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Gadolinium-DTPA in MR imaging of glioblastomas and intracranial metastases.

In 14 patients with the diagnosis of glioblastoma (n = 7) or intracranial metastases (n = 7), magnetic resonance (MR) imaging was performed using a variety of spin-echo (SE) pulse sequences before and after intravenous injection of 0.1 mmol gadolinium-DTPA (Gd-DTPA) per kilogram of body weight. In 10 patients, tumor tissue could not be adequately differentiated from perifocal edema on unenhanced scans with any of the applied pulse sequences. In four cases of intracranial metastases, poor differentiation between tumor and perifocal edema was possible in T2-weighted (SE 1600/70 and SE 1600/105) unenhanced scans. After administration of Gd-DTPA, tumor tissue showed marked contrast enhancement, and tumor delineation was consistently possible on SE 800/35 images. Tumor tissue could be differentiated from perifocal edema on SE 800/70 scans. Gd-DTPA is likely to increase the potential of MR imaging and refine the evaluation of glioblastomas and intracerebral metastases.

Adult↗

Acoustic echoplanar scanner noise and pure tone hearing thresholds: the effects of sequence repetition times and acoustic noise rates.

PURPOSE: Our goal was to determine the effects of acoustic echoplanar scanner noise on pure tone hearing thresholds in normal volunteers and to determine the influence of echoplanar sequence repetition time on threshold effects. METHOD: With use of a calibrated audiometer, pure tones ranging from 125 to 8,000 Hz were delivered monaurally to 10 normal-hearing volunteers in a quiet MR scanner suite and in the presence of acoustic scanner noise produced by three separate single shot blipped echoplanar pulse sequences varying only in repetition time (TR = 1,000, 2,000, or 3,000 ms), with all other parameters including the number of slices held constant. The magnitude of noise-induced threshold changes and the slopes of the threshold curves produced by each of the three echoplanar pulse sequences were then analyzed using multiple comparisons and a least significant difference method. The shapes of the threshold curves produced in each background state were best fit using a quadratic effect for frequency in a mixed effects linear model and compared using F test statistics. RESULTS: All of the volunteers demonstrated entirely normal hearing thresholds throughout the full range of tonal frequencies tested (< 25 dB) when no acoustic scanner noise was present in the scanner suite. Pure tone hearing thresholds significantly increased (p < 0.01) in the presence of acoustic scanner noise, with the magnitude of change inversely proportional to the repetition time and therefore the rate of periodic noise production by the echoplanar sequence used. The shape of the threshold curve in the presence of noise produced by the 1,000 ms TR sequence was not equivalent across the frequency spectrum tested but had a quadratic distribution with peak effects at 750-2,000 Hz. As the repetition time was increased and the periodic noise rate decreased, the magnitude of the noise-induced threshold changes significantly lessened (p < 0.01) and the quadratic distributions of the threshold curves changed significantly (p < 0.01), tending toward a more planar configuration. CONCLUSION: Background acoustic echoplanar scanner noise can significantly increase pure tone thresholds in the optimal frequency hearing range (125-8,000 Hz). However, the threshold effects are not equivalent across the frequency spectrum, and the magnitude of threshold changes is dependent on the rate at which periodic acoustic scanner noises are produced for a given sequence repetition time.

Acoustic Stimulation↗

Rapid radiofrequency calibration in MRI.

A collection of modified procedures for setting rf transmitter levels using a three-pulse sequence is described. Based on a geometrically weighted ratio of four signals, an estimate of the flip angle is calculated and used for an updating prescription. These techniques are designed to perform rapidly yet eschew systematic errors due to relaxation during the pulse sequence.

Algorithms↗

Measurement of internuclear distances in solid-state NMR by a background-filtered REDOR experiment

A background-filtered version of the rotational-echo double resonance (REDOR) experiment is demonstrated. The experiment combines a traditional REDOR pulse sequence with a double-cross-polarization (DCP) sequence to select only those signals coming from spin pairs of interest. The relatively inefficient DCP sequence, which transfers polarization from (1)H to (15)N and subsequently to (13)C, is improved by the use of adiabatic passages through the (-1) sideband of the Hartmann-Hahn matching condition. The result is an efficient 2D-REDOR pulse sequence that does not require a reference experiment for removal of background signals. The data produced by the experiment are ideally suited to analysis by newly developed dipolar transform methods, such as the REDOR transform. The relevant features of the experiment are demonstrated on simple labeled amino acids. Relative efficiencies of several other potential filtering methods are also compared. Copyright 2000 Academic Press.

