Biomedical subjects
K D Merboldt
Publications and source records attributed to K D Merboldt.
[FLASH-tomography. A rapid imaging procedure for magnetic resonance tomography].
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Multipurpose NMR imaging using stimulated echoes.
STEAM (stimulated-echo acquisition mode) imaging techniques recently introduced by the authors are demonstrated to provide a versatile tool for improving the parametric specificity in NMR imaging. Stimulated echoes can be excited by a sequence of at least three rf pulses with flip angles of 90 degrees or less. The main characteristics of the STEAM method are based on the great functional flexibility of an imaging sequence comprising three rf pulses unequal to 180 degrees and three intervals prior to acquisition of the data. Major advantages are the easy access to contiguous multiplanar images, to CHESS (chemical-shift-selective) images, and to T1 information. Moreover, the rf power deposition is considerably reduced as compared to spin-echo NMR imaging sequences. Here first in vivo results on human extremities are presented including contiguous multislice images, multiple CHESS images, and spin-lattice relaxation time images calculated from a series of simultaneously recorded T1-weighted STEAM images.
A comparative FLASH and EPI study of repetitive and sustained visual activation.
Functional responses to either brief repetitive or sustained activation of the human visual cortex (movie presentation) were monitored using both fast low angle shot and echo planar imaging sequences. To allow for proper comparisons, native image contrasts were equally sensitized to changes in cerebral blood oxygenation with other experimental conditions matched as much as possible. Putative influences of receiver bandwidth and absolute voxel size were specifically addressed. In all cases resulting correlation maps and regional signal intensity time courses showed excellent spatial and temporal congruence, respectively. In particular, for a 6 min protocol of sustained activation, both FLASH and EPI yielded an initial signal increase (oxygenation overshoot), a subsequent signal decrease during ongoing stimulation, and a marked signal drop (oxygenation undershoot) after the end of stimulation. These findings exclude technical differences between FLASH and EPI as the source of previous contradictory observations more likely to be explained by differences in stimulus design.
Dynamic MR imaging of human brain oxygenation during rest and photic stimulation.
Dynamic FLASH (fast low-angle shot) magnetic resonance (MR) imaging was used to monitor changes in brain oxygenation in the human visual cortex during photic stimulation. The approach exploits the sensitivity of the gradient-echo signal to susceptibility changes induced by varying concentrations of paramagnetic deoxyhemoglobin in the cerebral blood pool. After the onset of binocular photic stimulation (10 Hz, red light, checker-board), there was a distinct increase in the MR signal in the calcarine cortex within 6-9 seconds, indicating a decrease in the total deoxyhemoglobin concentration. After the stimulation was switched off, the MR signal returned to a basal value within a similar period of time. Assuming enhanced blood flow and only a minor increase in oxygen consumption (production of deoxyhemoglobin) during physiologic activation, the results reflect an enhanced supply of diamagnetic oxyhemoglobin and an increase in the partial oxygen pressure in the capillary and venous blood pools. In addition, a decrease in the basal MR signal in the calcarine cortex was observed during the first 60-90 seconds of persistent activation, which may be understood as an autoregulatory adaptation to increased overall brain activity associated with information processing due to continuous perception of visual stimuli.
On the interpretation of proton NMR spectra from brain tumours in vivo and in vitro.
Localized proton NMR spectroscopy in vivo allows focal studies of cerebral metabolites in both man and laboratory animals from image-defined regions as small as 1 mL or 64 microL, respectively. Although brain tumours lead to remarkable spectral alterations relative to normal brain, a number of problems may compromise the interpretation of the results. Potential complications arise from the chosen experimental conditions (method, TE, size and location of volume of interest), from regional metabolic heterogeneity in and around tumours, from differences between human tumours and animal models, and from discrepancies between in vivo and in vitro findings. Strategies and pitfalls are illustrated with use of selected examples from primary brain tumours, a rat tumour model and perchloric acid extracts of resected specimens.
Identification of Scyllo-inositol in proton NMR spectra of human brain in vivo.
