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S B Reeder

Publications and source records attributed to S B Reeder.

17 recordsLinked to original sources

A novel object-independent "balanced" reference scan for echo-planar imaging.

Interleaved echo-planar imaging (EPI) is susceptible to significant ghosting artifacts, resulting primarily from system time delays that cause data matrix misregistration. Most EPI applications rely on "reference scans" to measure delays, and post-processing algorithms are used to correct these errors. Unfortunately, delay estimates made with most reference scan techniques are object dependent, since they are biased by magnetic field inhomogeneities and chemical shift. The current work describes the effects of field inhomogeneities and their influence on system time delay estimation. Subsequently, a new, object-independent "balanced" reference method using two readout echo trains is proposed for time delay measurements.

Algorithms↗

Referenceless interleaved echo-planar imaging.

Interleaved echo-planar imaging (EPI) is an ultrafast imaging technique important for applications that require high time resolution or short total acquisition times. Unfortunately, EPI is prone to significant ghosting artifacts, resulting primarily from system time delays that cause data matrix misregistration. In this work, it is shown mathematically and experimentally that system time delays are orientation dependent, resulting from anisotropic physical gradient delays. This analysis characterizes the behavior of time delays in oblique coordinates, and a new ghosting artifact caused by anisotropic delays is described. "Compensation blips" are proposed for time delay correction. These blips are shown to remove the effects of anisotropic gradient delays, eliminating the need for repeated reference scans and postprocessing corrections. Examples of phantom and in vivo images are shown.

Algorithms↗

Effects of water exchange on the measurement of myocardial perfusion using paramagnetic contrast agents.

To investigate the effects of water exchange on quantification of perfusion, data were acquired in isolated hearts (n = 11) and used to develop a model of exchange. Myocardial T1 was measured 3 times/sec during step changes in concentration of intravascular (polylysine-gadolinium-diethylene-triamine-pentaacetic acid) and extracellular (gadoteridol) agents. For the intravascular agent, the change in 1/T1 (deltaR1) was lower than predicted by fast exchange (2.7+/-0.5 vs. 7.8 sec(-1), respectively), and suggested an intra-extravascular exchange rate of 3 Hz. For the extracellular agent, contrast kinetics were similar to those of similarly sized molecules (wash-in time constant 38+/-5 sec), and the data suggested fast interstitial-cellular exchange. Modeling showed that perfusion is underestimated for both agents if exchange is ignored, although the relationships of measured to actual perfusion were monotonic. We conclude that myocardial water exchange strongly affects first-pass enhancement but that ignoring the effects of exchange may still provide reasonable estimates of regional perfusion differences.

Animals↗

Multi-echo segmented k-space imaging: an optimized hybrid sequence for ultrafast cardiac imaging.

Cardiac magnetic resonance imaging requires high temporal resolution to resolve motion and contrast uptake with low total scan times to avoid breathing artifacts. While spoiled gradient echo (SPGR) imaging is robust and reproducible, it is relatively inefficient and requires long breath-holds to acquire high time resolution movies of the heart. Echo planar imaging (EPI) is highly efficient with excellent signal-to-noise ratio (SNR) behavior; however, it is particularly difficult to use in the heart because of its sensitivity to chemical shift, susceptibility, and motion. EPI may also require reference scans, which are used to measure hardware delays and phase offsets that cause ghosting artifacts; these reference scans are more difficult and less reliable in the heart. Consequently, a hybrid EPI/SPGR sequence is proposed for application to rapid cardiac imaging. A detailed optimization of SNR and echo train length for multi-echo sequences is presented. It is shown that significant reductions in total scan time are possible while maintaining good image quality. This will allow complete motion sampling of the entire heart in one to three breath-holds, necessary for MR cardiac dobutamine stress testing. Improved speed performance also permits sampling of three to six slices every heartbeat for bolus injection perfusion studies.

Echo-Planar Imaging↗

Simultaneous noninvasive determination of regional myocardial perfusion and oxygen content in rabbits: toward direct measurement of myocardial oxygen consumption at MR imaging.

