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PubMed2004

Detection of hepatocellular carcinoma using double-echo FLASH sequence during the hepatic arterial phase.

PURPOSE: The purpose of this study was to compare the performance of in-phase and opposed-phase gradient-recalled echo (GRE) pulse sequences in paramagnetic contrast-enhanced magnetic resonance (MR) imaging of hepatocellular carcinomas (HCCs) during the hepatic arterial phase. MATERIAL AND METHODS: Thirty-four patients with 84 lesions with known or suspected HCCs, nine of whom had a fatty liver, were examined with double-echo GRE techniques under 1.5T before and 30 s after injection of gadopentenate dimeglumine at a dose of 0.1 mmol/kg. Echo times were 2.4 ms (opposed phase) and 5.0 ms (in phase). Contrast enhancement of the HCC detected in both in-phase and opposed-phase images was evaluated. The liver signal-to-noise ratio (SNR), lesion-liver contrast-to-noise ratio (CNR), and enhancement ratio (ER) were calculated for the largest lesion of each patient. RESULTS: In dynamic gadolinium-enhanced images of the 84 HCCs, 81 (96.4%) were detected in both in-phase and opposed-phase images, two (2.4%) were detected in only in-phase images, and one (1.2%) was detected only in opposed-phase images. The liver SNR, CNR, and ER were 46.7+/-16.1, 15.2+/-10.3, and 0.637+/-0.268 for in-phase images, and 48.9+/-16.9, 16.3+/-11.8, and 0.647+/-0.309 for opposed-phase images, respectively. In patients with a fatty liver, the SNR, CNR, and ER were 46.0+/-18.1, 21.7+/-17.9, and 0.525+/-0.231 for in-phase images, and 44.3+/-18.7, 26.0+/-21.3, and 0.793+/-0.124 for opposed-phase images, respectively. No significant statistical differences were found between the in-phase and opposed-phase images. CONCLUSION: Opposed-phase GRE imaging is equivalent to in-phase GRE sequences in patients with or without fatty liver for detection of HCC in dynamic gadolinium-enhanced images.

Aged↗
PubMed1999

Optimization of gray/white matter contrast with fast inversion recovery for myelin suppression: a comparison of fast spin-echo and echo-planar MR imaging sequences.

We compared two MR imaging sequences, fast inversion recovery for myelin suppression (FIRMS) and echo-planar FIRMS (EP-FIRMS), for depicting gray/white matter contrast. In 18 patients, the frequency bandwidth (BW) was optimized for each sequence; in nine patients, the BW was held constant. In the BW-optimized group, the mean contrast-to-noise ratio (C/N) was three times higher with the FIRMS sequence. In the BW-constant group, the mean C/N was 27% higher with the EP-FIRMS sequence; however, geometric distortion degraded the EP-FIRMS images excessively. For optimal gray/white contrast, FIRMS appears to be the superior pulse sequence.

Brain Diseases↗
PubMed2005

Magnetic resonance imaging of the coronary vessel wall at 3 T using an obliquely oriented reinversion slab with adiabatic pulses.

Three-dimensional methods offer volumetric coverage in coronary vessel wall imaging, in addition to high signal-to-noise ratios (SNR). To increase SNR further, it is desirable to implement such 3D methods at 3 T. At this field strength, the pulse sequence must be robust to main field and RF inhomogeneities. To achieve this, the double inversion-recovery (DIR) preparation was adapted to use adiabatic pulses, with a slab-selective reinversion replacing the previously used 2D pencil-beam. The slab was oriented obliquely, in order to avoid upstream blood (e.g., left ventricle) or the navigator beam. Phantom experiments suggest that at 3 T, this approach improves both the net profile of the DIR pulse pair and the restoration of magnetization in the navigator region. Using this method, the feasibility of 3D coronary vessel wall imaging was demonstrated at 3 T. Fourteen healthy subjects were scanned using a segmented gradient-echo sequence with prospective navigator gating. Good-quality images of left and right coronary arteries were obtained, with SNR values of 29.7 +/- 7.5 (vessel wall); 10.5 +/- 4.4 (blood); 14.3 +/- 5.2 (fat); and 45.6 +/- 18.0 (myocardium). No problems occurred with ECG-gating or power deposition (SAR) limits.

Adult↗
PubMed1993

Pulsatile motion artifact reduction in 3D steady-state-free-precession-echo brain imaging.

