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Improved excitation pulse bandwidths using shaped pulses, with application to heteronuclear half filters in macromolecular NMR.

The advantageous use of sinc-shaped pulses in heteronuclear half filters is explored for studying biological macromolecules. The typical square, or hard, pulse used in half-filter pulse sequences for heteronuclear excitation results in suboptimal suppression of unwanted resonances due to incomplete inversion of spins. The novel use of short-duration shaped pulses applied at high power achieves more uniform excitation profiles over the extended frequency ranges often needed for heteronuclear filtering. This approach is used in the development of a double-tuned omega 1, omega 2-double-half-filtered, double-quantum-filtered COSY experiment. The efficiency of this experiment incorporating sinc pulses compares favorably with that obtained with square pulses in a mixture of 13C-labeled and unlabeled amino acids. Sinc-pulse-filtered spectra of the 24 kDa methionine repressor protein dimer MetJ, uniformly 13C-labeled expect at two unlabeled methionine residues, were also obtained to demonstrate the utility of this approach in biomacromolecular studies.

Bacterial Proteins↗

A single molecule detection method for understanding mechanisms of electric field-mediated interstitial transport of genes.

The interstitial space is a rate limiting physiological barrier to non-viral gene delivery. External pulsed electric fields have been proposed to increase DNA transport in the interstitium, thereby improving non-viral gene delivery. In order to characterize and improve the interstitial transport, we developed a reproducible single molecule detection method to observe the electromobility of DNA in a range of pulsed, high field strength electric fields typically used during electric field-mediated gene delivery. Using agarose gel as an interstitium phantom, we investigated the dependence of DNA electromobility on field magnitude, pulse duration, pulse interval, and pore size in the interstitial space. We observed that the characteristic electromobility behavior, exhibited under most pulsing conditions, consisted of three distinct phases: stretching, reptation, and relaxation. Electromobility depended strongly on the field magnitude, pulse duration, and pulse interval of the applied pulse sequences, as well as the pore size of the fibrous matrix through which the DNA migrated. Our data also suggest the existence of a minimum pulse amplitude required to initiate electrophoretic transport. These results are useful for understanding the mechanisms of DNA electromobility and improving interstitial transport of genes during electric field-mediated gene delivery.

DNA↗

Voxel sensitivity function description of flow-induced signal loss in MR imaging: implications for black-blood MR angiography with turbo spin-echo sequences.

The conditions in which the image intensity of vessels transporting laminar flow is attenuated in black-blood MR angiography (BB-MRA) with turbo spin-echo (TSE) and conventional spin-echo (CSE) pulse sequences are investigated experimentally with a flow phantom, studied theoretically by means of a Bloch equation-voxel sensitivity function (VSF) formalism, and computer modeled. The experiments studied the effects of: a) flow velocity, b) imaging axes orientation relative to the flow direction, and c) phase encoding order of the TSE train. The formulated Bloch equation-VSF theory describes flow effects in two-dimensional (2D)- and 3D-Fourier transform magnetic resonance imaging. In this theoretical framework, the main attenuation mechanism instrumental to BB-MRA, i.e., transverse magnetization dephasing caused by flow in the presence of the imaging gradients, is described in terms of flow-induced distortions of the individual voxel sensitivity functions. The computer simulations predict that the intraluminal homogeneity and extent of flow-induced image intensity attenuation increase as a function of decreasing vessel diameter, in support of the superior image quality achieved with TSE-based BB-MRA in the brain.

Blood Flow Velocity↗

Sensitivity and reproducibility of fast-FLAIR, FSE, and TGSE sequences for the MRI assessment of brain lesion load in multiple sclerosis: a preliminary study.

