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Fast MR cardiac profiling with two-dimensional selective pulses.

A rapid-profiling NMR pulse sequence has been designed to provide an interactive, real-time cardiac probe analogous to M-mode ultrasound. The pulse sequence employs a two-dimensional (2D) selective NMR pulse to excite a narrow (nominally 1-cm-diameter) cylinder of magnetization intersecting the heart. This procedure is followed by a readout gradient applied along the length of the cylinder, or "beam," to yield an M-mode type profile with a one-dimensional Fourier transform reconstruction. k-space techniques were used to design 2D pulses which excite cylinders characterized by either Gaussian or square radial excitation profiles. Images of phantoms acquired at 1.5 T confirm the predictions of the k-space analysis. The cylinder can be displaced interactively by modulating the rf excitation and the beam axis can be reoriented to any oblique direction by changing the relative mixing of the gradient waveforms. Flow compensation using bipolar gradient waveforms inverts the contrast of flowing blood and suppresses flow artifacts. A gated cardiac image is acquired as a reference to locate the excitation axis. A series of cardiac experiments was performed on several healthy volunteers. As the beam is moved and rotated to probe the myocardium, the profile plots resemble an M-mode echocardiogram. Unlike in M-mode echocardiography, however, the axis of interrogation is not limited to specific windows, and there is distinct flexibility of contrast. However, the temporal resolution is currently less than that achieved by ultrasound. NMR M-mode profiling provides a direct, fast method of measuring heart motion to assess cardiac function as part of an MR cardiac exam.

Fourier Analysis↗

Optimized 1D double quantum filter NMR experiments.

We propose and demonstrate a 1D pulse sequence to convert double quantum coherence (DQC) of y phase with optimal efficiency, relying on single transition selection. Our sequence has a larger high-sensitivity bandwidth with respect to the coupling, compared to other reconversion strategies. A modified version of the new pulse sequence provides the missing chemical shift and coupling information, at minor cost in sensitivity. Application to 1D 13C INADEQUATE is demonstrated. Our new sequence is also applied to quadrupole coupled spin-1 systems, such as 2H in lyotropic phase. Performance of the sequence may be fine-tuned by pulse flip angle optimization, taking into account relaxation effects.

Journal Article↗

Dynamic imaging with lanthanide chelates in normal brain: contrast due to magnetic susceptibility effects.

Using a one-dimensional rapid imaging technique, we have found that injection of lanthanide chelates such as Gd(DTPA)2- leads to a significant decrease (50%) in rat brain signal intensity at 1.45 T using T2-weighted pulse sequences; however, no effect of comparable size is observed with T1-weighted pulse sequences. The transient effect and its kinetics were followed with a temporal resolution of between 1 and 8 s. Experiments with different lanthanide chelates show that the observed decrease in signal intensity correlates with the magnetic moment of each agent but not with their longitudinal relaxivity. Three-dimensional chemical-shift resolved experiments demonstrate significant line broadening in brain during infusion with Dy(DTPA)2-. Our results show that the cause of this effect is the difference in susceptibility between the capillaries, containing the contrast agent, and the surrounding tissue. As a result of these susceptibility differences, field gradients are produced in the tissue and diffusion of water through these gradients leads to a loss of spin phase coherence and thus a decrease in signal intensity. We propose this as a new type of contrast agent mechanism in NMR. The effect and its kinetics are likely to be related to important physiological parameters such as cerebral blood volume and cerebral blood flow, and do not depend on a breakdown of the blood-brain barrier as do conventional contrast agent techniques.

Animals↗

Magnetic resonance imaging of the heart for determination of ejection fraction.

In 28 patients with various cardiac diseases we compared ejection fractions obtained by magnetic resonance imaging in a single oblique slice with monoplane ventriculography in the right anterior oblique projection, the latter serving as the standard. Also, results were evaluated for clinical relevance and relation to image quality. The correlation between the two techniques was moderate (r = 0.65). According to our standardized limits for clinical relevance, insufficiently correlating ejection fractions were obtained in 14 patients. In 8 of these patients this was attributed to poor endocardial edge detection. Edge detection problems were more frequently encountered by imaging with echo-time 20 msec than with echo-time 32 msec. Other causes for mismatching of the obtained ejection fractions are discussed. It is concluded that determination of ejection fraction by single slice magnetic resonance imaging should not be used for clinical application. Improvement can be expected by using a contiguous slicing technique, a longer echo-time in the spin-echo pulse sequence, or in due course by application of newly developed fast-imaging pulse sequences.

