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Improvement of temporal resolution in fMRI using slice phase encode reordered 3D EPI.

A magnetic resonance imaging (MRI) pulse sequence was developed for acquiring high temporal resolution 3D functional magnetic resonance images (fMRI). The technique uses a 3D-acquisition scheme that increases the SNR per unit time. Compared to the previously developed methods, the proposed one does not sacrifice the spatial resolution or require a reduction in the number of acquired slices. The method was tested on six control subjects using a well-known visual activation task. Statistical analysis of the acquired data showed significant activation in the primary visual cortex of each subject. The proposed acquisition method makes use of the periodicity of the applied stimulus. A given kz plane is scanned sequentially using a modified 3D EPI pulse sequence while the stimulus cycle (SC) is applied. The same SC is repeated for each acquisition of a new kz plane sequence. After data acquisition, temporal reordering is done on the data to obtain the proper 3D image sequence. Since the familiarization of the subject with the activation task is an important aspect that might affect the performance of the method, habituation of the primary visual cortex was tested by applying a similar visual stimulus and acquiring data using standard 2D Echo Planar Imaging (EPI). No habituation was observed within a duration of 7 min 12 sec.

Adult↗

IMPACT: image-based physiological artifacts estimation and correction technique for functional MRI.

Functional MRI (fMRI) signal variation induced by respiratory and cardiac motion affects the activation signal and limits the accuracy of analysis. Current physiological motion correction methods require either synchronization with external monitoring of respiration and heartbeat, specialized pulse sequence design, or k-space data. The IMage-based Physiological Artifacts estimation and Correction Technique (IMPACT), which is free from these constraints, is described. When images are acquired fast enough to sample physiological motion without aliasing, respiratory and cardiac signals can be directly estimated from magnitude images. Physiological artifacts are removed by reordering images according to the estimated respiratory and cardiac phases and then subtracting the Fourier-fitted variation from magnitude images. Compared with the k-space-based method, this method can efficiently and effectively reduce the overall signal fluctuation in the brain and increase the activated area. With this new technique, physiological artifacts can be reduced using traditional fMRI pulse sequences, and existing data can be corrected and reanalyzed without additional experiments.

Adult↗

Detection of articular cartilage lesions: experimental evaluation of low- and high-field-strength MR imaging at 0.18 and 1.0 T.

The objective of this study was to compare the diagnostic performance of a dedicated orthopedic magnetic resonance (MR) imaging system (0.18 T) and a conventional MR imaging system (1.0 T) in the detection of articular cartilage lesions. Fifty knee joint specimens of pigs with artificially created articular cartilage lesions of different diameters, grades (2-3), and localizations, as well as 50 joints with intact articular cartilage, were imaged at 0. 18 and 1.0 T. Diagnostic performance was determined by means of receiver operating characteristics (ROC) analysis with three independent observers. For none of the pulse sequences used at 0.18 T or 1.0 T areas under ROC curves (A(z)) showed significant differences between the three observers. A(z) values from averaged data were as follows: a) 0.18 T: T1-weighted spin echo (SE): 0.70, proton-density-weighted SE: 0.59, T2-weighted SE: 0.61, two-dimensional (2D) gradient-echo (GRE): 0.73, 3D GRE: 0.75; and b) 1.0 T: T1-weighted SE: 0.73, fat-suppressed T2-weighted turbo-SE: 0. 79, 2D fast low-angle shot (FLASH): 0.79, fat-suppressed 3D FLASH: 0. 96, and water-excited 3D double-echo steady state (DESS): 0.96. With the use of 3D pulse sequences, the high-field system demonstrated a significantly better diagnostic performance than the low-field system in the detection of grades 2 and 3 articular cartilage lesions (P < 0.001).

Animals↗

Multicoil Dixon chemical species separation with an iterative least-squares estimation method.

This work describes a new approach to multipoint Dixon fat-water separation that is amenable to pulse sequences that require short echo time (TE) increments, such as steady-state free precession (SSFP) and fast spin-echo (FSE) imaging. Using an iterative linear least-squares method that decomposes water and fat images from source images acquired at short TE increments, images with a high signal-to-noise ratio (SNR) and uniform separation of water and fat are obtained. This algorithm extends to multicoil reconstruction with minimal additional complexity. Examples of single- and multicoil fat-water decompositions are shown from source images acquired at both 1.5T and 3.0T. Examples in the knee, ankle, pelvis, abdomen, and heart are shown, using FSE, SSFP, and spoiled gradient-echo (SPGR) pulse sequences. The algorithm was applied to systems with multiple chemical species, and an example of water-fat-silicone separation is shown. An analysis of the noise performance of this method is described, and methods to improve noise performance through multicoil acquisition and field map smoothing are discussed.

