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At least 145 records · Page 8Linked to original sources

MRI of the brain with ultra-short echo-time pulse sequences.

As well as the long-T2 relaxation components normally detected with conventional imaging techniques, the brain has short-T2 components. We wished to use ultra-short (0.08 ms) echo time (UTE) pulse sequences to assess the feasibility of imaging these in normal subjects and patients. UTE sequences were employed, with or without fat suppression, 90 degree long-T2 suppression pulses, and selective nulling of long-T2 components using an inversion pulse. Subtraction of later echoes from the first was also used to reduce the signal from long-T2 components. We studied dive normal subjects and 15 patients with various diseases. Short-T2 components were demonstrated in grey and white matter. Increased signal from these components was seen in meningeal disease, probable calcification, presumed cavernomas, melanoma metastases and probable gliosis. Reduced signal was seen in some tumours, infarcts, mild multifocal vascular disease and vasogenic oedema. Further development and evaluation of these pulse sequences is warranted.

Adult↗

In vivo and in vitro MR imaging of renal tumors: histopathologic correlation and pulse sequence optimization.

Magnetic resonance (MR) imaging has given mixed results in the detection of renal masses. To identify the reasons for this and to determine the optimal pulse sequences for evaluating renal tumors, the authors imaged 12 primary renal tumors in vivo and 17 in vitro at 0.35 T. Histopathologic findings for each specimen were closely correlated with the MR images. Four of seven solid tumors imaged in vivo were isointense with surrounding normal renal parenchyma at all pulse sequences. The other three tumors were hyperintense in vivo at T2-weighted sequences. At heavily T2-weighted sequences eight solid tumors were hyperintense in vitro and four were hypointense. There was no correlation between signal intensity and specific tissue type or histologic pattern for solid tumors. The five cystic tumors were well seen both in vivo and in vitro on T2-weighted images. However, the signal intensity of the cyst fluid was an unreliable indicator of benignancy. SE MR imaging at 0.35 T has significant limitations in the detection of solid renal masses.

Carcinoma, Renal Cell↗

MR of the thoracic aorta: a pulse sequence approach to discrete feature analysis.

Magnetic resonance (MR) imaging is a reliable tool for the depiction of the thoracic aorta. By combining traditional T1-weighted spin echo pulse sequences with newer MR angiography techniques, MR imaging can provide both the structural and functional information necessary to manage most thoracic aortic abnormalities. This article reviews the various MR pulse sequences germane to aortography, highlighting their technical considerations and clinical applications. Newer MR techniques for vascular imaging are also introduced.

Aorta, Thoracic↗

Contrast enhancement of short T2 tissues using ultrashort TE (UTE) pulse sequences.

AIM: To review the effects of contrast administration on tissues with short T2s using a pulse ultrashort echo time (UTE) sequence. MATERIALS AND METHODS: Pulse sequences were implemented with echo times of 0.08 ms and three later gradient echoes. A fat-suppression option was used and later echo images were subtracted from the first echo image. Contrast enhancement with gadodiamide (0.3 mmol/kg) was used for serial studies in a volunteer. The images of 10 patients were reviewed for evidence of contrast enhancement in short T2 tissues. RESULTS: Contrast enhancement was seen in normal meninges, falx, tendons, ligaments, menisci, periosteum and cortical bone. In addition more extensive enhancement than with conventional pulse sequences was seen in meningeal disease, intervertebral disc disease, periligamentous scar tissue and periosteum after fracture. Subtraction of an image taken with a longer TE from the first image was of value in differentiating enhancement in short T2 tissues from that in long T2 tissues or blood. CONCLUSION: Contrast enhancement can be identified in tissues with short T2s using UTE pulse sequences in health and disease.

Connective Tissue↗

Pulse sequence optimization for T2-weighted MR imaging of the brain.

The authors implemented bipolar velocity compensated pulse techniques for T2-weighted MR imaging of the brain. Signal-to-noise (S/N) and image quality was compared for pulse sequences with standard and optimized RF pulses, low and regular bandwidth versions and cardiac triggering. Images from bipolar velocity compensated sequences allowed better visualization of vessels and basilar cisterns and improved image quality relative to standard sequences without velocity compensation. The implementation of optimized RF pulses with bipolar sequences resulted in further improvement in image quality. Single echo sequences consistently had improved image quality and signal-to-noise relative to the second echo of a double echo sequence. Low bandwidth bipolar sequences with extended sampling period had 30% higher S/N, but at the cost of slight loss in edge definition. The highest image quality was obtained with the bipolar, optimized RF, single echo sequence. Using this technique contiguous high quality image slices could be obtained with velocity compensation. The addition of cardiac triggering to bipolar sequences resulted in slight improvement in image quality, but this difference was marginal and probably rarely necessary for MR imaging of the brain.

