Puerperal ovarian vein thrombosis: MR diagnosis.
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Female↗
Biomedical subjects
L Axel
Publications and source records attributed to L Axel.
A computer simulation of nuclear magnetic resonance imaging.
A modular, user-friendly computer simulation of NMR imaging was created for the DEC VAX computer. This simulation is novel in that complex imaging phenomena, such as chemical shifts and flow, may be easily studied. Other features include spin warp and backprojection imaging, movie generation, and simulation of image contrast, composite pulse sequences, motion artifacts, aliasing, selective excitation, field inhomogeneity, noise and signal averaging. The simulation incorporates fast Fourier transform and graphics modules for processing and display of one- and two-dimensional images. Examples which illustrate features of the program are shown. The simulation is a useful tool for both the sophisticated and the beginning user of NMR imaging. It serves as a drawing board for studying MRI phenomena and a teaching program for demonstrating basic techniques.
Adipose Tissue↗
Magnetic resonance imaging of avascular necrosis of the femoral head.
This study investigates the role of magnetic resonance imaging (MR) in identifying avascular necrosis (AVN) of the femoral head and in monitoring its therapy. The detection of AVN, particularly in its early stages, is imperative to give therapeutic intervention the best opportunity for successful management. The results of magnetic resonance imaging are compared with those of the standard diagnostic modalities in evaluation of patients with the lesion. Examinations were performed at 0.12T with a repetition time (TR) of 143 ms and times to echo (TE's) of 10 or 20 ms. This study represents a retrospective review of 90 hips which were examined in 45 consecutive patients. Of these, 52 hips were biopsied as part of treatment. MR was shown to be sensitive in the detection of AVN. Comparison of MR with radionuclide imaging showed comparable sensitivity and specificity. MR was also noted to be sensitive in the detection of early AVN. Preliminary results suggest that MR can monitor treatment of the affected hip, and may even be able to predict patient response to therapy. Although further work is necessary to determine the role of MR in the evaluation of the patient presenting with hip pain, MR is a sensitive method in detecting AVN and in monitoring its course in patients suspected of having the disease.
Adult↗
A time-of-flight method of measuring flow velocity by magnetic resonance imaging.
A new time-of-flight method for direct imaging of flow velocities by magnetic resonance is presented. The technique uses selective exciting and refocusing RF pulses to selectively affect planes oriented in orthogonal directions in space, with the region of excitation perpendicular to the flow and the refocusing region parallel to and including the flow. The positions of the sources of the resulting spin echoes are imaged, showing a displacement equal to the product of the velocity and the echo time. These images clearly show the profile of the velocity distribution, both in laminar and nonlaminar flows.
Blood Flow Velocity↗
Agarose as a tissue equivalent phantom material for NMR imaging.
Phantoms for evaluation of nuclear magnetic resonance (NMR) imaging systems were made from water-based agarose gels, according to a standard procedure herein described. Copper sulfate (CuSO4) was included in the gels to further affect their proton relaxation characteristics. The proton relaxation rates of each batch of gel are dependent on the concentrations of agarose and copper ions in it, with T1 depending more on copper than on agarose, and T2 depending more strongly on agarose than on copper. The wide range of T1 and T2 which can be covered, and the stability and physical characteristics of the agarose gel material make it well-suited for phantom use.
Copper↗
Strip scan: a method for faster MR imaging.
In certain limited applications, one can reduce MR imaging time without loss of essential diagnostic information by limiting the field of view.
Humans↗
Polycystic ovaries: MR imaging.
To determine the characteristic appearance of polycystic ovaries on magnetic resonance (MR) images, seven women with polycystic ovarian disease (PCOD) underwent MR examination of the pelvis. These MR images were compared with sonograms. Histologic material was available in two patients. Six of the seven women had characteristic, small peripheral cysts, best seen on T2-weighted MR images; these cysts were seen sonographically in only one case. The centers of nine of 14 ovaries were of low intensity with all MR pulse sequences; this low intensity corresponded with low echogenicity in six cases. Histologically, these areas correlated with hypertrophic cellular stroma. Coexisting central teratomas were seen in three ovaries. The ability of MR to display the findings of PCOD better than ultrasound and its ability to demonstrate coexisting pathologic conditions are valuable in imaging the female pelvis.
Adult↗
Respiratory effects in two-dimensional Fourier transform MR imaging.
