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Biomedical subjects

Peter Börnert

Publications and source records attributed to Peter Börnert.

At least 19 recordsLinked to original sources

Dual-contrast single breath-hold 3D abdominal MR imaging.

OBJECT: Multiple contrasts are often helpful for a comprehensive diagnosis. In 3D abdominal MRI, breath-hold techniques are preferred for single contrast acquisitions to avoid respiratory artifacts. In this paper, highly accelerated parallel MRI is used to acquire large 3D abdominal volumes with two different contrasts within a single breath-hold. MATERIAL AND METHODS: In vivo studies have been performed on six healthy volunteers, combining T (1)- and T (2)-weighted, gradient- or spin-echo based scans, as well as water/fat resolved imaging in a single breath-hold. These 3D scans were acquired with an acceleration factor of six, using a prototype 32-element receive array. RESULTS: The presented approach was tested successfully on all volunteers. The whole liver area was covered by a FOV of 350 x 250 x 200 mm(3) for all scans with reasonable spatial resolution. Arbitrary scan protocols generating different contrasts have been shown to be combinable in this single breath-hold approach. Good spatial correspondence with negligible spatial offset was achieved for all different scan combinations acquired in overall breath-hold times between 15 and 25 s. CONCLUSION: Enabled by highly parallel imaging technology, this study demonstrates the technical feasibility and the promising image quality of single breath-hold dual contrast MRI.

Abdomen↗

Free-breathing whole-heart coronary MR angiography on a clinical scanner in four minutes.

PURPOSE: To set up a robust and patient-friendly whole-heart protocol based on 32-receive-channel technology that will potentially allow a large part of the patient population to be addressed. MATERIALS AND METHODS: Ten volunteers were examined on a clinical 1.5 T scanner equipped with a 32-channel data acquisition system using an experimental 32-element coil array. A magnetization-prepared, navigator-gated and -tracked 3D Cartesian balanced FFE sequence was used for whole-heart coronary MR angiography (MRA). With the use of sensitivity encoding (SENSE) and partial Fourier encoding for scan acceleration, nearly isotropic high-resolution data sets were acquired during free breathing in four minutes. RESULTS: A high contrast and sufficient signal-to-noise ratio (SNR) were obtained, which allowed visualization of the major vessels up to the distal regions and detection of major branches. Phase encoding in the anterior-posterior (AP) direction was the most favorable SENSE configuration and allowed a reasonable scan time reduction with moderate SENSE factors. CONCLUSION: The employed 32-receive channel technology enabled a robust trade-off among SNR, spatial resolution, and scan time. In this study the most robust results were obtained using the smallest possible SENSE factors for a given voxel size and scan time.

Adult↗

Three-dimensional radial ultrashort echo-time imaging with T2 adapted sampling.

The application of 3D radial sampling of the free-induction decay to proton ultrashort echo-time (UTE) imaging is reported. The effects of T2 decay during signal acquisition on the 3D radial point-spread function are analyzed and compared to 2D radial and 1D sampling. It is found that in addition to the use of ultrashort TE, the proper choice of the acquisition-window duration TAQ is essential for imaging short-T2 components. For 3D radial sampling, a maximal signal-to-noise ratio (SNR) with negligible decay-induced loss in spatial resolution is obtained for an acquisition-window duration of TAQ approximately 0.69 T2. For 2D and 1D sampling, corresponding values are derived as well. Phantom measurements confirm the theoretical findings and demonstrate the impact of different acquisition-window durations on SNR and spatial resolution for a given T2 component. In vivo scans show the potential of 3D UTE imaging with T2-adapted sampling for musculoskeletal imaging using standard MR equipment. The visualization of complex anatomy is demonstrated by extracting curved slices from the isotropically resolved 3D UTE image data.

Algorithms↗

Continuously moving table 3D MRI with lateral frequency-encoding direction.

A method is presented for 3D MRI in an extended field of view (FOV) based on continuous motion of the patient table and an efficient acquisition scheme. A gradient-echo MR pulse sequence is applied with lateral (left-right (L/R)) frequency-encoding direction and slab selection along the direction of motion. Compensation for the table motion is achieved by a combination of slab tracking and data alignment in hybrid space. The method allows fast k-space coverage to be achieved, especially when a short sampling FOV is chosen along the direction of table motion, as is desirable for good image quality. The method can be incorporated into different acquisitions schemes, including segmented k-space scanning, which allows for contrast variation with the use of magnetization preparation. Head-to-toe images of volunteers were obtained with good quality using 3D spoiled gradient-echo sequences. As an example of magnetization-prepared imaging, fat/water separated images were acquired using chemical shift selective (CHESS) presaturation pulses.

Beds↗

Parallel RF transmission in MRI.

