Advancing High-Resolution 7T Diffusion MRI: Evaluating Phase-Encoding Correction Strategies for Distortion Correction from Basic to Four-Way Acquisitions

PurposeHigh-resolution 7T diffusion MRI (dMRI) is limited by image artifacts that compromise anatomical accuracy. The purpose of this study was to systematically evaluate phase-encoding (PE) acquisition and correction strategies to determine which methods best mitigate geometric distortions and improve data reproducibility. MethodsFive healthy adults were each scanned twice on a 7T MRI scanner (0.9 mm isotropic resolution), using a highly oversampled dMRI protocol with four PE directions (AP, PA, RL, LR). From this dataset, we created and processed eleven time-equivalent, 10-minute acquisitions, ranging from uncorrected single-PE data to comprehensive 4-way PE schemes. These strategies were quantitatively compared on their geometric alignment with T1-weighted images and on the scan-rescan reproducibility of DTI-derived metrics. Results(1) All distortion-corrected schemes significantly improved geometric accuracy over uncorrected data; (2) Strategies correcting with a full set of reversed-PE (2-way) diffusion weighted images (DWIs) outperformed the common approach of using only a single reversed b=0 image; and (3) a 4-way PE acquisition consistently provided the highest image fidelity and reproducibility. The optimized acquisition enabled high-quality reconstruction of both long-range and fine-scale superficial white matter pathways. ConclusionFor high-resolution 7T dMRI, multi-PE acquisition is essential to achieve accurate geometry and stable microstructural estimates (i.e., less residual EPI distortion and better scan-rescan agreement). A 4-way PE scheme provides the most accurate and reproducible results for microstructural and connectivity modeling. Data statementData will be made available in BIDS format upon acceptance of the manuscript. To be updated with DOI.