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Review of artifacts associated with transrectal ultrasound: understanding, recognition, and prevention of misinterpretation.

Artifacts are inadequate representations of the structures being imaged. Transrectal ultrasound (TRUS) used for evaluating rectal tumors has its own, unique spectrum of artifacts such as (1) pseudomasses (beam thickness: imaging of rectal folds; mirror image: reflection at an intraluminal fluid level); (2) inadequate size of the lesion (mirror image or grating lobes); (3) simulation of malignant infiltration (beam thickness, attenuation or refraction); (4) incomplete field of view (shadowing; reverberation or mirror-image); (5) confusing echo patterns (side lobe artifacts or mirror image: reflection at the balloon surface). The understanding of the physical properties of ultrasound is the basis for the recognition of these artifacts and prevention of misinterpretation. We present a review of these artifacts and their causes.

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Reduction of slab boundary artifact with multiple overlapping thin slab acquisition in MR angiography of the cervical carotid artery.

Multiple overlapping thin slab acquisition (MOTSA) is a magnetic resonance (MR) angiography technique combining advantages of two- and three-dimensional time-of-flight techniques. The authors studied three image acquisition parameters (flip angle, TR, and the slab excitation fraction [SEF]) and a postprocessing algorithm, to evaluate their effect on MOTSA image quality, including contrast-to-noise ratio (C/N) and the severity of the slab boundary artifact. By increasing SEF from 0.75 to 1.10, the slab boundary artifact was reduced by 29%-56% (P < .0001). The boundary artifact can be reduced an additional 46% by postprocessing of the overlapping section data. In the healthy volunteers studied, C/N of the cervical carotid artery could be increased sixfold (P < .0001) by increasing the flip angle from 10 degrees to 50 degrees, without significant worsening of the boundary artifact due to top-of-slab saturation. The effect of TR on image quality was not statistically significant for the range studied (52-70 msec). We conclude that the slab boundary artifact seen with the MOTSA MR angiography technique can be reduced significantly by optimizing imaging acquisition parameters and using a postprocessing algorithm to combine overlapping section information.

Adult↗

Effect of artifacts due to flowing blood on the reproducibility of phase-contrast measurements of myocardial motion.

The reproducibility of myocardial motion trajectories calculated from cine phase-contrast (PC) velocity data is reduced by artifacts due to the inconsistent motion of intracardiac blood. Spatial presaturation reduces these artifacts but requires a longer sequence TR, with a potentially negative effect on trajectory accuracy and reproducibility. We investigated the effect of spatial presaturation on trajectory reproducibility. A mid-ventricular transaxial slice was imaged in five normal volunteers. The same slice was imaged three times each with sequences using spatial presaturation or not. Because the most serious artifacts originate in the heart chambers and propagate in the phase-encoded direction, myocardial regions that were in line with the heart chambers (in the phase-encode direction) had the highest artifact level in the scans without spatial presaturation. The reproducibility of trajectories for regions placed in these areas (the anterior wall, septum and posterior wall in the transaxial scans with phase encoding in the anterior-posterior direction) improved by a factor of two when presaturation was used (P < .001). In areas that were not in line with the heart chambers (eg, the anterior aspect of the lateral wall in the transaxial scans), the effect of presaturation was not significant. These results correlate well with the measured reduction in artifact level. The reproducibility of myocardial motion trajectories over large areas of the heart is improved to approximately 1 mm when presaturation is used. Therefore, use of presaturation is recommended for myocardial motion studies using cine PC velocity data.

Adult↗

Interventional MRI at high-field (1.5 T): needle artifacts.

A better understanding of the appearance of a biopsy needle as well as its interaction with various sequence parameters in MRI is beneficial for its application in interventional MRI. As an extension of previous researchers' contributions, we investigate the specific characteristics of MR image artifacts associated with the tip of a biopsy needle when it is approximately parallel to the main magnetic field. The origin of the needle tip artifact, which exhibits as a blooming ball, was studied using MRI techniques and numerical simulation using the finite element method (FEM). Satisfactory agreement between theory and experiment has been achieved. Results showed that the image artifacts associated with biopsy needle are present and dependent on imaging parameters, but the artifacts can be reduced if optimal imaging parameters were used. Images of actual human brain tumor biopsies performed using the same needle under MRI guidance and monitoring demonstrated this artifact.