Following the development of parallel imaging, parallel transmission describes the use of multiple RF transmit coils. Parallel transmission can be applied to improve RF excitation, in particular, multidimensional, spatially selective RF excitation. For instance, parallel transmission is able to shorten spatially selective RF pulses in two or three dimensions, or to minimize the occurring SAR. One potential major application might be the compensation of patient-induced B(1) inhomogeneities, particularly at high main fields. This paper provides an overview of selected aspects of this new transmission approach. The basic principles of parallel transmission are discussed, initial experimental proofs are described, and the impact of error propagation on coil design for parallel transmission is outlined.

Algorithms↗

Spiral coronary angiography using a blood pool agent.

PURPOSE: To experimentally investigate the optimum dose of an iron-oxide-based blood pool agent for spiral coronary MR angiography (MRA), and the difference between single and multiple spiral excitations in each cardiac cycle. MATERIALS AND METHODS: Images using single and triple spiral excitations in each cardiac cycle were obtained in late diastole of the left main coronary artery in eight pigs following an inversion prepulse. Measurements were obtained before and after injection of increasing doses of an iron oxide blood pool agent (Clariscan) corresponding to concentrations of 0.8, 2.2, and 3.9 mg Fe/kg BW. The signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) were measured. RESULTS: For 0.8 mg Fe/kg BW relative to precontrast values, a significant increase was observed for both one (SNR: 2.3, CNR: 3.8) and three (SNR: 1.4, CNR: 2.2) excitations (P < 0.01). When the dose was increased from 0.8 mg Fe/kg BW to 2.2 mg Fe/kg BW, only the SNR (P < 0.01) increased further. Significantly higher CNR (1.6-1.8) and SNR (1.4-1.6) values were seen for one excitation relative to three excitations at all concentrations (P < 0.05). CONCLUSION: At low concentrations, an iron oxide blood pool agent can increase SNR and CNR significantly with both single excitation and triple excitations using an inversion-prepared spiral acquisition scheme. At higher concentrations, T2* effects reduce image quality.

Animals↗

Continuously moving table SENSE imaging.

A combination of continuously moving table imaging and parallel imaging based on sensitivity encoding (SENSE) is presented. One specific geometry is considered, where the receiver array is fixed to the MR magnet and does not move with the table, which allows for head-to-toe imaging with a small total number of coils. Sensitivity maps are defined for the enlarged virtual field of view and are composed according to the k-space sampling scheme such that established parallel reconstruction techniques are applicable to good approximation. In vivo experiments show the feasibility of this approach, and simulations determine the application range. Three-dimensional head-to-toe imaging of volunteers is performed in 77 s with a SENSE reduction factor of 2 in a virtual field of view of 1800 x 460 x 100 mm(3).

Computer Simulation↗

Ghost artifact removal using a parallel imaging approach.

Parallel imaging techniques, which use several receive coils simultaneously, have been shown to enable a significant scan time reduction by subsampling k-space. Nevertheless, the data acquired with multiple coils in parallel exhibit some redundancy if the number of receive coils exceeds the subsampling factor. This redundancy leads to an overdetermination of the reconstruction problem, which is generally used to optimize the signal-to-noise ratio (SNR). However, it can yield further information about the quality of the reconstructed image, and can thus be used to identify and correct image artifacts. While some known approaches try to solve this problem in k-space, this study addresses it in the spatial domain and uses a modified SENSE reconstruction to reduce or completely remove ghost-type artifacts arising from processes such as motion or flow during data acquisition. Phantom and in vivo studies show significant improvements in image quality after correction, and serve as a basis for the discussion of the performance and limitations of this new approach.

Algorithms↗

Prospective correction of affine motion for arbitrary MR sequences on a clinical scanner.

The concept of prospective 3D affine motion correction was generalized, based on the Bloch equations, for signal excitation and sampling using arbitrary MR sequences. The technique was implemented on a clinical MRI scanner for Cartesian, radial, and spiral imaging sequences, as well as for 2D spatially selective RF excitation pulses. A patient-specific motion model steered by real-time navigators was employed to account for the additional degrees of freedom provided by the affine motion model. Different navigator concepts (multiple spatial and temporal navigators, quadratic navigators and other motion sensors) were investigated, with the aim of improving the correlation between navigator information and the motion model. Experiments on moving phantoms are presented to prove the technical feasibility of the approach. In vivo experiments on coronary MRA and renal MRI show the potential of the method for cardiac and abdominal applications hampered by respiratory motion.

Adult↗

Spiral MR myocardial tagging.

