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Biomedical subjects

Stephen J Riederer

Publications and source records attributed to Stephen J Riederer.

24 records · Page 2Linked to original sources
PubMed2004

Blood oxygen level-dependent measurement of acute intra-renal ischemia.

BACKGROUND: Ischemic nephropathy is a common cause of end-stage renal disease. Exploration of the mechanisms of deterioration of renal function is limited due to lack of noninvasive techniques available to study the single kidney. The Blood Oxygen Level-Dependent (BOLD) MRI method can measure deoxyhemoglobin and therefore indirectly estimates renal oxygen content, but has never been evaluated in renal artery stenosis (RAS). This study was therefore designed to test if BOLD can detect the characteristic of renal hypoxia induced by RAS. METHODS: RAS was induced in 8 pigs using an occluder placed around the right renal artery. Renal blood flow (RBF) was measured continuously with an ultrasound probe. BOLD signal was measured bilaterally in the cortex and medulla (as the slope of the logarithm of MR signal) at baseline and at the lower limit of RBF autoregulation. The measurements were then repeated during six sequential graded decreases in RBF (80 to 0% of baseline) and during recovery. RESULTS: During the control period, BOLD signals were not significantly different between the right and the left kidneys. In the occluded kidney, BOLD signal of the cortex (19.3 +/- 1.9/s) and the medulla (17.3 +/- 2.0/s) increased during occlusion gradually and significantly (P < 0.0001) to a maximum (at total occlusion) of 33.8 +/- 2.0/s (+79%) and 29.8 +/- 2.3/s (+78%), respectively, and returned to baseline values during recovery. CONCLUSION: This study shows that the BOLD technique can noninvasively detect change in intra-renal oxygenation during an acute reduction of RBF. This study provides a strong rationale for developing the BOLD method for the detection and evaluation of renal hypoxia induced by RAS, which may be potentially applicable in humans.

Acute Disease↗
PubMed2004

Improved image quality of intracranial aneurysms: 3.0-T versus 1.5-T time-of-flight MR angiography.

BACKGROUND AND PURPOSE: We hypothesize that the nearly doubling of signal-to-noise ratio at 3.0 T compared with that at 1.5 T yields improved clinical MR angiograms and enables superior visualization of intracranial aneurysms. The goal of this study was to determine whether 3.0-T time-of-flight (TOF) MR angiography is superior to 1.5-T TOF MR angiography in the detection and characterization of intracranial aneurysms. METHODS: Fifty consecutive patients referred for MR angiography of a known or suspected intracranial aneurysm underwent 3-T TOF MR angiography. Seventeen of these 50 patients had also previously undergone 1.5-T TOF MR angiography and these images were used as a basis for comparison with images obtained at 3.0 T. Fourteen of 23 patients in whom aneurysms were identified also underwent prior conventional angiography, which was used as the reference standard. Readers blinded to patient history identified the presence and location of aneurysm(s) on angiograms and graded images for overall image quality by using a five-point scale. RESULTS: Twenty-eight aneurysms were identified in 23 of 50 patients. Seventeen aneurysms in 17 patients had been documented with 1.5-T MR angiography. The 3.0-T technique had a higher mean image quality score than that of the 1.5-T MR technique (P <.0001). Both 3.0-T and 1.5-T TOF MR angiography depicted all the aneurysms that had been documented by conventional angiography. CONCLUSION: 3D TOF MR angiography at 3 T offers superior depiction of intracranial aneurysms compared with that of 1.5-T TOF MR angiography.

Adult↗
PubMed2002

Continuously moving table data acquisition method for long FOV contrast-enhanced MRA and whole-body MRI.

A method is presented in which an extended longitudinal field of view (FOV), as required for whole-body MRI or MRA peripheral runoff studies, is acquired in one seamless image. Previous methods typically either acquired 3D data at multiple static "stations" which covered the extended FOV or as a series of 2D axial sections. The method presented here maintains the benefits of 3D acquisition while removing the discrete nature of the multistation method by continuous acquisition of MR data as the patient table moves through the desired FOV. Although the technique acquires data only from a homogeneous central volume of the magnet at any point in time, by spatially registering all data it is possible to extend the FOV well beyond this volume. The method is demonstrated experimentally with phantoms, in vivo angiographic animal studies, and in vivo human studies.

Animals↗
PubMed2002

Real-time autoshimming for echo planar timecourse imaging.

Head motion within an applied magnetic field alters the effective shim within the brain, causing geometric distortions in echo planar imaging (EPI). Even if subtle, change in shim can lead to artifactual signal changes in timecourse EPI acquisitions, which are typically performed for functional MRI (fMRI) or diffusion tensor imaging. Magnetic field maps acquired before and after head motions of clinically realistic magnitude indicate that motion-induced changes in magnetic field may cause translations exceeding 3 mm in the phase-encoding direction of the EPI images. The field maps also demonstrate a trend toward linear variations in shim changes as a function of position within the head, suggesting that a real-time, first-order correction may compensate for motion-induced changes in magnetic field. This article presents a navigator pulse sequence and processing method, termed a "shim NAV," for real-time detection of linear shim changes, and a shim-compensated EPI pulse sequence for dynamic correction of linear shim changes. In vivo and phantom experiments demonstrate the detection accuracy of shim NAVs in the presence of applied gradient shims. Phantom experiments demonstrate reduction of geometric distortion and image artifact using shim-compensated EPI in the presence of applied gradient shims. In vivo experiments with intentional interimage subject motion demonstrate improved alignment of timecourse EPI images when using the shim NAV-detected values to update the shim-compensated EPI acquisition in real time.

Artifacts↗