Search PubMedSearch

Biomedical subjects

J P Felmlee

Publications and source records attributed to J P Felmlee.

At least 19 recordsLinked to original sources

Algorithms for extracting motion information from navigator echoes.

Algorithms to reliably detect motion in navigator echoes are crucial to many MRI motion suppression techniques. The accuracy of these algorithms is affected by noise and deformation of navigator echo profile caused by physiologic motion. This study compared the performance of algorithms based on correlation and least squares for extracting displacement information from motion-monitoring navigator echoes, using computer simulation and in vivo imaging. The least squares algorithm was determined to be of higher accuracy than the correlation algorithm against errors caused by noise and profile deformation.

Algorithms

Real-time adaptive motion correction in functional MRI.

Functional magnetic resonance imaging (fMRI) of the brain is often degraded by bulk head motion. Algorithms that address this by retrospective re-registration of images in an fMRI time series are all fundamentally limited by any motion that occurs through-plane. Here, a technique is described that can account for such motion by prospective correction in real time. A navigator echo is used before every image acquisition to detect superior/inferior displacements of the head. The displacement information is then used to adjust the plane of excitation of the ensuing single-shot echo-planar fMRI axial image. These correction updates can be completed in 100 mm with motion sensitivity at least as small as 0.5 mm. The efficacy of this method is documented in phantom and human studies.

Brain

Cardiac magnetic resonance fluoroscopy.

A technique is described for high speed interactive imaging of the heart with either white or black blood contrast. Thirty-two views of a segmented, magnetization-prepared gradient echo sequence are acquired during diastole. Using three-quarter partial Fourier sampling, data for a complete 128 x 128 image are acquired in three cardiac cycles. High speed reconstruction provides an image update of each cardiac cycle 159 ms after measurement. An independent graphical user interface facilitates interactive control of section localization and contrast by permitting pulse sequence parameter modification during scanning. The efficiency and image quality of the cardiac MR fluoroscopy technique were evaluated in 11 subjects. Compared with the conventional graphic prescription method, the cardiac fluoroscopy technique provides an approximate eightfold reduction in the time required to obtain subject-specific double oblique sections. Image quality for these scout acquisitions performed during free breathing was sufficient to identify small cardiac structures.

Coronary Angiography

Variability of consecutive in vivo MR flow measurements in the main portal vein.

OBJECTIVE: The variability of consecutive cine phase-contrast MR flow measurements could significantly affect their use for clinical decisions, especially during provocative testing. The purposes of this study were to determine the normal variability of flow and consecutive flow measurements in the main portal vein on MR images and to determine how intraobserver variability, interobserver variability, and MR imager variability affect these measurements. SUBJECTS AND METHODS: MR flow measurements were acquired four consecutive times at the same location in the main portal vein of 12 subjects and three consecutive times at the same location in a nonpulsatile vessel model. All acquisitions were completed within 10 min. All main portal vein MR data sets were evaluated manually in a blinded review by two independent observers during three separate sessions spaced a mean of 4.5 weeks apart. Flow model data sets were evaluated during a single session by one observer. Variabilities were subsequently calculated by a components-of-variance analysis and by the coefficient of variation (SD/mean x 100). RESULTS: Of the total variance, 90% was due to flow variability among subjects (intersubject), 6% to flow variability within one subject (intrasubject), 2% to intraobserver variability, and 2% to interobserver variability. The coefficient of variation of consecutive MR portal vein flow measurements within a single subject was 11% +/- 5% (range, 3-23%). Intra- and interobserver variabilities were 5% +/- 2% (range, 1-11%) and 4% +/- 4% (range, 0-17%), respectively. MR imager variability was 1% +/- 1% (range, 0-2%). CONCLUSION: The mean variability of consecutive cine phase-contrast MR flow measurements in the main portal vein is 11% +/- 5% and could affect research and clinical protocols that employ this technique.

Adult

Spatial-frequency-tuned markers and adaptive correction for rotational motion.

A common type of motion present in clinical magnetic resonance imaging examinations is rotational motion, such as that due to voluntary motion during head examinations. The correction scheme presented in this work offers a method for eliminating the effects of rotations within the imaging plane. Integral to the implementation of this technique is the concept and design of spatial-frequency-tuned markers, which are used to track the rotational motion. These studies showed that it is possible to accurately track the motion, measuring both axis and angle of rotation, and use this information to retrospectively correct the acquired images. These markers can also provide information about any translational motion present. The resulting images show a marked decrease in artifacts and improved clarity.