Artifacts↗

Parallel acquisition techniques in cardiac cine magnetic resonance imaging using TrueFISP sequences: comparison of image quality and artifacts.

PURPOSE: To compare image quality, artifacts, and signal-to-noise ratio (SNR) in cardiac cine TrueFISP magnetic resonance imaging (MRI) with and without parallel acquisition techniques (PAT). MATERIALS AND METHODS: MRI was performed in 16 subjects with a TrueFISP sequence (1.5 T; Magnetom Sonata, Siemens): TR, 3.0 msec; TE, 1.5 msec; flip angle (FA), 60 degrees. Three axes were scanned without PAT (no PAT) and using the generalized autocalibrating partially parallel acquisition (GRAPPA) and modified sensitivity encoding (mSENSE) reconstruction algorithms with an autocalibration mode to reduce scan time. A conventional spine array and a body flex array were used. Artifacts, image noise, and overall image quality were classified on a 4-point scale by an observer blinded to the implemented technique; for quantitative comparison, SNR was measured. RESULTS: With a PAT factor of two, acquisition time could be reduced by 39%. No PAT did not show artifacts, and GRAPPA revealed fewer artifacts than mSENSE. PAT provided inferior-quality scores concerning image noise and overall image quality. In quantitative measurements, GRAPPA and mSENSE (20.1 +/- 6.2 and 15.6 +/- 6.2, respectively) yielded lower SNR than no PAT (30.6 +/- 20.1; P < 0.05) and P < 0.001). CONCLUSION: Time savings in PAT are accompanied by artifacts and an increase in image noise. The GRAPPA algorithm was superior to mSENSE concerning image quality, noise, and SNR.

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.

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3.0 T vs. 1.5 T MR angiography: in vitro comparison of intravascular stent artifacts.

PURPOSE: To evaluate the signal characteristics of different iliac artery stents in MR angiography (MRA) at 3 T in comparison with 1.5 T. MATERIALS AND METHODS: Sixteen iliac artery stents were implanted in plastic tubes filled with a solution of Gd-DTPA and imaged at 3 T and 1.5 T using a T1-weighted 3D spoiled gradient-echo sequence. Image analysis included a subjective assessment of artifact characteristics, signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) measurements in stented and unstented vessel parts, and quantitative measurements of total artifact size. RESULTS: The pattern of stent artifacts inside the stents evidently did not differ at 3 T and 1.5 T. The average total size of the artifact areas surrounding the stents was significantly larger at 3 T (P < 0.03). However, within the stented part of the vessel phantom, the signal of the lumen and its contrast to modeled surrounding tissue was significantly higher at the higher field. The mean SNR of the lumen increased from 95.5 at 1.5 T to 127.3 at 3 T, and the CNR of the vessel increased from 70.3 to 93. CONCLUSION: Assessment of the stent lumen in iliac artery stents in a phantom model is not compromised by imaging at 3 T compared to 1.5 T. The signal gain inside the stented part of the vessel lumen at higher field compensates for the higher degree of stent artifacts seen in stents made of steel or cobalt.

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Imaging artifacts at 3.0T.

Clinical MRI at a field strength of 3.0T is finding increasing use. However, along with the advantages of 3.0T, such as increased SNR, there can be drawbacks, including increased levels of imaging artifacts. Although every imaging artifact observed at 3.0T can also be present at 1.5T, the intensity level is often higher at 3.0T and thus the artifact is more objectionable. This review describes some of the imaging artifacts that are commonly observed with 3.0T imaging, and their root causes. When possible, countermeasures that reduce the artifact level are described.

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Improved lumen visualization in metallic vascular implants by reducing RF artifacts.