Fast fluid-attenuated inversion recovery (fast-FLAIR), fast spin echo (FSE), and turbo-gradient spin echo (TGSE), new pulse sequences for magnetic resonance imaging (MRI), are able to display multiple sclerosis (MS) lesions more conspicuously (fast-FLAIR) and with shorter imaging times (FSE, TGSE) than is conventional spin-echo MRI. In this study, we scanned 7 MS patients, using fast-FLAIR (18 axial brain slices), FSE (27 slices), and TGSE (9 slices) sequences in the same session, to compare the brain MRI lesion loads detected by these different sequences and the intraobserver reproducibility of these measurements. On the subset of slices (n = 9) covered by all three measurements, the mean lesion load was 7.577 mm3 on fast-FLAIR, 5.248 mm3 on FSE, and 3.080 mm3 on TGSE (p = 0.006) sequences. The mean intraobserver coefficients of variation were 2.92% for fast-FLAIR, 2.86% for FSE, and 4.31% for TGSE (not significant). These findings demonstrate that both fast-FLAIR and FSE sequences may be potentially useful for serial MRI studies for monitoring clinical trials, while TGSE might be useful for speeding diagnostic MRI in MS patients. Longitudinal, clinically correlated studies using these new MRI sequences are needed to confirm these preliminary data.

Brain↗

[Magnetic resonance myelography with a fast-spin-echo sequence].

A major application of Magnetic Resonance Imaging (MRI) consists in the "myelographic effect", characterized by high signal intensity of the CSF, which permits to visualize spinal subarachnoid spaces and nerve root sheaths. Such new ultrafast pulse sequences as fast spin echo (FSE) further enhance CSF high signal intensity. In addition, suppressing background with the fat suppression technique and with maximum intensity projection (MIP), a particular algorithm already used in MR angiography, FSE sequences yield 3D myelography-like images. Our study was aimed at assessing the clinical role and the reliability of this technique. Our preliminary experience is based on 21 patients with pain in the lower back and legs and on 5 healthy volunteers; all the myelography-like images were obtained with a 1.5-T MR system (Signa, General Electric). The parameters for FSE myelography-like images included: TR = 6000, TE = 200, ETL = 32, thickness = 3 mm, matrix = 256 x 224, Nex = 4, FOV = 20 cm, fat presaturation, no phase wrap, acquisition time = 2 min 58 s. MR myelography sequences were acquired after a standard FSE T1/T2-weighted exam. MR-myelography results confirmed the diagnosis of disk herniation made on conventional T1/T2-weighted images, especially in thecal sac compression and/or amputation of nerve root sheaths. MR myelography appeared to be especially useful in migrated disk herniation or in abnormal origin of nerve roots. Moreover, it allowed full and panoramic visualization of the subarachnoid spaces and excellent definition of the thecal sac, nerve roots and nerve root sheaths. In one patient only movement artifacts affected image quality. To conclude, even though it fails to yield any functional information, MR myelography appears to be an easy, rapid and noninvasive support to conventional MRI of the lumbar spine, to replace conventional myelography.

Female↗

Black-blood MR angiography. Techniques, and clinical applications.

As there are limitations in WB-MR angiography, so there are limitations in BB-MR angiography. Vessel morphology is visualized by means of the innermost nonattenuated layer of tissue, which, under ideal conditions, coincides with the luminal surface of the vessel wall. Vessel morphology may be depicted inaccurately whenever a portion of the vessel wall is undetectable with the MR imaging technique used. In such cases, vessel segments with exaggerated lumen diameter may result at locations where tissues with either a very short T2 or a low proton density are present. Another phenomenon that could potentially degrade the accuracy of vessel depiction with BB techniques is the effect of slowly flowing blood near the vessel walls. Residual blood signal would result in apparent vessel narrowing. Preliminary clinical experience in the brain, however, suggests that this adverse effect is less prominent with a turbo-SE-based BB technique than with a TOF WB technique. BB-MR angiography data sets may also present image postprocessing difficulties arising from the isointensity between the vessels and other dark structures such as bones and air-filled cavities. A limitation that is more specific to hybrid-SE-based BB-MR pulse sequences, particularly for very high spatial resolution applications, stems from the comparatively high RF specific absorption rates that result from the intensive use of 180 degrees refocusing pulses. GRASE-based BB-MR techniques that generate a fraction of the RF energy constitute a promising alternative for very high spatial resolution applications. In summary, to be effective, a BB technique must produce strong signal attenuation from flowing spins, ideally to the level of the baseline noise. Simultaneously it should produce good depiction of tissues with the comparatively short T2s characteristic of vessel walls and muscle, hence the need to operate with the shortest possible TE. Finally, high spatial resolution combined with fast data acquisition are requisites for imaging small vessels in the presence of motion, such as the carotid arteries. The flow properties of BB-MR angiographic sequences that meet these criteria were reviewed for different anatomic locations.