PURPOSE: To determine whether myocardial arterial perfusion and oxygen concentration can be quantified simultaneously from the same images by using spin labeling and the blood oxygenation level-dependent (BOLD) effect with fast spin-echo (SE) imaging. MATERIALS AND METHODS: A T2-weighted fast SE pulse sequence was written to image isolated, arrested, blood-perfused rabbit hearts (n = 6) at 4.7 T. Perfusion images with intensity in units of milliliters per minute per gram that covered the entire left ventricle with 0.39 x 0.39 x 3.00-mm resolution were obtained in less than 15 minutes with a 32-fold reduction in imaging time from that of a previous study. Estimates of oxygen concentration were made from the same images acquired for calculation of perfusion images. RESULTS: Estimates of regional myocardial oxygen content could be made from the perfusion images; this demonstrated the feasibility of three-dimensional calculation of regional oxygen consumption, which requires concomitant measurement of both oxygen content and flow. Fast SE imaging was shown to be as sensitive to hemoglobin desaturation as standard SE imaging. Perfusion abnormalities and oxygen deficits were easily identified and verified qualitatively with gadopentetate dimeglumine on both perfusion and BOLD images obtained after coronary arterial ligation. CONCLUSION: T2-weighted fast SE imaging combined with perfusion-sensitive spin labeling can be used to measure myocardial arterial perfusion and oxygen concentration. This provides the groundwork for calculation of regional myocardial oxygen consumption.

Animals↗

Magnitude and time course of microvascular obstruction and tissue injury after acute myocardial infarction.

BACKGROUND: Microvascular obstruction within an area of myocardial infarction indicates worse functional recovery and a higher risk of postinfarction complications. After prolonged coronary occlusion, contrast-enhanced MRI identifies myocardial infarction as a hyperenhanced region containing a hypoenhanced core. Because the time course of microvascular obstruction after infarction/reperfusion is unknown, we examined whether microvascular obstruction reaches its full extent shortly after reperfusion or shows significant progression over the following 2 days. METHODS AND RESULTS: Seven dogs underwent 90-minute balloon occlusion of the left anterior descending coronary artery (LAD) followed by reflow. Gadolinium-DTPA-enhanced MRI performed at 2, 6, and 48 hours after reperfusion was compared with radioactive microsphere blood flow (MBF) measurements and myocardial staining to define microvascular obstruction (thioflavin S) and infarct size (triphenyltetrazolium chloride, TTC). The MRI hypoenhanced region increased 3-fold during 48 hours after reperfusion (3.2+/-1.8%, 6.7+/-4.4%, and 9.9+/-3.2% of left ventricular mass at 2, 6, and 48 hours, respectively, P<0.03) and correlated well with microvascular obstruction (MBF <50% of remote region, r=0.99 and thioflavin S, r=0.93). MRI hyperenhancement also increased (21.7+/-4.0%, 24.3+/-4.6%, and 28.8+/-5.1% at 2, 6, and 48 hours, P<0.006) and correlated well with infarct size by TTC (r=0.92). The microvascular obstruction/infarct size ratio increased from 13.0+/-4.8% to 22.6+/-8.9% and to 30.4+/-4.2% over 48 hours (P=0.024). CONCLUSION: The extent of microvascular obstruction and the infarct size increase significantly over the first 48 hours after myocardial infarction. These results are consistent with progressive microvascular and myocardial injury well beyond coronary occlusion and reflow.

Analysis of Variance↗

In vivo measurement of T*2 and field inhomogeneity maps in the human heart at 1.5 T.

Cardiac echo-planar imaging suffers invariably from regions of severe distortion and T*2 decay in the myocardium. The purpose of this work was to perform local measurements of T*2 and field inhomogeneities in the myocardium and to identify the sources of focal signal loss and distortion. Field inhomogeneity maps and T*2 were measured in five normal volunteers in short-axis slices spanning from base to apex. It was found that T*2 ranged from 26 ms (SD = 7 ms, n = 5) to 41 ms (SD = 11 ms, n = 5) over most of the heart, and peak-to-peak field inhomogeneity differences were 71 Hz (SD = 14 Hz, n = 5). In all hearts, regions of severe signal loss were consistently adjacent to the posterior vein of the left ventricle; T*2 in these regions was 12 ms (SD = 2 ms, n = 5), and the difference in resonance frequency with the surrounding myocardium was 70-100 Hz. These effects may be caused by increased magnetic susceptibility from deoxygenated blood in these veins.

Artifacts↗

Single-shot, variable flip-angle slice-selective excitation with four gradient-modulated adiabatic half-passage segments.

Adiabatic pulses, although useful in generating uniform spin nutation in the presence of inhomogeneous B1 fields, are limited for NMR imaging applications due to the lack of slice-selective excitation capability. Selective excitation techniques using gradient modulation have been introduced; however, present methods require either a minimum of two excitations or eight adiabatic segments. Here, a scheme is presented that allows single-shot, arbitrary flip-angle, and slice-selective excitation with only four adiabatic half-passage segments. The technique is demonstrated via computer simulation and experimental tests on a phantom. Furthermore, issues associated with the implementation of these gradient-modulated adiabatic pulses are discussed.

Computer Simulation↗

Fast 23Na magnetic resonance imaging of acute reperfused myocardial infarction. Potential to assess myocardial viability.

