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Intermolecular zero-quantum coherence imaging of the human brain.

The first intermolecular zero-quantum coherence (iZQC) MR images of the human brain at 4T are presented. To generate iZQC images, a modified echo-planar imaging pulse sequence was used which included an additional 45 degrees RF pulse and a correlation gradient. The observability and nonconventional contrast of human brain iZQC images at 4T is demonstrated. Axial images are presented for various pulse sequence parameters, and a zero-quantum relaxation map is obtained.

Brain↗

Blood flow measurement using variable velocity encoding in the RR interval.

Velocity-encoded phase imaging using asynchronous gating requires input of a velocity encoding value to set the velocity sensitivity of the pulse sequence. The raw data interpolation and reconstruction scheme that the pulse sequence uses forces the encoding value to be constant throughout the RR interval. The sequence and the raw data interpolation scheme were modified to allow two velocity encodings during the RR interval. Two-hundred cm/s encoding was used in systole, and 30 cm/s in diastole. Changing the encoding in diastole significantly improved the accuracy and precision of ascending aorta flow measurements.

Aorta↗

Magnetic resonance imaging of pigmented villonodular synovitis: a report of two cases.

The magnetic resonance imaging characteristics of two surgically proven cases of pigmented villonodular synovitis are reported. On the short TR/TE pulse sequences, the synovium has an intermediate signal intensity. Long TR/TE pulse sequences show the synovium containing areas of increased signal interspersed with decreased signal. Hemosiderin deposition is believed to account for the areas of decreased signal; the increased signal results from fluid and inflamed synovium.

Adolescent↗

Contribution of MRI and MR angiography in early diagnosis of brain death.

The objective of this study was to investigate whether the findings of MR imaging and MR angiography could accurately and early diagnose brain death in comatose patients. Thirty comatose patients were studied with MRI and MR arteriography. In 20 patients (group A) presenting with a Glasgow coma scale (GCS) 3-6, the final clinical diagnosis was brain death. In ten comatose patients with a GCS 4-6 and no clinical signs of brain death (group B), the clinical follow-up did not reveal brain death in a period of 12 months. The MRI examination consisted of turbo fluid-attenuated inversion recovery and T2 turbo spin-echo pulse sequences. The MR arteriography was performed with a 3D inflow pulse sequence. In 12 patients with brain death and 5 patients with no signs of brain death, a 3D phase contrast MR venography was also applied. Magnetic resonance imaging in all patients showed variable edema with swelling of the cerebral gyri, small ventricular system, and basilar subarachnoid spaces. In group A, MRI in addition showed tonsillar herniation. In group A, MR arteriography revealed no arterial flow in the intracranial circulation, whereas MR venography showed in 9 patients no opacification of the sagittal and straight sinuses or visualization of intracranial veins. In contrast, MR angiography showed intact intracranial vessels in patients of group B. In conclusion, MR imaging and MR angiography may be reliable ancillary tests for use in early diagnosis of brain death and further work is required to validate its utility.

Adult↗

Detection of viable myocardium in segments with fixed defects on thallium-201 scintigraphy: usefulness of magnetic resonance imaging early after acute myocardial infarction.

To determine if magnetic resonance imaging (MRI) can be used to detect tissue viability in segments with persistent 201T1 defects early following acute myocardial infarction, 24 patients underwent MRI and adenosine 201T1 single photon emission computed tomography (SPECT) imaging at approximately 6 days. Infarction was demonstrated on MRI using a velocity-compensated, T2-weighted spin-echo pulse sequence. Wall thickening was assessed using a gradient-echo pulse sequence obtained in the same anatomic position. Viable myocardium was defined by MRI as a segment with increased signal intensity and preserved wall thickening. A fixed defect on the 201T1 SPECT images was defined as the absence of any redistribution 4 hours after the 201T1 infusion. Of 11 patients with redistribution on the 201T1 images in the infarction region, 10 (91%) had preserved wall thickening by MRI. Of 13 patients with fixed defects on the 201T1 images in the infarction region, 6 (46%) had preserved wall thickening by MRI. Of 7 patients with absent thickening, all had one or more segments with absent perfusion on redistribution imaging. Wall thickening tended to occur in patients who received thrombolytic therapy or who underwent revascularization procedures prior to imaging. The results of the present study suggest that spin-echo MRI with motion compensation can be used to identify viable myocardium in patients with fixed defects on 201T1 SPECT following acute myocardial infarction.

