Hyperpolarized <Superscript>3</Superscript>He lung ventilation imaging with <Emphasis Type="Italic">B</Emphasis><Subscript>1</Subscript>-inhomogeneity correction in a single breath-hold scan

The signal-to-noise ratio (SNR) of hyperpolarized noble gas MR images is sensitive to the flip angle used. Variations in flip angle due to B ₁-inhomogeneity of the RF coil cause intensity variation artifacts in lung ventilation images which may mask or mimic disease. We show these artifacts can be minimized by using the optimal flip angle and corrected if the local flip angle is known. Hyperpolarized ³He lung images were obtained in ten healthy subjects using both a conventional gradient-echo sequence and a new hybrid pulse sequence designed to simultaneously acquire lung ventilation images and corresponding flip-angle maps in comparable imaging time. Flip-angle maps and corrected images were calculated from the hybrid scan and compared with conventional images. The qualitative theoretical dependence of flip angle on SNR was verified. Ventilation images and flip-angle maps were successfully obtained with the hybrid sequence. Corrections to image intensity calculated from the flip-angle maps appeared reasonable for images acquired using an average flip angle near optimal. Use of the optimal flip angle is crucial to the quality of lung ventilation images. Artifactual intensity variations due to RF-coil inhomogeneity may be identified and potentially corrected using our hybrid sequence. Acknowledgement The authors thank John M. Christopher, RT(R)(MR) for valuable assistance performing the studies, and Jaime F. Mata, MS, Jing Cai, MS, and Andrew G. Reish, BS, for excellent operation of the ³He polarization system. We gratefully acknowledge support for this research from the Commonwealth of Virginia Technology Research Fund (Grant No. IN2002-01), Siemens Medical Solutions and Amersham Health.     

A simple method for mapping the B1 field distribution of linear RF coils

Inhomogeneity of the radio frequency (RF) field B₁ leads to intensity variations in MR images and to spatial dependence of spectral line amplitudes. In this paper, a simple method of measuring the B₁ field components of an unsegmented linear coil is described. The method is designed for the coils operating up to 20 MHz. The B₁ field distribution is replaced by the static magnetic field caused by DC current flowing through the coil. The technique involves rotating the coil 90° so that measured B₁ component is aligned with B₀ and measuring the shift of resonance frequency using a spectroscopic imaging sequence. Experimental results were in good agreement with the theoretical computations.     

Comparison of three commercially available radio frequency coils for human brain imaging at 3 Tesla

Objective To evaluate a transverse electromagnetic (TEM), a circularly polarized (CP) (birdcage), and a 12-channel phased array head coil at the clinical field strength of B ₀ = 3T in terms of signal-to-noise ratio (SNR), signal homogeneity, and maps of the effective flip angle α. Materials and methods SNR measurements were performed on low flip angle gradient echo images. In addition, flip angle maps were generated for α_nominal = 30° using the double angle method. These evaluation steps were performed on phantom and human brain data acquired with each coil. Moreover, the signal intensity variation was computed for phantom data using five different regions of interest. Results In terms of SNR, the TEM coil performs slightly better than the CP coil, but is second to the smaller 12-channel coil for human data. As expected, both the TEM and the CP coils show superior image intensity homogeneity than the 12-channel coil, and achieve larger mean effective flip angles than the combination of body and 12-channel coil with reduced radio frequency power deposition. Conclusion At 3T the benefits of TEM coil design over conventional lumped element(s) coil design start to emerge, though the phased array coil retains an advantage with respect to SNR performance.     