Humans↗

A new selective population transfer experiment using a double pulsed field gradient spin-echo.

A new pulse sequence is proposed for the determination of scalar coupling correlation in small- and medium-sized organic compounds. The method uses a combination of the double pulsed field gradient spin-echo (DPFGSE) and the selective population transfer (SPT) techniques and is shown to be useful in the analysis of complex spectra with many overlapped signals. The usefulness of this method in the structural elucidation of natural substances is demonstrated using strychnine and digitoxin as examples.

Digitoxin↗

A general strategy for the NMR observation of half-integer quadrupolar nuclei in dilute environments.

A general strategy for the observation of low gamma half-integer quadrupolar nuclides in biological systems is presented. The methodology combines low-temperature (4-100 K) techniques with cross-polarization (CP) experiments while employing a so-called Carr-Purcell-Meiboom-Gill spin-echo sequence (CPMG). This combined approach is termed CP/QCPMG. Also discussed are data processing issues that are unique to the induced signals that result from the QCPMG pulse sequence. Central to this strategy is the development of a stable low-temperature (4 to 250 K) NMR double-resonance probe. The probe is robust enough to handle multiple contact experiments and long acquisition periods with 1H decoupling. This approach is illustrated with low-temperature solid-state 67Zn and 25Mg NMR CP/QCPMG experiments on model compounds. The conclusion reached is that the strategy affords sufficient sensitivity to examine Zn2+ and/or Mg2+ binding sites in metalloproteins.

Fourier Analysis↗

Self-diffusion measurements with chemical shift resolution in inhomogeneous magnetic fields.

A methodology for chemical shift resolved molecular self-diffusion measurements in time-independent static and radiofrequency field gradients is demonstrated. Diffusion encoding is provided by a stimulated echo sequence with additional z-storage that allows for a change of diffusion time without affecting the relaxation weighting. The signal is acquired stroboscopically between the pulses of a train of adiabatic double passages that induces a z-rotation counteracting the phase spread resulting from precession in the inhomogeneous static field, as demonstrated in recent approaches to the goal of high-resolution "ex situ" NMR. Simulations of the pulse sequence show that the acquired signal results from the desired coherence pathway. Successful demonstrations of the experiment were performed on a mixture of water and isopropanol.

Journal Article↗

Computer assessment of neurodegeneration in Parkinson disease using data fusion techniques with MR images.

RATIONALE AND OBJECTIVES: Recently developed MR imaging techniques using inversion recovery are a sensitive tool to identify and quantify morphologic changes in the substantia nigra due to neurodegeneration. Using a semi-automated computer segmentation technique to isolate the substantia nigra pars compacta (SN(c)), we propose a colored image fusion technique to visually assess the sites of damage in the SN(c) and integrate the information obtained from two implemented inversion-recovery sequences. PATIENTS AND METHODS: Six patients and six age-matched control subjects were scanned using a combination of two MR imaging inversion-recovery (IR) pulse sequences. A subgroup of them was used to develop our technique. Images were blended together into a final (RGBA) image, where A stands for the alpha channel describing transparency. RESULTS: Abnormalities in the SN(c) can be accurately assessed in location, shape, and variations of signal intensities within the segmented SN(c) by varying the transparency (alpha) channel of the color fusion image. Several previous findings such as the lateral-medial gradient of signal change and a ventral-dorsal broadening of the pars compacta are accompanied by an overall mild-to-severe heterogeneity of neurodegeneration patterns. CONCLUSION: Color fusion techniques revealed subtle changes in the neurodegeneration of the substantia nigra in Parkinson disease, which can be helpful for an objective and hence effective visual assessment of disease progression.

Aged↗

[Comparison of fast turbo-spin-echo and gradient- and spin-echo sequences as well as echo planar imaging with conventional spin-echo sequences in MRI of focal liver lesions at 1.0 tesla].