Adenosine↗

2CALIS doubling the sensitivity of CALIS for calibration of the rf field strength for indirectly observed nuclei.

A new set of pulse sequences, 2CALIS, that exhibit double sensitivity of the recent CALIS pulse sequences for accurate calibration of the rf field strength for an indirectly observed spin is introduced. The sensitivity gain is a result of not forming heteronuclear coherence transfer gradient echoes although they are excellent for artifact suppression. It is, however, demonstrated that the scheme in 2CALIS for suppression of non (13)C-attached proton magnetization is adequate for calibration of the (13)C rf field strength even on natural abundance samples. A 2CALIS version with Watergate applicable to biomolecules in aqueous solution is also presented and demonstrated both in (13)C natural abundance and on a (13)C, (15)N enriched protein sample.

Artifacts↗

Spinal cord MRI using multi-array coils and fast spin echo. I. Technical aspects and findings in healthy adults.

It is time-consuming to detect intrinsic spinal cord lesions in multiple sclerosis (MS) by MRI using conventional surface coils and T2-weighted spin-echo pulse sequences. Multi-array coils and fast spin-echo pulse sequences permit the generation of high-resolution T2-weighted sagittal images of the whole spinal cord in about 5 minutes. Using these advances, we found an area of high signal within the cord in only 1/45 (2%) healthy subjects aged 18 to 72 years, whereas 26% of those who underwent brain imaging had cerebral white matter abnormalities. Degenerative vertebral column changes, especially in the cervical region, were present in 64% and were associated with cord compression in 11%. Cord cross-sectional areas in mm2, measured from axial gradient-echo images, were usually highly reproducible and showed a significant correlation with the subject's height. We conclude that (1) MRI signal abnormalities within the spinal cord may be more specific for MS than cerebral white matter lesions, especially in subjects over 50 years old; (2) asymptomatic degenerative changes in the vertebral column are common, even in younger adults; (3) measurement of cord cross-sectional area should allow accurate quantitation of the degree of atrophy in MS and other spinal cord diseases; and (4) multi-array coils and fast spin echo represent an important advance in MRI of the spinal cord.

Adolescent↗

Multiple-angle, variable-interval, nonorthogonal MRI.

Multiple-angle, variable-interval, nonorthogonal (MAVIN) MRI is a new, time-saving technique that allows for the independent choice of slice angle and position for each slice in a multiangle pulse sequence. By appropriate adjustment of the slice-select radiofrequency pulse and the slice-select and readout magnetic-field gradients, the interval and angle of each slice may be individually chosen. MAVIN can reduce examination time in studies of the lumbar spine, orbits, knees, and heart, where nonparallel oblique scanning may be necessary and would otherwise require the use of additional pulse sequences. Loss of signal in the region of intersection of multiple planes due to local changes in effective repetition time is a practical limitation. For this reason, scan planes are chosen so that the intersection does not overlie the region of interest.

Humans↗

Simultaneous T2* and diffusion measurements with 3He.

It has recently been demonstrated that magnetic resonance (MR) imaging of human lungs and airways is possible with hyperpolarized gases such as 3He. Because the influence of the apparent transversal relaxation (T2* decay) and diffusion in 3He imaging have not been quantified, an imaging pulse sequence was developed to measure these two parameters simultaneously. The imaging pulse sequence generates two series of multiply recalled gradient echo images with both different echo-spacings and diffusion-sensitizing gradients. From differences in exponential signal decay between the two series, T2* and diffusion coefficients, D, of both hyperpolarized and unpolarized 3He samples could be measured on a standard clinical imager using a home-built Helmholtz coil. In a hyperpolarized sample of pure 3He values of D = (1.8 +/- 0.2) x 10(-4) m2/s and T2* = 36 +/- 13 ms were measured, while D = (0.3 +/- 0.1) x 10(-4) m2/s and T2* = 136 +/- 66 ms were found in a Boltzmann-polarized 3He/O2 mixture.