Respiratory and other regular motions during two-dimensional Fourier transform magnetic resonance imaging produce image artifacts consisting of local blurring and more or less regularly spaced "ghost" images propagating along the direction of the phase-encoding magnetic field gradient. The patterns of these ghost artifacts can be understood in terms of the technique of image production and basic properties of the discrete Fourier transform. This understanding permits, without respiratory gating, production of images of improved quality in body regions in which there is significant respiratory motion. In particular, the ghosts can be maximally separated from the primary image by choosing intervals between phase-encoding gradient pulse increments that are equal to one-half the respiratory period; they can be minimally separated by choosing an interval equal to the respiratory period. Increasing the number of signal averages between each phase-encoding increment decreases the intensity of the ghosts.
Abdomen↗
Hematopoietic and fatty bone marrow distribution in the normal and ischemic hip: new observations with 1.5-T MR imaging.
The conversion of hematopoietic to fatty marrow is known to correlate with physiologic decreases in intramedullary blood flow. To determine whether the chronology of conversion is altered in patients with hip ischemia, T1-weighted magnetic resonance (MR) images of the hips in 50 healthy people and 27 with documented avascular necrosis (AVN) were reviewed. The distribution of fatty (high-signal) versus hematopoietic (low-signal) marrow was noted with respect to age. All patients had fatty marrow in the femoral capital epiphysis and greater trochanter. Hematopoietic intertrochanteric marrow was seen in 95% (80 of 84) of femurs in control subjects less than 50 years old, but in only 12.5% (two of 16) of those in control subjects older than 50 years (P less than .005). Only 33% (19 of 57) of patients less than 50 years with AVN had predominantly hematopoietic intertrochanteric marrow (P less than .005). The early conversion to fatty marrow in most patients with AVN as depicted by MR imaging may be an effect of decreased vascularity of the proximal femur and may allow the identification of patients at increased risk for AVN.
Adult↗
Painful sickle cell crisis: bone marrow patterns observed with MR imaging.
Eleven patients with homozygous sickle cell anemia (SCA) undergoing painful crisis were studied with magnetic resonance (MR) imaging. The signal intensity of bone marrow was diffusely decreased in the axial and peripheral skeleton on short repetition time (TR)/echo time (TE) images and long TR/TE images, which suggested hematopoietic marrow hyperplasia and was confirmed by isotope marrow scans in five patients. Focal areas of further decrease in signal intensity were seen on short TR/TE images in 12 of the 14 (86%) painful joints and three of the five (60%) painless joints. In the painful joints, these focal areas converted to high signal intensity on long TR/TE images, presumably due to edema, which suggested acute marrow infarction. In the painless joints, these low-intensity focal areas remained as low signal on long TR/TE images, which suggested absence of edema and thus areas of old infarction or fibrosis. These results indicate that MR imaging may enable differentiation between acute and chronic marrow infarcts in patients with SCA and serve as a useful guide in monitoring and directing therapy.
Adult↗
Osteopetrosis: MR characteristics at 1.5 T.
Four patients with proved osteopetrosis (three with the infantile malignant form and one with the benign form) were examined with magnetic resonance imaging at 1.5 T. All patients were studied in the coronal and sagittal planes using both short and long repetition time/echo time sequences. The infantile malignant form was characterized by a complete lack of signal from the marrow alternating with a signal intensity equivalent to that of the intervertebral disks, resulting in a "stepladder" appearance. In the benign form or after successful marrow transplantation in the infantile malignant form, intermediate or high signal intensity in the vertebrae was noted, suggesting the presence of some marrow elements.
Child, Preschool↗
MRI of joint fluid in the normal and ischemic hip.
MR images in 36 hips with documented avascular necrosis and 80 hips without evidence of joint disease were studied to determine the amount and appearance of fluid in the joint. All MRI examinations were done on a 1.5-T machine and included coronal images made with relative T2 weighting (repetition times = 2000-2500 msec, echo delays = 60-100 msec). The amount of joint fluid, which had an intense signal higher than fat, was graded from 0 to 3 and analyzed with respect to the patient's age and radiographic stage of avascular necrosis. Joint fluid was seen in 84% of presumed normal hips. Only four (5%) of 80 had enough fluid to surround the femoral neck (grade 2), and none had sufficient fluid to distend the joint capsule (grade 3). In comparison, 21 (58%) of 36 hips with avascular necrosis had grade-2 or grade-3 effusions (p less than 0.005), and some fluid was seen in all. Grade-3 effusions were seen in seven (50%) of 14 hips with flattening of the femoral head, compared with only one (5%) of 20 in which the femoral contour was normal. It is concluded that small amounts of fluid are present in both normal hips and those with avascular necrosis. In avascular necrosis, increased joint fluid may be present before radiographic abnormalities occur, but it is greatest after there is flattening of the femoral head. MRI is a highly sensitive method for detecting fluid in the hip joint.
