Biomedical subjects
Publications and source records attributed to D G Nishimura.
In theory, multidimensional pulses can be designed to be selective in any number of dimensions. In practice, available gradient power has enforced a limit to two dimensions. We show here that three-dimensional pi pulses are feasible on commercial imaging machines provided that the range of off-resonance frequencies are limited.
A technique is presented for collecting the spin velocity distribution as a function of position and time. It uses a multidimensional excitation pulse to select a cylinder, giving localization in two dimensions. Resolution in the third spatial dimension is achieved in the readout. During readout, an oscillating gradient encodes the acquired data in both one spatial dimension (x) and one velocity dimension (v). Two acquisitions (42 ms each) are needed to get a complete coverage of kx--kv space, which makes this technique real-time. The data is interpolated from the nonuniformly sampled kx--kv space to a Cartesian frame with a gridding scheme to take advantage of the Fast Fourier Transform. The technique was successfully applied to phantoms and normal volunteers, giving reasonable real-time measurements of velocity.
The accurate measurement of flow velocity has long been a subject of NMR research. In the field of medical imaging, a variety of techniques primarily based on the principle of Fourier encoding have been described. Due to time constraints, necessary trade-offs exist between spatial versus velocity spectral resolution. In general, either the average velocity of individual pixels is displayed or velocity spectral determinations are made at the cost of spatial localization. The recent development of multidimensional excitation pulses makes spatial localization possible during the excitation phase of the pulse sequences. This approach, coupled with time varying gradient readout, can be used to obtain single-shot localized velocity spectra. Using these concepts, we have obtained in vivo real-time measurements of localized velocity spectra on our clinical imager.
Methods for body MR angiography must contend with problems of motion, complex flow patterns and geometrics, and suppression of undesired material, while striving for adequate spatial resolution and signal-to-noise. Fortunately, MR offers a wide array of imaging options to tackle this formidable set of challenges, making this field an active area of research and development.
We have developed an enhancement of selective inversion recovery that allows us to obtain high-resolution angiograms in reduced scan time. By applying several read pulses following each tagging inversion pulse, we can obtain several phase encodes in each cardiac cycle, thereby reducing the total scan time required for a complete image. Using this technique, high-resolution angiograms can be obtained in as little as 15 s. Because the phase encodes are collected in short bursts separated by long pauses, care must be taken to maintain uniform signal weighting across phase-encoding views and avoid ghosting. We use an increasing flip-angle sequence to equalize signal level weighting across the readouts. The phase encodes are collected in a special order to minimize ghosting. A postprocessing technique is used to further reduce signal nonuniformity between phase encodes. This fast angiography technique can significantly reduce artifacts due to patient motion during scanning and is especially useful for imaging vasculature in regions of the body where respiratory motion is a problem.
A problem with magnetic resonance angiograms of vessels containing irregular flow is that flow-induced dephasing can result in voids in the image. These void regions are susceptible to misinterpretation as regions of stenosis or other vessel pathology. Flow-induced dephasing can be minimized by using radial lines to cover k space. However, radial lines provide a very nonuniform, and hence, inefficient, coverage of k space. By twisting the outer portions of the radial trajectories, undistorted images of very rapid and turbulent flow can be obtained with a reasonable number of RF excitations.
For several non-2D Fourier transform imaging methods, off-resonant reconstruction does not just cause geometric distortion, but changes the shape of the point spread function and causes blurring. This effect is well known for projection reconstruction and spiral k-space scanning sequences. We introduce here a method that automatically removes blur introduced by magnetic field inhomogeneity and susceptibility without using a resonant frequency map, making these imaging methods more useful. In this method, the raw data are modulated to several different frequencies and reconstructed to create a series of base images. Determination of degree of blur is done by calculating a focusing measure for each point in each base image and a composite image is then constructed using only the unblurred regions from each base image. This method has been successfully applied to phantom and in vivo images using projection-reconstruction and spiral-scan sequences.
In vivo 1H conventional NMR image contrast generation usually relies on the macroscopic T1 and T2 relaxation parameters of the tissues of interest. Recently cross-relaxation related image contrast has been reported by Wolff and Balaban in animal models. Due primarily to the broad lineshape of the intended saturation spin pool and the use of off-resonance irradiation, high specific absorption rate and an auxiliary RF amplifier have been necessary to produce these images. The relatively long spin-lattice relaxation property of this spin pool, however, suggests the use of pulse methods to achieve saturation. In this paper, we show that short-T2 spin pools can be selectively saturated with short intense RF pulses. Cross-relaxation time constants can be measured using the technique of saturation recovery. In vivo magnetization-transfer-weighted images can be produced using pulses on commercial whole-body imagers without additional hardware.
