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Stephen J Riederer

Publications and source records attributed to Stephen J Riederer.

At least 19 recordsLinked to original sources

Motion correction properties of the shells k-space trajectory.

The feasibility of a k-space trajectory that samples data on a set of 3D shells is demonstrated with phantom and volunteer experiments. Details of an interleaved multi-shot, helical spiral pulse sequence and a gridding reconstruction algorithm that uses Voronoi diagrams are provided. The motion-correction properties of the shells k-space trajectory are described. It is shown that when used in conjunction with three point markers, k-space data acquired with the shells trajectory provide a generalization of the RINGLET method, allowing for correction of arbitrary rigid-body motion with six degrees of freedom. Use of dedicated navigator echoes or redundant acquisitions of k-space data are not required. Retrospective motion correction is demonstrated with controlled phantom experiments and with seven healthy human volunteers. The motion correction is shown to improve the images, both qualitatively and quantitatively with a metric calculated from image entropy. Advantages and challenges of the shells trajectory are discussed, with particular attention to acquisition efficiency.

Algorithms↗

Undersampled elliptical centric view-order for improved spatial resolution in contrast-enhanced MR angiography.

Although contrast-enhanced MR angiography (CE-MRA) has been successfully developed into a routine clinical imaging technique, there is still need for improved spatial resolution in a given acquisition time. Undersampled projection reconstruction (PR) techniques maintain spatial resolution with reduced scan times, and the elliptical centric (EC) view order provides high quality arterial phase images without venous contamination. In this work, we present a hybrid elliptical centric-projection reconstruction (EC-PR) technique to provide spatial resolution improvement over standard EC in a given time. The k-space sampling was performed by undersampling the periphery of the k(Y)-k(Z) phase encoding plane of an EC view order in a PR like manner. The sampled views were maintained on a rectilinear grid, and thus reconstructed by standard 3DFT. The non-sampled views were compensated either by zero-filling or performing a 2D homodyne reconstruction. Compared to a fully sampled k-space, the EC-PR sequence acquired in the same scan time provides a resolution improvement of about two, as shown by point spread function analysis and phantom experiments. The hypothesis that EC-PR provides improved resolution while retaining diagnostically adequate SNR was tested in 11 CE-MRA studies of the popliteal and carotid arteries and shown to be true (P < 0.03).

Carotid Arteries↗

Combination of 2D sensitivity encoding and 2D partial fourier techniques for improved acceleration in 3D contrast-enhanced MR angiography.

Sensitivity encoding (SENSE) and partial Fourier (PF) techniques both reduce MRI acquisition time. Two-dimensional SENSE uses coil sensitivities to unfold aliasing in the phase/slice-encoding plane. One-dimensional PF and homodyne reconstruction are routinely applied in the frequency/phase-encoding plane to compensate for nonsampled k-space of the presumed real magnetization. Recently, a modified 3D elliptical centric acquisition was proposed to facilitate 2D-PF and homodyne reconstruction on an undersampled phase/slice-encoding plane. In this work we hypothesized that this 2D-PF technique can be combined with 2D-SENSE to achieve a greater acceleration factor than what each method can provide separately. Reconstruction of data whereby SENSE and PF are applied along the same axes is described. Contrast-enhanced MR angiography (CE-MRA) results from experiments using four receiver coils in phantom and volunteer studies are shown. In 11 volunteer studies, the SENSE-PF-homodyne technique using sevenfold acceleration (4x SENSE, 1.7x PF) consistently provided high-diagnostic-quality images with near 1-mm isotropic resolution in acquisition times of <20 s.

Contrast Media↗

Numerical equilibration of signal intensity and spatial resolution in time-resolved continuously moving table imaging.

Time-resolved continuously moving table imaging techniques have been previously developed to observe a dynamically changing phenomenon over an extended field-of-view. The acquisition involves differential k-space sampling and view sharing. Since the table is continuously moving during data acquisition, the k-space for any longitudinal position is sampled only sparsely for the first reconstruction timeframe and is progressively more fully sampled for subsequent frames. Consequently, the signal intensity increases and the lateral spatial resolution improves from frame to frame even for static materials, which can mask true dynamically changing phenomena. This work provides a description of this effect and a means for signal correction in the early reconstruction frames, thus permitting any residual variation in signal intensity to be primarily attributed to true dynamic processes. The method is tested experimentally on a static phantom and in a peripheral vascular study designed to observe the leading edge of the contrast bolus.

Humans↗

Three-dimensional MRI with an undersampled spherical shells trajectory.