Data Interpretation, Statistical↗

Comparison of 99mTc tetrofosmin gated SPECT measurements of left ventricular volumes and ejection fraction with MRI over a wide range of values.

The calculation of ejection fraction using gated single photon emission computed tomography (SPECT) has been widely validated against a range of other techniques. There have been fewer studies validating left ventricular volumes. We compared quantitative gated SPECT (QGS) with magnetic resonance imaging (MRI) measurements of left ventricular ejection fraction and end diastolic volume in 50 patients with a large range of ventricular dimensions. MRI data were obtained using a turbo gradient echo pulse sequence (TGE) in 17 patients and a steady state free precession pulse sequence (SSFP) in 33 patients. There was good correlation between ejection fraction and end diastolic volume measurements from SPECT and MRI (r=0.82, r=0.90, respectively) but the mean SPECT values were significantly lower (ejection fraction, 6.6+/-6.4% points; end diastolic volume, 18.4+/-25.4 ml) than those obtained from MRI. Bland-Altman analysis showed some large differences in individual patients but no trends in the data either in ejection fraction over a range from 15% to 70% or in end diastolic volume, range 75-400 ml. SSFP gave a larger difference for end diastolic volume measurement compared to SPECT than did TGE, although this difference did not reach significance. Both SSFP and TGE gave similar values for the difference between MRI and SPECT for the measurement of ejection fraction. We suggest that the difference in EF may be a result of 8 frames being used for gating in QGS but 12-18 for MR. Differences in volumes may be related to the different spatial resolution and the exclusion or inclusion of trabeculation and papillary muscles between SPECT and MRI. Differences between SSFP and TGE may be caused by differing delineation of the endocardial border, dependent on the particular acquisition sequence. In conclusion, QGS values correlated well with MRI, but a correction factor may be needed if direct comparison is made.

Female↗

Multiple-rotor-cycle 2D PASS experiments with applications to (207)Pb NMR spectroscopy.

Thetwo-dimensional phase-adjusted spinning sidebands (2D PASS) experiment is a useful technique for simplifying magic-angle spinning (MAS) NMR spectra that contain overlapping or complicated spinning sideband manifolds. The pulse sequence separates spinning sidebands by their order in a two-dimensional experiment. The result is an isotropic/anisotropic correlation experiment, in which a sheared projection of the 2D spectrum effectively yields an isotropic spectrum with no sidebands. The original 2D PASS experiment works best at lower MAS speeds (1-5 kHz). At higher spinning speeds (8-12 kHz) the experiment requires higher RF power levels so that the pulses do not overlap. In the case of nuclei such as (207)Pb, a large chemical shift anisotropy often yields too many spinning sidebands to be handled by a reasonable 2D PASS experiment unless higher spinning speeds are used. Performing the experiment at these speeds requires fewer 2D rows and a correspondingly shorter experimental time. Therefore, we have implemented PASS pulse sequences that occupy multiple MAS rotor cycles, thereby avoiding pulse overlap. These multiple-rotor-cycle 2D PASS sequences are intended for use in high-speed MAS situations such as those required by (207)Pb. A version of the multiple-rotor-cycle 2D PASS sequence that uses composite pulses to suppress spectral artifacts is also presented. These sequences are demonstrated on (207)Pb test samples, including lead zirconate, a perovskite-phase compound that is representative of a large class of interesting materials.

Isotopes↗

Effect of differential saturation on the spatial localization performance of depth pulses.