A flow-independent method for imaging the coronary arteries within a breath-hold on a standard whole-body MR imager was developed. The technique is based on interleaved spiral k-space scanning and forms a cardiac-gated image in 20 heartbeats. The spiral readouts have good flow properties and generate minimal flow artifacts. The oblique slices are positioned so that the arteries are in the plane and so that the chamber blood does not obscure the arteries. Fat suppression by a spectral-spatial pulse improves the visualization of the arteries.
The performance of current, flow-based sequences for imaging vasculature using MR is severely restricted in regions with inherently slow flow. We address this problem with a flow-independent imaging method. Specifically, we generate projection images of blood in the limbs while suppressing signal from all other tissues (primarily skeletal muscle, bone marrow, and subcutaneous fat) using a flow-compensated, water-selective, short TI inversion recovery sequence with a long echo time. We experimentally evaluate the effectiveness of this sequence and present in vivo results clearly demonstrating the method's potential.
We have developed a variation of selective inversion recovery (SIR) angiography that allows us to obtain a collection of several angiograms within the same acquisition time previously required to obtain a single image. In basic SIR, a single readout is performed after the tagging inversion pulse. In multiple-readout SIR, a succession of readout pulses is applied following the inversion pulse. By varying the gradients appropriately during the successive readouts, we can obtain a set of multiple projection-angle angiograms, or, by appropriately spacing the readouts throughout the cardiac cycle, we can obtain a set of time-resolved angiograms. This technique allows us to obtain additional spatial or temporal information without increasing total scan time. A sequence of increasing flip-angle read pulses is used to maintain a constant signal level across the images. A trade-off exists between SNR and the number of images acquired.
Using a fast version of selective inversion recovery, we have obtained coronary angiograms of normal volunteers showing the proximal portions of the left coronary artery. Blood is tagged in the aortic root at end systole using a 2D inversion pulse. After a wash-in time of 300-600 ms, the coronary vessels are imaged with a 2- to 3-cm-thick slab in either axial or oblique projection. The scan is completed within a breathhold in 24 heartbeats.
In flow-imaging experiments with 2-D Fourier transform sequences, the time difference between phase encoding and readout leads to a potentially misleading displacement artifact. This artifact arises in regions of rapid flow and high shear, and manifests as an intensity distortion in addition to a bulk shift. We have studied methods of mitigating the artifact, including offset-echo acquisition, backward-evolving phase encoding, moment-compensated phase encoding, and projection-reconstruction imaging. Experiments on flow phantoms verified the nature and reduction of this displacement artifact. Of the four methods studied, the projection-reconstruction sequence proved to be the most effective, completely eliminating the artifact.
Time-of-flight effects depend on the displacement of blood with respect to a region of excitation. When combined with static material suppression and projection imaging, time-of-flight effects provide a flexible means of flow sensitization for magnetic resonance (MR) angiography. Bolus tracking, flow enhancement by spin replacement, and selective tagging are three classes of methods being pursued for MR angiography.
Using a k-space interpretation of small-tip excitation, a single excitation pulse has been designed that is simultaneously selective in space and resonant frequency. An analytic expression for the response of this pulse has been derived. The pulse has been implemented on a 1.5-T imaging system. The pulse has been applied to a rapid gradient-echo imaging sequence that forms both water and fat images within a breath-holding interval. These rapid images are free of the chemical shift artifacts at organ boundaries that typically afflict conventional rapid images. The pulse can be applied to a variety of other sequences, such as multislice water/fat sequences and rapid k-space scanning sequences.
We detail a robust, general method for computing projection images of individual materials in a volume as linear combinations of MR projection images with different material-dependent weightings. Signal per unit volume for each material in each raw image is acquired directly for accurate cancellation of undesired, overlapping materials. The weighted sum of the input images is determined to maximize the signal-to-noise ratio (SNR) and minimize inhomogeneity effects in the material-selective images. We tested the implementation experimentally in both phantom and human studies, producing selective images with reasonable SNRs and material isolation. With further development of sequences to rapidly acquire input images having greater material differentiability, we envision the application of the selective projection imaging format to screening studies searching over large volumes for diseased tissues.
In the selective inversion recovery method for projection angiography, upstream blood is tagged by an inversion excitation and then allowed to flow into the imaged region. The subtraction of this first image from a second image acquired without the tagging leaves a signal from only the selectively tagged blood. Pulse sequence design involves consideration of the duration of the blood transit interval, excitation timing and cardiac gating, static material suppression, inversion excitation pulses, and flow compensation. Each of these considerations must be viewed with respect to the particular application. The method has demonstrated potential application to areas such as the carotid arteries, aortic arch, and peripheral vessels.
We have studied a pulse sequence using compact imaging gradients for MR angiography by selective inversion recovery. By acquiring signals approaching a half-echo, we achieve significant immunity to artifacts from flow-induced dephasing. Initial clinical results on carotid arteries accurately depict stenoses without the problems of signal dephasing.