The shells trajectory is a 3D data acquisition method with improved efficiency compared to Cartesian sampling. It is a true center-out trajectory that does not repeatedly resample the center of k-space, and also offers advantages for motion correction. This work demonstrates that k-space undersampling can be combined with the shells trajectory to further accelerate the acquisition. The undersampling was implemented by removing selected interleaves from shells with larger radii. Because only the outer portion of k-space was undersampled, the artifacts introduced were of low energy and high spatial frequency. The undersampling rate was determined by a Kaiser window with a variable shape parameter beta. Various undersampling schemes with different beta values were examined. Phantom and volunteer studies demonstrate that when up to a twofold acceleration is achieved, only minor artifacts are introduced by undersampling the shells trajectory. For a fixed acquisition time, the improved efficiency can be used to increase spatial resolution.

Algorithms↗

Effect of aging on anorectal and pelvic floor functions in females.

PURPOSE: In females, fecal incontinence often is attributed to birth trauma; however, symptoms sometimes begin decades after delivery, suggesting that anorectal sensorimotor functions decline with aging. METHODS: In 61 asymptomatic females (age, 44 +/- 2 years, mean +/- standard error of the mean) without risk factors for anorectal trauma, anal pressures, rectal compliance, and sensation were assessed by manometry, staircase balloon distention, and a visual analog scale during phasic distentions respectively. Anal sphincter appearance and pelvic floor motion also were assessed by static and dynamic magnetic resonance imaging respectively in 38 of 61 females. RESULTS: Aging was associated with lower anal resting (r = -0.44, P < 0.001) and squeeze pressures (r = -0.32, P = 0.01), reduced rectal compliance (i.e., r for pressure at half-maximum volume vs. age = 0.4, P = 0.001), and lower (P <or = 0.002) visual analog scale scores during phasic distentions at 16 (r = -0.5) and 24 mmHg (r = -0.4). Magnetic resonance imaging revealed normal anal sphincters in 29 females and significant sphincter injury, not associated with aging, in 9 females. The location of the anorectal junction at rest (r = 0.52, P < 0.001), squeeze (r = 0.62, P < 0.001), and Valsalva maneuver (r = 0.35, P = 0.03), but not anorectal motion (e.g., from resting to squeeze) was associated with age. CONCLUSIONS: In asymptomatic females, aging is associated with reduced anal resting and squeeze pressures, reduced rectal compliance, reduced rectal sensation, and perineal laxity. Together, these changes may predispose to fecal incontinence in elderly females.

Adult↗

Contrast-enhanced MR angiography of the peripheral vasculature with a continuously moving table and modified elliptical centric acquisition.

This study was approved by the institutional review board and was HIPAA compliant. All subjects provided written informed consent, and subject confidentiality was protected. The purpose of this study was to prospectively evaluate the feasibility of integrating a modified elliptical centric (EC) acquisition with a continuously moving table technique to acquire high-spatial-resolution contrast material-enhanced magnetic resonance (MR) angiograms of the peripheral vasculature. Incorporation of two-dimensional homodyne reconstruction modified the EC view order, allowing improved spatial resolution per unit time while retaining the advantage of venous suppression intrinsic to the EC technique. Spatial resolution was dynamically improved when the table reached the distal-most station. The modified view order provided improved spatial resolution in phantom examinations compared with that in standard examinations. Peripheral MR angiograms were generated in a group of 13 volunteers (eight women; five men; age range, 51-72 years; mean age, 58.5 years +/- 7.9 [standard deviation]) at 1.5 T. Four arterial regions were evaluated on a five-point scale (scores ranged from 0 to 4; a score of 4 was considered excellent); venous suppression was also evaluated. The mean arterial scores exceeded 3.0 for all regions. There was no venous signal or only superficial venous signal in 10 of the 13 cases.

Aged↗

3.0-Tesla MR angiography of intracranial aneurysms: comparison of time-of-flight and contrast-enhanced techniques.

PURPOSE: To determine whether 3.0-T elliptical-centric contrast-enhanced (CE) magnetic resonance (MR) angiography is superior to 3.0-T elliptical-centric time-of-flight (TOF) MR angiography in the detection and characterization of intracranial aneurysms, and to determine whether increasing the acquisition matrix size in 3.0-T CE MR angiography improves image quality. MATERIALS AND METHODS: A total of 50 consecutive patients referred for MR angiographic evaluation of a known or suspected intracranial aneurysm underwent MR angiography, including three-dimensional TOF and elliptical-centric CE techniques at 3.0 T. The 3.0-T three-dimensional TOF and 3.0-T CE examinations were graded for image quality. A blind review identified the presence and location of aneurysms. RESULTS: A total of 28 aneurysms were identified in 23 of the 50 patients. The 3.0-T TOF MR angiography had a higher mean score for image quality than the 3.0-T elliptical-centric CE MR angiography (P < 0.0001). A total of 14 patients with aneurysms had conventional angiography for comparison. The 3.0-T TOF showed all the aneurysms, whereas 3.0-T CE MR angiography did not show 1 of 19 aneurysms when conventional angiography was the reference standard. CONCLUSION: For imaging intracranial aneurysms, 3.0-T TOF MR angiography offers better image quality than 3.0-T CE MR angiography using the elliptical-centric technique.