Adolescent↗
Avascular necrosis of the hip: comparison of MR, CT, and scintigraphy.
The capabilities of MRI, radionuclide bone scanning, and X-ray CT in diagnosing avascular necrosis of the hip were compared in a controlled statistical study. Diagnostic ability was measured as the area under the receiver-operating-characteristic curve. Differences in efficacy among various case pools and the standard errors of those differences were calculated. MR was better than both other techniques over the entire case pool, with the difference between MR and radionuclide scanning exceeding 2 standard errors (p less than 0.01). In the subsample of patients including more early cases, MR was better than CT by greater than 2 standard errors and better than radionuclide scanning by over 3 standard errors. This is evidence that MR is the most sensitive imaging technique for the early diagnosis of avascular necrosis.
Adult↗
Blood flow effects in magnetic resonance imaging.
The many varied effects of blood flow seen with different kinds of conventional MRI techniques can be understood as the result of three basic underlying mechanisms: washout of saturated spins, washout of excited spins, and phase shifts due to motion of excited spins along magnetic field gradients. These effects can be applied in various modified MRI techniques that have been proposed for the measurement of blood in blood vessels, although none have yet been put into routine clinical practice. The measurement of tissue perfusion with MRI remains a more difficult but very desirable goal.
Blood Flow Velocity↗
Ectopic embryo detection using real-time sonography.
An analysis of the sonograms of 60 patients with a surgically confirmed diagnosis of ectopic pregnancy was performed. In 36 examinations, both real-time and static images were compared, and real-time was judged superior in 22 based on a correlation between the original report and surgical pathology. The appearance of the endometrial canal and the adnexa was characterized in a total of 65 scans. The endometrial canal appearance was variable, with the most common finding being a linear echo (39%). The adnexal changes were less diverse, with an adnexal ring suggestive of an extrauterine gestational sac identified in 60%. In 10 cases, the adnexal ring contained a distinct fetus with a measurable crown-rump length, and cardiac activity was evident in six. Our results indicate that real-time ultrasound coupled with serum beta-hCG RIA should be the procedure of choice when ectopic pregnancy is suspected.
Adnexa Uteri↗
Chemical-shift magnetic resonance imaging of two-line spectra by gradient reversal.
A method of chemical-shift imaging is described using the invariance of chemical shifts to changes in magnetic field gradients used for frequency encoding of position in imaging. This enables separation of the effects on the observed signal of chemical shift from the effects of different positions along the imaging gradient when the signal is observed with different gradients. A simple implementation for a two-line spectrum is presented using signals observed with normal and reversed imaging gradients. This is used to create "fat" and "water" images of the thigh.
Adipose Tissue↗
Vascular occlusions detected by magnetic resonance imaging.
Early experience with magnetic resonance imaging (MRI) indicates that it is well suited as a noninvasive vascular imaging modality. Blood flow at physiologic velocities results in a low signal within the vessel lumen and this property allows the separation of flowing blood from surrounding soft tissues. While flow effects, aneurysms, and mural lesions have been emphasized in the literature, vascular occlusions have received less attention. We evaluated 21 patients with documented venous or arterial occlusions on a 0.12-T developmental resistive unit. Venous occlusions caused by thrombus generally appeared as focal regions of increased signal. In 3 of 10 cases the venous thrombus itself could not be identified but the absence of a low-signal lumen in a normal location confirmed the impression of thrombus. In 2 of 17 venous occlusions a rim of low signal was noted around the thrombus. Venous collaterals were commonly seen. Tumor thrombus tended to have signal characteristics similar to the main bulk of the tumor from which it arose. There were four arterial occlusions including two cases of emboli, one arteriosclerotic occlusion, and one case of tumor invasion. Vascular calcifications, clearly evident on plain radiographs, were not seen on MRI. MRI appears to be a potentially useful noninvasive means of detecting vascular occlusions.
Adolescent↗
Computed tomography findings in clinically normal and abnormal thyroid patients.
Fifty normal volunteers had unenhanced thyroid computed tomography scans. A range of normal computed tomography densities and volumes was established for each age group. Pre- and postcontrast scans were done on 47 abnormal patients with hemorrhagic cysts, multinodular goiter, thyroiditis, papillary carcinoma, and benign adenomas. The computed tomography characteristics of each of the pathologic groups was noted for both the abnormal areas and the uninvolved part of the gland. Preliminary observations of the computed tomography characteristics of each abnormality are discussed.
Adenoma↗