Cardiomyopathy, Hypertrophic↗

NMR R1 rho rotating-frame relaxation with weak radio frequency fields.

NMR spin relaxation in the rotating frame (R(1 rho)) is one of few methods available to characterize chemical exchange kinetic processes occurring on micros-ms time scales. R(1 rho) measurements for heteronuclei in biological macromolecules generally require decoupling of (1)H scalar coupling interactions and suppression of cross-relaxation processes. Korzhnev and co-workers demonstrated that applying conventional (1)H decoupling schemes while the heteronuclei are spin-locked by a radio frequency (rf) field results in imperfect decoupling [Korzhnev, Skrynnikov, Millet, Torchia, Kay. J. Am. Chem. Soc. 2002, 124, 10743-10753]. Experimental NMR pulse sequences were presented that provide accurate measurements of R(1 rho) rate constants for radio frequency field strengths > 1000 Hz. This paper presents new two-dimensional NMR experiments that allow the use of weak rf fields, between 150 and 1000 Hz, in R(1 rho) experiments. Fourier decomposition and average Hamiltonian theory are employed to analyze the spin-lock sequence and provide a guide for the development of improved experiments. The new pulse sequences are validated using ubiquitin and basic pancreatic trypsin inhibitor (BPTI). The use of weak spin-lock fields in R(1 rho) experiments allows the study of the chemical exchange process on a wider range of time scales, bridging the gap that currently exists between Carr-Purcell-Meiboom-Gill and conventional R(1 rho) experiments. The new experiments also extend the capability of the R(1 rho) technique to study exchange processes outside the fast exchange limit.

Animals↗

Magnetic resonance imaging of the pancreas at 3.0 tesla: qualitative and quantitative comparison with 1.5 tesla.

OBJECTIVES: We sought to perform a preliminary comparison of signal-to-noise ratio (SNR) and image quality for magnetic resonance imaging (MRI) of the pancreas at 1.5 and 3 T. MATERIALS AND METHODS: Two imaging cohorts were studied using a T2-weighted, single-shot fast spin-echo pulse sequence and a T1-weighted, fat-suppressed 3D gradient-echo pulse sequence. In the first cohort, 4 subjects were imaged using identical imaging parameters before and after contrast administration at 1.5 and 3.0 T. The SNR was quantified for the pancreas as well as for the liver, spleen, and muscle. In a second cohort of 12 subjects in whom the receiver bandwidth was adjusted for field strength, SNR measurements and qualitative rankings of image quality were performed. RESULTS: In the study cohort using identical imaging parameters at both magnetic field strengths, the mean (SD) ratios of SNR at 3.0 to 1.5 T of the single-shot fast spin-echo images for the pancreas, liver, spleen, and muscle were 1.63 (0.39), 1.82 (0.39), 1.45 (0.18), 2.01 (0.16), respectively. For the precontrast fat-suppressed 3D gradient-echo sequence, the corresponding ratios were 1.28 (0.29), 1.26 (0.30), 1.16 (0.27), and 1.76 (0.45), respectively; for the arterial phase, the corresponding ratios were 2.02 (0.28), 1.60 (0.42), 1.47 (0.26), and 1.94 (0.32), respectively; and for the delayed postcontrast phase, the corresponding ratios were 1.63 (0.51), 2.01 (0.25), 1.66 (0.06), and 2.31 (0.47), respectively. The SNR benefit of 3.0 T was significantly greater on contrast-enhanced as compared with noncontrast T1-weighted 3D gradient-echo images. In the second study cohort, SNR was superior at 3.0 T, although the use of a reduced readout bandwidth at 1.5 T substantially diminished the advantage of the higher field system. With qualitative comparison of images obtained at the 2 magnetic field strengths, the fat-suppressed 3D gradient-echo images obtained at 3.0 T were preferred, whereas the single shot fast spin-echo images obtained at 1.5 T were preferred because of better signal homogeneity. CONCLUSIONS: Our results in a small cohort of volunteers and patients demonstrate a marked improvement in SNR at 3.0 T compared with 1.5 T (by a factor of 2 in some cases) when identical imaging parameters were used. The SNR advantage at 3.0 T is diminished but persists when the receiver bandwidth is adjusted for magnetic field strength. The results suggest that 3.0 T may offer promise for improved body MRI, although further technical development to optimize SNR and improve signal homogeneity will be needed before its full potential can be achieved.