Magnetic resonance evaluation of autonomous thyroid nodules treated by percutaneous ethanol injection

Magnetic resonance (MR) imaging was used to evaluate the effect of ultrasound-guided percutaneous ethanol injection (PEI) of autonomous thyroid nodules (ATNs). Nine patients affected with ATN (3.7–32.2 mL volume) underwent PEI (4–19 mL ethanol, subdivided in 3–6 weekly procedures). MR imaging (1.5 T) was performed before each alcoholization and 1 month after the last PEI procedure with the following parameters:T ₁-(550/12) andT ₂-weighted (2200/160) spin-echo images; 4-mm slices, 10% gap; coronal planes. A further seven patients with normal thyroid function, who had undergone PEI 6–18 months before, underwent an MR examination with the same parameters. The signal-to-noise ratio (S/N) of ATN and extranodular gland, as well as ATN volume, were evaluated on theT ₂-weighted images. OnT ₁-weighted images, ATNs appeared mostly hypointense before treatment, with hyperintense areas during treatment, and were lightly hyperintense 6–18 months after treatment. S/N onT ₂-weighted images: extranodular gland 3.5–9.2; ATNs, before treatment 13.2–19.7, before the last procedure 7.7–11.6, 1 month after the last procedure 5.6–10.9; previously treated ATNs, 4.3–8.2. No significant volume reduction was observed with MR 1 month after the last procedure. The MR examination time was about 15 minutes. In conclusion, the effect of PEI on ATNs can be evaluated with an MR examination that is not very time consuming.     

Mri and mrs of human tendon xanthoma at 1.5 t: Anin vivo study

We studied a xanthomatous Achilles tendon and a normal Achilles tendon with the proton magnetic resonance imaging (MRI) and spectroscopy (MRS) at 1.5 T in a standard head coil. TheT ₂ maps and the localized proton spectra of the Achilles tendon were reconstructed. The normal tendon revealed no MR signal, whereas the xanthomatous tendon image consisted of variable signal intensities, for which the value ofT ₂ was significantly shorter (p=0.0002) than that of adipose tissue. The proton spectrum of this tendon xanthoma showed an increased water peak and unsaturated olefinic group intensity compared with the spectrum of the normal Achilles tendon area. The complex cholesterol molecule itself cannot be proven directly in a xanthomatous tendon, but its presence can be revealed with the help of the increased methyl and methylene groups of the fatty acids of the cholesteryl esters. This and other typical features describedin vitro for atheromatous tissue can be detectedin vivo in xanthomas.Additional reprints of this chapter may be obtained from the Reprints Department, Chapman & Hall, One Penn Plaza, New York, NY 10119.     

Prediction of pathological tumor volume in clinically localized prostate cancer: value of endorectal coil magnetic resonance imaging

The purpose of this study was to determine whether endorectal coil magnetic resonance imaging (MRI) enables accurate assessment of pathologic tumor volume in patients with clinically localized prostate carcinoma. Twenty-four patients with biopsy-proved prostate carcinoma underwent MRI at 0.5 T before radical prostatectomy. Tumor volumes were determined independently on axial fast-spin-echo (SE) T₂-weighted MR images and whole-mount pathology slides of the surgical specimens. At pathology, tumor volumes ranged from 0.17 to 9.42 cm³ (mean±SD, 3.11±2.99 cm³). A strong correlation (r=.944) was found between measurements of tumor volume based on MR images and pathological specimens. The error was less than 0.5 cm³ in 14 cases, in the range of 0.5–1 cm³ in 7 cases, and more than 1 cm³ in 3 cases. By using an MR tumor volume of 2 cm³ as cutoff value, extracapsular tumor spread could be predicted with a sensitivity of 81.2%, a specificity of 100%, and an accuracy of 87.5%. Tumor volume determinations based on MR images seem to be accurate enough to be helpful in clinical decision-making.     

3D magnetic resonance fingerprinting on a low-field 50 mT point-of-care system prototype: evaluation of muscle and lipid relaxation time mapping and comparison with standard techniques

Objective

To implement magnetic resonance fingerprinting (MRF) on a permanent magnet 50 mT low-field system deployable as a future point-of-care (POC) unit and explore the quality of the parameter maps.

Materials and methods

3D MRF was implemented on a custom-built Halbach array using a slab-selective spoiled steady-state free precession sequence with 3D Cartesian readout. Undersampled scans were acquired with different MRF flip angle patterns and reconstructed using matrix completion and matched to the simulated dictionary, taking excitation profile and coil ringing into account. MRF relaxation times were compared to that of inversion recovery (IR) and multi-echo spin echo (MESE) experiments in phantom and in vivo. Furthermore, B₀ inhomogeneities were encoded in the MRF sequence using an alternating TE pattern, and the estimated map was used to correct for image distortions in the MRF images using a model-based reconstruction.

