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Biomedical subjects

S Patz

Publications and source records attributed to S Patz.

At least 19 recordsLinked to original sources

Pulsed-field-gradient measurements of time-dependent gas diffusion.

Pulsed-field-gradient NMR techniques are demonstrated for measurements of time-dependent gas diffusion. The standard PGSE technique and variants, applied to a free gas mixture of thermally polarized xenon and O2, are found to provide a reproducible measure of the xenon diffusion coefficient (5.71 x 10(-6) m2 s-1 for 1 atm of pure xenon), in excellent agreement with previous, non-NMR measurements. The utility of pulsed-field-gradient NMR techniques is demonstrated by the first measurement of time-dependent (i.e., restricted) gas diffusion inside a porous medium (a random pack of glass beads), with results that agree well with theory. Two modified NMR pulse sequences derived from the PGSE technique (named the Pulsed Gradient Echo, or PGE, and the Pulsed Gradient Multiple Spin Echo, or PGMSE) are also applied to measurements of time dependent diffusion of laser polarized xenon gas, with results in good agreement with previous measurements on thermally polarized gas. The PGMSE technique is found to be superior to the PGE method, and to standard PGSE techniques and variants, for efficiently measuring laser polarized noble gas diffusion over a wide range of diffusion times.

Magnetic Resonance Spectroscopy

Skeletal muscle chemoreflex and pHi in exercise ventilatory control.

To determine whether skeletal muscle hydrogen ion mediates ventilatory drive in humans during exercise, 12 healthy subjects performed three bouts of isotonic submaximal quadriceps exercise on each of 2 days in a 1.5-T magnet for 31P-magnetic resonance spectroscopy (31P-MRS). Bilateral lower extremity positive pressure cuffs were inflated to 45 Torr during exercise (BLPPex) or recovery (BLPPrec) in a randomized order to accentuate a muscle chemoreflex. Simultaneous measurements were made of breath-by-breath expired gases and minute ventilation, arterialized venous blood, and by 31P-MRS of the vastus medialis, acquired from the average of 12 radio-frequency pulses at a repetition time of 2.5 s. With BLPPex, end-exercise minute ventilation was higher (53.3 +/- 3.8 vs. 37.3 +/- 2.2 l/min; P < 0.0001), arterialized PCO2 lower (33 +/- 1 vs. 36 +/- 1 Torr; P = 0.0009), and quadriceps intracellular pH (pHi) more acid (6.44 +/- 0.07 vs. 6.62 +/- 0.07; P = 0.004), compared with BLPPrec. Blood lactate was modestly increased with BLPPex but without a change in arterialized pH. For each subject, pHi was linearly related to minute ventilation during exercise but not to arterialized pH. These data suggest that skeletal muscle hydrogen ion contributes to the exercise ventilatory response.

Adult

Line scan diffusion imaging: characterization in healthy subjects and stroke patients.

OBJECTIVE: Our objective was to evaluate a new scanning method, MR line scan diffusion imaging, and assess the apparent diffusion coefficient in the brains of healthy subjects and stroke patients. SUBJECTS AND METHODS: Line scan diffusion imaging without cardiac gating or head restraints was implemented on low- (0.5 T) and medium- (1.5 T) field-strength scanners with conventional hardware. Diffusion-weighted images were obtained in six healthy subjects and eight stroke patients. Unidirectional diffusion encoding was used for fast localization of stroke lesions. For further characterization, orthogonal diffusion encoding was applied, and the trace of the apparent diffusion coefficient was calculated. Single-shot diffusion-weighted echoplanar imaging served as the reference standard. For healthy subjects, imaging was repeated four times on each scanner. Mean and relative precision of the apparent diffusion coefficient trace values were calculated for each pixel. In stroke lesions and adjacent normal tissue, apparent diffusion coefficient trace values were determined. RESULTS: In the 108 scans obtained, line scan diffusion imaging proved to be robust, virtually free of artifact (independent of slice location and orientation), reproducible, and rapid for localization of a stroke. Scan time for 14 slices at 7-mm thickness was 8 min at 0.5 T and 7 min at 1.5 T. Image qualities with line scan diffusion imaging and single-shot diffusion-weighted echoplanar imaging were comparable. At 1.5 T, precision was essentially the same for line scan diffusion imaging (4.3%) and echoplanar imaging (4.7%). With line scan diffusion imaging at 0.5 T and 1.5 T, normal paraventricular apparent diffusion coefficient trace values averaged 0.71 microm2/msec, and with echoplanar imaging these values averaged 0.69 microm2/msec. In acute lesions apparent diffusion coefficient trace values were low, and in chronic lesions these values were high. CONCLUSION: Line scan diffusion imaging on low- and medium-field-strength MR scanners equipped with conventional hardware was reliable and practical for measuring brain apparent diffusion values, which can be applied to the early diagnosis, and hence timely management, of stroke.

Adult

Line scan diffusion imaging.