An image can be made from the echo of a steady-state-free-precession and pulse sequences for this purpose have been implemented on various commercial systems under such names as "CE-FAST" and "SSFP" (herein generically termed SSFP-Echo). Such sequences can be employed to achieve strong T2-weighting with reduced T2* effects, but are limited by their sensitivity to flow and motion which produce artifacts. Simple considerations indicate that this sensitivity is primarily related to the (implementation-dependent) moments of the imaging gradients. In this work, MR imaging of the brain using a standard implementation of the sequence with large moment "crusher" gradients on the slice select axis (to dephase the FID of the SSFP) is compared to a modified implementation with reduced moment gradient pulses and different radiofrequency (RF) phase cycling. Asymmetric echo acquisition and narrowed bandwidth was used to further reduce gradient moments. The sensitivity of this sequence to flow and motion artifacts, especially for motion perpendicular to the slice, is thus expected to be significantly reduced. The modified sequence was found to have flow and motion artifacts reduced by a factor of five in the axial plane and a factor of two in the coronal plane. These modifications can thus significantly reduce the flow and motion artifacts commonly seen in conventional images of the SSFP echo with little or no penalty in scan time or signal-to-noise ratio.

Artifacts↗
PubMed1988

MRI of intracerebral haematoma at low field (0.15T) using T2 dependent partial saturation sequences.

Results of MRI at 0.15T in twelve successive patients with intracerebral haematoma are reviewed. Using T2 weighted spin echo (SE) and partial saturation (PS without a refocussing 180 degree pulse) sequences, low intensity areas were seen in eleven of the twelve cases. These included central regions (three cases), a peripheral rim (seven cases) and more diffuse patterns involving the brainstem and cerebral hemispheres (two cases). One case initially displayed a peripheral rim and later a central low intensity region. Central low intensity regions were seen in acute, subacute, and chronic cases. Follow up in five cases displayed an increase in signal within the haematoma in three cases and a decrease in signal intensity in two cases. Low signal intensity areas can be seen within and around intracerebral haematomas imaged with T2 weighted sequences at low field strength.

Adult↗
PubMed1988

Detection of motion using B1 gradients.

An NMR method which makes use of a radiofrequency (RF) field gradient to detect diffusion, perfusion, or flow is demonstrated. The technique is analogous to the detection of motion using pulsed B0 gradients. The simplest form of the experiment is as follows: A spatially imhomogeneous RF field generated by a surface coil produces dispersal of magnetization in the Y Z plane. After a delay, the RF field is applied within reversed phase to restore polarization along +Z, which is then sampled using an observe pulse or pulse sequence. If molecular motion occurs during the delay period the amplitude of Z magnetization will be reduced. The lengths of the RF pulses and the delay period are varied so that the effects of relaxation, flow, and diffusion or perfusion can be distinguished. The present study demonstrates the use of this method to detect slow fluid flow. Advantages of this method include the availability of large RF gradients, and the avoidance of eddy currents. It is suggested that the method may have application to the study of perfusion and flow in vivo.

Diffusion↗
PubMed1988

Considerations of magnetic resonance angiography by selective inversion recovery.

In the selective inversion recovery method for projection angiography, upstream blood is tagged by an inversion excitation and then allowed to flow into the imaged region. The subtraction of this first image from a second image acquired without the tagging leaves a signal from only the selectively tagged blood. Pulse sequence design involves consideration of the duration of the blood transit interval, excitation timing and cardiac gating, static material suppression, inversion excitation pulses, and flow compensation. Each of these considerations must be viewed with respect to the particular application. The method has demonstrated potential application to areas such as the carotid arteries, aortic arch, and peripheral vessels.

Arteries↗
PubMed1996

Phase-modulated binomial RF pulses for fast spectrally-selective musculoskeletal imaging.

Two fat-suppressed three-dimensional gradient echo pulse sequences, FLASH and DESS (Double Echo in Steady-State), that have significantly reduced scan time compared with conventional chemical shift fat-suppression sequences are presented. This fat-suppression technique is based on selectively exciting water spins using a time-optimized binomial RF pulse pair at the water resonance frequency with a null in the excitation profile at the fat frequency. To minimize the total pulse length, the delay between the binomial components of the RF pulse is decreased from a standard jump-return implementation. To maintain the proper null frequency, the phase of the second RF pulse is shifted such that it returns the fat resonance back to its initial z position while further tipping the water spins. Nonselective phase-modulated RF pulse pairs can be implemented in 1.20 ms at 1.0 T, significantly reducing the minimum TR.