PURPOSE: To evaluate the value of rapid T2-weighted turbo-spin sequences (TSE), turbo-spin-echo sequences with shortened echo spacing (UTSE), gradient-and-spin-echo sequences (GraSE) and T1-weighted echo-planar imaging (EPI) in comparison with conventional spin-echo sequences (SE) in the diagnosis of focal liver lesions. METHODS: 20 patients with malignant focal liver lesions underwent magnetic resonance imaging at 1.0 tesla. RESULTS: The use of fast T2-sequences (TSE, UTSE, GraSE) reduced the examination time to about 35-50%. Artifacts were reduced compared with the conventional T2-SE sequence. Quantitative analysis demonstrated that UTSE imaging had the highest tumor/liver contrast-to-noise ratio (CNR) followed by TSE, T2-SE and GraSE sequences. CNR with EPI was lower than with the T1-SE sequence (p < 0.05). CONCLUSION: Turbo-spin-echo sequences with shortened echo spacing yield a shorter imaging time and improved image quality without loss of signal intensity in tumor/liver-CNR, compared with conventional T2-pulse sequences in liver imaging at 1.OT.

Adult↗

Correlation of cine MR imaging with two-dimensional pulsed Doppler echocardiography in valvular insufficiency.

Eight adults with known valvular insufficiency were studied with cine magnetic resonance (MR) imaging. Our cine MR uses cardiac synchronization of a rapid small flip angle pulse sequence on a 1.5 T MR system. Eleven regurgitant lesions (including aortic, mitral, and tricuspid valves) were imaged with both cine MR and two-dimensional pulsed Doppler echocardiography (2-DPDE). In each case of significant regurgitation the jet of valvular insufficiency was easily seen as a discrete area of low signal with cine MR. Not only was the regurgitant jet identified but also its relative severity agreed well with the 2-DPDE results. In two patients the regurgitant lesions were identified on cine MR prior to 2-DPDE. In addition to the regurgitant jet, chamber enlargement and wall thickening were also well demonstrated. Cine MR is a promising modality for both the detection and semiquantification of valvular insufficiency.

Aortic Valve Insufficiency↗

Engineering mixed states in a degenerate four-state system.

A method is proposed for preparing any pure and wide class of mixed quantum states in the decoherence-free ground-state subspace of a degenerate multilevel lambda system. The scheme is a combination of optical pumping and a series of coherent excitation processes, and for a given pulse sequence the same final state is obtained regardless of the initial state of the system. The method is robust with respect to the fluctuation of the pulse areas, as in adiabatic methods; however, the field amplitude can be adjusted in a larger range.

Journal Article↗

Rapid in vivo monitoring of chemotherapeutic response using weighted sodium magnetic resonance imaging.

A novel pulse sequence strategy uses sodium magnetic resonance imaging to monitor the response to chemotherapy of mouse xenograft tumors propagated from human prostate cancer cell lines. An inversion pulse suppresses sodium with long longitudinal relaxation times, weighting the image toward intracellular sodium nuclei. Comparing these weighted sodium images before and 24 h after administration of antineoplastics, we measured a 36 +/- 4% (P < 0.001; n = 16) increase in signal intensity. Experiments with these same drugs and cells, treated in culture, detected a significant intracellular sodium elevation (10-20 mM) using a ratiometric fluorescent dye. Flow cytometry studies showed that this elevation preceded cell death by apoptosis, as determined by fluorescent end-labeling of apoptotic nuclei or Annexin V binding. Histopathology on formalin-fixed sections of explanted tumors confirmed that drug administration reduces proliferation (2.2 versus 8.6 mitotic figures per high power field; P < 0.0001), an effect that inversely correlates with the sodium magnetic resonance image response on a tumor-to-tumor basis (P < 0.02; n = 10). Morphological features, such as central zones of nonviable cells, rims of active apoptosis, and areas of viable tumor, could be distinguished by comparing weighted and unweighted images. Advantages of this sodium imaging technique include rapid determination of drug efficacy, improved diagnosis of lesions, ease of coregistration with high resolution proton magnetic resonance imaging, and absence of costly or toxic reagents.

Animals↗

Brain iron in patients with Parkinson disease: MR visualization using gradient modification.

In patients with Parkinson disease, improved visualization of brain iron on a mid-field-strength magnet can be obtained with T2-weighted images and elimination of phase-encoding artifacts. A long echo delay time accentuates the loss of signal from brain iron. However, the long pulse sequence creates phase-encoding artifacts from CSF pulsations at the level of the basal ganglia. These artifacts are eliminated and resolving power increased with additional pulsing in the slice-selective and read gradients. Elimination of motion artifacts enhances visualization of brain iron in three ways: (1) extrapyramidal nuclei containing iron have better definition, (2) abnormalities are better identified, and (3) pseudolesions disappear. Our findings suggest there is significant improvement in the resolving power of brain iron on MR scans made with a mid-field-strength scanner when gradient modification is used.