Adult↗

A modified projection reconstruction trajectory for reduction of undersampling artifacts.

PURPOSE: To reduce undersampling artifacts for a given number of repetitions of the projection reconstruction (PR) sequence by modifying its k-space trajectory to sample more mid-frequencies while reducing the sampling coverage of the peripheral spatial frequencies. MATERIALS AND METHODS: The single k-space spoke measured per repetition in the standard PR was modified so that one complete and two partial spokes were measured per repetition but with decreased k-space extent. The point spread functions (PSFs) and undersampling artifacts of the modified PR were compared with those of the standard PR for various numbers of projections. Phantom and in vivo images were used to assess the relative performance. RESULTS: PSF analysis indicated that the modified PR method provided reduced undersampling artifacts with somewhat reduced spatial resolution. The phantom and in vivo images corroborated this. CONCLUSION: The modified PR trajectory provides reduced undersampling artifact vs. the standard PR, particularly when the number of projections is limited and the artifact level is high.

Artifacts↗

Dual-velocity continuously moving table acquisition for contrast-enhanced peripheral magnetic resonance angiography.

Acquisition of MR angiographic data of the peripheral vasculature during continuous table motion offers certain advantages over fixed station approaches, such as the elimination of wasted time moving between stations and the ability to form a seamless image of the extended field of view. However, it has recently been demonstrated that there is an approximate twofold reduction in contrast bolus velocity as it moves from the thighs to the calves. This can potentially cause a mismatch of the moving table with the contrast peak, resulting in the table outpacing the contrast bolus distally. In this work we describe a modification to the continuous table motion technique allowing two table velocities: a high (ca. 3.6 cm/sec) velocity from the abdomen to the thighs and a low (ca. 1.6 cm/sec) velocity distally. Implications of the nonconstant velocity on k-space sampling are described, and it is shown that lateral resolution is improved for the low-velocity region. Correction for table deceleration during the transition time between high and low velocities is demonstrated. Contrast-enhanced studies in 15 volunteers are free of table-motion-related artifact and suggest improved depiction of the contrast bolus distally.

Aged↗

Variable field of view for spatial resolution improvement in continuously moving table magnetic resonance imaging.

An approach is described in which the field of view (FOV) along the Y (right/left) phase encoding direction can be dynamically altered during a continuously moving table (CMT) coronal acquisition for extended FOV MRI. We hypothesize that with this method, regions of the anatomy exhibiting significantly different lateral widths can be imaged with a matching local FOV(Y), thereby improving local lateral spatial resolution. k-space raw data from the variable-FOV CMT acquisition do not allow simple Fourier reconstruction due to the presence of a mixture of phase encodes sampled at different Deltak(Y) intervals. In this work, we employ spline interpolation to reregister the mixed data set onto a uniformly sampled k-space grid. Using this interpolation scheme, we present phantom and peripheral contrast-enhanced MR angiography results demonstrating an approximate 45% improvement in local lateral spatial resolution for continuously moving table acquisitions.

Algorithms↗

Recovery of phase inconsistencies in continuously moving table extended field of view magnetic resonance imaging acquisitions.

MR images formed using extended FOV continuously moving table data acquisition can have signal falloff and loss of lateral spatial resolution at localized, periodic positions along the direction of table motion. In this work we identify the origin of these artifacts and provide a means for correction. The artifacts are due to a mismatch of the phase of signals acquired from contiguous sampling fields of view and are most pronounced when the central k-space views are being sampled. Correction can be performed using the phase information from a periodically sampled central view to adjust the phase of all other views of that view cycle, making the net phase uniform across each axial plane. Results from experimental phantom and contrast-enhanced peripheral MRA studies show that the correction technique substantially eliminates the artifact for a variety of phase encode orders.

Artifacts↗

Continuously moving table MRI with SENSE: application in peripheral contrast enhanced MR angiography.