Adult↗

Chemical shift: the artifact and clinical tool revisited.

The chemical shift phenomenon refers to the signal intensity alterations seen in magnetic resonance (MR) imaging that result from the inherent differences in the resonant frequencies of precessing protons. Chemical shift was first recognized as a misregistration artifact of image data. More recently, however, chemical shift has been recognized as a useful diagnostic tool. By exploiting inherent differences in resonant frequencies of lipid and water, fatty elements within tissue can be confirmed with dedicated chemical shift MR pulse sequences. Alternatively, the recognition of chemical shift on images obtained with standard MR pulse sequences may corroborate the diagnosis of lesions with substantial fatty elements. Chemical shift can aid in the diagnosis of lipid-containing lesions of the brain (lipoma, dermoid, and teratoma) or the body (adrenal adenoma, focal fat within the liver, and angiomyolipoma). In addition, chemical shift can be implemented to accentuate visceral margins (e.g., kidney and liver).

Artifacts↗

Magnetic resonance imaging and hydatidiform mole.

Five women with complete and partial hydatidiform mole were examined by magnetic resonance imaging (MRI). Spin-echo pulse sequences (T2 weighted) were found to provide excellent resolution, while inversion-recovery pulse sequences (T1 weighted) gave better pathological detail. The myometrium was clearly seen on each patient and no invasion by the tumour detected. This corresponded to the histological findings. The potential uses of magnetic resonance in the diagnosis of primary and recurrent trophoblastic disease and its role in management are discussed.

Female↗

Computer-algebra calculations and measurements on AB spin systems for double-spin-echo sequences.

The time evolution of the density operator of an AB spin system during a double-spin-echo pulse sequence is evaluated analytically by a computer-algebra system. The computer-algebra system allows one to generate the extensive formulas describing the density operator and yields an expression for the integral of the spectral signals. The simulation of spectra for arbitrary sequence timings can be easily performed by this new tool without risking errors that might occur in conventional calculations. The computer-algebra method can be extended straightforward to other pulse angles and types of sequences. The double-spin-echo pulse sequence is used in the point-resolved spectroscopy (PRESS) method which is often applied for volume selective examinations in vivo. For verification of the results generated by the computer-algebra system, 1H spectra from a half-liter spherical sample with an aqueous solution that was 0.1 M in sodium citrate and 0.1 M in sodium acetate were recorded after 90 degrees-180 degrees-180 degrees double-spin-echo pulse sequences on a 1.5-T whole-body unit. The measured behavior of the citrate AB spin system corresponds very well with the theoretical predictions. Thus, the theory provides the basis for optimization of sequence timings for double-spin-echo measurements with high signal gain from AB systems as, for example, citrate. In addition, the theoretically predicted signal modulations could be fitted to the experimental data, providing the transverse relaxation time of the AB-coupled protons.

Computer Simulation↗

Improved visualization of non-transmural scar using slice-selective inversion-recovery delayed contrast-enhanced MRI: a preliminary report.

Delayed contrast-enhanced MRI (ce-MRI) pulse sequence is a promising modality for the assessment of myocardial viability. However, conventional ce-MRI using a non-selective inversion recovery (IR) pulse can often yield poor edge definition or contrast-to-noise ratio (CNR) between the non-transmural scar and blood (i.e. the blood and scar appear isointense). Subtraction and multicontrast ce-MRI methods can be used to improve the CNR between the non-transmural scar and blood, but they require two image acquisitions. The authors have developed a single-acquisition ce-MRI pulse sequence that utilizes a slice-selective IR pulse to generate bright-blood contrast using inflow effects for an improved edge definition between the non-transmural scar and blood. Six patients with myocardial infarction were imaged at 1.5 T using both non-selective and slice-selective IR ce-MRI acquisitions with identical imaging parameters. The CNR between the non-transmural scar and normal myocardium was not different between the two acquisitions. The CNR between the blood and non-transmural scar (16.9 +/- 12.3 versus 3.2 +/- 7.9; p < 0.001) was significantly higher for the slice-selective IR acquisition than for the non-selective IR acquisition. This study demonstrates the feasibility of using a slice-selective IR pulse to improve the visualization of a non-transmural scar in ce-MRI, without increasing the acquisition time.

