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Biomedical subjects

R E Wendt

Publications and source records attributed to R E Wendt.

26 records · Page 2Linked to original sources

Myocardial infarct size quantification by MR imaging early after coronary artery occlusion in dogs.

The feasibility of using magnetic resonance (MR) imaging to estimate myocardial infarct size was explored in an in vitro model using only the inherent differences in contrast between infarcted and noninfarcted myocardium. Eight dogs underwent coronary occlusion; their hearts were removed 6 hours later. Estimates of T2 for normal and infarcted myocardium were derived from MR images. Infarct size was quantified anatomically using triphenyltetrazolium-chloride (TTC) staining and compared with MR estimates. The T2 values derived from the images clearly discriminated between infarcted (126 +/- 22 msec) and normal myocardium (88 +/- 10 msec, P less than .05), providing images with good contrast between normal and infarcted myocardium. Comparable differences in T2 values were also noted from spectrometric determinations. Estimates of infarct size by MR imaging compared well with TTC estimates (r = 0.98) over a wide range of infarct sizes from 3% to 29% of the left ventricular mass. These results suggest the potential for in vivo quantification of infarct size based on the inherent contrast difference between infarcted and normal myocardium.

Animals↗

Phase alterations of spin echoes by motion along magnetic field gradients.

Using a Taylor series expansion of the phase shift of a moving isochromatic spin group in the presence of a magnetic field gradient, the refocusing effects of the Carr-Purcell-Meiboom-Gill pulse sequence on stationary nuclei and those with constant, rectilinear velocity are readily demonstrated. Continuing the analysis to higher orders of motion reveals that nuclei with a constant, rectilinear acceleration have a phase shift at the spin echoes which increases linearly with echo number. Constant, rectilinear jerk (the time rate of change of acceleration) leads to an increase in phase shift from echo to echo which is quadratic in nature with an overlying reduction of the odd-numbered echoes by a constant amount. Motion parameters may be measured by parameter identification techniques. These principles may be applied to phase-sensitive NMR imaging.

Magnetic Resonance Spectroscopy↗

Interpretation of multigated Fourier functional images.

First-harmonic Fourier analysis is currently used to aid in the interpretation of multigated cardiac studies. Its intrinsic inaccuracies are not generally appreciated. This study investigates the characteristics and magnitudes of the errors of this technique. The study analyzes computer-generated phantoms that isolate the various motions of the ventricles (contraction, translation, and rotation) with the first-harmonic approach. The first-harmonic output is compared with a more accurate fitting scheme using multiple terms of the Fourier expansion. Significant artifacts of the inaccuracy of the first harmonic appear in the phantom studies and are observed in patient examples. We conclude that caution is needed in interpreting first-harmonic phase and amplitude images, and particularly in associating them with parameters like the onset of contraction and the stroke volume.

Computers↗

Interactive design of motion-compensated gradient waveforms with a personal computer spreadsheet program.

A personal computer spreadsheet program was used to compute the amplitudes of the gradient pulses in motion-compensated gradient waveforms. The resulting designs for velocity-compensated, gradient-echo, frequency-encoding gradients and velocity-compensated section-select waveforms required little or no modification when implemented on two clinical magnetic resonance imagers.

Magnetic Resonance Imaging↗

Significance of the point of expansion in interpretation of gradient moments and motion sensitivity.

The relationship between magnetic field gradient waveform moments and the motion sensitivity of magnetic resonance imaging was explored analytically and by computer simulation. The analysis and simulations revealed several key points. In general, waveform time moments define sensitivity to the time derivatives of position of moving material only at a single time point: the time about which the moments are computed. A Taylor series description of instantaneous position is expanded about this same time point to compute the phase acquired due to specific derivatives of position. A moment is proportional to phase sensitivity to a particular derivative of position throughout the waveform only when sensitivity to all lower-order derivatives is zero. Under restricted conditions of waveform symmetry and motion characteristics, the phase due to motion may be expressed in terms of the average value of a derivative of position over the duration of the waveform. The choice of the moment center, or point of expansion, adds a degree of freedom that may be used advantageously in the design of motion-compensating and motion phase-encoding gradient waveforms. These results facilitate a more complete understanding of the effects of motion through a magnetic field gradient.

Computer Simulation↗

An electrocardiograph-respiration gating device for MR studies.

A versatile gating device for magnetic resonance (MR) spectroscopy and imaging is presented. The device uses electrocardiograph (ECG) and respiration signals as input, applies appropriate signal conditioning, and generates control signals for ECG, respiration, or combined gating studies. In the combined ECG and respiration mode, in conjunction with a proper MR pulse program, one can acquire MR data gated by the ECG signal within a selected window of the respiration cycle, while maintaining a steady level of magnetization saturation during the remainder of the respiration cycle, by gating the radio-frequency excitation with the ECG while inhibiting data acquisition.

Animals↗

Eddy current correction in volume-localized MR spectroscopy.

The quality of volume-localized magnetic resonance spectroscopy is affected by eddy currents caused by gradient switching. Eddy currents can be reduced with improved gradient systems; however, it has been suggested that the distortion due to eddy currents can be compensated for during postprocessing with a single-frequency reference signal. The authors propose modifying current techniques for acquiring the single-frequency reference signal by using relaxation weighting to reduce interference from components that cannot be eliminated by digital filtering alone. Additional sequences with T1 or T2 weighting for reference signal acquisition are shown to have the same eddy current characteristics as the original signal without relaxation weighting. The authors also studied a new eddy current correction method that does not require a single-frequency reference signal. This method uses two free induction decays (FIDs) collected from the same volume with two sequences with opposite gradients. Phase errors caused by eddy currents are opposite in these two FIDs and can be canceled completely by combining the FIDs. These methods were tested in a phantom. Eddy current distortions were corrected, allowing quantitative measurement of structures such as the -CH = CH- component, which is otherwise undetectable.

Algorithms↗

Magnetic resonance imaging for assessment of tissue rejection after heterotopic heart transplantation.

Detection of myocardial rejection is difficult in patients with heterotopic heart transplantation because of the complex vascular anatomy present after transplant surgery. To determine whether magnetic resonance imaging might be useful for the assessment of heart rejection, eight patients with heterotopic heart transplantation were serially studied on 27 occasions. One patient had two donor hearts implanted, which allowed the study of 33 donor hearts. Data acquisition was gated to the ECG signal of the donor heart. Heavily T2-weighted (TE = 90 ms) velocity compensated spin-echo images were obtained through the midportion of the donor heart to assess tissue rejection. Donor heart function was qualitatively measured by acquiring multiphasic gradient echo images at the same level. A myocardial/skeletal muscle signal intensity ratio was calculated for the donor heart and compared to results of right ventricular biopsy obtained within 24 hours of imaging. A change in signal intensity ratio of 0.14 or more exceeded normal signal variation. All three episodes of rejection detected by biopsy were detected by magnetic resonance imaging. In three instances a significant change in the signal intensity ratio was associated with clinical evidence of rejection and a negative biopsy. Two instances were treated with a steroid bolus, and the signal returned to baseline. In three other instances a significant change in the magnetic resonance imaging signal occurred without clinical or biopsy evidence of rejection. Cardiac toxoplasmosis was present in one of these cases, and signal intensity returned to baseline after treatment.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