Computer simulations of Depth pulse B (theta; (2 theta [+/- x, +/- y])2; acquire) and other Depth pulses, verified by experimental surface coil NMR studies utilizing phantom samples, reveal that the spatial localization performance of Depth pulses degrades when the repetition time is short relative to T1 because of differential saturation, i.e. T1 discrimination effects. Simulations of Depth pulse A (theta; 2 theta [+/- x, +/- y]; acquire) and Depth pulse B indicate that there is no phase-cycled pulse sequence delivery order which negates the untoward effect of T1 discrimination on spatial localization performance. The results of this study demonstrate the importance of consistent magnetization preparation prior to the delivery of each phase-cycled multiple pulse sequence in a Depth pulse cycle for obtaining optimal spatial localization performance. The untoward effects of inconsistent magnetization preparation, resulting from T1 discrimination, may be ameliorated by the application of many Depth pulse cycles.

Computer Simulation↗

Clinical ultrashort echo time imaging of bone and other connective tissues.

The background underpinning the clinical use of ultrashort echo time, SPRITE and other pulse sequences for imaging bone and other connective tissues with short T2 is reviewed. Features of the basic physics relevant to UTE imaging are described, including the consequences when the radiofrequency pulse duration is of the order of T2 so that rotation of tissue magnetization into the transverse plane is incomplete. Consequences of the broad linewidth of short T2 components are also discussed, including partial saturation by off-resonance fat suppression pulses as well as those used in multislice and multiecho imaging. The need for rapid data acquisition of the order of T2 is explained. The basic two-dimensional UTE pulse sequence with its half excitation pulse and radial imaging from the centre of k-space is described, together with options that suppress fat and/or reduce the signal from long T2 components. The basic features of SPRITE and other sequences with very short TE are described. Image interpretation is discussed. Clinical features of the imaging of cortical bone, tendons, ligaments, menisci, periosteum and the spine are illustrated. The source of the short T2 signal in these tissues is predominantly collagen and water tightly bound to collagen. Short T2 components in all of these tissues are detectible and may show high signals. Possible future developments are outlined, as are technical limitations of clinical magnetic resonance systems.

Animals↗

PRAWN: mixing sequences for selective heteronuclear J cross polarization.

In this work, we present a family of pulse sequences for selective heteronuclear J cross-polarization (JCP), which we have developed especially for indirect 13C imaging using JCP, for example in the CYCLCROP environment. The sequences are straightforward to implement and operate reliably. Results of an average Hamiltonian analysis are given for the basic sequence, which we term PRAWN (pulsed rotating frame transfer sequence with windows). It is shown experimentally that the pulse sequence, which operates efficiently with low RF duty cycles down to a few percent, has a useful tolerance range to absolute Hartmann-Hahn mismatch and generates coherence transfer spectra in close correspondence with the JCP average Hamiltonian. Computer simulation of the performance of the basic sequence on a heteronuclear spin-(1/2) AX system is also presented. The mismatch compensation of PRAWN may be markedly enhanced further by issuing a pi pulse to each spin halfway through the basic PRAWN train and in phase quadrature to it. A simple analysis of this modified sequence, PRAWN-pi, is given under conditions of mismatch and off-resonance irradiation.

Carbon Isotopes↗

Routine clinical brain MRI sequences for use at 3.0 Tesla.

PURPOSE: To establish image parameters for some routine clinical brain MRI pulse sequences at 3.0 T with the goal of maintaining, as much as possible, the well-characterized 1.5-T image contrast characteristics for daily clinical diagnosis, while benefiting from the increased signal to noise at higher field. MATERIALS AND METHODS: A total of 10 healthy subjects were scanned on 1.5-T and 3.0-T systems for T(1) and T(2) relaxation time measurements of major gray and white matter structures. The relaxation times were subsequently used to determine 3.0-T acquisition parameters for spin-echo (SE), T(1)-weighted, fast spin echo (FSE) or turbo spin echo (TSE), T(2)-weighted, and fluid-attenuated inversion recovery (FLAIR) pulse sequences that give image characteristics comparable to 1.5 T, to facilitate routine clinical diagnostics. Application of the routine clinical sequences was performed in 10 subjects, five normal subjects and five patients with various pathologies. RESULTS: T(1) and T(2) relaxation times were, respectively, 14% to 30% longer and 12% to 19% shorter at 3.0 T when compared to the values at 1.5 T, depending on the region evaluated. When using appropriate parameters, routine clinical images acquired at 3.0 T showed similar image characteristics to those obtained at 1.5 T, but with higher signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR), which can be used to reduce the number of averages and scan times. Recommended imaging parameters for these sequences are provided. CONCLUSION: When parameters are adjusted for changes in relaxation rates, routine clinical scans at 3.0 T can provide similar image appearance as 1.5 T, but with superior image quality and/or increased speed.

