Search PubMed⌕ Search

Biomedical subjects

Peter Boesiger

Publications and source records attributed to Peter Boesiger.

At least 55 records · Page 3Linked to original sources

Accelerating cine phase-contrast flow measurements using k-t BLAST and k-t SENSE.

Conventional phase-contrast velocity mapping in the ascending aorta was combined with k-t BLAST and k-t SENSE. Up to 5.3-fold net acceleration was achieved, enabling single breath-hold acquisitions. A standard phase-contrast (PC) sequence with interleaved acquisition of the velocity-encoded segments was modified to collect data in 2 stages, a high-resolution under sampled and a low-resolution fully sampled training stage. In addition, a modification of the k-t reconstruction strategy was tested. This strategy, denoted as "plug-in," incorporates data acquired in the training stage into the final reconstruction for improved data consistency, similar to conventional keyhole. "k-t SENSE plug-in" was found to provide best image quality and most accurate flow quantification. For this strategy, at least 10 training profiles are required to yield accurate stroke volumes (relative deviation <5%) and good image quality. In vivo 2D cine velocity mapping was performed in 6 healthy volunteers with 30-32 cardiac phases (spatial resolution 1.3 x 1.3 x 8-10 mm(3), temporal resolution of 18-38 ms), yielding relative stroke volumes of 106 +/- 18% (mean +/- 2*SD) and 112 +/- 15% for 3.8 x and 5.3 x net accelerations, respectively. In summary, k-t BLAST and k-t SENSE are promising approaches that permit significant scan-time reduction in PC velocity mapping, thus making high-resolution breath-held flow quantification possible.

Algorithms↗

Reconstruction of cerebrospinal fluid flow in the third ventricle based on MRI data.

A finite-volume model of the cerebrospinal fluid (CSF) system encompassing the third ventricle and the aqueduct of Sylvius was used to reconstruct CSF velocity and pressure fields based on MRI data. The flow domain geometry was obtained through segmentation of MRI brain anatomy scans. The movement of the domain walls was interpolated from brain motion MRI scans. A constant pressure boundary condition (BC) was specified at the foramina of Monro. A transient velocity BC reconstructed from velocimetric MRI scans was employed at the inferior end of the aqueduct of Sylvius. It could be shown that a combination of MRI scans and computational fluid dynamics (CFD) simulation can be used to reconstruct the flow field in the third ventricle. Pre-interventional knowledge of patient-specific CSF flow has the potential to improve neurosurgical interventions such as shunt placement in case of hydrocephalus.

Adult↗

Effects of memory consolidation on human hippocampal activity during retrieval.

Day-to-day memories undergo transformation from short-term to long-term storage, a process called memory consolidation. Animal studies showed that memory consolidation requires protein synthesis and the growth of new hippocampal synapses within 24 h. To test for effects of memory consolidation in the human, we examined brain activation during the retrieval of information at 10 min and at 24 h following learning using functional magnetic resonance imaging (fMRI), an indirect measure of synaptic activity. Learning instructions were adjusted to yield a comparable retrieval quantity and retrieval quality at 10 min and 24 h after learning. The left hippocampal formation exhibited enhanced activity during the retrieval at the 24 h lag compared to the retrieval at the 10 min lag. Moreover, the activity in the left anterior hippocampal formation showed stronger correlations with retrieval quantity and retrieval quality at the 24 h lag than at the 10 min lag. This suggests that the relation between left anterior hippocampal activity and retrieval success became closer as consolidation progressed. These fMRI results in the human hippocampal formation may correspond to the neurobiological results in the animal hippocampal formation of a strengthening and growth of synaptic connections within 24 h.

Adult↗

In vivo heating of pacemaker leads during magnetic resonance imaging.

AIMS: Magnetic resonance imaging (MRI) is well established as an important diagnostic tool in medicine. However, the presence of a cardiac pacemaker is usually regarded as a contraindication for MRI due to safety reasons. In this study, heating effects at the myocardium-pacemaker lead tip interface have been investigated in a chronic animal model during MRI at 1.5 Tesla. METHODS AND RESULTS: Pacemaker leads with additional thermocouple wires as temperature sensors were implanted in nine animals. Temperature increases of up to 20 degrees C were measured during MRI of the heart. Significant impedance and minor stimulation threshold changes could be seen. However, pathology and histology could not clearly demonstrate heat-induced damage. CONCLUSIONS: MRI may produce considerable heating at the lead tip. Changes of pacing parameters due to MRI could be seen in chronic experiments. Potential risk of tissue damage cannot be excluded even though no reproducible alterations at the histological level could be found.

Animals↗

Accelerated dynamic Fourier velocity encoding by exploiting velocity-spatio-temporal correlations.

