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D G Norris

Publications and source records attributed to D G Norris.

At least 19 recordsLinked to original sources
PubMed2001

Implications of bulk motion for diffusion-weighted imaging experiments: effects, mechanisms, and solutions.

This review article describes the effect of bulk motion on diffusion-weighted imaging experiments, and examines methods for correcting the resulting artifacts. The emphasis throughout the article is on two-dimensional imaging of the brain. The effects of translational and rotational motion on the MR signal are described, and the literature concerning pulsatile brain motion is examined. Methods for ameliorating motion effects are divided into three generic categories. The first is methods that should be intrinsically insensitive to macroscopic motion. These include motion-compensated diffusion-weighting schemes, single-shot EPI, projection reconstruction, and line scanning. Of these, only single-shot EPI and projection reconstruction methods can obtain high-quality images without compromising on sensitivity. The second category of methods is those that can be made insensitive to bulk motion. The methods examined here are FLASH and RARE. It is shown that for both sequences motion insensitivity is in general attained only at the cost of a 50% reduction in sensitivity. The final set of methods examined are those that correct for motion, primarily navigator echoes. The properties and limitations of the navigator echo approach are presented, as are those of methods which attempt to correct the acquired data by minimizing image artifacts. The review concludes with a short summary in which the current status of diffusion imaging in the presence of bulk motion is examined.

Artifacts↗
PubMed2001

Online motion correction for diffusion-weighted imaging using navigator echoes: Application to RARE imaging without sensitivity loss.

This article describes the first application of true online motion correction to diffusion-weighted RARE imaging. Two orthogonal navigator echoes were acquired and zeroth and first-order phase corrections applied in less than 8 ms between a diffusion-weighted magnetization preparation and data acquisition using the RARE sequence. The zeroth-order phase correction was realized by pulsing the system's B(0)-coil: the first-order error corrected with appropriate magnetic field gradient pulses. Online correction ensured that no irreversible signal loss could occur in the imaging experiment. Diffusion-weighted images of the brain were obtained from healthy volunteers. EGG-triggered acquisition was applied at 400 ms after the R-wave. Data were acquired on a matrix of 256 x 256 with a RARE factor of 16 and a b-value of 804 smm(-2). The images obtained with online motion correction showed a remarkably high image quality, while those acquired without motion correction were severely degraded by artifacts.

Artifacts↗
PubMed2001

The effects of microscopic tissue parameters on the diffusion weighted magnetic resonance imaging experiment.

This review examines the way in which microscopic tissue parameters can affect MR experiments which are sensitive to diffusion. The interaction between the intra- and extravascular as well as that between the intra- and extracellular spaces is examined. Susceptibility gradients due to the presence of deoxyhemoglobin can cause diffusion-induced signal losses which are significant in functional magnetic resonance experiments, particularly at higher main magnetic field strengths. This is also true of the fast response that manifests itself as an early negative signal change in functional magnetic resonance experiments. The fields surrounding paramagnetic vessels are described and the way in which diffusion in these fields contributes to functional signal changes is examined. Flow in the capillary bed can be a confounding factor in experiments which aim to examine the diffusion characteristics of extravascular water. It is potentially also a method for assessing capillary perfusion. The intravoxel incoherent motion experiment is described in terms of how significantly this effect can influence diffusion attenuation curves from water. The major models for describing water diffusion in tissue are presented, as are the main experimental results that have contributed to an understanding of the mechanisms of diffusion contrast. The widely accepted view that changes in the diffusion characteristics are caused by a shift of water to the intracellular space and a concomitant change in extracellular tortuosity is examined critically. More recent experiments that indicate that a reduction in the intracellular diffusion may occur simultaneously with the cell swelling are described and their compatibility with existing models discussed.

Blood Vessels↗
PubMed2001

Characterization of cerebral small vessel disease by proton spectroscopy and morphological magnetic resonance.

This study sought to investigate whether clinical and neuropsychological impairment in cerebral small vessel disease (CSVD) can be evaluated by proton spectroscopy ((1)H-MRS) and structural magnetic resonance (MR) imaging. Sixteen patients with CSVD and 15 healthy age-matched controls participated in the study. In addition to spectroscopic and structural MR examination all patients underwent a comprehensive clinical and neuropsychological investigation. Significant differences in between patients and controls were revealed by (1)H-MRS in the parietal white matter: decreased metabolic ratios of N-acetyl aspartate to choline (NAA/Cho; patients: 1.37 +/- 0.17, control: 1.72 +/- 0.25, p < 0.001) and of N-acetyl aspartate to creatin (NAA/Cr; patients: 1.41 +/- 0.15, control: 1.66 +/- 0.2, p < 0.01) indicated a pathological state. Evaluation of spectroscopic and neuropsychological data revealed a close relation between attentional impairment, i.e. delayed cerebral transmission time and decreased NAA/Cho and NAA/Cr (r = 0.62, p = 0.014). In sum, (1)H-MRS allowed a clear discrimination between patients with CSVD and age-matched normal controls. Moreover, comparisons of (1)H-MRS and neuropsychological data suggested that NAA metabolic levels, and particularly the delay in cerebral transmission time, could be potential predictors of the severeness of attentional impairment.