Brain↗

Simultaneous acquisition of gradient-echo and asymmetric spin-echo for single-shot z-shim: Z-SAGA.

This article describes the Z-SAGA pulse sequence, a technique for recovering susceptibility losses in EPI images for neuroimaging applications. The pulse sequence is based on an asymmetric spin echo EPI sequence and acquires a gradient echo image and an asymmetric spin echo image in a single shot. For one of the images, a z-shim gradient pulse is applied to compensate for susceptibility-related field distortions. The two images are combined to form an image with reduced signal loss. This sequence is simple to implement and experimentally demonstrated to be effective for BOLD imaging.

Artifacts↗

Fluorine-19 solid-state NMR magic-angle-turning experiments using multiple-pulse homonuclear decoupling

For compounds giving "crowded" 1-dimensional magic-angle-spinning spectra, information about the local atomic environment in the form of the chemical shift anisotropy (CSA) is sacrificed for high resolution of the less informative isotropic chemical shift. Magic-angle-turning (MAT) NMR pulse sequences preserve the CSA information by correlating it to the isotropic chemical shift in a 2-dimensional experiment. For low natural abundance nuclei such as 13C and 15N and under 1H heteronuclear dipolar decoupling conditions, the dominant NMR interaction is the chemical shift. For abundant nuclei such as 1H, 19F, and 31P, the homonuclear dipolar interaction becomes a significant contribution to the observed linewidth in both F1 and F2 dimensions. We incorporate MREV8 homonuclear multiple-pulse decoupling sequences into the MAT experiment to give a multiple-pulse MAT (MP-MAT) experiment in which the homonuclear dipolar interaction is suppressed while maintaining the chemical shift information. Extensive use of computer simulation using GAMMA has guided the pulse sequence development. In particular, we show how the MREV8 pulses can be incorporated into a quadrature-detected sequence such as MAT. The MP-MAT technique is demonstrated for a model two-site system containing a mixture of silver trifluoroacetate and calcium difluoride. The resolution in the isotropic evolution dimension is improved by faster sample spinning, shorter MREV8 cycle times in the evolution dimension, and modifications of the MAT component of the pulse sequence. Copyright 1999 Academic Press.

Journal Article↗

Chemical-Shift-Selective Acquisition of Multiple-Quantum-Filtered 23Na Signal

Equations describing the multiple-quantum (MQ) signal produced by an MQ pulse sequence are systematically derived in both absence and presence of refocusing RF pulses. When the RF pulses in an MQ pulse sequence satisfy certain conditions, these equations may be arranged in a factorized form. The off-resonance effects on the MQ signal due to chemical shift can then be analyzed separately during the preparation and evolution times. Using the reformulated equations, the dependence of the amplitude of an MQ signal on the phase shift induced by the resonance offset during the preparation and evolution times is demonstrated. By use of the new equations, it is shown that the off-resonance effects, occurring during both the preparation and evolution times, may be described in terms of the same physical process, i.e., interference between echo and antiecho. In applying the off-resonance effects for the elimination of the MQ signal in the presence of chemical shift, it is possible to suppress the MQ signal over a wider off-resonance bandwidth by use of the nonrefocused preparation and evolution times than by use of a single time. Furthermore, by taking an alternative approach in deriving the equations, the interference between echo and antiecho due to the resonance offset is shown to be insensitive to the flip angle of the creation RF pulse (usually the second pi/2 RF pulse). The theoretical findings were experimentally verified by use of a phantom containing sodium in agarose.

Journal Article↗