In the present study, complementary spatial modulation of magnetization (CSPAMM) myocardial tagging was extended with an interleaved spiral imaging sequence. The use of a spiral sequence enables the acquisition of grid-tagged images with a tagline distance as low as 4 mm in a single breath-hold. Alternatively, a high temporal resolution of 77 frames per second was obtained with 8-mm grid spacing. Ten healthy adult subjects were studied. With this new approach, high-quality images can be obtained and the tags persist throughout the entire cardiac cycle.

Adult↗

Theoretical and numerical aspects of transmit SENSE.

The ideas of parallel imaging techniques, designed to shorten the acquisition time by the simultaneous use of multiple receive coils, can be adapted for parallel transmission of a spatially selective multidimensional RF pulse. In analogy to data acquisition, a multidimensional RF pulse follows a certain trajectory in k-space. Shortening this trajectory shortens the pulse duration. The use of multiple transmit coils, each with its own time-dependent waveform and spatial sensitivity, compensates for the missing parts of k-space. This results in a maintained spatial definition of the pulse profile while its duration is reduced. This paper describes the basic equations of parallel transmission with arbitrarily shaped transmit coils ("Transmit SENSE") focusing on two-dimensional RF pulses. Results of numerical studies are presented demonstrating the theoretical feasibility of the approach.

Computer Simulation↗

2D-RF-pulse-encoded curved-slice imaging.

A new approach to curved-slice imaging is described in which spatial resolution is achieved using 2D-RF-pulse- and conventional-frequency encoding. This approach offers the opportunity to image curved anatomical structures directly using curved single-slice MRI. A set of 2D-RF pulses is employed to excite transverse magnetization in an arbitrarily shaped curved-slice profile in three-dimensional space. Spatial resolution along the curved-slice direction is achieved by encoding the different volume elements of the slice using a set of specially designed RF pulses and an appropriate encoding scheme. The remaining spatial direction is measured using conventional-frequency encoding. Phantom and in vivo experiments were carried out to illustrate the basic feasibility and the limitations of this approach.

Anatomy, Cross-Sectional↗

Spatial excitation using variable-density spiral trajectories.

PURPOSE: To examine the usefulness of variable-density k-space trajectories for the design of multi-dimensional spatially selective RF pulses. MATERIALS AND METHODS: Experimental phantom and in vivo studies were performed and confirmed by simulations. Two-dimensional spatially selective magnetization patterns were excited using variable-density spiral trajectories and analyzed with respect to the signal excitation outside the excitation field of view (FOX). RESULTS: By using variable-density trajectories, signal excitation outside the FOX was drastically reduced compared to trajectories with a uniform density, while maintaining fairly short pulse durations. CONCLUSION: A main advantage of the method is that unwanted signal excitation outside the nominal FOX can be reduced without significantly increasing the duration of the RF excitation pulse. The variable-density approach is useful for all applications that require a well-defined spatial excitation profile, e.g., to perform imaging in a reduced field of view (FOV), for spatial saturation pulses, for curved slice imaging or in MR spectroscopy.

Computer Simulation↗

Transmit SENSE.

The idea of using parallel imaging to shorten the acquisition time by the simultaneous use of multiple receive coils can be adapted for the parallel transmission of a spatially-selective multidimensional RF pulse. As in data acquisition, a multidimensional RF pulse follows a certain k-space trajectory. Shortening this trajectory shortens the pulse duration. The use of multiple transmit coils, each with its own time-dependent waveform and spatial sensitivity, can compensate for the missing parts of the excitation k-space. This results in a maintained spatial definition of the pulse profile, while its duration is reduced. This work introduces the concept of parallel transmission with arbitrarily shaped transmit coils (termed "Transmit SENSE"). Results of numerical studies demonstrate the theoretical feasibility of the approach. The experimental proof of principle is provided on a commercial MR scanner. The lack of multiple independent transmit channels was addressed by combining the excitation patterns from two separate subexperiments with different transmit setups. Shortening multidimensional RF pulses could be an interesting means of making 3D RF pulses feasible even for fast T(2)(*) relaxing species or strong main field inhomogeneities. Other applications might benefit from the ability of Transmit SENSE to improve the spatial resolution of the pulse profile while maintaining the transmit duration.

Computer Simulation↗

Novel prospective respiratory motion correction approach for free-breathing coronary MR angiography using a patient-adapted affine motion model.

A novel technique is presented which enables the calibration of a 3D affine respiratory motion model to the individual motion pattern of the patient. The concept of multiple navigators and precursory navigators is introduced to address nonlinear properties and hysteresis effects of the model parameters with respect to the conventional diaphragmatic navigator. The optimal combination and weighting of the navigators is determined on the basis of a principal component analysis (PCA). Thus, based on a given navigator measurement the current motion state of the object can be predicted by means of the calibrated motion model. The 3D motion model is applied in high-resolution coronary MR angiography examinations (CMRA) to prospectively correct for respiration-induced motion. The basic feasibility of the proposed calibration procedure was shown in 16 volunteers. Furthermore, the application of the calibrated motion model for CMRA examinations of the right coronary artery (RCA) was tested in 10 volunteers. The superiority of a calibrated 3D translation model over the conventional 1D translation model with a fixed correction factor and the potential of affine prospective motion correction for CMRA are demonstrated.