Adipose Tissue↗

Chemical shift-based true water and fat images: regional phase correction of modified spin-echo MR images.

The process of separating water and fat signal in magnetic resonance images with the Dixon pulse sequence is hindered by phase errors in the water-fat opposed image. These errors arise from static field inhomogeneities, varying magnetic susceptibilities of different body tissues, and other causes. Phase correction performed with data from phantom imaging can compensate for static field inhomogeneities but not for the other effects. A regional phase-correction algorithm is presented that removes non-chemical-shift phase effects and produces true water and fat images. The technique has been applied with good results to 21 patients and healthy volunteers. The images include ones of the abdomen, knees, hips, spine, and head. This method of regional phase correction is an efficacious way of producing separate water and fat images with the Dixon pulse sequence.

Adipose Tissue↗

[A new diagnostic method of spondylodiscitis. Magnetic resonance imaging].

Twenty four patients who were hospitalized for a suspicion of spondylodiscitis were prospectively evaluated with magnetic resonance imaging (MRI), radiology and radionuclide studies. Fifteen patients had an infectious spondylodiscitis, four had a vertebral degenerative disease, four had a rheumaticus spondylodiscitis, one had a chemical spondylodiscitis. The microbiological examinations and the clinical development bore the diagnosis out. Seven patients underwent Indium 111 scanning. The results of this scanning were correlated with MRI results. The MRI was performed with a 0.35 T whole body superconducting unit using spin echo technique. All patients were studied in the sagittal plane with two pulse sequences and more often with a surface-coil: TR 500 msec./TE 28 msec. and TR 2,000 msec./TE 60 msec. In all cases of true infectious spondylodiscitis the MRI results finding were characteristics. On the image obtained with the TR 500 msec./TE 28 msec., there was a confluent decreased signal intensity from the vertebral bodies and the intervertebral disk space. On the image obtained with TR 2,000 msec./TE 60 msec. there was an increased signal intensity from the vertebral bodies and the intervertebral disk space. The other spondylodiscitis have given a different MRI imaging, it was a confluent decreased signal intensity from the vertebral bodies and the intervertebral disk space on the twice pulse sequences. different images were obtained during the evolution of the infectious: first we observed a modification of the vertebral signal then the typical image that we described then a normal signal of the vertebral bodies with a pathological signal from the intervertebral disk space at last a degenerative intervertebral disk.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗

Studies of soil-water transport by MRI.

Sequential spin-echo spin-warp MRI pulse sequences have been used to study soil-water transport processes including infiltration, redistribution, and drainage of water in soil columns. Those images provide a means for monitoring and quantifying spatial and temporal changes of soil-water distributions and the movement of wetting fronts. In addition, temporal-geometric changes of unstable wetting fronts during water redistribution were estimated from 2D images and the temporal development of the longest length of finger was described by a fractal relation t approximately L1.38. Bulk dispersion-time-dependent displacement and velocity spectra, as well as 2D maps of flow velocities and dispersion coefficients in soil macropores during saturated steady-state flow, were reconstructed from data obtained using the alternating-pulsed-field-gradient (APFG) pulse sequences.

Fractals↗

Dynamic spiral MRI of pulmonary gas flow using hyperpolarized (3)He: preliminary studies in healthy and diseased lungs.

An optimized interleaved-spiral pulse sequence, providing high spatial and temporal resolution, was developed for dynamic imaging of pulmonary ventilation with hyperpolarized (3)He, and tested in healthy volunteers and patients with lung disease. Off-resonance artifacts were minimized by using a short data-sampling period per interleaf, and gradient-fidelity errors were compensated for by using measured k-space trajectories for image reconstruction. A nonsequential acquisition order was implemented to improve image quality during periods of rapid signal change, such as early inspiration. Using a sliding-window reconstruction, cine-movies with a frame rate of 100 images per second were generated. Dynamic images demonstrating minimal susceptibility- and motion-induced artifacts were obtained in sagittal, coronal, and axial orientations. The pulse sequence had the flexibility to image multiple slices almost simultaneously. Our initial experience in healthy volunteers and subjects with lung pathology demonstrated the potential of this new tool for capturing the features of lung gas-flow dynamics.