Adult↗

Lipid-suppressed single- and multisection proton spectroscopic imaging of the human brain.

Spectroscopic images of the brain have great potential in disease diagnosis and treatment monitoring. Unfortunately, interfering lipid signals from subcutaneous fat and poor water suppression due to magnetic field inhomogeneities can make such images difficult to obtain. A pulse sequence that uses inversion recovery for lipid suppression and a spectral-spatial refocusing pulse for water suppression is introduced. In contrast to methods that eliminate fat signal by restricting the excited volume to lie completely within the brain, inversion-recovery techniques allow imaging of an entire section without such restrictions. In addition, the spectral-spatial pulse was designed to provide water suppression insensitive to a reasonable range of B0 and B1 inhomogeneities. Several data processing algorithms have also been developed and used in conjunction with the new pulse sequence to produce metabolite maps covering large volumes of the human brain. Images from single- and multisection studies demonstrate the performance of these techniques.

Brain↗

A set of HA-detected experiments for measuring scalar and residual dipolar couplings.

A new set of HCACO based three-dimensional NMR experiments for measuring residual dipolar couplings in proteins is presented. Using spin-state selection and editing in three dimensions, the experiments allow accurate measurement of intraresidual (1)D(C'H(alpha)), (1)D(C'C(alpha)) and (2)D(C'H(alpha)) scalar and residual dipolar couplings of (15) N/(13)C labeled proteins in D(2)O and dilute liquid crystals with minimal spectral crowding. The presented experiments are especially suitable for small or medium sized proline-rich proteins, or proteins that require high pH solvent conditions, making (1)H(N) detected experiments unattractive. In addition, the tetrahedral coordination of C(alpha) is superior to the planar peptide bond for determination of local alignments in partially structured polypeptides. For the efficient use of spectrometer time and to avoid complications arising from the varying magnitude of the alignment tensor during relatively long experiments, the (1)D(C'H(alpha)) and (2)D(C'H(alpha)) couplings can also be measured simultaneously in an E.COSY like manner with high accuracy. The pulse sequences are balanced for cross-correlation effects and minimized for relaxation losses. The pulse sequences are tested with a sample of (15)N/(13)C human ubiquitin. We find internuclear vector directions determined from the dipolar couplings to have an excellent correlation with those of ubiquitin's refined solution structure.

Carbon↗

Barium sulfate suspension as a negative oral MRI contrast agent: in vitro and human optimization studies.

In vitro proton spectroscopy with line-width measurements and MR imaging were performed on various concentrations of commercially available single contrast (SC), double contrast, oral and rectal barium sulfate suspensions, as well as potassium sulfate, barium chloride, barium hydroxide, and 97% pure barium sulfate suspensions. Approximately 500 ml of 20%, 40%, 60%, and 70% w/w suspensions of SC oral barium sulfate suspensions were administered to four normal volunteers, respectively, and MR images were obtained at both 1.5 T and 0.15 T. Subsequently, 500 ml of 60% w/w suspensions of SC oral barium sulfate suspensions were administered to five normal volunteers and imaged at 1.5 T. All of the inert suspensions produced line-width broadening but the SC oral barium sulfate suspension at 50% and 70% stayed in suspension even after hours of standing undisturbed. As much as 80% of the small bowel and the entire colon were well visualized using the combination of 60% or 70% w/w SC barium sulfate suspensions with SE 550/22 and FISP pulse sequences. The effect was less at 0.15 T and also with the SE 2000/45/90 pulse sequences. We conclude that barium sulfate suspensions are useful as oral MRI contrast agents.

Administration, Oral↗

Fitting of low-intensity wide-line spectra dominated by chemical shift anisotropy.

How experimental parameters affect the appearance, and consequently the fitting, of signals having very wide lines is discussed. As these spectra usually have very low intensities, pulse sequences that remove acoustic ringing and other experimental artefacts have to be used. These pulse sequences introduce further spectral distortions. A FORTRAN 77 program was developed that accounts for these effects. The fitting of these broad spectra is demonstrated by application to 207Pb solid-state nuclear magnetic resonance (NMR) spectra.