OBJECTIVE: To describe how the information content in a Fourier velocity encoding (FVE) scan can be transformed into a very sparse representation and to develop a method that exploits the compactness of the data to significantly accelerate the acquisition. MATERIALS AND METHODS: For validation, fully sampled FVE datasets were acquired in phantom and in vivo experiments. Fivefold and eightfold acceleration was simulated by using only one fifth or one eighth of the data for reconstruction in the proposed method based on the k-t BLAST framework. Reconstructed images were compared quantitatively to those from the fully sampled data. RESULTS: Velocity spectra in the accelerated datasets were comparable to the spectra from fully sampled datasets. The detected peak velocities remained accurate even at eightfold acceleration, and the overall shape of the spectra was well preserved. Slight temporal smoothing was seen in the accelerated datasets. CONCLUSION: A novel technique for accelerating time-resolved FVE scan is presented. It is possible to accelerate FVE to acquisition speeds comparable to a standard time-resolved phase-contrast scan.

Algorithms↗

Improved three-dimensional free-breathing coronary magnetic resonance angiography using gadocoletic acid (B-22956) for intravascular contrast enhancement.

PURPOSE: To evaluate gadocoletic acid (B-22956), a gadolinium-based paramagnetic blood pool agent, for contrast-enhanced coronary magnetic resonance angiography (MRA) in a Phase I clinical trial, and to compare the findings with those obtained using a standard noncontrast T2 preparation sequence. MATERIALS AND METHODS: The left coronary system was imaged in 12 healthy volunteers before B-22956 application and 5 (N = 11) and 45 (N = 7) minutes after application of 0.075 mmol/kg of body weight (BW) of B-22956. Additionally, imaging of the right coronary system was performed 23 minutes after B-22956 application (N = 6). A three-dimensional gradient echo sequence with T2 preparation (precontrast) or inversion recovery (IR) pulse (postcontrast) with real-time navigator correction was used. Assessment of the left and right coronary systems was performed qualitatively (a 4-point visual score for image quality) and quantitatively in terms of signal-to-noise ratio (SNR), contrast-to-noise ratio (CNR), vessel sharpness, visible vessel length, maximal luminal diameter, and the number of visible side branches. RESULTS: Significant (P < 0.01) increases in SNR (+42%) and CNR (+86%) were noted five minutes after B-22956 application, compared to precontrast T2 preparation values. A significant increase in CNR (+40%, P < 0.05) was also noted 45 minutes postcontrast. Vessels (left anterior descending artery (LAD), left coronary circumflex (LCx), and right coronary artery (RCA)) were also significantly (P < 0.05) sharper on postcontrast images. Significant increases in vessel length were noted for the LAD (P < 0.05) and LCx and RCA (both P < 0.01), while significantly more side branches were noted for the LAD and RCA (both P < 0.05) when compared to precontrast T2 preparation values. CONCLUSION: The use of the intravascular contrast agent B-22956 substantially improves both objective and subjective parameters of image quality on high-resolution three-dimensional coronary MRA. The increase in SNR, CNR, and vessel sharpness minimizes current limitations of coronary artery visualization with high-resolution coronary MRA.

Adult↗

Peak-combination HARP: a method to correct for phase errors in HARP.

PURPOSE: To introduce a method to correct phase errors (e.g., from B0 inhomogeneity) in tagging images, which may affect harmonic phase (HARP) evaluation. MATERIALS AND METHODS: The phase images corresponding to the negative and positive harmonic peaks in k-space are combined before HARP evaluation to eliminate any spurious phase. To validate in vivo, two complementary spatial modulation of magnetization (CSPAMM) data sets were collected for each volunteer and evaluated with conventional HARP, using either the positive or the negative harmonic peak, and with peak-combination HARP. RESULTS: Elimination of phase distortion by peak combination was observed in vitro and in vivo. Improved reproducibility of motion parameters was found with peak-combination HARP. CONCLUSION: With peak-combination HARP, reproducibility of contractile parameters is improved, and consequently, the number of subjects needed to detect statistically significant changes in contractile function can be reduced to one third compared to conventional HARP evaluation.

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↗

Cardiac SSFP imaging at 3 Tesla.

