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N J Pelc

Publications and source records attributed to N J Pelc.

106 records · Page 6Linked to original sources
PubMedDate not supplied

Time-resolved MR imaging by automatic data segmentation.

A method for time-resolved imaging that provides a flexible trade-off between imaging time and temporal resolution is presented. It is based on a view order selection technique that automatically segments the acquired raw data into appropriate temporal frames. When used with cardiac monitoring and phase-contrast imaging, data similar to that obtained with a conventional gated phase-contrast sequence are acquired rapidly. For many applications, the temporal resolution can be reduced enough to permit imaging within a breath-hold interval, while still allowing accurate time-averaged flow quantitation. This is a general technique that can be implemented within a variety of pulse sequences and can resolve other motion cycles, including the respiratory cycle.

Algorithms↗
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Tracking the motion of skeletal muscle with velocity-encoded MR imaging.

Phase-contrast magnetic resonance velocity-encoding techniques were used to track two-dimensional movement of skeletal muscle tissue. Axial and longitudinal planes in the forearms of five healthy volunteers were imaged during cyclic flexion and extension of the fingers, and the resulting data were used to plot the trajectories of the motion of pieces of muscle tissue. A phantom that produced complex two-dimensional trajectories validated the accuracy of the imaging and analysis techniques; after adjustments for phase errors, two-dimensional trajectories were tracked with an root-mean-square error of 0.1 cm. Preliminary results indicate that velocity-encoded image data can characterize motion trajectories and that refinements in data acquisition and analysis techniques may make it possible to correlate the movements of different regions within a muscle, characterize muscle contraction, and quantify longitudinal strain. This ability to track velocity vectors may provide a foundation for quantitative analysis of muscle motion.

Animals↗
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Validation of cine phase-contrast MR imaging for motion analysis.

The accuracy of cine phase-contrast magnetic resonance (MR) imaging for motion analysis was evaluated. By using a rotating phantom and postprocessing algorithm for phase tracking, errors arising during data acquisition were identified and compensation methods were developed. A spatially varying background phase offset in the velocity images was found to be due to eddy current-induced fields. The magnitude of the offset was in the range of 0-20 cm/sec, which is of the same order of magnitude as cardiac contractile velocities. Background offset is thus an important source of error in tracking cardiac motion. Study of different tracking algorithms revealed the need for an integration scheme using motion terms higher than velocity. Also, considerable improvement in the accuracy and stability of the predicted trajectories was obtained by averaging the trajectories proceeding both forward and backward in time from the starting point. With the algorithm developed, the motion of the phantom was tracked through a complete rotation of the phantom to an accuracy of 2 pixels.

Algorithms↗
PubMedDate not supplied

Tracking of cyclic motion with phase-contrast cine MR velocity data.

A method of computing trajectories of objects by using velocity data, particularly as acquired with phase-contrast magnetic resonance (MR) imaging, is presented. Starting from a specified location at one time point, the method recursively estimates the trajectory. The effects of measurement noise and eddy current-induced velocity offsets are analyzed. When the motion is periodic, trajectories can be computed by integrating in both the forward and backward temporal directions, and a linear combination of these trajectories minimizes the effect of velocity offsets and maximizes the precision of the combined trajectory. For representative acquisition parameters and signal-to-noise ratios, the limitations due to measurement noise are acceptable. In a phantom with reciprocal rotation, the measured and true trajectories agreed to within 3.3%. Sample trajectory estimates of human myocardial regions are encouraging.

Heart↗
PubMedDate not supplied

Dynamic contrast-enhanced breath-hold MR imaging of thoracic malignancy using cardiac compensation.