Helium↗

A method for in vivo MR imaging of the short T2 component of sodium-23.

A magnetic resonance imaging pulse sequence featuring a short echo time of 3.6 ms is described and used clinically for in vivo imaging of sodium-23 in the human head. In living tissues, sodium exhibits at least two transverse relaxation constants, namely, (a) a short component T2s = 0.7-3.0 ms and (b) a long component T2e = 16-30 ms. Since our first in vivo imaging of sodium, an echo time of 10-15 ms has been used by us and by other investigators. This echo time is adequate for the observation of the long T2 component of sodium. However, a substantial fraction of the sodium, namely, the short T2 component, representing about 40%, has remained undetected by the imaging method with this echo time and is now observable by the new pulse sequence. The proposed method is a hybrid technique combining both projection reconstruction and Fourier encoding schemes. The projection reconstruction is used for the xy plane imaging while the Fourier encoding is used for slice separation. Sodium MR images of the human head produced with a short and a long TE are presented and analyzed. There is an increase in the MR signal and improved visibility of intraparenchymal sodium with the new scheme of short TE.

Brain↗

Fast 1H spectroscopic imaging using a multi-element head-coil array.

Fast proton magnetic resonance spectroscopic imaging (MRSI) using a multi-element head-coil array is examined with respect to three aspects: the coil design, the use of an appropriate signal combination method, and the design of the MRSI pulse sequence itself. An eight-element head-coil array has been developed to increase the signal-to-noise ratio (SNR) of MRSI in the human brain. The flexible wraparound design optimally fits different head sizes and thus provides high sensitivity. The signal combination of the individual coil elements is based on the approach proposed by Roemer et al. (Magn. Reson. Med. 16, 192 (1990)). An additional short prescan is performed to provide a good estimate of the complex coil sensitivity profiles, which are used in the signal combination procedure to correct the spectroscopic imaging data for the spatially varying intensity. The use of coil arrays in MRSI has some effect on the requirements for both water and lipid suppression. These techniques and a MRSI pulse sequence that provides a high spectroscopic resolution are described and discussed. Experimental results at 1.5 T show that metabolite maps of N-acetylaspartate (NAA), choline (Cho), phosphocreatine (PCr)/creatine (Cr) can be obtained within a 5-min acquisition time.

Aspartic Acid↗

Flow effects in multislice, spin-echo magnetic resonance imaging. Model, experimental verification, and clinical examples.

Flowing blood is responsible for a number of complex effects on clinical magnetic resonance (MR) images. To help elucidate these effects, a computer model of a conventional multislice spin-echo pulse sequence was developed. Using TR, TE, and direction of slice acquisition, the model calculates and plots a profile of MR signal intensity vs. z-axis velocity. The model predicts complex profiles with multiple segments of MR signal loss depending on TR, TE, direction of flow, sequence and timing of slice excitation, and slice location relative to adjacent slices. Model predictions were verified by imaging a bulk-flow phantom, consisting of a rotating cylinder filled with a manganese chloride solution with T1 = 840 msec and characterized by a velocity-gradient resolution of 0.23 cm/sec/pixel. In conventional spin-echo MRI of medium and large vessels using body coils, in which the velocity gradients exceed 2-5 cm/sec/pixel, most of the flow artifacts are averaged and are difficult to appreciate. However, bright crescents or rings of MR signal occasionally are seen in the inferior vena cava and portal vein, which the model is invoked to explain. The bulk-flow phantom will find use as a tool for calibrating flow-sensitive pulse sequences when these become widely available.

Blood Circulation↗

Exploring lung function with hyperpolarized (129)Xe nuclear magnetic resonance.

With the use of polarization-transfer pulse sequences and hyperpolarized (129)Xe NMR, gas exchange in the lung can be measured quantitatively. However, harnessing the inherently high sensitivity of this technique as a tool for exploring lung function requires a fundamental understanding of the xenon gas-exchange and diffusion processes in the lung, and how these may differ between healthy and pathological conditions. Toward this goal, we employed NMR spectroscopy and imaging techniques in animal models to investigate the dependence of the relative xenon gas exchange rate on the inflation level of the lung and the tissue density. The spectroscopic results indicate that gas exchange occurs on a time scale of milliseconds, with an average effective diffusion constant of about 3.3 x 10(-6)cm(2)/s in the lung parenchyma. Polarization-transfer imaging pulse sequences, which were optimized based on the spectroscopic results, detected regionally increased gas-exchange rates in the lung, indicative of increased tissue density secondary to gravitational compression. By exploiting the gas-exchange process in the lung to encode physiologic parameters, these methods may be extended to noninvasive regional assessments of lung-tissue density and the alveolar surface-to-volume ratio, and allow lung pathology to be detected at an earlier stage than is currently possible.