Brain↗

Renal corticomedullary junction. Performance of T1-weighted MR pulse sequences.

Inability to demonstrate the renal corticomedullary junction (CMJ) on magnetic resonance (MR) images has been reported in connection with several medical renal diseases. T1-weighted spin echo pulse sequences have been advocated to demonstrate a signal intensity difference between cortex and medulla. This study was undertaken to determine which of several T1-weighted spin echo (SE) and gradient echo (GE) sequences are better for delineation of the CMJ. The MR studies were performed at 0.5 Tesla on 27 normal volunteers. Multi-slice axial images of both kidneys were obtained in all subjects at each of the following five pulse sequences: SE 250/20, SE 500/30, SE 900/30, and GE 300/15 with 80 degrees and 64 degrees flip angles. Contrast/noise ratios were calculated for the signal intensity differences between cortex and medulla; the average standardized contrast/noise ratios ranked as follows: GE 300/15/80 degrees = 3.01 +/- 0.74, GE 300/15/64 degrees = 2.72 +/- 0.74, SE 250/20 = 2.02 +/- 0.33, SE 500/30 = 1.96 +/- 0.51, and SE 900/30 = 1.71 +/- 0.39. In addition, the five sequences for each patient were randomized and the images were independently ranked for delineation of CMJ by three MR radiologists. The cumulative subjective ranking for all observers from best to worst is as follows: SE 500/30, GE 300/15/80 degrees, GE 300/15/64 degrees, SE 900/30, SE 250/20. Although better contrast/noise ratios are achieved with the GE sequences and the more T1-weighted SE sequences, as a practical matter this does not seem to be the only significant factor when compared with the visual image evaluation by independent observers.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

The prevalence and distribution of white-matter changes on different MRI pulse sequences in a post-stroke cohort.

No uniform criteria currently exist for rating white-matter (WM) high-signal foci on MRI. Ratings are based on descriptive terms, different pulse sequences and different WM areas. Reports on the prevalence and clinical correlates of high-signal foci have been contradictory. We wanted to examine the contribution of the pulse sequence and WM area on rating WM changes. We analysed WM changes separately on T2-, protondensity (PD)- and T1-weighted images in periventricular, subcortical, watershed area and deep WM. The difference between T2- and PD-weighted images was significant for frontal caps, counting small foci or analysing subcortical changes. T1-weighted images showed significantly less change, but the number of foci detected was greater than previously thought. The prevalence of WM high-signal foci was greatest in the watershed zone and smallest in the subcortical area. There was a significant correlation between foci in different areas.

Aged↗

New black blood pulse sequence for studies of the heart.

The black blood concept is based on the signal void principle of the sequences in Spin Echo, SE or FSE, which are very useful for studying the mediastinum and heart. In this setting, new sequences are continuously introduced to eliminate the artifacts caused by breathing and heart movements. One such sequence is the Double-IR preparation Black Blood FSE. We report our experience in 97 patients, using this new pulse sequence to evaluate cardiac pathology, and establish comparisons with the conventional Spin Echo sequences. The study comprises mediastinal disease and aorta and heart explorations. We consider this new Double-IR preparation FSE sequence to be an excellent choice for evaluating chest, mediastinal and cardiac images. The sequence offers improved spatial resolution of both the vessels and other chest structures with respect to conventional Spin Echo imaging. With the exception of patients presenting severe heart problems, or in the presence of intense bradycardia, the required 16 cycles in apnea are well tolerated. The purpose of the present study is to present our initial results with this new pulse sequence as applied to cardiac pathology, in comparison with conventional Spin Echo imaging.

Aortic Diseases↗

Simulation procedure to determine nuclear magnetic resonance imaging pulse sequence parameters for optimal tissue contrast.