Journal Article↗

Investigation of coronary vessels in microscopic dimensions by two- and three-dimensional NMR microscopic imaging in the isolated rat heart. Visualization of vasoactive effects of endothelin 1.

BACKGROUND: Nuclear magnetic resonance (NMR) imaging of macroscopic coronary vessels is rapidly advancing, whereas little attention has focused on development of NMR techniques for investigation of coronary microvessels. Such techniques would be of particular importance, since conventional methods to visualize coronary microvessels have specific limitations. The aim of our study was to develop two- and three-dimensional (2D and 3D) high-resolution imaging of coronary microvessels. Quantitative analysis of vessel size was performed in tomograms and applied to evaluate the vasoconstrictor effect of endothelin 1. METHODS AND RESULTS: Angiographic imaging was performed on an 11.75-T magnet by 2D and 3D gradient-echo pulse sequences. In tomograms, the validity of this method in providing correct vessel size was tested by phantom experiments. Experiments were carried out in the isolated constant-pressure-perfused rat heart with continuous registration of coronary flow and left ventricular pressure. NMR pulse sequences were pressure-triggered in mid diastole. Four groups of hearts were studied. In group 1 (n = 20), 2D imaging perpendicular and parallel to the long axis of the heart was performed. Cross sections of vessels with diameter > 140 microns were clearly detectable. In group 2 (control, n = 5) and group 3 (n = 13), tomograms perpendicular to the long axis were obtained before and after administration of vehicle (group 2) and 200 pmol endothelin 1 bolus (group 3). Vehicle had no effect on vessel cross section. Endothelin 1, which decreased global coronary flow by 47%, reduced vessel cross section by 38 +/- 19%. A weak but, on average, significant inverse correlation between area of cross section and vessel size was found. In group 4 (n = 10), 3D imaging was performed in 7 normal hearts and 3 hearts with anterior myocardial infarction. A 3D image of the entire coronary artery tree was obtained, revealing excellent agreement with anatomic studies. In infarcted rat hearts, occlusion of the left coronary artery was demonstrated. CONCLUSIONS: Visualization and quantification of coronary microvessels are feasible by NMR microscopy. NMR microscopy bears the potential of becoming a powerful tool for the investigation of the coronary microcirculation.

Animals↗

[Functional MRI of the brain].

An introduction to functional MRI (fMRI) of the brain was described. Basically there are two methods in fMRI; one is using extrinsic substance and the other intrinsic substance. The blood oxygen level dependent contrast method, which uses intrinsic substance, is used commonly at present. This method is based on the idea that the signal intensity changes due to the oxygenation of hemoglobin (Hb) in the blood vessels. Oxy-Hb has a diamagnetic property which does not affect the signal intensity of water proton. On the other hand, deoxy-Hb is paramagnetic and shortens the T2 relaxation time of the water proton. By the activation of brain, blood flow increases around the activated area with a little increase of oxygen consumption, resulting in an increase of oxy-Hb in the capillary of this area. Consequently signal increase occurs in the activated area of the brain on MRI due to the decrease of deoxy-Hb. The fMRI was measured by pulse sequences sensitive to the T2 changes such as echo planar imaging (EPI) on 1.5 T systems or gradient echo imaging (GRE) on high-filed magnetic systems (3.0-4.0 T). It becomes possible to get fMRI on conventional MRI scanners using GRE pulse sequence. Many activation tasks are adopted for fMRI; not only simple tasks such as motor, photic and sensory stimulations but also complex tasks such as hearing of words, word generation, imagination, coordination motion, etc. A rapid increase of signal intensity was observed in the primary cortical area corresponding to each task, and the activated area is visualized by the subtraction imaging or statistically treated imaging. The fMRI has big advantages to get brain functional imaging because of non-invasive measurement, using intrinsic substance, highly spatial and temporal resolution and easy measurement on conventional clinical devices. Therefore, the fMRI will be used more and more widely in future, especially by introducing the EPI technique to the clinical MRI scanners.