Adult↗

Navigator-gated coronary magnetic resonance angiography using steady-state-free-precession: comparison to standard T2-prepared gradient-echo and spiral imaging.

RATIONALE AND OBJECTIVES: Recent developments of magnetic resonance imaging enabled free-breathing coronary MRA (cMRA) using steady-state-free-precession (SSFP) for endogenous contrast. The purpose of this study was a systematic comparison of SSFP cMRA with standard T2-prepared gradient-echo and spiral cMRA. METHODS: Navigator-gated free-breathing T2-prepared SSFP-, T2-prepared gradient-echo- and T2-prepared spiral cMRA was performed in 18 healthy swine (45-68 kg body-weight). Image quality was investigated subjectively and signal-to-noise ratio (SNR), contrast-to-noise ratio (CNR) and vessel sharpness were compared. RESULTS: SSFP cMRA allowed for high quality cMRA during free breathing with substantial improvements in SNR, CNR and vessel sharpness when compared with standard T2-prepared gradient-echo imaging. Spiral imaging demonstrated the highest SNR while image quality score and vessel definition was best for SSFP imaging. CONCLUSION: Navigator-gated free-breathing T2-prepared SSFP cMRA is a promising new imaging approach for high signal and high contrast imaging of the coronary arteries with improved vessel border definition.

Animals↗

Three-dimensional black-blood cardiac magnetic resonance coronary vessel wall imaging detects positive arterial remodeling in patients with nonsignificant coronary artery disease.

BACKGROUND: Direct noninvasive visualization of the coronary vessel wall may enhance risk stratification by quantifying subclinical coronary atherosclerotic plaque burden. We sought to evaluate high-resolution black-blood 3D cardiovascular magnetic resonance (CMR) imaging for in vivo visualization of the proximal coronary artery vessel wall. METHODS AND RESULTS: Twelve adult subjects, including 6 clinically healthy subjects and 6 patients with nonsignificant coronary artery disease (10% to 50% x-ray angiographic diameter reduction) were studied with the use of a commercial 1.5 Tesla CMR scanner. Free-breathing 3D coronary vessel wall imaging was performed along the major axis of the right coronary artery with isotropic spatial resolution (1.0x1.0x1.0 mm(3)) with the use of a black-blood spiral image acquisition. The proximal vessel wall thickness and luminal diameter were objectively determined with an automated edge detection tool. The 3D CMR vessel wall scans allowed for visualization of the contiguous proximal right coronary artery in all subjects. Both mean vessel wall thickness (1.7+/-0.3 versus 1.0+/-0.2 mm) and wall area (25.4+/-6.9 versus 11.5+/-5.2 mm(2)) were significantly increased in the patients compared with the healthy subjects (both P<0.01). The lumen diameter (3.6+/-0.7 versus 3.4+/-0.5 mm, P=0.47) and lumen area (8.9+/-3.4 versus 7.9+/-3.5 mm(2), P=0.47) were similar in both groups. CONCLUSIONS: Free-breathing 3D black-blood coronary CMR with isotropic resolution identified an increased coronary vessel wall thickness with preservation of lumen size in patients with nonsignificant coronary artery disease, consistent with a "Glagov-type" outward arterial remodeling. This novel approach has the potential to quantify subclinical disease.

Adult↗

Comparison of fat suppression strategies in 3D spiral coronary magnetic resonance angiography.

PURPOSE: In the present study, the impact of the two different fat suppression techniques was investigated for free breathing 3D spiral coronary magnetic resonance angiography (MRA). As the coronary arteries are embedded in epicardial fat and are adjacent to myocardial tissue, magnetization preparation such as T(2)-preparation and fat suppression is essential for coronary discrimination. MATERIALS AND METHODS: Fat-signal suppression in three-dimensional (3D) thin- slab coronary MRA based on a spiral k-space data acquisition can either be achieved by signal pre-saturation using a spectrally selective inversion recovery pre-pulse or by spectral-spatial excitation. In the present study, the performance of the two different approaches was studied in healthy subjects. RESULTS: No significant objective or subjective difference was found between the two fat suppression approaches. CONCLUSION: Spectral pre-saturation seems preferred for coronary MRA applications due to the ease of implementation and the shorter cardiac acquisition window.

Adult↗