Scyllo-inositol has been identified in proton NMR spectra of mammalian brain in vitro and in vivo. In contrast to myo-inositol this isomer comprises six equivalent CH protons that yield a singlet resonance at a chemical shift of 3.35 ppm. 1-D and 2-D J-resolved proton NMR studies (7.0 T) of perchloric acid extracts of brain tissues revealed different amounts of scyllo-inositol in man, sheep, cow and rat. Absolute quantification of localized short-echo time proton NMR spectra (2.0 T) of human brain in vivo resulted in scyllo-inositol concentrations of 0.35 +/- 0.06 mM for white matter (n = 25), 0.43 +/- 0.11 mM for grey matter (n = 23) and 0.57 +/- 0.14 mM for cerebellum (n = 10). Evidence for a tight metabolic link to myo-inositol was supported by a simultaneous variation of myo- and scyllo-inositol in patients with various brain diseases.
Localized proton NMR spectroscopy of brain tumors using short-echo time STEAM sequences.
Recent progress in localized proton NMR spectroscopy has been utilized to improve the spatial resolution and the metabolic specificity in a study of 19 patients with intracranial tumors. Selected examples demonstrate that short echo time stimulated echo acquisition mode sequences are able (a) to account for macroscopic tissue heterogeneity by reducing the volume of interest to 2-8 ml and (b) to facilitate a reasonable characterization of tumor metabolism by increasing the number of accessible metabolites. Proton NMR spectra were acquired within measuring times of 6.5 min on a 2.0 T whole-body system using the imaging headcoil.
Proton NMR spectroscopy of cerebral metabolic alterations in infantile peroxisomal disorders.
Noninvasive studies of cerebral metabolism were performed with use of localized proton MR spectroscopy (MRS) in both healthy controls (n = 4, age 6 weeks to 2 years) and infants (n = 4, age 3-15 months) who had impaired peroxisomal functions classified as variants of Zellweger syndrome. All patients revealed a marked decrease of N-acetylaspartate in white and gray matter, thalamus, and cerebellum, indicating impairment of normal neuronal development as well as neuronal loss. In two cases an increase of cerebral glutamine and a decrease of the cytosolic polyol myo-inositol in gray matter and striatum reflected the impact of a concomitant effect on hepatic function. Two cases 3 and 6 months of age exhibited a notable elevation of mobile lipids and/or cholesterol in white matter. These patients with severe disease died within 4 weeks after the MRS examination. While an increase of free fatty acids generally associated with a lysosomal storage disease was not consistently observed by proton MRS of brain, this technique provides a convenient and safe tool for the direct assessment of neuropathologic aspects of Zellweger syndrome such as neuronal degeneration, demyelination, and consequences of compromised liver function.
Signal strength in subsecond FLASH magnetic resonance imaging: the dynamic approach to steady state.
Subsecond fast low-angle shot (FLASH) magnetic resonance imaging (MRI) allows single shot studies of the human heart within measuring times of about 100-300 ms depending on the data matrix. In contrast to conventional FLASH MRI subsecond applications acquire data during the approach to steady state. A detailed analysis of the saturation behavior of the signal is given for the ideal case of a rectangular slice profile. In a second step, realistic slice profiles assuming Gaussian-shaped excitation pulses were taken into account by means of a numerical solution of the Bloch equations. It turns out that the signal strength and the resulting image intensity is considerably higher than may be expected from steady-state considerations. Correspondingly optimized flip angles depend on the number of phase-encoding steps. Assuming long T1 relaxation times as, for example, encountered in muscle and brain tissue and repetition times of 5 ms or less, optimum flip angles are 12 degrees-16 degrees. The use of even higher flip angles (greater than or equal to 20 degrees) causes heavily distorted slice profiles and a dynamic increase of the effective slice thickness. Flip angles of the order of the Ernst angle (6 degrees) correspond to steady-state conditions and lead to considerable signal losses. The theoretical results are confirmed by subsecond FLASH MRI studies of the human heart using a 2.0 T whole-body system (Siemens Magnetom).