Brain↗

Black-blood MR angiography with GRASE: measurement of flow-induced signal attenuation.

We investigated the feasibility of performing black-blood MR angiography (MRA) with the gradient and spin-echo (GRASE) pulse sequence. Phantom experiments and human testing were conducted, and the results were compared with those of turbo spin-echo (TSE). We demonstrated that both techniques are able to produce signal suppression of flowing fluid to background level. With fewer radiofrequency (RF)-refocusing pulses, GRASE pulse sequences could serve as an alternative black-blood technique of reduced RF power exposure and shorter scan time. These relative advantages of GRASE may become useful when high-resolution images are taken.

Blood Flow Velocity↗

Computational simulation of turbulent signal loss in 2D time-of-flight magnetic resonance angiograms.

Time-of-flight magnetic resonance (MR) angiography is currently limited in the evaluation of arterial stenoses by flow-induced signal loss. This signal loss has been attributed to phase dispersion and to phase misregistration. We have developed a fluid mechanics model of 2D time-of-flight MR angiograms to study the amount of signal loss caused by random turbulence. The simulations were created by stochastic analysis of particle pathlines determined by computational fluid dynamics for turbulent flow. The images obtained by the model compare well to actual MR images of flow in stenoses. By selectively removing the random turbulent motion in the simulation, it can be seen that random phase dispersion is the dominant mechanism of signal loss. Phase misregistration and mean flow phase dispersion act as secondary effects. The MR simulation model recreates accurately the variation of signal loss over a range of echo times. The model can be used further to explore and design new pulse sequences. For example, the current study showed that high slew rate gradient waveforms can significantly reduce poststenotic signal loss. In conclusion, computational modeling of MR angiography can be a useful approach for the analysis of MRA signal loss and the design of improved pulse sequences.

Blood Flow Velocity↗

Analytical analysis of multi-pulse NMR.

It is well known that in multi-pulse applications in high-resolution NMR and MRI a steady state is reached for the magnetisation vector by the effect of relaxation in combination with the pulse repetition time. In this paper, a mathematical model is developed to understand how the parameters of the pulse sequence and relaxation times T(1) and T(2) affect the behaviour of the magnetisation vector. It will be shown that even under strong simplifying conditions an analytical analysis becomes very complex and only an analytical solution can be found for 90 degrees pulses and T(1)=T(2). For other cases a numerical approach is needed. Nevertheless, the basic approach of the mathematical analysis provides a general tool for analytical multi-operator applications. Our results provide a quantitative insight in the process by which the magnetisation relaxes towards the steady-state situation in a multi-pulse sequence.

Magnetic Resonance Spectroscopy↗

An improved method for suppressing protein background in PFG NMR experiments to determine ligand diffusion coefficients in the presence of receptor.

In NMR diffusion experiments to study ligand-protein binding equilibria, the spectral background due to broad protein resonances can contribute significantly to the measured ligand signal intensity resulting in erroneous binding affinities. One method to suppress the protein spectral background involves coupling a CPMG pulse train before or after the BPPSTE pulse sequence to allow for differential T(2) relaxation of the broad protein resonances. Here, we present an improved method, the Gradient Phase Encoded Spin-lock (GraPES) experiment that integrates the relaxation filter into the diffusion period. Compared with sequential CPMG-BPPSTE pulse sequences, GraPES offers effective suppression of the protein background with improved signal-to-noise ratios and shorter experiment times.

Diffusion↗

PFG-omega1-filtered TOCSY experiments for the determination of long-range heteronuclear and homonuclear coupling constants and estimation of J-coupling "crosstalk" artifacts in 2-D omega1-filtered "E. COSY-style" spectra.

