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Biomedical subjects

J A Borrello

Publications and source records attributed to J A Borrello.

6 recordsLinked to original sources

Renal arteries: clinical comparison of three-dimensional time-of-flight MR angiographic sequences and radiographic angiography.

PURPOSE: To prospectively compare three magnetic resonance (MR) angiographic techniques in the renal arteries. MATERIALS AND METHODS: Twenty-five adult patients underwent three-dimensional time-of-flight MR angiography with three different sequences: conventional, tilted optimized nonsaturating excitation (TONE), and selective inversion-recovery rapid gradient-echo (SIR-RAGE). Fifteen also underwent radiographic angiography. Stenosis grade measured with each MR angiographic technique was compared with that measured with radiographic angiography by using correlation coefficients. Visible artery lengths with each MR angiographic technique were compared by using the Turkey method. RESULTS: Correlation between stenosis grades with each MR angiographic technique and with radiographic angiography was good (P < .01). Stenosis was correctly excluded with SIR-RAGE findings in six patients. Mean visible artery length was greatest with SIR-RAGE (P < .01). CONCLUSION: SIR-RAGE depicts a greater length of renal artery than does conventional MR angiography. TONE also improved depiction of distal arteries. Normal SIR-RAGE findings were highly predictive of normal arteries.

Adult

Regional phase correction of inversion-recovery MR images.

Many MR imaging systems are limited in their ability to successfully display inversion-recovery images. The reason is that part of the contrast is encoded as phase differences between pixels, whereas in the more commonly used spin-echo pulse sequence all the information is contained in the pixel magnitude. Inversion-recovery images are often displayed in magnitude form, resulting in loss of potentially useful phase information contained in the data. Before this phase information can be used, phase errors which result from scanner imperfections must be removed. While most of the necessary correction can be accomplished using data obtained by scanning a uniform phantom, this approach has several disadvantages. An alternative method by which phase errors can be readily removed without phantom data is described. This method has been applied to images of the head, knee, and liver with good results. It is concluded that this technique is useful for producing phase corrected inversion-recovery MR images.

Algorithms

Mediastinal lymph nodes: relaxation time/pathologic correlation and implications in staging of lung cancer with MR imaging.

The authors measured the T1 and T2 relaxation times of freshly excised human mediastinal lymph nodes to determine whether the times are clinically useful in distinguishing benign from malignant nodes. All measurements were performed at 20 MHz and 40 degrees C, within 45 minutes of lymph node excision. Mean T1 and T2 relaxation times of 99 benign nodes were 566 msec (standard deviation [SD], 117 msec) and 92 msec (SD, 29 msec), respectively. For the 16 malignant nodes, these times were 640 msec (SD, 138 msec) and 105 msec (SD, 26 msec), respectively (P less than .05 for difference in T1 times, P greater than .05 for difference in T2 times). Histograms showed considerable overlap in the relaxation times of benign and malignant nodes such that absolute measurement of these times will likely be of limited clinical value.

Humans

Chemical shift-based true water and fat images: regional phase correction of modified spin-echo MR images.

The process of separating water and fat signal in magnetic resonance images with the Dixon pulse sequence is hindered by phase errors in the water-fat opposed image. These errors arise from static field inhomogeneities, varying magnetic susceptibilities of different body tissues, and other causes. Phase correction performed with data from phantom imaging can compensate for static field inhomogeneities but not for the other effects. A regional phase-correction algorithm is presented that removes non-chemical-shift phase effects and produces true water and fat images. The technique has been applied with good results to 21 patients and healthy volunteers. The images include ones of the abdomen, knees, hips, spine, and head. This method of regional phase correction is an efficacious way of producing separate water and fat images with the Dixon pulse sequence.

Adipose Tissue

Oblique-angle tomography: a restructuring algorithm for transaxial tomographic data.

A set of contiguous transaxial tomographic sections obtained with a rotating-camera tomograph represents the full three-dimensional distribution of activity within a volume of the body. Tomographic sections in planes other than the origianl transverse plane can be produced from these data merely by resorting the data appropriately. The paper presents a simple and efficient algorithm for producing tomograms of the heart oriented either at right angles to the long axis of the left ventricle, or parallel to it. Tomograms in these orientations have specific advantages for imaging the heart and avoid some of the limitations seen in comparable tomograms obtained by the seven-pinhole technique.

Heart

Comparison of MR relaxation times and X-ray attenuation coefficients of focal brain lesions.

Twenty cases of selected focal brain parenchymal lesions that were seen on both X-ray CT and magnetic resonance (MR) imaging were studied retrospectively. The CT attenuation coefficients and MR relaxation times were calculated for each lesion in an attempt to determine if an interdependence existed between these parameters. The CT attenuation and spin-lattice relaxation time (T1) appeared to be independent. There appeared to be an inverse relationship between CT attenuation and spin-spin relaxation time (T2). It is suggested that the explanation of this relationship is that lesions with greater amounts of edema tend to have lower CT attenuations and longer T2s and that this effect plays a major role in determining these values. The reason that T1 does not show a similar relationship is unknown. It is suggested that the explanation may be a combination of more complex factors determining T1 and of small sample size.

Adolescent