Algorithms

Error in MR volumetric flow measurements due to ordered phase encoding in the presence of flow varying with respiration.

Respiratory ordered phase encoding is often employed in MRI studies to reduce image artifacts due to breathing motion. The purpose of this work was to evaluate error caused by the use of respiratory ordering of phase encoding in MR cine phase-contrast (CPC) volumetric flow measurements when the flow rate is sensitive to respiration. It was hypothesized that this effect is due to the systematic biasing of a respiratory-induced phase modulation function in k-space. A theoretical model for the effects of respiration was developed and then tested in flow phantom studies and in normal volunteer studies. In phantom experiments, the use of respiratory ordering induced an error of as much as 13% in CPC volumetric flow measurements. In preliminary volunteer studies, error was as high as 26% in superior vena cava flow measurements versus less than 1% error in the ascending aorta. It is concluded that a potential for error exists in CPC volumetric flow measurements obtained with the use of respiratory ordering schemes. Volunteer studies with larger numbers are warranted. Clinical applications in which this effect may be important include flow measurements in vessels subject to variations in flow due to respiration, such as the venae cavae, pulmonary vasculature, and portal vein.

Aorta

Orbital navigator echoes for motion measurements in magnetic resonance imaging.

A single "orbital" navigator echo, that has a circular k-space trajectory, is used to simultaneously measure in-plane rotational and multi-axis translational global motion. Rotation is determined from the shift in the magnitude profile of the echo with respect to a reference echo. Displacements are calculated from the phase difference between the current echo and a reference echo. Phantom studies show that this technique can accurately measure rotation and translations. Preliminary results from adaptive motion correction studies on phantom and human subjects indicate that the orbital navigator echo is an effective method for motion measurement in MRI.

Humans

MR imaging of the abdomen with a phased-array multicoil: prospective clinical evaluation.

PURPOSE: To prospectively compare use of a phased-array multicoil and a conventional body coil in abdominal MR imaging. MATERIALS AND METHODS: Thirteen patients (seven men, six women; mean age, 55 years) underwent imaging with a phased-array multicoil and with a conventional body coil. Four pulse sequences were used: T2-weighted spin echo (SE), magnetization-prepared gradient-recalled echo (GRE), breath-hold fast SE, and echo planar (EP). RESULTS: Lesion detection improved the most on fast SE, multicoil-acquired images. Signal-to-noise ratio (S/N) increased 64% with fast SE (P = .0005) and EP (P < .0109) sequences. Contrast-to-noise ratio (C/N) doubled (P < .05) with T2-weighted SE sequences. Lesion conspicuity improved on multicoil-acquired images with all fast sequences (magnetization-prepared GRE, P = .015; fast SE, P = .002; EP imaging, P = .013). There was little difference in respiratory and vascular artifact. Depiction of most abdominal structures improved (P < .01). CONCLUSION: Use of the phased-array multicoil provides better MR images of the abdomen than does use of a conventional body coil.

Abdomen

Radio-frequency survey at the bore of a 1.5-T MR imager.

A survey at the bore of a 1.5-T magnetic resonance (MR) imager assessed radio-frequency (RF) exposure. With variable pulse sequences and loading conditions, the RF power density at relevant occupational positions was below measurable limits (less than the threshold limit value for occupational workers of 1 mW/cm2). Exposure to RF fields is below safe limits for personnel who routinely work within an MR imaging suite.

Humans

Blood flow velocity measurements: a comparison of 25 clinical ultrasonographic units.

A blood-mimicking flow phantom was used to evaluate the precision of velocity measurements acquired using 25 pulsed Doppler ultrasonographic units from four vendors. Measurements were made at four constant flow rates (12 to 50 cm/s peak velocity). The average standard deviation values of the peak and time-averaged velocities among all units and all flow rates were found to be 7 and 9% of the mean, respectively, while the corresponding values for a subgroup of 20 identical units were 5 and 8%. Considered in conjunction with other published data, this suggests that units should be calibrated to an institutional standard at the time of acceptance testing.

Blood Flow Velocity

Technical exhibits.

Explore the source record for details and available documents.

Diagnostic Imaging

Echo-planar imaging of the liver with a standard MR imaging system.