Anisotropy↗

Breast and axillary tissue MR imaging: correlation of signal intensities and relaxation times with pathologic findings.

We tested a variety of inversion-recovery (IR) and spin-echo (SE) sequences by imaging the breast masses of 22 patients before surgery and 23 tissue specimens with magnetic resonance (MR) imaging at 0.6 T to determine the most effective pulse sequences to evaluate breast disease. An SE pulse sequence using a long repetition time (TR) of 1,600 msec and a long echo time (TE) of 90 msec was found to be the most sensitive in depicting carcinoma in the excised tissue specimens, with all of the carcinomas (n = 15) demonstrating irregular areas of higher signal intensity (SI) than that of the adjacent fat. However, only five of 11 breast carcinomas present in the preoperative patients produced a higher SI than that produced by fat on the same T2-weighted sequence. Five of the remaining six carcinomas in the preoperative patients appeared as localized distortions of fibroductular architecture on both T2-weighted SE and IR sequences. In axillary tissue specimens, both metastatic carcinoma and hyperplastic lymph nodes produced a high SI on T2-weighted SE sequences. However, metastatic carcinoma had a significantly longer T2 relaxation time than did hyperplastic lymph nodes.

Adenofibroma↗

In vivo measurement of water self diffusion in the human brain by magnetic resonance imaging.

A new pulse sequence for in vivo diffusion measurements by magnetic resonance imaging (MRI) is introduced. The pulse sequence was tested on phantoms to evaluate the accuracy, reproducibility and inplane variations. The sensitivity of the sequence was tested by measuring the self diffusion coefficient of water with different temperatures. This phantom study showed that the water self diffusion could be measured accurately and that the inplane deviation was less than +/- 10 per cent. Seven healthy volunteers were studied with a 10 mm thick slice through the lateral ventricles, clear differences between grey and white matter as well as regional differences within the white matter were seen. In two patients with infarction, alternations in water self diffusion were seen in the region of the infarct. Likewise, pronounced changes in brain water self diffusion were observed in a patient with benign intracranial hypertension. The results indicate that brain water self diffusion can be measured in vivo with reasonable accuracy. The clinical examples suggest that diffusion measurements may be clinically useful adding further information about in vivo MR tissue characterization.

Adolescent↗

A simplified sequence for observing deoxymyoglobin signals in vivo: myoglobin excitation with dynamic unexcitation and saturation of water and fat (MEDUSA).

This paper describes a new, simplified pulse sequence for observing NMR signals from deoxymyoglobin in vivo. Paramagnetically shifted resonances from deoxymyoglobin can be exploited to noninvasively calculate intracellular oxygen tension in striated muscle. However, special sequences are required to observe these weak signals against the larger water and fat signals encountered in vivo. The pulse sequence described here, which is based on inversion recovery sequences, efficiently suppresses both water and fat resonances and can be implemented with short repetition rates. Moreover, it is perfectly suited for studies with surface coils, where RF inhomogeneities render other popular suppression sequences ineffective.

Humans↗

Magnetic resonance: an introduction to ultrashort TE (UTE) imaging.

The background underpinning the clinical use of ultrashort echo-time (UTE) pulse sequences for imaging tissues or tissue components with short T2s is reviewed. Tissues properties are discussed, and tissues are divided into those with a majority of short T2 relaxation components and those with a minority. Features of the basic physics relevant to UTE imaging are described including the fact that when the radiofrequency pulse duration is of the order T2, rotation of tissue magnetization into the transverse plane is incomplete. Consequences of the broad line-width of short T2 components are also discussed including their partial saturation by off-resonance fat suppression pulses as well as multislice and multiecho imaging. The need for rapid data acquisition of the order T2 is explained. The basic UTE pulse sequence with its half excitation pulse and radial imaging from the center of k-space is described together with options that suppress fat and/or long T2 components. Image interpretation is discussed. Clinical features of the imaging of cortical bone, tendons, ligaments, menisci, and periosteum as well as brain, liver, and spine are illustrated. Short T2 components in all of these tissues may show high signals. Possible future developments are outlined as are technical limitations.

Humans↗