Biomedical subjects
Publications and source records attributed to H Friedburg.
The RARE technique is an extremely useful tool for clinical diagnosis, since it delivers images comparable to those produced by X-ray myelography and X-ray urography. Contrary to these methods, RARE does not use the application of contrast agents. A low-flip-angle variant called FLARE (fast low angle refocused echo imaging) makes this technique accessible for high-field systems.
The steady state selective saturation method is a fast and efficient technique to study flow with magnetic resonance imaging. The pulse sequence used generates no signal from stationary matter and simultaneously optimizes signal flowing into a predetermined volume. The method can be used to generate three-dimensional angiography in less than 5 min. Other modifications allow the quantitative measurement of flow velocities and distinction of veins and arteries according to the direction of flow.
Sixty-four examinations of the wrist in patients with rheumatoid arthritis by magnetic resonance imaging using a 0.23 TESLA magnet showed a great sensitivity in detecting proliferative partly exudative or destructive synovialitis, as is common in rheumatoid arthritis. In accordance to the Larsen system for grading rheumatoid arthritis lesions by conventional x-ray, we establish a clinically relevant magnetic resonance grading system which is able to diversify the stages of destruction and inflammative activity in rheumatoid arthritis.
Fifty-six patients with traumatic and 117 patients with inflammatory lesions of the knee and ankle were examined with a 2 T (69 examinations) or 0.23 T (104 examinations) MR system. The quality of all images was assessed by the consensus of three radiologists on a scale of diagnostic (3+, 2+) and nondiagnostic (1+) image quality. More than 90% of images from both systems were diagnostic. However, the proportion of 3+ quality images was significantly higher (p less than 0.001) at the magnetic field strength of 2 T (81% = 56/69 versus 49% = 51/104 at 0.23 T). Motion artifacts were the main cause of reduced image quality independent of field strength. In patients with traumatic and inflammatory diseases of the knee and ankle, high field imaging at 2 T provided better image quality than low field imaging at 0.23 T.
A modification of the rapid acquisition with relaxation enhancement imaging method allows the acquisition of a highly T2-weighted image in 2.5 s. By omitting the slice selection gradient, this technique yields a superimposed image of the CSF in the spinal canal. This image (magnetic resonance myelogram) contains much of the same information as an X-ray myelogram.
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