Results

Phantom relaxation times measured with an optimized MRF sequence for low field were in better agreement with reference techniques than for a standard MRF sequence. In vivo muscle relaxation times measured with MRF were longer than those obtained with an IR sequence (T₁: 182 ± 21.5 vs 168 ± 9.89 ms) and with an MESE sequence (T₂: 69.8 ± 19.7 vs 46.1 ± 9.65 ms). In vivo lipid MRF relaxation times were also longer compared with IR (T₁: 165 ± 15.1 ms vs 127 ± 8.28 ms) and with MESE (T₂: 160 ± 15.0 ms vs 124 ± 4.27 ms). Integrated ΔB₀ estimation and correction resulted in parameter maps with reduced distortions.

Discussion

It is possible to measure volumetric relaxation times with MRF at 2.5 × 2.5 × 3.0 mm³ resolution in a 13 min scan time on a 50 mT permanent magnet system. The measured MRF relaxation times are longer compared to those measured with reference techniques, especially for T₂. This discrepancy can potentially be addressed by hardware, reconstruction and sequence design, but long-term reproducibility needs to be further improved.

     

Design and fabriacation of a three-axis multilayer gradient coil for magnetic resonance microscopy of mice

There is great interest in the non-destructive capabilities of magnetic resonance microscopy for studying murine models of both disease and normal function; however, these studies place extreme demands on the MR hardware, most notably the gradient field system. We designed, using constrained current minimum inductance methods. and fabricated a complete, unshielded three-axis gradient coil set that utilizes interleaved, multilayer axes to achieve maximum gradient strengths of over 2000 mT m⁻¹ in rise times of less than 50 μs with an inner coil diameter of 5 cm. The coil was wire-wound using a rectangular wire that minimizes the deposited power for a given gradient efficiency. Water cooling was also incorporated into the coil to assist in thermal management. The duty cycle for the most extreme cases of single shot echo planar imaging (EPI) is limited by the thermal response and expressions for maximum rates of image collection are given for burst and continuous modes of operation. The final coil is capable of the collection of single shot EPI images with 6 mm field of view and 94 μm isotropic voxels at imaging rates exceeding 50 s⁻¹.     

Quality assurance of PASADENA hyperpolarization for 13C biomolecules

Object  Define MR quality assurance procedures for maximal PASADENA hyperpolarization of a biological ¹³C molecular imaging reagent. Materials and methods  An automated PASADENA polarizer and a parahydrogen generator were installed. ¹³C enriched hydroxyethyl acrylate, 1-¹³C, 2,3,3-d₃ (HEA), was converted to hyperpolarized hydroxyethyl propionate, 1-¹³C, 2,3,3-d₃ (HEP) and fumaric acid, 1-¹³C, 2,3-d₂ (FUM) to hyperpolarized succinic acid, 1-¹³C, 2,3-d₂ (SUC), by reaction with parahydrogen and norbornadiene rhodium catalyst. Incremental optimization of successive steps in PASADENA was implemented. MR spectra and in vivo images of hyperpolarized ¹³C imaging agents were acquired at 1.5 and 4.7 T. Results  Application of quality assurance (QA) criteria resulted in incremental optimization of the individual steps in PASADENA implementation. Optimal hyperpolarization of HEP of P = 20% was achieved by calibration of the NMR unit of the polarizer (B ₀ field strength ± 0.002 mT). Mean hyperpolarization of SUC, P = [15.3 ± 1.9]% (N = 16) in D ₂O, and P = [12.8 ± 3.1]% (N = 12) in H ₂O, was achieved every 5–8 min (range 13–20%). An in vivo ¹³C succinate image of a rat was produced. Conclusion  PASADENA spin hyperpolarization of SUC to 15.3% in average was demonstrated (37,400 fold signal enhancement at 4.7 T). The biological fate of ¹³C succinate, a normally occurring cellular intermediate, might be monitored with enhanced sensitivity.     