Balanced steady-state free precession (SSFP) techniques provide excellent contrast between myocardium and blood at a high signal-to-noise ratio (SNR). Hence, SSFP imaging has become the method of choice for assessing cardiac function at 1.5T. The expected improvement in SNR at higher field strength prompted us to implement SSFP at 3.0T. In this work, an optimized sequence protocol for cardiac SSFP imaging at 3.0T is derived, taking into account several partly adverse effects at higher field, such as increased field inhomogeneities, longer T(1), and power deposition limitations. SSFP contrast is established by optimizing the maximum amplitude of the radiofrequency (RF) field strength for shortest TR, as well as by localized linear or second-order shimming and local optimization of the resonance frequency. Given the increased SNR, sensitivity encoding (SENSE) can be employed to shorten breath-hold times. Short-axis, long-axis, and four-chamber cine views obtained in healthy adult subjects are presented, and three different types of artifacts are discussed along with potential methods for reducing them.

Adult↗

Sensitivity-encoded coronary MRA at 3T.

Long scan times are still a main limitation in free-breathing navigator-gated 3D coronary MR angiography (MRA). Unlike other MRI applications, high-resolution coronary MRA has not been amenable to acceleration by parallel imaging techniques due to signal-to-noise ratio (SNR) concerns. In the present work, mitigating SNR limitations by the transition to higher static magnetic field strength is proposed, thus enabling scan time reduction by the parallel sensitivity encoding (SENSE) technique. The study reports the implementation and evaluation of free-breathing navigator-gated 3D coronary MRA with SENSE at 3T. Results from 11 healthy subjects indicate that the approach permits significant scan time reduction in MRA of the left and right coronary systems. Quantitative image analysis and visual grading suggest that two-fold scan acceleration can be accomplished at nearly preserved image quality. The additional experiments appear to demonstrate that parallel MRA equally permits enhancing volume coverage and spatial resolution while maintaining scan time.

Adult↗

Navigator gating and volume tracking for double-triggered cardiac proton spectroscopy at 3 Tesla.

Respiratory motion compensation based on navigator echoes for double-triggered cardiac proton spectroscopy at 3.0 T is presented. The navigators measure the displacement of the liver-lung interface during free breathing. This information allows for double triggering on a defined window within the respiratory cycle and on a defined trigger delay after the R-wave based on the ECG. Furthermore, it allows the excitation volume to be shifted by the determined respiratory displacement within the defined window in real-time (volume tracking). Static and motion phantom experiments were performed in this study, and it was demonstrated that volume tracking permits the suppression of signal from tissue next to the localized volume. However, triggering on a defined respiratory position is still necessary to achieve high spectral quality, because shimming and water suppression calibration are only optimal for a small window of the respiratory cycle. Single-volume spectra obtained in the myocardial septum of healthy subjects are presented.

Electrocardiography↗

Accelerating cardiac cine 3D imaging using k-t BLAST.

By exploiting spatiotemporal correlations in cardiac acquisitions using k-t BLAST, gated cine 3D acquisitions of the heart were accelerated by a net factor of 4.3, making single breathhold acquisitions possible. Sparse sampling of k-t space along a sheared grid pattern was implemented into a cine 3D SSFP sequence. The acquisition of low-resolution training data, which was required to resolve aliasing in the k-t BLAST method, was either interleaved into the sampling process or obtained in a separate prescan to allow for shorter breathhold durations in patients with heart disease. Volumetric datasets covering the heart with 20 slices at a spatial resolution of 2 x 2 x 5 mm3 were recorded with 20 cardiac phases in a total breathhold duration of 25-27 sec, or 18 sec if partial Fourier sampling was additionally employed. The feasibility of the method was demonstrated on healthy volunteers and on patients. The comparison of endocardial area derived from single slices of the 3D dataset with values extracted from separate single-slice acquisitions showed no significant differences. By shortening the acquisition substantially, k-t BLAST may greatly facilitate volumetric imaging of the heart for evaluation of regional wall motion and the assessment of ventricular volume and ejection fraction.

Computer Simulation↗

Electrodynamics and ultimate SNR in parallel MR imaging.

The purpose of this article is to elucidate inherent limitations to the performance of parallel MRI. The study focuses on the ultimate signal-to-noise ratio (SNR), which refers to the maximum SNR permitted by the electrodynamics of the signal detection process. Using a spherical model object, it is shown that the behavior of the ultimate SNR imposes distinct limits on the acceleration rate in parallel imaging. For low and moderate acceleration, the ultimate SNR performance is nearly optimal, with geometry factors close to 1. However, for high reduction factors beyond a critical value, the ultimate performance deteriorates rapidly, corresponding to exponential growth of the geometry factor. The transition from optimal to deteriorating performance depends on the electrodynamic characteristics of the detected RF fields. In the near-field regime, i.e., for low B0 and small object size, the critical reduction factor is constant and approximately equal to four for 1D acceleration in the sphere. In the far-field wave regime the critical reduction factor is larger and increases both with B0 and object size. Therefore, it is concluded that parallel techniques hold particular promise for human MR imaging at very high field.