PURPOSE: A multisection, whole-body echo-planar imaging (EPI) sequence was developed to obtain T2-weighted images of the liver in one 18-second breath hold with a standard magnetic resonance (MR) imaging system. MATERIALS AND METHODS: This capability was achieved by dividing the data acquisition period into eight interleaved segments rather than one or two as implemented previously with EPI systems having high-power gradient subsystems. RESULTS: The interleaved echo-planar images had excellent depiction of anatomy and no identifiable respiratory artifact. In 26 lesions in 12 patients, the eight-shot echo-planar images (2,000/66 [repetition time msec/echo time msec]) had superior contrast compared with conventional T2-weighted spin-echo (SE) images (2,500/60) by an average factor of 1.22 +/- 0.31 (standard deviation) and an average contrast-to-noise ratio relative to conventional T2-weighted SE images of 0.85 +/- 0.22. CONCLUSION: With a conventional MR imaging system, breath-hold T2-weighted echo-planar images of the liver are comparable in diagnostic quality to conventional T2-weighted SE images.

Adenoma, Islet Cell

Respiratory kinematics of the upper abdominal organs: a quantitative study.

Despite the fact that respiratory motion is a major factor limiting the image quality of MR examinations in the upper abdomen, little quantitative information is available about the kinematics of visceral motion during respiration. The objective of this study was to obtain a measure of the relative longitudinal and transverse displacements of the upper abdominal organs during breathing using an MR line scan technique.

Abdomen

Adaptive motion compensation in MRI: accuracy of motion measurement.

It has been shown that magnetic resonance image data can be corrected for the effects of motion by using retrospective adaptive techniques which employ navigator (NAV) echoes. We demonstrate the accuracy with which NAV echoes can measure motion, as well as the independent nature of the respective view-to-view and intraview corrections.

Brain

Hand dose measurements in interventional radiology.

Measurements of radiation dose to the hand were conducted using TLD ring badges for individual interventional radiology cases. Results from over 30 examinations (including transhepatic cholangiograms and biliary and nephrostomy procedures) conducted by four radiologists using identical equipment show an average hand dose of 1.5 mGy (150 mrad) per procedure. Hand dose varied inversely with distance from the patient. Due to variable hand positions during clinical examinations, fluoroscopic time was not found to be a good indicator of hand dose.

Fluoroscopy

Adaptive motion compensation in MR imaging without use of navigator echoes.

Retrospective correction of magnetic resonance (MR) image data to eliminate the effects of patient motion is possible with use of adaptive correction techniques. These methods require an accurate record of the motion that occurs during imaging. The authors evaluated whether motion information suitable for adaptive correction could be obtained from phase-encoded image data alone rather than from separate navigator echoes. Once such displacements were estimated from the image data, motion correction proceeded with use of the same algorithm used for the navigator echoes. The results show that image data alone can be used to effectively measure view-to-view displacements in phantoms, but external markers are required for accurate measurement during axial head imaging of patients.

Humans

Flow artifact reduction in MRI: a review of the roles of gradient moment nulling and spatial presaturation.

In the past, flow artifacts and inconsistent depiction of vascular anatomy have represented significant problems in clinical MRI. These difficulties are now generally well addressed by the techniques of gradient moment nulling and spatial presaturation. Gradient moment nulling (GMN) is an effective method for eliminating flow artifacts in gradient echo images, while presaturation is more applicable to the same task in spin echo acquisitions. The GMN technique also has useful applications in spin echo imaging such as combating the effects of tissue and CSF motion in long TE sequences. In contrast to presaturation, however, GMN is not suitable for suppressing artifacts due to pulsatile blood flow in spin echo images.

Blood Circulation

Adaptive technique for three-dimensional MR imaging of moving structures.

The authors describe an adaptive motion correction method for three-dimensional magnetic resonance (MR) imaging. Three-dimensional imaging offers many advantages over two-dimensional multisection imaging but is susceptible to image corruption due to motion. Thus, it has been of limited use in the imaging of mobile structures, and the relatively long imaging times required have hindered its use in patients who tend to move during imaging. The authors' technique uses interleaved "navigator" echoes to provide a measure of displacement for each image echo in the acquisition and then uses this information to allow correction of the image data. The theory for signal corruption due to motion and the correction scheme that follows from it are presented. This method can produce excellent results when the motion is correctly modeled.

Humans