The purpose of this paper was to evaluate the use of dynamic gadopentetate dimeglumine-enhanced, breath-hold spoiled gradient-recalled (SPGR) MR imaging with cardiac compensation (CMON) compared to spin-echo MR imaging in patients with thoracic malignancy. We retrospectively reviewed MR images from 29 patients with thoracic tumors. MR imaging included axial electrocardiogram (ECG)-gated T1-weighted, fast spin echo (FSE) T2-weighted, and contrast-enhanced breath-hold fast multiplanar SPGR imaging with CMON, which selects the phase-encoding gradient based on the phase within the cardiac cycle. Images were reviewed for lung masses, mediastinal or hilar tumor, disease of the pleura, chest wall, and bones and vascular compression or occlusion. Contrast-enhanced fast multiplanar SPGR imaging with CMON produces images of the chest that are free of respiratory artifact and have diminished vascular pulsation artifact. ECG-gated T1-weighted images were preferred for depicting mediastinal and hilar tumor. The gadopentetate dimeglumine-enhanced fast multiplanar SPGR images were useful for depicting chest wall tumor, vascular compression or thrombosis, osseous metastases, and in distinguishing a central tumor mass from peripheral lung consolidation. Pleural tumor was depicted best on the FSE T2-weighted images and the contrast-enhanced SPGR images. As an adjunct to spin echo T1-weighted and T2-weighted imaging, contrast-enhanced fast multiplanar SPGR imaging with CMON is useful in the evaluation of thoracic malignancy.

Aged↗
PubMedDate not supplied

Effect of artifacts due to flowing blood on the reproducibility of phase-contrast measurements of myocardial motion.

The reproducibility of myocardial motion trajectories calculated from cine phase-contrast (PC) velocity data is reduced by artifacts due to the inconsistent motion of intracardiac blood. Spatial presaturation reduces these artifacts but requires a longer sequence TR, with a potentially negative effect on trajectory accuracy and reproducibility. We investigated the effect of spatial presaturation on trajectory reproducibility. A mid-ventricular transaxial slice was imaged in five normal volunteers. The same slice was imaged three times each with sequences using spatial presaturation or not. Because the most serious artifacts originate in the heart chambers and propagate in the phase-encoded direction, myocardial regions that were in line with the heart chambers (in the phase-encode direction) had the highest artifact level in the scans without spatial presaturation. The reproducibility of trajectories for regions placed in these areas (the anterior wall, septum and posterior wall in the transaxial scans with phase encoding in the anterior-posterior direction) improved by a factor of two when presaturation was used (P < .001). In areas that were not in line with the heart chambers (eg, the anterior aspect of the lateral wall in the transaxial scans), the effect of presaturation was not significant. These results correlate well with the measured reduction in artifact level. The reproducibility of myocardial motion trajectories over large areas of the heart is improved to approximately 1 mm when presaturation is used. Therefore, use of presaturation is recommended for myocardial motion studies using cine PC velocity data.

Adult↗
PubMedDate not supplied

Correction of spatially dependent phase shifts for partial Fourier imaging.

Partial Fourier MR images (PFI) are constructed from data that have fewer phase encoding views than are conventionally acquired using direct Fourier transform spin echo acquisition. The PFI data acquisition is structured to obtain the same spatial resolution as conventional acquisition, trading off signal-to-noise reduction for acquisition time improvement. The "missing" views can be zero filled or, if the data are Hermitian, supplied by symmetry (basic algorithm). The effect of spatially dependent phase shifts (SDPS) on PFI constructed with zero-fill or the basic algorithm is illustrated. The causes and typical magnitudes of such SDPS are discussed. In spin echo data only the low order, slowly varying SDPS, is shown to be significant. Through use of simulated and actual data sets these typical SDPS are shown to produce significant artifacts in PFI, when the amount of missing data is close to one-half. The artifacts are reduced when less data are missing. Good images can be generated with the zero-fill algorithm if less than 25% of the data is missing. Several methods of correcting phase shifts in PFI are developed: the basic Hermitian algorithm with frequency (x) direction correction (BAX), basic Fourier correction algorithm (BFC) and an improved iterative Fourier correction algorithm (IFC). The BFC and IFC can produce good images when as much as 46% of the data is missing. Data with rapidly varying SDPS, for example, gradient refocused data, make the phase correction task more difficult. With less than 25% of the data missing, however, acceptable gradient refocused PFI images can be created.

Fourier Analysis↗
PubMedDate not supplied

Nonlinear partial volume artifacts in x-ray computed tomography.