Double-tuned four-ring birdcage resonators forin vivo 31P-nuclear magnetic resonance spectroscopy at 11.75 T

A high signal-to-noise ratio (SNR) in³¹P-nuclear magnetic resonance (³¹P-NMR) spectroscopy can be obtained only with goodB ₀-field homogeneity and optimal coil sensitivity. This demands double-tumed coils with a highly sensitive³¹P channel and an additional¹H channel for¹H-magnetic resonance imaging, shimming,¹H decoupling, and nuclear Overhauser enhancement (NOE). For studies on an 11.75 T magnet, we built coils derived from the four-ring birdcage design originally described by Murphy-Boesch. A comparison with conventional, single-tuned coils shows that, in spite of double tuning, there is no significant loss in³¹P sensitivity while the¹H channel provides the requested performance. The coil design offers the advantage of circular polarization on both channels. Supported by the Deutsche Forschungsgemeinschaft (Ki 433/2-2 and Graduiertenkolleg Ha 1232/8-2).     

Two-dimensional deghosting for EPI

A residual ghost artefact in echo-planar imaging (EPI) remains after the standard correction procedure based on a 1-dimensional phase-modulation of the spectra of even or odd echoes. A better reduction of this artefact is demonstrated using a 2-dimensional phase correction. The phase correction map is measured inside the ghost-free region of the image, preferably in a reference scan with an increased field of view, as the phase difference between complex images reconstructed separately from even and odd echoes. An extrapolated map consisting of spatial components up to the second order (constant,x, y, xy andx ²−y²) is then found by a fit to the measured values. This map is used to correct the phase of even- and odd-reconstructed images before adding them. This procedure may cause some spatially dependent loss of signal, but if the level of the residual artefact is less than 20% of the image intensity, such losses are negligible.     

Fluorine-19 MRI at 21.1 T: enhanced spin–lattice relaxation of perfluoro-15-crown-5-ether and sensitivity as demonstrated in ex vivo murine neuroinflammation

Objective

Fluorine MR would benefit greatly from enhancements in signal-to-noise ratio (SNR). This study examines the sensitivity gain of ¹⁹F MR that can be practically achieved when moving from 9.4 to 21.1 T.

Materials and methods

We studied perfluoro-15-crown-5-ether (PFCE) at both field strengths (B₀), as a pure compound, in the form of nanoparticles (NP) as employed to study inflammation in vivo, as well as in inflamed tissue. Brains, lymph nodes (LNs) and spleens were obtained from mice with experimental autoimmune encephalomyelitis (EAE) that had been administered PFCE NPs. All samples were measured at both B₀ with 2D-RARE and 2D-FLASH using ¹⁹F volume radiofrequency resonators together. T₁ and T₂ of PFCE were measured at both B₀ strengths.

Results

Compared to 9.4 T, an SNR gain of > 3 was observed for pure PFCE and > 2 for PFCE NPs at 21.1 T using 2D-FLASH. A dependency of ¹⁹F T₁ and T₂ relaxation on B₀ was demonstrated. High spatially resolved ¹⁹F MRI of EAE brains and LNs at 21.1 T revealed signals not seen at 9.4 T.

Discussion

Enhanced SNR and T₁ shortening indicate the potential benefit of in vivo ¹⁹F MR at higher B₀ to study inflammatory processes with greater detail.

     

Electromagnetic characterisation of MR RF coils using the transmission-line modelling method

The Transmission-Line Modelling (TLM) method is applied to the electromagnetic characterisation of RF coils and samples for magnetic resonance imaging ()MRI. Theoretical verification was performed using a simple surface coil. Experimental verification was performed using Alderman-Grant and birdcage coils constructed for use on a 7 T micro-imaging system. The modelling method enabled electromagnetic characteristics of frequency response, electromagnetic field generation, energy stored and power loss to be determined. From these parameters, coil resonant modes.B ₁ field profiles, voltages, currents, quality factor (Q),π/2 pulse length, and the equivalent lumped-element circuit components of resistance, inductance and capacitance were calculated. Equations are presented that enable a comprehensive electromagnetic characterisation of the RF coil and sample to be achieved based on the results of the TLM simulations. The use of the TLM method is extended to include the design of safe arbitrary multi-nuclear pulse sequences such that the specific absorption rate (SAR) of tissue, and RF coil component safety limits are not exceeded.     