BACKGROUND: The ability of the myocyte to maintain an ionic concentration gradient is perhaps the best indication of myocardial viability. We studied the relationship of 23Na MRI intensity to viability and explored the potential of fast-imaging techniques to reduce 23Na imaging times in rabbits and dogs. METHODS AND RESULTS: Eighteen rabbits underwent in situ coronary artery occlusion and reperfusion. The hearts were then either imaged following isolation and perfusion with cardioplegic solution (n = 6), imaged in vivo (n = 6), or analyzed for 23Na content and relaxation times (n = 12). Normal rabbits (n = 6) and dogs (n = 4) were imaged to examine the effect of animal size on 23Na image quality. 23Na imaging times were 7, 11, and 4 minutes for isolated rabbits, in vivo rabbits, and in vivo dogs, respectively. Infarcted, reperfused regions, identified by triphenyltetrazolium chloride staining, showed a significant elevation in 23Na image intensity compared with viable regions (isolated, 42 +/- 5%, P < .02; in vivo, 95 +/- 6%, P < .001), consistent with increased tissue sodium content. Similarly, 23Na MR spectroscopy showed that [Na+] was higher in nonviable than viable myocardium (isolated, 99 +/- 4 versus 61 +/- 2 mmol/L; in vivo, 91 +/- 2 versus 38 +/- 1 mmol/L; P < .001 for both). Image signal-to-noise ratios were higher in dogs than rabbits despite shorter imaging times, primarily due to larger voxels. CONCLUSIONS: Following acute infarction with reperfusion, a regional increase in 23Na MR image intensity is associated with nonviable myocardium. Fast gradient-echo imaging techniques reduce 23Na imaging times to a few minutes, suggesting that 23Na MR imaging has the potential to become a useful experimental and clinical tool.

Animals↗

Techniques for high-speed cardiac magnetic resonance imaging in rats and rabbits.

Progress in research on hypertension, heart failure, aging, post-infarct remodeling, and the molecular basis of cardiovascular diseases in general has been greatly facilitated in recent years by the development of specialized small-mammal models by selective breeding and/or genetic alteration. Routine noninvasive evaluation of cardiac function and perfusion in these animals models, however, is difficult using existing methods. In principle, MRI can be used for this purpose, but in practice this is difficult because of problems related to RF coils, cardiac gating, and imaging pulse sequences. In this article, solutions to these problems are described that have allowed us to use MRI to routinely image the hearts of rats and rabbits. Specifically described are four RF coils, cardiac gating schemes, and an imaging pulse sequence specially designed for cardiac imaging in these animals on a 4.7 T Omega chemical-shift imaging (CSI) spectrometer. These techniques can be used to obtain, within 2 min, eight double-oblique short-axis images of the rat at different cardiac phases with 200 x 400 microm in-plane resolution and a slice thickness of 2 mm. Moreover, myocardial tissue tagging can be performed with tag thicknesses and separations comparable to those used routinely in humans. The technical information is presented in sufficient detail to allow researchers at other sites to reproduce the results. This information should facilitate the use of MRI for the noninvasive examination of cardiac function and perfusion, which can be combined with other established techniques for the study of cardiovascular disease in specialized animal models.

Animals↗

Quantification and reduction of ghosting artifacts in interleaved echo-planar imaging.

A mathematical analysis of ghosting artifacts often seen in interleaved echo-planar images (EPI) is presented. These artifacts result from phase and amplitude discontinuities between lines of k-space in the phase-encoding direction, and timing misregistrations from system filter delays. Phase offsets and time delays are often measured using "reference" scans, to reduce ghosting through postprocessing. From the expressions describing ghosting artifacts, criteria were established for reducing ghosting to acceptable levels. Subsequently, the signal-to-noise ratio (SNR) requirements for estimation of time delays and phase offsets, determined from reference scans, was evaluated to establish the effect of estimation error on artifact reduction for interleaved EPI. Artifacts resulting from these effects can be reduced to very low levels when appropriate reference scan estimation is used. This has important implications for functional MRI (fMRI) and applications involving small changes in signal intensity.

Artifacts↗

Quantitative cardiac perfusion: a noninvasive spin-labeling method that exploits coronary vessel geometry.

PURPOSE: To quantitate myocardial arterial perfusion with a noninvasive magnetic resonance (MR) imaging technique that exploits the geometry of coronary vessel anatomy. MATERIALS AND METHODS: MR imaging was performed with a spin-labeling method in six arrested rabbit hearts at 4.7 T. Selective inversion of magnetization in the short-axis imaging section along with all myocardium apical to that section produces signal enhancement from arterial perfusion. A linescan protocol was used for validation of flow enhancement. Flow was quantitated from two images and validated with spin-echo (SE) imaging. Regional perfusion defects were created by means of coronary artery ligation and delineated with gadolinium-enhanced imaging. RESULTS: Linescan estimates of T1 obtained at physiologic flows agreed with model predictions. Flow-induced signal enhancement measured on SE images also agreed with expected values. Finally, perfusion abnormalities created by means of coronary artery ligation were detected. CONCLUSION: This spin-labeling method provides quantitative estimates of myocardial arterial perfusion in this model and may hold promise for clinical applications.