Electromagnetic Fields↗

Calibration of echo-planar 2D-selective RF excitation pulses.

Echo-planar radiofrequency (RF) pulses (EPP) are increasingly being used for 2D-selective excitation in MRI. Pulse schemes of this kind are susceptible to eddy-current effects, timing imperfections, and anisotropy of the gradient system. As a consequence, practical EPP implementations have been restricted to robust fly-back strategies that use only every other leg of the echo-planar trajectory for RF transmission. The present work is dedicated to enabling forward-backward EPP with RF transmission during each k-space segment, hence doubling the pulses' time efficiency. This is accomplished by comprehensive pulse calibration based on preparatory measurements of the system imperfections, including potential gradient anisotropy. The effectiveness of the method is demonstrated in vitro and in vivo. By doubling the speed of k-space coverage, the proposed method enhances the potential of EPP for numerous applications. For example, motion-sensitive techniques benefit from shorter feasible echo times (TEs) and improved excitation profiles resulting from reduced in-pulse motion. In sequences with fast repetition, shorter EPP help reduce the overall scan duration. Alternatively, the higher time efficiency of forward-backward EPP can enhance their spatial selectivity.

Anisotropy↗

On the influence of training data quality in k-t BLAST reconstruction.

This work investigated how the quality of prior information (i.e., data acquired during the training stage) influences k-t BLAST reconstruction. The impact of several factors, such as the amount of training data, the presence of spatial misregistration in the training data, and the effects of filtering, was investigated with simulations and in vivo data. It is shown that k-t BLAST outperforms sliding window reconstruction, even with very limited training data. By increasing the amount of training data, reconstruction error continues to decrease, albeit by a diminishing amount. However, an increased amount of training data also increases susceptibility to misregistration of the training data. Filtering of the training data with the goal of reducing truncation artifacts had only minor impact on reconstruction errors. Considering the balance among obtaining the most benefit from the training data, minimizing susceptibility to misregistration, and keeping data acquisition to a minimum, it is concluded that in cardiac imaging the training datasets should be limited to 10-20 profiles in k-space for a typical field of view. The training data may be acquired in a separate breathhold without much penalty, if care is taken to minimize misregistration, such as with a navigator.

Adult↗

Equi-ripple design of quadratic-phase RF pulses.

An improved strategy for the design of quadratic-phase RF pulses with high selectivity and broad bandwidths using the Shinnar-Le Roux (SLR) transformation is proposed. Unlike previous implementations, the required quadratic-phase finite impulse response (FIR) filters are generated using the complex Remez exchange algorithm, which ensures an equi-ripple deviation from the ideal response function. It is argued analytically that quadratic-phase pulses are near-optimal in terms of minimising the B1-amplitude for a given bandwidth and flip angle. Furthermore, several parameter relations are derived, providing practical design guidelines. The effectiveness of the proposed design method is demonstrated by examples of excitation and saturation pulses applied in vitro and in vivo.

Algorithms↗

Retrospective respiratory motion correction for navigated cine velocity mapping.

In general, high spatial and temporal resolutions in cine cardiac imaging require long scan times, making breath-hold acquisition impossible in many cases. To enable free-breathing cardiac imaging, methods such as navigator gating were developed to reduce image artifacts due to respiratory motion. Nevertheless, residual image blurring is seen in images acquired late in the cardiac cycle. Image blurring itself hampers accurate blood flow quantification, especially in vessels exhibiting high flows during diastole. In the present work, the navigator gating and slice tracking method was extended by using navigator information to correct for in-slice motion components throughout the cardiac cycle. For this purpose, a standard two-dimensional (2D) cine phase contrast sequence with navigator gating and slice position correction was used, and navigator information was recorded along with the raw k-space data. In postprocessing, in-plane motion components arising from respiration during the actual data acquisition were estimated and corrected according to the Fourier shift theorem. In phantom experiments, the performance of the correction algorithm for different slice angulations with respect to the navigator orientation was validated. In vivo, coronary flow measurements were performed in 9 healthy volunteers. The correction algorithm led to considerably improved vessel sharpness throughout the cardiac cycle in all measured subjects [increase in vessel sharpness: 16+/-11% (mean+/-SD)]. Furthermore, these improvements resulted in increased volume flow rates [16+/-13% (mean+/-SD)] after retrospective correction indicating the impact of the method. It is concluded that retrospective respiratory motion corrections for navigated cine two-dimensional (2D) velocity mapping can correct for in-plane motion components, providing better image quality for phases acquired late in the cardiac cycle. Therefore, this method holds promise in particular for free-breathing coronary flow quantification.

Blood Flow Velocity↗