An integration of SENSitivity Encoding (SENSE) with continuously moving table (CMT) MRI for extended field-of-view (FOV) acquisitions is described. In this work, the approach in which receiver coils are attached to the object and move in synchrony with the scanner table is considered. Technical issues dealing with the implementation of SENSE-CMT are addressed, including coil calibration, correction for non-uniform magnetic gradients, and specific reconstruction steps. An explanation of combining SENSE with gradient non-linearity correction is given, as the latter becomes necessary in CMT acquisitions where a large sampling FOV is used. It is hypothesized that SENSE can provide at least a 2-fold improvement in lateral spatial resolution compared to non-accelerated CMT acquisitions. The hypothesis is tested in phantoms, where the effectiveness of both SENSE and gradient non-linearity correction to improve spatial resolution is shown. The SENSE-CMT technique is further demonstrated in vivo with contrast-enhanced MR angiography of the peripheral vasculature.

Equipment Design↗

Phenotypic variation in functional disorders of defecation.

BACKGROUND & AIMS: Although obstructed defecation is generally attributed to pelvic floor dyssynergia, clinical observations suggest a wider spectrum of anorectal disturbances. Our aim was to characterize phenotypic variability in constipated patients by anorectal assessments. METHODS: Anal pressures, rectal balloon expulsion, rectal sensation, and pelvic floor structure (by endoanal magnetic resonance imaging) and motion (by dynamic magnetic resonance imaging) were assessed in 52 constipated women and 41 age-matched asymptomatic women. Phenotypes were characterized in patients by principal components analysis of these measurements. RESULTS: Among patients, 16 had a hypertensive anal sphincter, 41 had an abnormal rectal balloon expulsion test, and 20 had abnormal rectal sensation. Forty-nine patients (94%) had abnormal pelvic floor motion during evacuation and/or squeeze. After correcting for age and body mass index, 3 principal components explained 71% of variance between patients. These factors were weighted most strongly by perineal descent during evacuation (factor 1), anorectal location at rest (factor 2), and anal resting pressure (factor 3). Factors 1 and 3 discriminated between controls and patients. Compared with patients with normal (n = 23) or reduced (n = 18) perineal descent, patients with increased (n = 11) descent were more likely (P < or = .01) to be obese, have an anal resting pressure >90 mm Hg, and have a normal rectal balloon expulsion test result. CONCLUSIONS: These observations demonstrate that functional defecation disorders comprise a heterogeneous entity that can be subcharacterized by perineal descent during defecation, perineal location at rest, and anal resting pressure. Further studies are needed to ascertain if the phenotypes reflect differences in the natural history of these disorders.

Adult↗

Time-resolved 3D contrast-enhanced MRA of an extended FOV using continuous table motion.

A method is presented for acquiring 3D time-resolved MR images of an extended (>100 cm) longitudinal field of view (FOV), as used for peripheral MR angiographic runoff studies. Previous techniques for long-FOV peripheral MRA have generally provided a single image (i.e., with no time resolution). The technique presented here generates a time series of 3D images of the FOV that lies within the homogeneous volume of the magnet. This is achieved by differential sampling of 3D k-space during continuous motion of the patient table. Each point in the object is interrogated in five consecutive 3D image sets generated at 2.5-s intervals. The method was tested experimentally in eight human subjects, and the leading edge of the bolus was observed in real time and maintained within the imaging FOV. The data revealed differential bolus velocities along the vasculature of the legs.

Algorithms↗

Correction for gradient nonlinearity in continuously moving table MR imaging.

Recently, a number of methods have been demonstrated for large field of view MR imaging using continuous table motion. As with conventional, fixed-table MRI, the spatial encoding is performed using magnetic field gradients. However, it is demonstrated in this work that as a consequence of every measurement being made at a slightly different displacement between the object and the gradient field, gradient nonlinearities are manifest as blurring in addition to spatial distortion. Moreover, the blurring is spatially dependent. It is also shown that correcting all phase-encoding steps individually or in groups can reduce these effects. Phantom and in vivo results are shown which demonstrate the effectiveness of the correction.

Humans↗

Improved venous suppression and spatial resolution with SENSE in elliptical centric 3D contrast-enhanced MR angiography.

The elliptical centric (EC) view order samples a 3DFT acquisition from the center of k-space outward, and when applied to contrast-enhanced MR angiography (CE-MRA) provides intrinsic venous suppression. This is because the veins enhance several seconds after the scan is initiated, and are thus encoded solely by noncentral k-space frequencies. A separate method, sensitivity encoding (SENSE), accelerates the k-space sampling rate by reducing the phase FOV or, equivalently, by increasing the k-space sampling interval, and has been used to increase spatiotemporal resolution. We hypothesized that by combining SENSE with EC, sampling of central k-space would be accelerated and the k-space radius at which the veins first showed contrast enhancement would be increased over a reference scan, thus providing improved venous suppression and spatial resolution without additional scan time. This hypothesis was studied with the use of phantom and carotid CE-MRA experiments, and the results demonstrated an approximate 25% reduction in venous signal when SENSE was used.

Blood Flow Velocity↗