In order to permit a more optimized selection of acquisition parameters for nuclear magnetic resonance (NMR) imaging a simulation procedure is proposed to determine the pulse sequences for optimal tissue contrast for a variety of clinical indications. In selected patient studies an adequate set of source images is measured, which allows computation of images of all possible pulse sequences, and measurement of tissue contrast within selected regions of interest. Data concerning promising sequences for specific clinical indications can then be filed, so as to aid the investigator's experience in setting up future NMR acquisitions.

Breast Neoplasms↗

[Fast and ultra-fast magnetic resonance tomography. Basic principles, pulse sequences and special properties].

The aim of this article is the systematic treatment of fast and ultrafast magnetic resonance imaging (MRI) techniques. Based on the basic principles of signal generation and spatial encoding with magnetic field gradients the differences and important similarities of pulse sequences will be explained. We suggest to replace the conventional grouping of pulse sequences in gradient and spin-echo sequences through single and multi-echo sequences, since the latter is more precise and helpful. We illustrate how single-echo sequences such as "spin-echo", FLASH, FISP, PSIF, CISS and DESS can be derived from a single gradient echo and how multi-echo sequences such as turbo spin-echo RARE, HASTE and GRASE are based on echo-planar imaging. The different properties, advantages and disadvantages of the various sequences will be discussed and frequently used acronyms will be explained.

Echo-Planar Imaging↗

Musculo-skeletal magnetic resonance imaging using inversion recovery pulse sequences at 0.08 T.

The potential of magnetic resonance imaging (MRI) for the assessment of musculo-skeletal tumours has until recently been underestimated. Most reports in the literature describe the MRI appearances of musculo-skeletal tumours using spin-echo pulse sequences with high field, superconductive magnets. This paper describes the use of inversion recovery pulse sequences using a low field resistive magnet for the study of musculo-skeletal disorders. Thirty patients who had either radiological evidence of a bone tumour or a soft tissue mass were studied by low field MRI and inversion recovery, and calculated T1 images compared with the tissue histology of the mass. It has been found that inversion recovery images display the size and extent of both bone and soft tissue tumours and that the use of coronal and axial images enable clear display of the relationship of bone and soft tissue tumours to the major blood vessels, muscle and cortical bone.

Adolescent↗

Application of the reverse dept polarization-transfer pulse sequence to monitor in vitro and in vivo metabolism of 13C-ethanol by 1H-NMR spectroscopy.

Using the reverse 13C----1H DEPT polarization-transfer pulse sequence the metabolism of 13C ethanol in vitro and in vivo has been monitored by 1H-NMR spectroscopy. Using yeast alcohol dehydrogenase, acetaldehyde, the hydrated form of acetaldehyde and acetate were identified as metabolites of [2-13C]-ethanol. The ratio of hydrated to free acetaldehyde was dependent upon the protein concentration of the reaction mixture. Binding of acetaldehyde in an irreversible Schiffs base resulted in optimal enzyme activity. Hepatocytes from rats fasted for 20 h, metabolised [1-13C] and [2-13C]ethanol in a linear fashion, but no [13C]acetaldehyde was detected. Metabolic integrity of the hepatocytes was confirmed with [2-13C]acetate. The addition of disulfiram (50 micron) to hepatocyte suspensions which had been incubated with [1-13C]ethanol, resulted in the resynthesis of [13C]ethanol. The amount of [13C]ethanol resynthesized under these conditions represents intracellular acetaldehyde whose concentration was in the range of 400-800 mumol/g wet weight of hepatocytes when 50 mM ethanol had been originally incubated with the hepatocyte suspension. These studies show how NMR-polarization transfer pulse sequences can be used to monitor the metabolism of 13C-ethanol in vivo, and provide a unique tool to measure in vivo concentrations of acetaldehyde. The studies also suggest that cytoplasmic aldehyde dehydrogenase may play a major role in hepatic ethanol metabolism.

Acetaldehyde↗

A magnetization-driven gradient echo pulse sequence for the study of myocardial perfusion.

A T1-weighted imaging pulse sequence for contrast-based studies of myocardial perfusion is presented and evaluated in phantoms and in vivo. The sequence is similar to spoiled gradient-recalled echo sequences except that nonselective preparatory RF pulses drive magnetization to steady state prior to image acquisition. Steady state is thus obtained in both tissue and blood resulting in a stable, homogeneous, and dark pre-contrast baseline. Tip angles and timings are chosen so that pixel intensity approximates a linear relation to 1/T1. The dynamic range of signal response to contrast agent concentration is greater than that of an inversion-recovery fast low angle shot sequence. The sequence proposed should be useful for myocardial perfusion studies.