A novel line scan diffusion imaging sequence (LSDI) is introduced. LSDI is inherently insensitive to motion artifacts and high quality diffusion maps of the brain can be obtained rapidly without the use of head restraints or cardiac gating. Results from a stroke study and abdominal diffusion images are presented. The results indicate that it is feasible to use the LSDI technique for clinical evaluation of acute ischemic stroke. In contrast to echo-planar diffusion imaging, LSDI does not require modified gradient hardware and can be implemented on conventional scanners. Thus, LSDI should dramatically increase the general availability of robust clinical diffusion imaging.

Abdomen

Simultaneous calculation of flow and diffusion sensitivity in steady-state free precession imaging.

In this paper the authors quantitatively evaluate the combined effect of both flow and diffusion in steady-state free precession (SSFP) imaging. A partition analysis (PA) is used to derive a fourth order approximation (in E2) of the signal in an echo SSFP sequence. The authors also introduce a novel very fast simulation technique, based on a circular convolution, which accurately accounts for both flow and diffusion. A 2D SSFP-echo sequence was implemented to obtain experimental data from a phantom containing three different solutions. Excellent agreement between the theory and the experimental data was found. Then by using the simulation algorithm and experimental measurements of in vivo brain motion, the authors estimated the artifacts to be expected in SSFP diffusion imaging of the brain and found them to be comparable with those of pulsed gradient spin echo. Finally, the authors point out the equivalence between the flow sensitivity of SSFP and RF spoiling commonly used in fast imaging.

Algorithms

The Rician distribution of noisy MRI data.

The image intensity in magnetic resonance magnitude images in the presence of noise is shown to be governed by a Rician distribution. Low signal intensities (SNR < 2) are therefore biased due to the noise. It is shown how the underlying noise can be estimated from the images and a simple correction scheme is provided to reduce the bias. The noise characteristics in phase images are also studied and shown to be very different from those of the magnitude images. Common to both,however, is that the noise distributions are nearly Gaussian for SNR larger than two.

Artifacts

Chemical shift imaging of particle filtration in sandstone cores.

Recent developments have led to increased interest in the application of borehole nuclear magnetic resonance (NMR) as a probe of petrophysical properties. Of particular importance in this connection is the measurement of the longitudinal relaxation time, T1. As T1 is controlled by the pore surface area, its value may be strongly influenced by the invasion of submicron-sized clay particles found in drilling muds. We have studied this effect by the application of phase encode magnetic resonance imaging (MRI) techniques. The extent to which T1 values are affected by particulate invasion is found to depend strongly on the mud characteristics. With thinned spud muds there is a region deep within the core where T1 values are significantly reduced due to an initial spurt of clay particles. In better formulated muds this effect is greatly reduced.

Image Enhancement

Analytical solution and verification of diffusion effect in SSFP.

Assuming that the SSFP magnetization response maintains a steady state which is periodic in the presence of diffusion, we can solve for the diffusion effect in such sequences. Formulating a Fourier series decomposition solution to the Bloch-Torrey equation and imposing the steady-state condition, analytical expressions describing the signal decay due to diffusion are developed. Magnetization responses for any system and sequence parameters can then be obtained. Also, sensitivity to b factor changes is quite different than standard diffusion measurement techniques. Assumptions made in the solution are verified via finite difference solutions and simulations of the Bloch-Torrey equation.

Diffusion

Application of missing pulse steady state free precession to the study of renal microcirculation.

Missing pulse steady state free precession (MP-SSFP), an extension of steady state free precession (SSFP), was evaluated for its ability to measure slow fluid flows. In experiments using flow phantoms, the MP-SSFP signal was sensitive to fluid velocities in the millimeters per second range. Isolated perfused rabbit kidneys were then used to determine if MP-SSFP could measure perfusion in a biological tissue. The signal intensities in the different anatomical regions of the kidney were observed to be related to the total flow to the organ. Furthermore, increasing the flow sensitivity of the pulse sequence by increasing the gradient strength resulted in decreases in the image signal intensity. The MP-SSFP signal was more sensitive to flow in the medulla than in the cortex. This can be related to slow flow sensitivity of MP-SSFP and the known differences in velocity profiles between these two regions. These results suggest that MP-SSFP may be a powerful tool for the noninvasive measurement of slow fluid flows in different regions of the kidney.

Animals

Missing pulse steady-state free precession.

A fast imaging technique, missing pulse steady-state free precession (MP-SSFP), is described. MP-SSFP is one of a class of steady-state free precession techniques in which every nth RF pulse is missing. MP-SSFP has been implemented for the case where every third RF pulse is omitted: [-theta 1-r-theta 2-r-echo-r-]. A RF-refocused echo forms at the time of the missing pulse. This echo is less sensitive to field inhomogeneities than the gradient-recalled echoes used in most fast imaging methods. An analytical expression is obtained for the signal strength as a function of the flip angles theta 1 and theta 2, the interpulse interval tau, and the amount of interpulse dephase. The expression shows that theta 1 and theta 2 provide two degrees of freedom to optimize the signal-to-noise ratio and improve tissue contrast. Two different cases, theta 1 = theta 2 and theta 1 = -theta 2, are described to demonstrate the difference in contrast. The first case gives a strong signal from spins with short T1 and short T2 while the second case has contrast very similar to a conventional SSFP technique. The theoretical expression predicts that the signal consists of multiple components which may be observed experimentally by adjusting the gradient pulses.

