY • OCTOBER 2025