In this study, a method is proposed for MRI of the lumen of metallic vascular implants, like stents or vena cava filters. The method is based on the reduction of artifacts caused by flow, susceptibility, and RF eddy currents. Whereas both flow artifacts and susceptibility artifacts are well understood and documented, RF artifacts are not. Therefore, the present study comprises an in-depth theoretical explanation of the factors governing the severity of these RF artifacts. It is explained that the RF caging inside cage-like implants is caused by disturbances of the send and receive sensitivities due to coupling between the loops in the implant and the MR scanner's send and receive coils. A scaled excitation angle model describing the behavior of the signal intensity inside the implants as a function of the applied nominal excitation angle is introduced. This theoretical model was validated in phantom experiments. Reduced signal from within implants due to the caging problem could be restored by increasing the applied RF power in the excitation pulse, without exceeding the generally accepted SAR safety limits. The method was tested in vitro and in vivo in a pig model and allowed adequate depiction of the interior of a nitinol stent and that of a vena cava filter in contrast-enhanced MR angiograms. Magn Reson Med 47:171-180, 2002.

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Removal of phase artifacts from fMRI data using a Stockwell transform filter improves brain activity detection.

A novel and automated technique is described for removing fMRI image artifacts resulting from motion outside of the imaging field of view. The technique is based on the Stockwell transform (ST), a mathematical operation that provides the frequency content at each time point within a time-varying signal. Using this technique, 1D Fourier transforms (FTs) are performed on raw image data to obtain phase profiles. The time series of phase magnitude for each and every point in the phase profile is then subjected to the ST to obtain a time-frequency spectrum. The temporal location of an artifact is identified based on the magnitude of a frequency component relative to the median magnitude of that frequency's occurrence over all time points. After each artifact frequency is removed by replacing its magnitude with the median magnitude, an inverse ST is applied to regain the MR signal. Brain activity detection within fMRI datasets is improved by significantly reducing image artifacts that overlap anatomical regions of interest. The major advantage of ST-filtering is that artifact frequencies may be removed within a narrow time-window, while preserving the frequency information at all other time points.

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On the nature and reduction of the displacement artifact in flow images.

In flow-imaging experiments with 2-D Fourier transform sequences, the time difference between phase encoding and readout leads to a potentially misleading displacement artifact. This artifact arises in regions of rapid flow and high shear, and manifests as an intensity distortion in addition to a bulk shift. We have studied methods of mitigating the artifact, including offset-echo acquisition, backward-evolving phase encoding, moment-compensated phase encoding, and projection-reconstruction imaging. Experiments on flow phantoms verified the nature and reduction of this displacement artifact. Of the four methods studied, the projection-reconstruction sequence proved to be the most effective, completely eliminating the artifact.

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The design of pulse sequences employing spatial presaturation for the suppression of flow artifacts.

The use of spatial presaturation to suppress the signal, and therefore also the artifacts, from flowing blood has become an important tool in the arsenal of techniques to suppress pulsatile flow artifacts in magnetic resonance images. However, a detailed theoretical analysis of the behavior of these flow artifact suppression pulses and of the important aspects of implementing suppression pulses in combination with particular imaging sequences has yet to be presented. In this paper we present a general theoretical framework to describe the flow artifact suppression technique. This analysis addresses the following four major issues: (1) the spin washout characteristics of the imaging sequence, (2) the interference between the flow signal suppression pulses and the imaging sequence, (3) the flow velocity range for a single application of the suppression pulse, and (4) the total flow velocity range for a suppression pulse repeated with a constant time interval between applications of the pulse. The predictions of our theoretical model are confirmed by experimental measurements made with stationary and flow phantoms. The results of this investigation provide guidelines for the design of flow artifact suppression pulse sequences and, in addition, should aid in the future development and refinement of the spatial presaturation technique as applied to flow signal suppression.

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Correction for vascular artifacts in cerebral blood flow values measured by using arterial spin tagging techniques.

"Vascular" artifacts can have substantial effects on human cerebral blood flow values calculated by using arterial spin tagging approaches. One vascular artifact arises from the contribution of "tagged" arterial water spins to the observed change in brain water MR signal. This artifact can be reduced if large bipolar gradients are used to "crush" the MR signal from moving arterial water spins. A second vascular artifact arises from relaxation of "tagged" arterial blood during transit from the tagging plane to the capillary exchange site in the imaging slice. This artifact can be corrected if the arterial transit times are measured by using "dynamic" spin tagging approaches. The mean transit time from the tagging plane to capillary exchange sites in a gray matter region of interest was calculated to be approximately 0.94 s. Cerebral blood flow values calculated for seven normal volunteers agree reasonably well with values calculated by using radioactive tracer approaches.