We present novel one- and two-dimensional versions of the omega1-filtered TOCSY experiment. These experiments utilize pulsed-field gradient techniques and INEPT-reverse INEPT magnetization transfer to generate heteronuclear filtering by means of coherence pathway selection. The major advantages of this approach are twofold: first, each experiment requires a reasonable number of transmitter pulses, gradient pulses, and delays to implement. Second, the use of z-axis gradients at the beginning and termination of the pulse sequences prevents the recovery of dephased magnetization prior to FID detection. This technique was incorporated into 1-D and 2-D omega1-filtered JXH- and JHH-TOCSY-style experiments. As demonstrated on 15N-enriched peptide samples, the use of the pulsed-field-gradient coherence selection scheme effectively filters out unwanted magnetization components, thereby improving the overall sensitivity of the experiments. In addition to this suite of pulse sequences, we also present a method for correcting the reduction in J-coupling that results from crosspeak shifting in 2-D omega1-filtered E. COSY-style spectra. This correction is applicable to both Lorentzian and Gaussian 2-D crosspeak lineshapes.

Humans↗

Advanced imaging of melorheostosis with emphasis on MRI.

OBJECTIVE: To describe the CT and MR imaging appearance of both osseous and extraosseous manifestations of melorheostosis. DESIGN AND PATIENTS: We retrospectively reviewed the CT (n=7) and/or MR imaging findings (n=12) of 17 patients with characteristic radiographic findings of melorheostosis (undulating cortical hyperostosis with marked uptake on radionuclide bone scintigraphy). RESULTS: CT and MR imaging revealed cortical hyperostosis as high attenuation and low signal intensity on all MR pulse sequences, respectively. Encroachment on the marrow space was seen in all cases resulting from endosteal involvement. Thirteen patients demonstrated 14 soft tissue masses with infiltrative margins in 80% of cases and seven showed extensive mineralization on CT or MR imaging (low intensity on all pulse sequences). Seven soft tissue masses were predominantly nonmineralized with intermediate signal intensity on T1-weighted and intermediate to high signal on T2-weighted MR images corresponding to vascularized fibrous tissue with variable collagen content pathologically. Enhancement after intravenous gadolinium was seen in all patients imaged with soft tissue masses (n=2). Two patients demonstrated muscle atrophy resulting from nerve involvement. CONCLUSIONS: The osseous abnormalities in melorheostosis are identical on advanced imaging and radiographs. Mineralized or nonmineralized soft tissue masses should be recognized as another manifestation of this disease as opposed to a more ominous finding, making biopsy unwarrranted.

Adolescent↗

MR imaging of susceptibility-induced magnetic field inhomogeneities.

A 90 degrees-tau 1-90 degrees-tau 2-image acquisition pulse sequence allows spatial mapping of resonant frequency. This sort of sequence has previously been used for magnet shimming, and its use in chemical-shift imaging has been proposed. The authors used this sequence in magnetic resonance imaging of a phantom to demonstrate the magnetic field gradients arising from susceptibility differences within the phantom and allow those gradients to be measured. Gradients may arise near interfaces between substances that cannot support the same magnetic flux density. The pulse sequence was found to work well in lower-field-strength instruments.

Brain↗

Quantitative proton chemical-shift imaging.

Recently W. T. Dixon (Radiology 153, 189 (1984))introduced a simple method of proton chemical-shift imaging which requires only two images, a conventional (in-phase) image and an image in which fat and water protons are 180 degrees out of phase during signal acquisition, to separate the signals from fat and water protons. We have tested the application of this method to the quantitative determination of fat content and fat and water longitudinal relaxation times, and analyzed the effects of random and systematic errors. Ten phantoms were constructed with a range of fat contents (0-50% by weight) and water T1's (300-800 ms). Fat and water T1's were measured with a 0.6-T clinical imaging system in two ways: using the system as a spectrometer with all gradients off, and from least-squares fits to in-phase and out-of-phase image data made with six values of TR. The image-derived values of water T1 agreed well with spectrometer-derived values (r = 0.97) and the image derived fat fraction correlated strongly with the fat fraction by weight (r = 0.995). The effects of random and systematic errors were analyzed for a minimum data set of four images: in-phase and out-of-phase images at two values of TR. The pair of TR values which minimize the variance in water T1 were calculated, and for these pulse sequences the effects of two potential systematic errors were calculated: inhomogeneities in the main field, which will reduce the intensity in out-of-phase images compared to in-phase images even for pure water samples, and an incorrect shift of the 180 degrees pulse in the out-of-phase pulse sequence, corresponding to an inaccurate assumed chemical shift. With careful attention to such systematic effects the Dixon method is capable of producing reliable quantitative measurements.