Humans↗
PubMed1996

COSESS and INSESS: coherent and incoherent spin echoes in the steady state.

A new fast sequence type, called COSESS/INSESS, is described. The steady state for COSESS is coherent but incoherent for INSESS. COSESS/INSESS combine the contrast behavior of fast imaging with steady-state free precession (FISP) and fast low angle shot (FLASH), respectively, to the robustness of spin-echo (SE) sequences with regard to susceptibility and field inhomogeneities. In contrast to other fast sequences such as rapid spin-echo excitation (RASEE), fast low angle spin echo with short echo time (FATE) or the missing pulse sequence, which also uses a spin echo, COSESS/ INSESS can additionally handle time-dependent disturbances arising from eddy currents, hysteresis or B(zero) instability. The acquisition time is 2 to 3 times longer than with gradient-based steady-state sequences. The principle of echo generation is evaluated and shows a superposition of several subechoes in the spin echo. Different solutions were elaborated to attain a coherent superposition of sub-echo signals for COSESS. Signal and contrast behavior were investigated both by simulations and experiments and demonstrate the performance of COSESS/INSESS.

Magnetic Resonance Imaging↗
PubMed1999

Fat-suppressed fast spin-echo mid-TE (TE[effective]=34) MR images: comparison with fast spin-echo T2-weighted images for the diagnosis of tears and anatomic variants of the glenoid labrum.

OBJECTIVE: To compare the sensitivity, specificity, and accuracy of fat-suppressed fast spin-echo (FSE) mid-TE (TE[effective]=34) images with fat-suppressed FSE T2-weighted images for the diagnosis of labral abnormalities. DESIGN AND PATIENTS: The study included 27 consecutive patients who had axial fat-suppressed FSE T2-weighted and fat-suppressed FSE mid-TE MR images, and had labral abnormalities diagnosed at arthroscopy. The acquisition time was about 5 min for each sequence, but the mid-TE sequence allowed a higher spatial resolution than the T2-weighted images (256x256 versus 256x192). Twenty-eight age-matched patients with arthroscopically normal labra were included as a control group. The labrum was graded on the MR images as normal or abnormal separately by two musculoskeletal radiologists who were masked to the history and arthroscopic results. The surgical findings were used as the gold standard for calculating the sensitivity, specificity, and accuracy for interpreting the correct location of a labral abnormality. The sensitivity, specificity, and accuracy for the two sequences were compared with a McNemar test, and significance defined as P<0.05. RESULTS: For observer 1, the sensitivity for labral abnormalities was 0.59 on the T2-weighted images, and 0.78 on the mid-TE images (P=0.12). The specificity was 0.54 for the T2-weighted, and 0.64 for the mid-TE images (P=0.51). The accuracy was 0.56 for the T2-weighted, and 0.71 for the mid- TE images (P=0.08). For observer 2, the sensitivity/specificity/accuracy was 0.67/0.93/0.80 for the T2-weighted, and 0.70/0.86/0.78 for the mid-TE images (all P>0.5). CONCLUSION: In this small study there is no statistically significant difference for demonstrating labral abnormalities between FSE T2-weighted images, and higher-resolution fat-suppressed FSE mid-TE (TE[effective]=34) images obtained with a similar acquisition time. Although there was a general trend toward higher sensitivity and accuracy with the mid-TE sequence, particularly for one of the two observers, a larger study is needed to determine whether this is the preferred single axial pulse sequence for conventional MR imaging of the labrum.

Adolescent↗
PubMed2001

Craniopharyngiomas: identification of different semiological patterns with MRI.