Aged↗
PubMed2000

Cortical reafferentation following left subcortical hemorrhage: a serial functional MR study.

A 48-year-old patient who had aphasia due to a left subcortical hemorrhage underwent three follow-up examinations to assess MR signal changes accompanying recovery. A word classification task was applied. During the 6-month follow-up period, we observed a dynamic change from negative toward positive blood oxygenation level-dependent MR signals, i.e., task-related reafferentation of eloquent cortices occurred. Clinical improvement from aphasia paralleled the MR signal changes.

Aphasia↗
PubMed2000

Reduced power multislice MDEFT imaging.

A novel method is presented for acquiring multislice T1-weighted images. The method utilizes non-slice-selective inversion pulses followed by a series of slice-selective excitations. k-space is divided into a number of segments equal to the number of slices. Successive segments of k-space are assigned to successive slice-selective pulses, and the order in which the slices are excited is manipulated to ensure that images of each slice have identical contrast and point spread function (PSF). This method is applied to the MDEFT experiment, a particular version of the inversion recovery experiment. The implications of this acquisition scheme on the PSF are examined, and it is shown that, provided the k-space modulation function does not change sign, a good PSF is achieved. For a given maximum number of slices, the total experimental duration depends only on TR and the number of phase-encoding steps. A method of accelerating the experiment by multiply exciting each slice is described. An experimental demonstration of the proposed sequences is given by imaging the human head at 3 T.

Brain↗
PubMed2000

An assessment of eddy current sensitivity and correction in single-shot diffusion-weighted imaging.

Artefacts caused by eddy currents are a major problem in diffusion weighted imaging. This is particularly acute in experiments in which a number of images with differing degrees of diffusion weighting and/or differently oriented diffusion-weighting gradients need to be combined. The echo-planar imaging sequence is particularly sensitive to the effects of residual eddy currents, especially due to the low bandwidth in the phase-encoding direction. Two published schemes are investigated regarding the effectiveness of eddy current correction. That of Jezzard et al (1998 Magn. Reson. Med. 39 801-12) requires the acquisition of additional experimental data in order to perform a post-acquisition correction, whereas that of Wider et al (1994 J. Magn. Reson. A 108 255-8) attempts to reduce the eddy currents directly. It is found that the latter experiment gives a somewhat superior performance and a combination of the two approaches results in an almost complete elimination of artefact. An alternative single-shot imaging experiment to echo-planar imaging is given by sequences based on fast spin-echo methods, which should be insensitive to the effects of constant eddy currents. It is shown that the intrinsic eddy-current-related artefact level in such experiments is indeed low, residual artefacts being attributed to eddy current decay during the echo train. In situations of poor main magnetic field homogeneity or large eddy currents such sequences may be gainfully used instead of echo-planar imaging.

Diagnostic Imaging↗
PubMed2000

Relationships between in-hospital and 30-day standardized hospital mortality: implications for profiling hospitals.

OBJECTIVE: To examine the relationship of in-hospital and 30-day mortality rates and the association between in-hospital mortality and hospital discharge practices. DATA SOURCES/STUDY SETTING: A secondary analysis of data for 13,834 patients with congestive heart failure who were admitted to 30 hospitals in northeast Ohio in 1992-1994. DESIGN: A retrospective cohort study was conducted. DATA COLLECTION: Demographic and clinical data were collected from patients' medical records and were used to develop multivariable models that estimated the risk of in-hospital and 30-day (post-admission) mortality. Standardized mortality ratios (SMRs) for in-hospital and 30-day mortality were determined by dividing observed death rates by predicted death rates. PRINCIPAL FINDINGS: In-hospital SMRs ranged from 0.54 to 1.42, and six hospitals were classified as statistical outliers (p <.05); 30-day SMRs ranged from 0.63 to 1.73, and seven hospitals were outliers. Although the correlation between in-hospital SMRs and 30-day SMRs was substantial (R = 0.78, p < .001), outlier status changed for seven of the 30 hospitals. Nonetheless, changes in outlier status reflected relatively small differences between in-hospital and 30-day SMRs. Rates of discharge to nursing homes or other inpatient facilities varied from 5.4 percent to 34.2 percent across hospitals. However, relationships between discharge rates to such facilities and in-hospital SMRs (R = 0.08; p = .65) and early post-discharge mortality rates (R = 0.23; p = .21) were not significant. CONCLUSIONS: SMRs based on in-hospital and 30-day mortality were relatively similar, although classification of hospitals as statistical outliers often differed. However, there was no evidence that in-hospital SMRs were biased by differences in post-discharge mortality or discharge practices.

Aged↗
PubMed1999

Application of double voxel functional spectroscopy to event-related cognitive experiments.