Adult↗

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.

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Suppression of physiological eye movement artifacts in functional MRI using slab presaturation.

Reduction of image-to-image signal fluctuations and imaging artifacts is important for fMRI studies. The imaging artifacts caused by respiration, cardiac pulsation, and gross head motion and the suppression of these artifacts have been studied for many years. However, the artifacts caused by eye movement and their effects on fMRI mapping are not well known. It is demonstrated in this report that involuntary eye movements during resting conditions can cause substantial signal fluctuations in the phase-encoding direction even for a fast echo-planar imaging sequence. An oblique slab presaturation technique is proposed for saturating the magnetization of eyes and suppressing the artifacts from eye movements with minimal signal loss of other brain tissues. The results show that the technique significantly reduces signal fluctuations and improves fMRI reliability for mapping functional activation in the human brain.

Artifacts↗

On the nature and reduction of plaque-mimicking flow artifacts in black blood MRI of the carotid bifurcation.

Cardiac-gated black blood MRI of the carotid artery bifurcation in normal human subjects shows signal within the lumen suggesting wall thickening or atherosclerotic plaque. This signal was believed to be artifactual, arising from complex flow patterns present at the carotid bifurcation. Computer simulation of the hemodynamics and black blood multislice image acquisition in a model of the carotid bifurcation showed that these artifacts arise from spins recovering their signal within the slow, recirculating flow of the carotid bulb. The computed hemodynamics also suggested that these artifacts could be minimized or eliminated entirely by gating the acquisition of slices in the most artifact-prone region of the carotid bulb within a 250-ms window after peak systole. Application of these predictions to studies of normal volunteers showed that, in most cases, these flow artifacts in black blood MRI can be eliminated simply by altering the phase of the cardiac cycle to which the image acquisition is gated. The observation that the size and placement of the saturation slabs had little effect on these artifacts suggested that, in those cases in which recirculation persists throughout the cardiac cycle, either inversion-recovery or presaturation within the bulb itself would be required to suppress them.

Adult↗

Gradient field switching as a source for artifacts in MR imaging of metallic stents.

Metallic implants, such as stents, have long been a concern in magnetic resonance imaging (MRI). In addition to safety issues, they are commonly associated with image artifacts. The mechanisms of radiofrequency- (RF) and susceptibility-induced artifacts have been thoroughly investigated. However, gradient-switching-induced artifacts have not been analyzed. In this study it was demonstrated that gradient switching may be a source of artifacts in metallic stent MR imaging. These artifacts differ from those caused by the RF pulse. A theoretical explanation is provided as well.

Alloys↗

Development of a functional magnetic resonance imaging simulator for modeling realistic rigid-body motion artifacts.

Functional magnetic resonance imaging (FMRI) is a noninvasive method of imaging brain function in vivo. However, images produced in FMRI experiments are imperfect and contain several artifacts that contaminate the data. These artifacts include rigid-body motion effects, B0-field inhomogeneities, chemical shift, and eddy currents. To investigate these artifacts, with the eventual aim of minimizing or removing them completely, a computational model of the FMR image acquisition process was built that can simulate all of the above-mentioned artifacts. This paper gives an overview of the development of the FMRI simulator. The simulator uses the Bloch equations together with a geometric definition of the object (brain) and a varying T2* model for the BOLD activations. Furthermore, it simulates rigid-body motion of the object by solving Bloch equations for given motion parameters that are defined for an object moving continuously in time, including during the read-out period, which is a novel approach in the area of MRI computer simulations. With this approach it is possible, in a controlled and precise way, to simulate the full effects of various rigid-body motion artifacts in FMRI data (e.g. spin-history effects, B0-motion interaction, and within-scan motion blurring) and therefore formulate and test algorithms for their reduction.

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