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Biomedical subjects

David A Feinberg

Publications and source records attributed to David A Feinberg.

6 recordsLinked to original sources

Single-shot 3D imaging techniques improve arterial spin labeling perfusion measurements.

Arterial spin labeling (ASL) can be used to measure perfusion without the use of contrast agents. Due to the small volume fraction of blood vessels compared to tissue in the human brain (typ. 3-5%) ASL techniques have an intrinsically low signal-to-noise ratio (SNR). In this publication, evidence is presented that the SNR can be improved by using arterial spin labeling in combination with single-shot 3D readout techniques. Specifically, a single-shot 3D-GRASE sequence is presented, which yields a 2.8-fold increase in SNR compared to 2D EPI at the same nominal resolution. Up to 18 slices can be acquired in 2 min with an SNR of 10 or more for gray matter perfusion. A method is proposed to increase the reliability of perfusion quantification using QUIPSS II derivates by acquiring low-resolution maps of the bolus arrival time, which allows differentiation between lack of perfusion and delayed arrival of the labeled blood. For arterial spin labeling, single-shot 3D imaging techniques are optimal in terms of efficiency and might prove beneficial to improve reliability of perfusion quantitation in a clinical setup.

Adult↗

Simultaneous spin-echo refocusing.

A new approach to spin-echo imaging is presented in which the 180 degrees RF pulse refocuses two or more spin-echoes at different positions in the readout period. When simultaneous echo refocusing (SER) is implemented using multiple 180 degrees pulses, an undesirable mixing of stimulated echoes and primary echoes from different slices can occur. A novel periodic gradient spoiler scheme eliminates this potential source of artifacts without spoiling the correctly timed stimulated echoes, which, similar to RARE (TSE) sequences, add coherently to the primary echoes. Comparisons show equivalent artifact elimination using phase cycling, periodic spoiling, and a previously developed spoiling scheme for non-Carr-Purcell-Meiboom-Gill sequences. A comparison of head images at 1.5 T acquired with SER-TSE and conventional TSE T1-weighted sequences show no degradation in image quality nor SNR. T2-weighted imaging is not achievable with the current implementation, but possible solutions are proposed. The proposed technique might prove especially beneficial at higher field strengths, where the reduced number of refocusing pulses for multislice SER-TSE decreases RF power deposition. SER spin-echo imaging offers an approach that is very different from low flip angle imaging to mitigate RF heating limitations in high-field clinical imaging.

Artifacts↗

Continuous arterial spin labeling perfusion measurements using single shot 3D GRASE at 3 T.

Single shot 3D GRASE is less sensitive to field inhomogeneity and susceptibility effects than gradient echo based fast imaging sequences while preserving the acquisition speed. In this study, a continuous arterial spin labeling (CASL) pulse was added prior to the single shot 3D GRASE readout and quantitative perfusion measurements were carried out at 3 T, at rest and during functional activation. The sequence performance was evaluated by comparison with a CASL sequence with EPI readout. It is shown that perfusion measurements using CASL GRASE can be performed safely on humans at 3 T without exceeding the current RF power deposition limits. The maps of resting cerebral blood flow generated from the GRASE images are comparable to those obtained with the 2D EPI readout, albeit with better coverage in the orbitofrontal cortex. The sequence proved effective for functional imaging, yielding time series of images with improved temporal SNR with respect to EPI and group activation maps with increased significance levels. The method was further improved using parallel imaging techniques to provide increased spatial resolution and better separation of the gray-white matter cerebral blood flow maps.

Adult↗

Ultrasound-guided MRI: preliminary results using a motion phantom.

In principal, both ultrasound (US) imaging and MRI can be performed simultaneously within the magnetic field of the scanner due to their different physical natures (i.e., sound waves vs. electromagnetic radiation). One potential application is to use US information for dynamic spatial organ localization to improve MR imaging, similar to MR navigator echoes. In this work, preliminary results are presented for US-guided MRI using position and orientation information extracted from US data to update the image slice position of an SSFP sequence in real time. Effective prospective motion compensation is shown for a phantom whose sinusoidal displacement can be fully corrected. Possible applications of simultaneous US-MRI acquisitions include real-time US-guided cardiac MRI or interventional procedures.

Algorithms↗

Phase contrast MRI of myocardial 3D strain by encoding contiguous slices in a single shot.

Quantitative measurements of inherently three-dimensional (3D) cardiac strain and strain rate require 3D data; MRI provides uniquely high sensitivity to material strain by combining phase contrast with single-shot acquisition methods, such as echo-planar imaging (EPI). Previous MRI methods applied to 3D strain used multiple two-dimensional (2D) acquisitions and suffered loss of sensitivity due to magnification within the strain calculation of physiologic noise related to cardiac beat-to-beat variability. In the present work, each single-shot acquisition generates 3D image data by acquiring two contiguous 2D Fourier transform (FT) images in a single echo train of an EPI readout. Although strain encoding divides across multiple EPI shots, each strain component is computed only within single-shot data, avoiding noise magnification. Strain tensor maps are displayed using iconic 3D graphics or a simple color code of tensor shape. In a deforming gel phantom, gradient-recalled echo (GRE) MRI movies of 3D strain rates match expected strain fields. In normal human subjects, 3D strain rate tensor movies of heart and brain comprising seven slices in each of seven cardiac phases were completed in 56 heartbeats. Stimulated echo (STE) MRI of net systolic 3D strain was also demonstrated. Two-slices-in-one-shot spatial encoding permits a complete quantitative survey of ventricular 3D strain in under a minute, with routine patient supervision and turnkey image processing.

Brain↗

Simultaneous echo refocusing in EPI.

A method to encode multiple two-dimensional Fourier transform (2D FT) images within a single echo train is presented. This new method, simultaneous echo refocusing (SER), is a departure from prior echo planar image (EPI) sequences which use repeated single-shot echo trains for multislice imaging. SER simultaneously acquires multiple slices in a single-shot echo train utilizing a shared refocusing process. The SER technique acquires data faster than conventional multislice EPI since it uses fewer gradient switchings and fewer preparation pulses such as diffusion gradients. SER introduces a new capability to simultaneously record multiple spatially separated sources of physiologic information in subsecond image acquisitions, which enables several applications that are dependent on temporal coherence in MRI data including velocity vector field mapping and brain activation mapping.

Brain↗