Our objectives were to analyze different semiological patterns in craniopharyngiomas studied with CT and MR sequences. Retrospective study of 26 patients with confirmed craniopharyngiomas. All cases were examined with CT and MR imaging using a variety of pulse sequences (spin echo, inversion recovery, gradient echo in-phase and opposed-phase). The analyzed component patterns were classified as solid, calcium, proteic-like, cerebrospinal fluid (CSF)-like, hematic-like, and fatty patterns. The different patterns were related by means of contingency tables and the Fisher exact test and also to epidemiological findings and tumor size. A solid pole was detected in all patients, whereas a cystic component was present in 92.3% of the cases. Calcification was visualized in 65.3%, proteic-like in 53.8%, CSF-like in 23%, hematic-like in 19.2%, and fatty component in 15.3%. There were no statistical associations between patterns, with the exception that in no case did CSF-like and proteic-like patterns coexist ( P=0.004). Tumor size was related to components. Hematic-like (17.0+/-18.9 vs 3.9+/-2.6 mm, non-present vs present) and CSF-like (16.9+/-19.6 vs 6.5+/-4.0 mm) patterns were observed most frequently in smaller tumors, whereas larger tumors usually had proteic-like (5.9+/-5.4 vs 21.1+/-21.0 mm) and calcified (4.6+/-1.9 vs 19.1+/-19.9 mm) patterns. Computed tomography and a combination of different MR images frequently allow the detection of different semiological patterns in these tumors. Semiological patterns were correlated only to tumor size.

Adolescent↗
PubMed2004

Signal assignments and chemical-shift structural analysis of uniformly 13C, 15N-labeled peptide, mastoparan-X, by multidimensional solid-state NMR under magic-angle spinning.

Carbon-13 and nitrogen-15 signals of fully isotope-labeled 15-residue peptide, glycinated mastoparan-X, in a solid state were assigned by two- and three-dimensional NMR experiments under magic-angle spinning conditions. Intra-residue spin connectivities were obtained with multidimensional correlation experiments for C'-C(alpha)-C(beta) and N-C(alpha)-C(beta). Sequence specific assignments were performed with inter-residue C(alpha)-C(alpha) and N-C(alpha)C(beta) correlation experiments. Pulse sequences for these experiments have mixing periods under recoupled zero- and double-quantum (13)C-(13)C and (15)N-(13)C dipolar interactions. These correlation spectra allowed the complete assignments of (13)C and (15)N backbone and (13)C(beta) signals. Chemical shift analysis of the (13)C and (15)N signals based on empirical and quantum chemical databases for proteins indicated that the backbone between residues 3 and 14 forms alpha-helix and residue 2 has extended conformation in the solid state. This structure was compared with the G-protein- and membrane-bound structures of mastoparan-X.

Carbon Isotopes↗
PubMed2002

Celery (Apium graveolens) parenchyma cell walls: cell walls with minimal xyloglucan.

The primary walls of celery (Apium graveolens L.) parenchyma cells were isolated and their polysaccharide components characterized by glycosyl linkage analysis, cross-polarization magic-angle spinning solid-state 13C nuclear magnetic resonance (CP/MAS 13C NMR) and X-ray diffraction. Glycosyl linkage analysis showed that the cell walls consisted of mainly cellulose (43 mol%) and pectic polysaccharides (51 mol%), comprising rhamnogalacturonan (28 mol%), arabinan (12 mol%) and galactan (11 mol%). The amounts of xyloglucan (2 mol%) and xylan (2 mol%) detected in the cell walls were strikingly low. The small amount of xyloglucan present means that it cannot coat the cellulose microfibrils. Solid-state 13C NMR signals were consistent with the constituents identified by glycosyl linkage analysis and allowed the walls to be divided into three domains, based on the rigidity of the polymers. Cellulose (rigid) and rhamnogalacturonan (semi-mobile) polymers responded to the CP/MAS 13C NMR pulse sequence and were distinguished by differences in proton spin relaxation time constants. The arabinans, the most mobile polymers, responded to single-pulse excitation (SPE), but not CP/MAS 13C NMR. From solid-state 13C NMR of the cell walls the diameter of the crystalline cellulose microfibrils was determined to be approximately 3 nm while X-ray diffraction of the cell walls gave a value for the diameter of approximately 2 nm.

Journal Article↗
PubMed1997

"Kin " HEHAHA Sequences, Heteronuclear Hartmann-Hahn Transfer with Different Bandwidths for Spins I and S

A new class of heteronuclear Hartmann-Hahn experiments that is based on the simultaneous irradiation of two different multiple-pulse sequences is introduced. For these "kin " HEHAHA sequences, the scaling properties of the effective heteronuclear coupling constants are analyzed. Four kin sequences are presented with a ratio of the active bandwidths DeltanuI /DeltanuS ranging between 1/2 and 1/10. The offset dependence of the polarization-transfer efficiency is examined experimentally and with the help of numerical simulations.