Adult↗

A phantom study of intracranial CSF signal loss due to pulsatile motion.

MR imaging of the head often reveals localized areas of decreased signal intensity (flow voids) within the CSF. These flow voids are caused by turbulence within the CSF resulting from its pulsatile back-and-forth flow through the cerebral aqueduct and foramina. We describe a phantom that mimics the essential features of the CSF flow, and discuss its use in studying the dependence of the CSF flow void (CFV) on spin-echo (SE) and inversion-recovery pulse sequence parameters. The phantom had fluid-filled spaces to represent ventricles, and channels connecting these spaces to represent the aqueduct and foramina. A pump pushed the fluid in a pulsing manner through the phantom at various rates. The CFV was quantified by measuring signal loss relative to nonflowing fluid. The CFV did not appear to depend on repetition time or inversion time. The CFV was, however, strongly dependent on echo time (TE), and for single-echo SE sequences CFV became less severe as TE decreased. An even-echo rephasing effect was observed for multiecho sequences. Slice thickness and field of view also affected the appearance of the CFV, as did gating with respect to the pulsatile motion. These results imply that TE, field of view, slice thickness, and gating must be considered when using the appearance or absence of the CFV in diagnosis.

Cerebrospinal Fluid↗

[The superior and inferior venae cavae: angiography by TOF 2D magnetic resonance versus spin-echo sequences].

This work was aimed at assessing the usefulness of magnetic resonance angiography (MRA) in the investigation and diagnosis of vena cava conditions. Forty-five subjects that is 20 volunteers and 25 patients, were examined with MRA using a 1.5 T superconductive system (SE and angiography pulse sequences). In the 25 patients, 8 cases of thrombosis were diagnosed, together with 4 cases of suspected tumor spread into either the superior or the inferior vena cava, 2 cases of inferior vena cava agenesis, 5 cases of retroaortic left renal vein and 5 cases of abdominal aortic aneurysm. MRA was performed with the 2D time-of-flight (TOF) technique (FA 18 degrees, TR 30-40 ms, TE 10 ms); the images were acquired on the coronal, sagittal and axial planes with and without presaturation pulse and rotated in the post-processing according to the maximum intensity projection. In all volunteers MRA identified jugular veins, subclavian veins, anonymous veins, superior vena cava, inferior vena cava and common iliac veins. The main limitation of MRA was its spatial resolution. MRA proved to be less accurate than SE sequences in the assessment of tumor spread. As for thrombotic conditions, MRA provided useful additional information and is therefore considered a complementary technique to SE MRI. As for venous anomalies (double inferior vena cava, vena cava agenesis and retroaortic left renal vein) and in the study of the relationships with abdominal aortic aneurysms, MRA proved to be the more accurate of the two techniques.

Adult↗

Rapid MR imaging of the liver: comparison of twelve techniques for single breath-hold whole volume acquisition.

Twelve magnetic resonance imaging pulse sequences for single breath-hold whole volume acquisition of the liver were evaluated on volunteers. Liver and spleen contrast to noise ratio (C/N), overall image quality, and grade of artifacts were compared. The 12 sequences included T2-weighted fast spin echo (FSE) with or without fat suppression (FS), fast multiplanar spoiled gradient recalled imaging (FMPSPGR), fast gradient recalled imaging without preparation pulses (FGR), FGR with inversion recovery preparation pulse nulling the liver or fat (IR-FGR-L and IR-FGR-F), FGR with driven equilibrium preparation pulse (DE-FGR), single shot moderately or heavily T2-weighted spin echo echo planar imaging (SE-EPI-mT2 and SE-EPI-hT2), multi-shot moderately T2-weighted spin echo echo planar imaging (multi-shot SE-EPI-mT2), inversion recovery EPI, and gradient echo EPI. In the quantitative analysis, FSE + FS showed a significantly higher C/N ratio than the others (p < 0.05). In the qualitative evaluation, DE-prepFGR, and single and multi-shot SE-EPI-mT2 had good results, as did FSE and FSE + FS. Further studies should be conducted to determine whether or not these breath-hold sequences can obviate current conventional non-breath-hold sequences.

Adipose Tissue↗