Algorithms↗

Quantitation of articular cartilage using magnetic resonance imaging and three-dimensional reconstruction.

A quadrature knee coil was used in conjunction with a magnetic resonance imaging scanner for quantitation of test phantom volumes, ex vivo bovine cartilage thickness, and in vivo human articular cartilage volumes. Optimal magnetic resonance parameters were obtained by testing a series of spin-echo and gradient-echo pulse sequences to determine the sequence that provided the highest resolution of articular cartilage and best defined the cartilage interfaces with synovial fluid and subchondral bone. Extensive testing revealed that two sequences were required to define articular cartilage accurately: a spoiled gradient-echo sequence and a steady state free-precession sequence. Three-dimensional reconstruction and statistical analyses of test phantoms and of bovine and human cartilage images were performed. Differences between actual phantom volumes and three-dimensional measurements demonstrated that, as magnetic resonance slice thickness was increased, the measurement variability also increased (coefficient of variation ranging from 1.7 +/- 1.3% for 1.0 mm slice thickness to 22.7 +/- 1.9% for 3.0 mm slice thickness). When the phantom volume was greater than 1,800 mm3, the intraobserver, interobserver and interscan accuracies were greater than 97, 98, and 96%, respectively. This high degree of reproducibility pertained for the data on in vivo human cartilage data also. For experienced observers, the intraobserver and interobserver reproducibility were greater than 98 and 97%, respectively. The interscan reproducibility was greater than 98%. These data demonstrate that improved magnetic resonance pulse sequencing, in conjunction with three-dimensional reconstruction and measurement techniques, can accurately and reproducibly measure the volume of articular cartilage. Clinical application of this approach offers the potential for early diagnosis of osteoarthritis and for serial, noninvasive assessment of changes in articular cartilage volume in response to therapeutic modalities.

Adult↗

Reliability of MRI-derived measurements of human cerebral cortical thickness: the effects of field strength, scanner upgrade and manufacturer.

In vivo MRI-derived measurements of human cerebral cortex thickness are providing novel insights into normal and abnormal neuroanatomy, but little is known about their reliability. We investigated how the reliability of cortical thickness measurements is affected by MRI instrument-related factors, including scanner field strength, manufacturer, upgrade and pulse sequence. Several data processing factors were also studied. Two test-retest data sets were analyzed: 1) 15 healthy older subjects scanned four times at 2-week intervals on three scanners; 2) 5 subjects scanned before and after a major scanner upgrade. Within-scanner variability of global cortical thickness measurements was <0.03 mm, and the point-wise standard deviation of measurement error was approximately 0.12 mm. Variability was 0.15 mm and 0.17 mm in average, respectively, for cross-scanner (Siemens/GE) and cross-field strength (1.5 T/3 T) comparisons. Scanner upgrade did not increase variability nor introduce bias. Measurements across field strength, however, were slightly biased (thicker at 3 T). The number of (single vs. multiple averaged) acquisitions had a negligible effect on reliability, but the use of a different pulse sequence had a larger impact, as did different parameters employed in data processing. Sample size estimates indicate that regional cortical thickness difference of 0.2 mm between two different groups could be identified with as few as 7 subjects per group, and a difference of 0.1 mm could be detected with 26 subjects per group. These results demonstrate that MRI-derived cortical thickness measures are highly reliable when MRI instrument and data processing factors are controlled but that it is important to consider these factors in the design of multi-site or longitudinal studies, such as clinical drug trials.

Aged↗

[Evaluation of AMI-25 enhanced MR imaging and enhanced helical CT for liver tumors].

To evaluate the diagnostic capability of superparamagnetic iron oxide enhanced MRI and enhanced helical CT, 17 patients with histologically or clinically diagnosed hepatocellular carcinoma or metastatic liver tumor and a total of 208 nodules were studied. The pulse sequences used were SE 500/20 (T1WI), SE 2000/20 (PDWI) and SE 2000/70 (T2WI). Contrast medium was administrated intravenously for more than 30 minutes at a dose of 10 mumoles Fe/kg. Enhanced MR images were obtained 30-90 minutes after the injection of contrast medium. With helical CT, 133 nodules were detected. With unenhanced MRI, 62 were detected on T1WI, 60 on PDWI and 77 on T2WI. On the other hand, with enhanced MRI, 165 were detected on T1WI, 190 on PDWI and 186 on T2WI. Enhanced MRI revealed the most nodules among these images (P < 0.05), and was especially effective in detecting small nodules less than 10 mm in diameter (P < 0.05). In conclusion, it was considered that superparamagnetic iron oxide enhanced MRI was useful for the detection of hepatic nodules and that the most adequate pulse sequence was PDWI.