The hemodynamic response to functional activation can be regarded as the convolution of the neuronal response with an unknown kernel. As such, it introduces an intrinsic blurring that limits the attainable temporal resolution of functional magnetic resonance (fMR) techniques. This study demonstrates that by measurement of displacements in activation onsets between different types of trial, it is nevertheless possible to obtain a subsecond temporal accuracy in fMR. A single trial stimulation paradigm was adopted: a simple search task embedded in a longer period of visual flicker stimulation that produced reliable activations in the primary visual cortex and supplementary motor area. Data were acquired from both of these regions using double voxel functional spectroscopy.

Evoked Potentials, Visual↗
PubMed1999

A novel fast split-echo multi-shot diffusion-weighted MRI method using navigator echoes.

Difficulties in obtaining diffusion-weighted images of acceptable quality using conventional hardware and in a reasonable time have hindered the clinical application of diffusion-weighted magnetic resonance imaging (DWI). Diffusion-weighted fast spin-echo (FSE) sequences offer the possibility of fast DWI on standard hardware without the susceptibility problems associated with echoplanar imaging. However, motion in the presence of diffusion-sensitizing gradients can prevent fulfilment of the Meiboom Gill phase condition, leading to destructive interference between echo components and consequent signal losses. A recently proposed single-shot FSE sequence employed split-echo acquisition to address this problem. However, in a segmented FSE sequence, phase errors differ between successive echo trains, causing "ghosting" in the diffusion-weighted images that are not eliminated by split-echo acquistion alone. A DWI technique is presented that combines split-echo acquisition with navigator echo phase correction in a segmented FSE sequence. It is shown to be suitable for diffusion measurements in vivo using standard hardware.

Brain↗
PubMed1999

Functional MRI of the human brain with GRASE-based BOLD contrast.

The application of T2*-weighted gradient and spin-echo (GRASE) imaging was investigated as a method for blood oxygenation level-dependent (BOLD)-based functional magnetic resonance imaging (fMRI). The displaced-echo method was implemented to produce single-shot T2*-weighted GRASE images. This technique removes the requirement that the Carr-Purcell Meiboom-Gill (CPMG) condition be fulfilled. T2*-weighted GRASE images that are free from interference artifacts can thus be obtained, hence allowing the possibility of using single-shot GRASE for BOLD-based functional imaging. The method was demonstrated at 3 T and gave robust and reproducible activation-induced signal changes.

Artifacts↗
PubMed1999

Velocity selective radiofrequency pulse trains.

The incorporation of velocity-encoding gradient pulses in RF-pulse trains is proposed and examined. Velocity selective perturbation is shown to be analogous in many respects to the well established use of trains of short RF-pulses for chemical shift selective perturbation. Velocity selective perturbation is viable in a biomedical setting only if additional RF refocusing pulses are inserted between the individual RF-pulse elements. Aspects of velocity selective excitation saturation and inversion are examined, and new inversion pulse trains proposed. The selective perturbation of both flowing and stationary spins is demonstrated in phantoms and possible biomedical applications of these pulse trains are discussed.

Magnetic Resonance Spectroscopy↗
PubMed1999

Human rapid acquisition with relaxation enhancement imaging at 8 T without specific absorption rate violation.

A standard fast imaging sequence, rapid acquisition with relaxation enhancement (RARE), has been applied to human magnetic resonance at 8 T. RARE is known for its speed, good contrast and high RF power content. Highly T2 weighted images, the hallmark of RARE imaging, were acquired from the human brain. It is demonstrated that while T2 values may be reduced at 8 T, high quality RARE images could still be acquired at this field strength. Most importantly however, it is demonstrated that RARE images could be acquired without violating specific absorption rate (SAR) guidelines. Since it is well known that T2 weighted images are of significant value in clinical diagnosis, the implementation of RARE at this field strength will provide ultra high field MRI (UHFMRI) with a valuable imaging protocol at this field strength without exceeding SAR limitations.

Brain↗
PubMed1999

MDEFT imaging of the human brain at 8 T.

T1-weighted images of the human brain obtained with the MDEFT sequence at 8 T are presented. These images are characterized by an excellent contrast and good signal to noise ratio. Importantly, results were obtained with adiabatic spin inversion and demonstrate that such pulses can be used even in the ultra high frequency (> 300 MHz) range. It is thus possible to obtain high quality results at this field strength without violating SAR guidelines.

Brain↗
PubMed1998

GRASE imaging at 3 Tesla with template interactive phase-encoding.

A new method for ordering the phase-encoding gradient is proposed, and an application for short effective TE gradient- and spin-echo (GRASE) imaging is demonstrated. The proposed method calculates the phase-encoding order from the signal decay of a template scan (hence "template interactive phase-encoding" or TIPE). Computer simulations are used to compare the point spread functions of different phase-encoding orders giving short effective echo times (kb centric GRASE, centric GRASE, centric TIPE). The conventional centric phase-encoding order is also considered for GRASE. The conventional centric method is sensitive to both amplitude and phase modulation of the signal in k-space. The centric TIPE method gives the least amplitude modulation artifacts but is vulnerable to phase artifacts. The TIPE experiment was implemented on a 3 Tesla system. To the best of our knowledge, we present the first in vivo GRASE images at this field strength.

Artifacts↗