Dark streaks connecting the petrous bones are often observed in cranial transverse section CT reconstructions. These artifacts are usually only slightly diminished by two-pass beam hardening corrections. However, it is found that by narrowing the slice thickness the artifacts are substantially reduced. In this paper, it is shown that axial partial volume effects can account for the presence of the artifacts. These axial partial volume effects occur when, at any point in the slice, the object has axial variations in attenuation. In such cases the logarithm of the integrated intensity measured by the detector is not a linear function of the integrated attenuation (even for monochromatic beams). This nonlinearity causes inconsistencies in the data set which in turn can cause streaks in the image. We have studied the partial volume effect using computer simulation. Algorithms are presented whose purpose is to correct for these effects by estimating the axial variation using neighboring slices. These correction algorithms are successful in computer simulation cases but failed with clinical data. It is concluded that no practical correction method is viable unless overlap scanning is employed. However, thin-slice scanning for sections where these artifacts are common is perhaps a more preferable solution.

Brain↗
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Generalized image combinations in dual KVP digital radiography.

Dual energy basis decomposition techniques apply to single projection radiographic imaging. The high and low energy images are non-linearly transformed to generate two energy-independent images characterizing the integrated Compton/photoelectric attenuation components. Characteristic linear combinations of these two basis images identify unknown materials, cancel known materials, and generate synthesized monoenergetic images. The problems of intervening materials and material displacement are solved in general for a wide class of clinical imaging tasks. The basis projection angle identifies one from a family of energy selective imaging tasks, and such performance measures as the contrast enhancement factor (CEF) and signal to noise ratio (SNR) are expressed as functions of this angle. Algorithms for the decomposition of high and low energy measurements are compared and experimental images are included.

Computers↗
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An algorithm for the reduction of metal clip artifacts in CT reconstructions.

Implanted surgical metal clips often produce objectionable artifacts in CT reconstructions. The artifacts appear as streaks which emanate radially from the site of the clip. It is shown in this paper that these artifacts stem primarily from motion of the clip during the scan. An algorithm is described which reduces the intensity of these artifacts. The procedure attempts to remove the metal object entirely from the scan data by replacing the measured projection values of rays that passed through a neighborhood of the clip with calculated values consistent with an object whose density is an average of the surround. Examples are given for head and body scans as well as for computer simulations which show substantial reduction of the streak intensity.

Humans↗
PubMedDate not supplied

The technical characteristics of matched filtering in digital subtraction angiography.

The technical characteristics of a new digital fluorographic image processing method called matched filtering are presented. This technique, a type of extensive temporal integration, takes a weighted sum of images acquired during passage of a contrast bolus through some area of interest. The weight of each image is governed by the magnitude of the contrast bolus in that image. An essential requirement of the matched filter is that its integral be zero. It is shown for equal exposure rates and typical bolus characteristics that matched filtering provides a factor of two higher signal-to-noise ratio (SNR) than conventional methods for bolus transit times of 10 s or higher. Equilvalently, matched filtering can yield images with quality comparable to conventional digital subtraction angiography (DSA) at a factor of four less patient exposure. The SNR obtained with matched filtering is shown to be within 30% of an ideal bound. Comparisons of matched filtering to standard recursive methods and simple integration are made. Experimental canine studies are presented which compare matched filtering with conventional DSA.

Angiography↗
PubMedDate not supplied

Ultrafast contrast-enhanced three-dimensional MR angiography: state of the art.

Ultrafast breath-hold contrast material-enhanced magnetic resonance (MR) angiography can be performed with a flexible imaging sequence. With the current generation of high-speed imaging gradients, it is possible to achieve sequence repetition times of 4 msec or less. These repetition times make it possible to obtain high-resolution (512 x 512 x 64) images in under 30 seconds. Applications of this versatile technique include imaging of aortic dissection, thoracic and abdominal aortic aneurysm, pulmonary embolus, carotid stenosis, and peripheral vascular disease. The administration of contrast material must be tailored to the vascular anatomy under examination to avoid venous enhancement. The rapid data acquisition times can be used to image multiple temporal phases or multiple locations. With this technique and administration of a T1-shortening contrast agent, high-quality MR angiography can be routinely performed in a variety of vascular regions (eg, thoracic and abdominal aorta, pulmonary arteries, carotid arteries, lower extremities).

Aortic Aneurysm↗
PubMedDate not supplied

Dural sinus occlusion: evaluation with phase-sensitive gradient-echo MR imaging.