Head

Rapid Fourier imaging using steady-state free precession.

Reversal of the read gradient in a SSFP imaging experiment allows a full spin echo to be collected in the interval tau between successive rf pulses. Orthogonal gradient pulses are used to dephase and subsequently rephase the transverse magnetization each tau enabling 2D or 3D Fourier techniques. The minimum data collection time per slice in the 3D technique is 3.1 s (128 X 256). For a 2D data collection, an oscillating bipolar sawtooth gradient is used to select the slice. Each phase-encode value must be averaged over an equivalent portion of the oscillating slice-selection gradient and this condition gives a minimum of 25 s for 2D data collection. Excellent slice selection is achieved with less than 5% of the signal lying outside the slice profile central lobe. Images at 0.14 T show tissue contrast may be manipulated by changing the rf pulse angle, an example of which is the presence or absence of gray/white matter contrast at rf pulse angles of 30 and 90 degrees, respectively. The pulse angle theta dependence of five samples with different values of T2/T1 was measured and numerically calculated with good agreement between theory and experiment for theta less than or equal to 90 degrees.

Brain

Fast imaging of CSF flow/motion patterns using steady-state free precession (SSFP).

Using a rapid Fourier SSFP imaging technique, which is sensitive to slow flow (approximately 1 mm/sec) in the plane of the image, we obtained 135 brain MRI examinations. The CSF flow/motion patterns were mapped by two images with orthogonal in plane flow sensitivity directions. Analysis showed significant deviations from the "normal" pattern in ventricular enlargements because of obstruction (no evidence of CSF flow/motion) or in normal pressure hydrocephalus (complex, intensive flow pattern in lateral ventricles) suggesting a diagnostic potential for this fast imaging technique.

Brain

The application of steady-state free precession to the study of very slow fluid flow.

An NMR imaging technique sensitive to slow flow (approximately 1 mm/s) using a conventional imaging gradient strength (0.025 mT/cm) is described. Two projections with different spatial magnetic periodicity (determined by the SSFP pulse interval), and thus with different flow sensitivities, are subtracted to give signal from flows in a velocity window.

Animals

Basic physics of nuclear magnetic resonance.

This review of basic physics of nuclear magnetic resonance (NMR) discusses precession of magnetic nuclei in a static external field, introduces the concept of the rotating frame, and describes excitation of nuclei by an RF field. Treats subject of T1 and T2 relaxation from the dual viewpoints of (1) phenomena of relaxation times for both the longitudinal and transverse magnetization and (2) relaxation resulting from local field fluctuations. It describes practical ways in which T1 and T2 are measured (i.e., inversion recovery and spin-echo) and gives the value of the nuclear magnetization in thermodynamic equilibrium with a static external field. It discusses the reduction of NMR signal resulting from saturation. These concepts are related to clinical use with a set of four spin-echo images of a human head.

Astrocytoma

Mapping of normal and abnormal cerebrospinal fluid flow/motion patterns using steady state free precession imaging.

In a comparative study more than 35 brain magnetic resonance imaging examinations were analyzed by mapping the CSF flow/motion pattern using the steady state free precession technique with two different flow sensitivity directions. Significant deviations from the normal pattern were seen in ventricular enlargements due to obstruction with no evidence of CSF flow/motion and in normal pressure hydrocephalus with complex flow pattern in lateral ventricles, suggesting a diagnostic potential for this fast imaging technique with sensitivity to very slow flow.

Cerebrospinal Fluid

The placing of many large superconducting magnets in a limited space.

The problem of minimizing the space needed to house two or three superconducting magnets was studied. Dipolar fields were used to approximate the stray fields. Field contours of a single dipole mu are reviewed. The three-dimensional contour surface is discussed in terms of its intersection with planes parallel to a base plane containing mu. The area within a field contour H in the base plane was numerically determined to be 142.55 m2[(mu/mu 0)(H0/H)]2/3 where mu 0 = 10(9) erg/G and H0 = 5 G. For the contours within planes parallel to the base plane, the contour area and its intercepts with the planar x and y axes are given as a function of the distance from the base plane. For two dipoles at one site and for a given mechanical stress, the torque-free orientations allow closer spacing. Field contours for the four torque-free orientations are given for mu 1 = mu 2. For one zero-torque configuration (mu 1 and mu 2 antiparallel, but perpendicular to the line joining them) and for a mutual force of 667 N (150 lb), the 5-G contour area is only 36% greater than that for a single dipole. General expressions for the forces, torques, and field gradients for two dipoles are given. Torque-free cases of three superconducting magnets (two of which are identical) at one site are described. Contour plots of the linear arrangements of the magnets as well as of two symmetrical triangular arrangements (corner angle is either 70.5 or 109.5 degrees) are given.

Equipment Safety