Journal Article↗
PubMed1990

Fast and precise T1 imaging using a TOMROP sequence.

Proton spin-lattice (T1) relaxation time images were computed from a data set of 32 gradient-echo images acquired with a fast TOMROP (T One by Multiple Read Out Pulses) sequence using a standard whole-body MR imager operating at 64 MHz. The data acquisition and analysis method which permits accurate pixel-by-pixel estimation of T1 relaxation times is described. As an example, the T1 parameter image of a human brain is shown demonstrating an excellent image quality. For white and gray brain matter, the measured longitudinal relaxation processes are adequately described by a single-component least-squares fit, while more than one proton component has to be considered for fatty tissue. A quantitative analysis yielded T1 values of 547 +/- 36 msec and 944 +/- 73 msec for white and gray matter, respectively.

Brain↗
PubMed1990

Spectral editing of tumor 13C MRS in situ.

The editing pulse sequence DEPT (D.T. Pegg, D.M. Doddrell, and M.R. Bendall, J. Chem. Phys. 77, 2745 (1982)) was modified using a scheme of various composite pulses and a 16-step phase cycling to obtain proton-decoupled natural-abundance 13C edited subspectra of solid tumors. A solenoidal probe including a Faraday shield and an orthogonal saddle decoupling coil was built for this purpose.

Animals↗
PubMed1994

Detection of liver fibrosis with magnetic cross-relaxation.

The utility of MRI using magnetization transfer (MT) enhanced pulse sequences to diagnose hepatic cirrhosis in a rat model was investigated. Hepatic T1 was measured with and without MT off-resonance RF pulses in 17 treated and six control rats. The livers were evaluated histologically, and the hydroxyproline content quantitatively measured. We did not find a statistically significant linear correlation between the MR relaxation times and the degree of tissue injury. However, the MR measurements performed with MT were superior to those without differentiating the treated and control groups. Specifically, the T1 times were 695 +/- 76 ms for the treated group, versus 748 +/- 61 ms in the controls; P = 0.095. The T1sat times were also lower in the treated group, with statistical significance: 367 +/- 51 ms versus 421 +/- 38 ms, P = 0.016. Finally, the change in the relaxation rates (the inverse of the relaxation times) with and without saturation were 1.31 +/- 0.22 s-1 (treated group) versus 1.05 +/- 0.12 s-1 (controls), which differed significantly, P = 0.001.

Animals↗
PubMed2006

Bright and black blood imaging of the carotid bifurcation at 3.0T.

PURPOSE: The aim of this study was to evaluate our preliminary experience at 3.0 T with imaging of the carotid bifurcation in healthy and atherosclerotic subjects. Application at 3.0 T is motivated by the signal-to-noise gain for improving spatial resolution and reducing signal averaging requirements. MATERIALS AND METHODS: We utilized a dual phased array coil and applied 2D, 3D time of flight (TOF) and turbo spin echo (TSE) sequences with comparison of two lumen signal suppression methods for black blood (BB) TSE imaging including double inversion preparation (DIR) and spatial presaturation pulses. The signal-to-noise ratios (SNR) of healthy carotid vessel walls were compared in 2D and 3D BB TSE acquisitions. The bright and black blood multi-contrast exam was demonstrated for a complex carotid plaque. RESULTS: Contrast-to-noise (CNR) greater than 150 was achieved between the lumen and suppressed background for 3D TOF. For BB, both methods provided sufficient lumen signal suppression but slight residual flow artifacts remained at the bifurcation level. As expected 3D TSE images had higher SNR compared to 2D, but increased motion sensitivity is a significant issue for 3D at high field. For multi-contrast imaging of atherosclerotic plaque, fibrous, calcified and lipid components were resolved. The CNR ratio of fibrous (bright on PDW, T2W) and calcified (dark in T1W, T2W, PDW) plaque components was maximal in the T2W images. The 3D TOF angiogram indicating a 40% stenosis was complemented by 3D multi-planar reformat of BB images that displayed plaque extent. Detection of intimal thickening, the earliest change associated with atherosclerotic progression was observed in BB PDW images at 3.0 T. CONCLUSIONS: High SNR and CNR images have been demonstrated for the healthy and diseased carotid. Improvements in RF coils along with pulse sequence optimization, and evaluation of endogenous and exogenous contrast mechanisms will further enhance carotid imaging at 3.0T.

Adult↗