Blood↗

Phase II clinical evaluation of Gd-EOB-DTPA: dose, safety aspects, and pulse sequence.

PURPOSE: To investigate the efficacy of gadolinium ethoxybenzyl diethylenetriaminepentaacetic acid (Gd-EOB-DTPA) in the detection of focal liver lesions with respect to dose, side effects, and pulse sequence. MATERIALS AND METHODS: A randomized double-blinded trial was performed in 33 patients with focal solid liver lesions. A bolus of Gd-EOB-DTPA, a liver-specific contrast agent, was intravenously administered at three different doses (12.5, 25, and 50 mumol per kilogram of body weight). Magnetic resonance imaging with different T1-weighted techniques was performed 20 and 45 minutes after administration of Gd-EOB-DTPA. Changes in liver signal intensity, lesion-liver contrast-to-noise ration (C/N), detectable liver lesions, side effects, and adverse events were evaluated. RESULTS: Gd-EOB-DTPA significantly (P < .05) increased liver signal intensity and lesion-liver C/N within the dose range tested. Lesion detection was improved 20 and 45 minutes after administration of Gd-EOB-DTPA. A dose of 12.5 mumol was sufficient for the detection of focal liver lesions, and the breath-hold, T1-weighted, fast low-angle shot pulse sequence was the most useful. No significant changes in vital signs, clinical laboratory test results, and urinalysis were observed. CONCLUSION: Gd-EOB-DTPA is an efficient, diagnostically useful, and safe contrast agent.

Contrast Media↗

Pulse sequence and parameter choice in NMR imaging as a problem of constrained multidimensional nonlinear optimization.

The advantage of the multiparametric nature of NMR imaging is connected with the problem of finding optimum pulse sequences and sequence parameters, which ensure a high contrast-to-noise ratio. For a given imaging task with m (m greater than or equal to 2) regions characterized by sets of NMR parameters (e.g., rho, T1, T2) two functions are proposed, which can be used to transform the search for an optimum pulse sequence into a problem of constrained multidimensional nonlinear optimization. The numerical algorithm is described and the results of two examples are presented and discussed. A short description of useful extensions of the proposed optimization approach, which are currently implemented, is given.

Magnetic Resonance Spectroscopy↗

Flow, radiofrequency pulse sequences, and gradient magnetic fields: basic interactions and adaptations to angiographic imaging.

The basic process of MRI consists of two essential, relatively independent components: (1) excitation in the form of a radiofrequency pulse sequence, and (2) signal sampling and localization, that is, forming the MR image through the use of field gradients. The presence of motion (blood flow) during either excitation or sampling results in two types of corresponding effects: (1) time-of-flight effects, and (2) spin phase phenomena. These effects can be manipulated through the use of special coils, pulse sequences, gradients, and postprocessing techniques to provide angiographic images in which simple motion provides the basis for contrast.

Cerebral Angiography↗

Optimizing delays in the MBOB, broadband HMBC, and broadband XLOC NMR pulse sequences.

The MBOB, broadband HMBC, and broadband XLOC NMR pulse sequences (A. Meissner and O. W. Sørensen (2000, Magn. Reson. Chem. 38, 981-984; 2001, 39, 49-52)) were introduced as a means of obtaining heteronuclear long-range correlation spectra with broadband excitation over an interval of heteronuclear long-range J coupling constants. However, it is not trivial what combination of delays to choose for a given purpose, particularly if one-bond and long-range correlation spectra are obtained simultaneously as in MBOB. This paper presents a way to determine sets of delays for MBOB, broadband HMBC, and broadband XLOC resolving the problem. The results tabulated suit various ranges of J coupling constants and transverse relaxation times.

Journal Article↗

Improving pulse sequences for 3D DOSY: COSY-IDOSY.

An improved pulse sequence for measuring diffusion-ordered COSY spectra is achieved by incorporating the diffusion encoding directly into the evolution and detection periods of a gradient-enhanced COSY sequence, giving improved sensitivity and a 32-fold reduction in minimum experiment time.

Journal Article↗