Animals↗

A magnetization-driven gradient echo pulse sequence for the study of myocardial perfusion.

A T1-weighted imaging pulse sequence for contrast-based studies of myocardial perfusion is presented and evaluated in phantoms and in vivo. The sequence is similar to spoiled gradient-recalled echo sequences except that nonselective preparatory RF pulses drive magnetization to steady state prior to image acquisition. Steady state is thus obtained in both tissue and blood resulting in a stable, homogeneous, and dark pre-contrast baseline. Tip angles and timings are chosen so that pixel intensity approximates a linear relation to 1/T1. The dynamic range of signal response to contrast agent concentration is greater than that of an inversion-recovery fast low angle shot sequence. The sequence proposed should be useful for myocardial perfusion studies.

Blood↗

Blood oxygenation dependence of T1 and T2 in the isolated, perfused rabbit heart at 4.7T.

An MR line scan protocol has been used to measure relaxation parameters (T1 and T2) in isolated, blood perfused rabbit hearts at various blood oxygenations. Hearts were retrogradely perfused at 37 degrees C with a cardioplegic solution (modified St. Thomas' solution) containing sheep red blood cells and adenosine (1 mM) to maximally vasodilate the coronary vascular bed. Arresting the hearts eliminated motion complications and minimized arteriovenous oxygenation differences. The authors have found that under conditions of stable flow, there is a strong correlation between T2 in myocardial septa and hemoglobin (Hb) saturation, while tissue T1 is virtually independent of blood oxygenation. These effects are believed to be due to the paramagnetic agent deoxyhemoglobin.

Adenosine↗

Tag contrast in breath-hold CINE cardiac MRI.

Contrast between tagged and nontagged myocardium was investigated using rapid gradient echo segmented k-space CINE MRI. The transient behavior of magnetization was measured in stationary and moving phantoms using gradient recalled acquisition in steady-state GRASS and spoiled GRASS (SPGR) sequences with TR approximately 7 ms and TE approximately 2.5 ms. Bloch equation simulations were used to compute theoretical results. Understanding the transient behavior of magnetization is important because tags only persist in the myocardium during the nonequilibrium transition to steady state. The transition to steady state for both SPGR and GRASS is reproducible after one heartbeat, and including unprocessed data from the first heartbeat leads to image artifacts. In a moving phantom, simulations and experimental results showed that GRASS and SPGR are essentially equivalent. Tag-tissue contrast in SPGR was very sensitive to imaging tip angle. The optimum tip angle for the scanning parameters used in this study was 11 degrees.

Algorithms↗

The effect of high performance gradients on fast gradient echo imaging.

The effect of gradient system performance on segmented k-space gradient echo imaging is presented. Three cases were investigated. First, an ideal system that has infinite slew rates and unlimited maximum gradient strengths was considered. Second, a "high speed" imaging system (2.3 (G/cm), 23 (G/cm)/ms) was considered. These two cases were compared with a "conventional" imaging system (1(G/cm), 1.67 (G/cm)/ms). It was found that substantial increases in SNR can be achieved (approximately 45%) by using high speed versus a conventional gradient system, for a TR of 6 ms. For trapezoidal gradient waveforms, there exists an optimum maximum gradient strength for a given slew rate, and any increase in gradient strength above this optimum will not be utilized by an optimized sequence. These studies have shown that increasing TR without decreasing the bandwidth is not a good way to increase SNR for constant scan time.

Algorithms↗

Tagged MR imaging in a deforming phantom: photographic validation.

PURPOSE: To validate cine magnetic resonance (MR) image tagging measurements of a deforming object by means of a precise photographic method. MATERIALS AND METHODS: A piece of silicone rubber that acted as a phantom was stretched in a cyclical fashion inside a plastic clamp driven by a respirator pump. Deformation as a function of time was measured with a rapid gradient-echo cine tagging sequence and with sequential stroboscopic photographs. Deformations from 1.0 to 1.2 (0% to 20% stretch) in the readout direction were measured over a 7-cm region of the phantom, which had a maximum standard error of +/- 0.001 with photography and a maximum standard error of +/- 0.003 with MR imaging. RESULTS: The deformation versus time values measured with MR imaging had a standard error of 0.002 about a straight line fit to the photographic deformation versus time data. These results demonstrate that the MR imaging deformation estimates were accurate and precise. CONCLUSION: The validated tagging method can now be used to evaluate MR imaging motion estimation techniques.

Artifacts↗