Fats↗

Three-dimensional experiment for solid-state NMR of aligned protein samples in high field magnets.

A pulse sequence that yields three-dimensional (1)H chemical shift/(1)H-(15)N heteronuclear dipolar coupling/(15)N chemical shift solid-state NMR spectra is demonstrated on a uniformly (15)N labeled membrane protein in magnetically aligned phospholipid bilayers. Based on SAMPI4, the pulse sequence yields high resolution in all three dimensions at a (1)H resonance frequency of 900 MHz with the relatively low rf field strength (33 kHz) available for a lossy aqueous sample with a commercial spectrometer and probe. The (1)H chemical shift frequency dimension is shown to select among amide resonances, which will be useful in studies of larger polytopic membrane proteins where the resonances overlap in two-dimensional spectra. Moreover, the (1)H chemical shift, which can be measured from these spectra, provides an additional orientationally dependent frequency as input for structure calculations.

Capsid Proteins↗

Hyperfine decoupling in electron paramagnetic resonance as a powerful tool for unraveling complicated ESEEM spectra of S=1/2, I> or =1/2 systems.

Hyperfine decoupling in electron paramagnetic resonance after strong microwave radiation is studied for S=1/2, I=1/2 and S=1/2, I=1 spin systems. A new 2D pulse sequence based on the hyperfine-decoupled DEFENCE (deadtime-free ESEEM by nuclear coherence-transfer echoes) experiment is introduced, which is distinguished by a remarkable reduction of the residual hyperfine coupling. The efficiency of this new decoupling experiment in comparison to the old pulse sequence is studied by means of numerical simulations. The advantages of the new decoupling experiment and its ability to simplify ESEEM spectra are experimentally demonstrated on two disordered systems.

Journal Article↗

[19F-MRT of pulmonary ventilation in the breath-hold technic using SF6 gas].

OBJECTIVE: Development of a method to analyze lung ventilation by 19F-magnetic resonance imaging (MRI) of inspired SF6 gas during breath hold. MATERIAL AND METHODS: Measurements were performed with a Siemens Magnetom Vision 1.5 T scanner using the conventional gradient overdrive. Coronal images of the lung were acquired using ultrafast gradient-echo pulse sequences with TR/TE/alpha = 1.4 ms/0.48 ms/40 degrees without slice selection. With NEX = 200 averages and MA = 32 x 64 raw data matrix, the acquisition time was 9 s/image. Higher spatial resolution of 4.7 x 6.3 x 15 mm3 was obtained with a three-dimensional pulse sequence (TR/TE/alpha = 1.6 ms/0.48 ms/65 degrees, NEX = 20) running for 49 s. Measurements wer performed in three anesthetized and ventilated pigs (18 kg). RESULTS: A nearly linear relation between SF6 concentration and 19F signal intensity was observed. The signal-to-noise ratio in images obtained without slice selection was 30.9, with slice selection it was 14.9. No differences between SF6 distribution to both lungs were observed in the animals. CONCLUSION: Breath-hold MRI of SF6 gas distribution in the lung was demonstrated for the first time. The low spin-density was compensated for by highly repetitive signal averaging. Breath-hold 19F-MR imaging of ventilated airspaces to assess SF6 distribution in the human lung appears to be an interesting new method, which can be implemented with little technical efforts, and does not rely on radioactive isotopes.

Animals↗

Contrast-enhanced magnetic resonance angiography: technical considerations for optimized clinical implementation.

Contrast-enhanced magnetic resonance angiography (CE MR angiography) has benefited from advancements in MR imaging speed, pulse sequence design, and dedicated equipment and algorithms for its performance. These improvements have greatly expanded the number of options available to the operator and enabled the application of CE MR angiography to a broader range of clinical applications. In this article, the various timing options, pulse sequence innovations, and contrast administration concerns related to clinical CE MR angiography are reviewed. Pertinent issues related to multiphase and multistation bolus chase CE MR angiography also will be discussed.

Contrast Media↗