Versatile coil design and positioning of transverse-field RF surface coils for clinical 1.5-T MRI applications

Clinical MRI/MRS applications require radio frequency (RF) surface coils positioned at an arbitrary angle with respect to B₀. In these experimental conditions the standard circular loop (CL) coil, producing an axial RF field, shows a large signal loss in the central region of interest (ROI). We demonstrate that transverse-field figure-of-eight (FO8) RF surface coils design are not subject to the same amount of signal loss in the central ROI as loop coils when their orientations are changed. The 1.5-T CL and FO8 prototypes (diameter = 10 cm) were built on Plexiglas using copper strips (width = 4 mm, thickness = 100 m). The two linear elements of the FO8 coil were 1 cm apart. Axial spoiled gradient echo (SPGR) images of a phantom containing doped water were acquired with the coil plane at =0°, 45°, and 90°. As increases, the CL images show, in the central ROI, a signal that decreases from a maximum value to zero. Whereas the FO8 images show, in the same ROI, a signal that varies little from the maximum value (20%). Optimized FO8 coils can be oriented with the coil plane positioned along any direction with respect to B₀ without significant signal loss. Transverse RF coil design should be useful for clinical MRS studies and also for parallel imaging techniques where versatile RF coils disposed along arbitrary directions are required.     

Measurement of arterial input function of <Superscript>17</Superscript>O water tracer in rat carotid artery by using a region-defined (REDE) implanted vascular RF coil

A method of determining arterial input function (AIF) by continuously detecting the ¹⁷O MR signal changes of ¹⁷O-labeled water tracer in the rat carotid artery using a region-defined (REDE) implanted vascular RF coil at 9.4 Tesla is reported. This coil has a compact physical size of 1 mm inner diameter, 3 mm outer diameter and 11 mm in length. It can be readily implanted into the rat neck and wrapped around the rat carotid artery for achieving adequate MR detection sensitivity for determining AIF with minimal surgical trauma. Water phantom and in vivo MR experiments were conducted for validating the coil's performance. A signal-to-noise ratio of ~20:1 was achieved for the ¹⁷O signal acquired from naturally abundant H₂ ¹⁷O in a small amount of blood (~7 μl) inside the rat carotid artery with an acquisition time of 11 s. The REDE RF coil design electromagnetically isolates the rat carotid artery from surrounding tissues and ensures that the MR signal detected by the RF coil is only attributable to the artery blood. It also minimizes the electromagnetic coupling between the implanted RF coil and a head surface coil tuned at the same operating frequency (two-coil configuration). This configuration allowed simultaneous measurements of dynamic changes of ¹⁷O MR signal of the H₂ ¹⁷O tracer in both rat carotid artery and brain. Compared to most contemporary MR approaches, the REDE implanted RF provides a simple, accurate, and promising solution for determination of AIF in small experimental animals.     

B1 field-insensitive transformers for RF-safe transmission lines

Objective: Integration of transformers into transmission lines suppresses radiofrequency (RF)-induced heating. New figure-of-eight-shaped transformer coils are compared to conventional loop transformer coils to assess their signal transmission properties and safety profile. Materials and methods: The transmission properties of figure-of-eight-shaped transformers were measured and compared to transformers with loop coils. Experiments to quantify the effect of decoupling from the B₁ field of the MR system were conducted. Temperature measurements were performed to demonstrate the effective reduction of RF-induced heating. The transformers were investigated during active tracking experiments. Results: Coupling to the B₁ field was reduced by 18 dB over conventional loop-shaped transformer coils. MR images showed a significantly reduced artifact for the figure-of-eight- shaped coils generated by local flip-angle amplification. Comparable transmission properties were seen for both transformer types. Temperature measurements showed a maximal temperature increase of 30K/3.5 K for an unsegmented/ segmented cable. With a segmented transmission line a robotic assistance system could be successfully localized using active tracking. Conclusion: The figure-of-eight-shaped transformer design reduces both RF field coupling with the MR system and artifact sizes. Anatomical structure close to the figure-of-eight-shaped transformer may be less obscured as with loop-shaped transformers if these transformers are integrated into e.g. intravascular catheters.     