Aged↗

[MRI evaluation of the patellar articular cartilage in patients with subluxation of the patella].

In patients with subluxation of the patella, injury of the patellar articular cartilage is frequently observed and correct evaluation is important to manage these patients. We examined 11 patients with subluxation of the patella and five normal volunteers. In 12 patellofemoral joints of seven patients with subluxation of the patella, the abnormalities observed on MRI were compared with those on arthroscopy and/or at operation. MRI was performed with a Magnetom 1.5 T (Siemens) using the round surface coil. Pulse sequences were SE (TR 400 ms/TE 19 ms), FLASH (TR 320 ms/TE 15 ms FA 90 degrees and 40 degrees), and SE (TR 2000 ms/TE 26, 70 ms). We analysed MR findings of the 12 abnormal joints and 10 normal joints according to the following classification of abnormalities observed on arthroscopy. (1) normal appearance (n = 3 joints), (2) softening and fibrillation (n = 6), (3) fragmentation (n = 3), and (4) erosion to bone (n = 0). In only one of the six cases with softening and fibrillation observed on arthroscopy, MRI could visualize the thickening of patellar articular cartilage, but in all three cases with fragmentation observed on arthroscopy, MRI could visualize the thin inhomogenous cartilage with irregular surface. The combination of SE (TR 400 ms/TE 19 ms) and FLASH (TR 320 ms/TE 15 ms FA 90 degrees) are extremely effective pulse sequence to detect the abnormalities of patellar articular cartilage. We conclude that MRI is a useful noninvasive method of detecting advanced changes in patellar articular cartilage.

Adolescent↗

Contrast-enhancing properties of Gd-DTPA at 2.0 Tesla.

The contrast enhancing properties of Gd-DTPA in various tissues, including myocardium, liver, brain, skeletal muscle, and subcutis were investigated in vivo at 2.0 Tesla. Employing T1-weighted short pulse sequences (TR = 300 msec, TE = 14 msec) signal intensity of myocardium increased by 88%, brain by 19%, liver by 61%, skeletal muscle by 50%, and subcutis by 52% at 2 min after intravenous injection of 0.2 mmol/kg Gd-DTPA in rats. Signal intensity was highest at 2 min after injection and was relatively decreased at 20 min. Tissue intensities had returned to baseline at 60 min. In a separate experiment, fast (4 sec), repeated spin-echo image acquisitions allowed for assessment of the initial, dynamic distribution pattern of Gd-DTPA between 4 sec and 72 sec after intravenous injection. Tissue signal intensities peaked between eight and 16 seconds after injection and slowly decreased thereafter. This study shows that the contrast-enhancing properties of Gd-DTPA can be effectively assessed using T1-weighted short pulse sequences at 2.0 Tesla.

Adipose Tissue↗

Comparison of NMR imaging and aortography for preoperative evaluation of abdominal aortic aneurysm.

Seven patients (five male and two female, age range from 50 to 88) with angiographic proven abdominal aortic aneurysms were evaluated with magnetic resonance (MR) imaging (1.5-kG system) of the abdomen. Images were obtained in transverse, coronal, and saggital planes with three radiofrequency pulse sequences [saturation recovery (SR), inversion recovery (IR), and spin echo (SE)]. All of the aneurysms were identified as to site and relative size with MR images. The lumen in which there was rapidly flowing blood was always dark (low intensity), whereas the aneurysmal area which contained presumed clot or slow flowing blood was brighter (high intensity) on SR images. Although the size, location, and relationship to other blood vessels was best demonstrated on aortography, MR images provided similar information in all cases. MR images correctly demonstrated thrombus in six cases. In conclusion, MR imaging provides a clear delineation of the anatomy of abdominal aortic aneurysms. In addition, it can provide information concerning tissue type, i.e., it distinguished clot from moving blood. It may be possible in the future to further characterize atherosclerotic and other pathological changes in vessel architecture by using various pulse sequences and timing parameters to provide in vivo histological typing.

Adult↗