The purpose of this study was to evaluate the usefulness of limited-flip-angle, phase-sensitive velocity imaging with gradient-recalled-echo (VIGRE) MR when combined with spin-echo MR in the diagnosis of dural sinus thrombosis. The VIGRE sequence consists of a rapid single-slice acquisition, 50/15/2 (TR/TE/excitations), and 30 degrees flip angle. At each slice position, a total of four images were reconstructed; these consisted of one magnitude image and three images sensitive to proton motion in each orthogonal direction. The flow direction and flow velocity (cm/sec) were obtained from each of the phase images, and results were correlated with data obtained from a phantom experiment. In normal controls, dural sinus velocities ranged from a mean of 9.9 to 14.4 cm/sec for the transverse and superior sagittal sinuses, respectively. Three patients with proved dural sinus occlusion were studied with spin-echo images at 1.5 T. Three-dimensional time-of-flight MR angiography was also performed in one patient. The presence of dural sinus occlusion was determined by the lack of flow void on the spin-echo images, the absence of phase shift on the VIGRE study, and the presence of retrograde flow on the phase image in the sinus proximal to the occluded segment. Time-of-flight angiography overestimated the extent of the thrombosis caused by spin saturation. Follow-up VIGRE studies detected the formation of collateral flow in one patient and recanalization with the establishment of normal antegrade sinus flow in the other. We conclude that phase-sensitive MR imaging is helpful in establishing the diagnosis and extent of dural sinus occlusion.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMedDate not supplied

Cerebrospinal fluid flow measured by phase-contrast cine MR.

PURPOSE: This prospective study was designed to establish the temporal and quantitative relationship between blood flow and cerebrospinal fluid (CSF) flow using a phase-contrast cine MR pulse sequence. METHODS: A cine phase-contrast MR pulse sequence using peripheral gating was used to measure CSF flow direction and velocity. Data were acquired continuously and interpolated into 16 images throughout the cardiac cycle. RESULTS: The timing of systolic CSF flow in the cervical subarachnoid space (SAS) correlated very closely to the brain arteriovenous blood flow difference during the cardiac cycle. This arteriovenous difference was a measure of brain expansion. Aqueduct CSF flow during the cardiac cycle differed from SAS flow in that systolic flow was delayed in comparison with systolic cervical SAS flow. The normal aqueductal oscillatory flow volume was 1.7 +/- .4 mL/min or 0.03 +/- 0.01 mL per cardiac cycle. This represented 14.5% +/- 3.1% of the total CSF flow and tissue displacement through the incisura which was 14.5 +/- 2.2 mL/min or 0.22 +/- 0.03 mL per cycle. CSF oscillatory flow volume in the cervical SAS was 39.0 +/- 4.0 mL/min or 0.65 +/- 0.08 mL per cycle. CONCLUSION: CSF flow can be measured. Results in healthy subjects show relatively low oscillatory flow through the aqueduct which is slightly out of phase (delayed) compared with SAS CSF flow.

Blood Flow Velocity↗
PubMedDate not supplied

Qualitative phase contrast MRA in the normal and abnormal circle of Willis.

PURPOSE: To determine the direction of blood flow in the circle of Willis using a 3-D phase contrast MR angiographic (MRA) technique with high spatial resolution. SUBJECTS: Fifty healthy subjects and 15 patients with occlusive disease were studied using 3-D phase contrast MRA. RESULTS: In the 50 normal subjects, 39 (78%) had detectable flow in one or both posterior communicating arteries. In 24 (48%) of these subjects, flow was detected in both posterior communicating arteries, whereas unilateral flow was detected in 15 (30%). In 36 (92%) of the 39 normal subjects, flow in the posterior communicating artery was from anterior to posterior with only 3 (8%) showing reverse flow from posterior to anterior. The A1 segment of both anterior cerebral arteries was identified in 100% of normal subjects with flow in the expected direction from carotid to the A2 segment. In patients with carotid occlusion, the pattern of flow in the circle of Willis was altered with reversed flow in the ipsilateral posterior communicating artery and sometimes in the ipsilateral A1 segment. An ipsilateral posterior communicating artery was present in 10 of 17 occluded carotid arteries, all showing reversed flow. CONCLUSION: 3-D phase contrast MRA provides useful information about the hemodynamics of normal and abnormal blood flow in the circle of Willis.

Aged↗