Investigation of complex phased array coil designs for cardiac imaging

In this study we present a method to simulate complex phased array coil designs for cardiac imaging. It is based on the combination of numerically calculatedB ₁ field vectors for each coil of the array and a noise resistance data set, which is acquired only once with a set of test coils. This technique allowed fast assessment of the SNR performance of arbitrary geometries of single coils to be used as building blocks in complex array configurations. In addition, since clinical scanners usually provide only four receiver channels, we used this method to investigate the use of hardware combiners for different array configurations, consisting of up to eight coils. Simulated array geometries resulted in up to ≈30% gain in SNR for deep cardiac structures, compared to a conventional linear four coil array. This was confirmed by phantom experiments with implemented coils     

Magnetic resonance imaging of the pituitary gland in patients with secondary hypogonadism due to transfusional hemochromatosis

To identify pituitary iron overload in patients with transfusional hemochromatosis causing secondary hypogonadism, we prospectively evaluated signal intensity abnormalities of the anterior lobe of the pituitary gland of 18 patients affected by transfusion-dependent thalassemia major and secondary hypogonadism. Magnetic resonance (MR) imaging is useful to assess pituitary iron overload in patients with transfusional hemochromatosis and secondary hypogonadism by detection of a significant decreased signal intensity of the anterior lobe of the pituitary gland on GRE T2^*-weighted images. The decreased signal intensity of the anterior lobe of the pituitary gland on GRE T2^*-weighted images was correlated to increasing serum ferritin level (r=−0.84,r ²=−0.70,P<0.001). Indeed, the lower the signal intensity of the pituitary gland the greater the serum ferritin level. However an exact quantification of pituitary iron overload by correlation with serum ferritin level is not allowed. No correlation was found between MR imaging results and hormonal status; however, the detection of pituitary iron overload on GRE T2^*-weighted images is consistent with the hypothesis of hypogonadotrophic pituitary insufficiency due to iron-induced cellular damage.     

Data analysis for dynamic contrast-enhanced MRI-based cerebral perfusion measurements: correcting for changing cortical CSF volumes

The time evolution of the histogram (number of pixels versus signal intensity) is used to calculate ΔR ₂ parameters from dynamic contrast-enhanced magnetic resonance (MR) imaging of the brain. This method partially corrects for partial volume effects and is an improvement over the approach using the signal intensity as a function of time when confounding factors such as changing cortical cerebrospinal fluid volumes are involved. The maximum value for ΔR ₂ is found to correlate with relative cerebral blood flow as assessed by xenon inhalation and can be used to discriminate between vascular dementia and healthy volunteers. With this method, the normal range for ΔR ₂ values is found to be the same for both young (19–40 years old) and elderly (65–85 years old) healthy volunteers.     

Technical note: postgadolinium two-dimensional time-of-flight MR angiography of the foot

Objective The purpose of this study was to determine the ability of postgadolinium time-of-flight (TOF) MR angiography to image the foot of patients compared to conventional TOF MR angiography. Subjects and methods Six feet in five patients were included in this prospective study. Standard two-dimensional axial TOF sequences of the lower extremities, followed by three-dimensional (3D) contrast-enhanced moving-table images of the aorta to the foot during the intravenous bolus administration of gadolinium, were obtained in all patients. Two-dimensional axial respiratory-compensated TOF sequences were then obtained over the foot. Axial images and maximum intensity projections (MIP) reconstructions were evaluated by two blinded radiologists and images rated with respect to overall image quality, large-vessel and small-vessel visualization, degree of venous overlap, and extent of vessel stenosis. Results The 2D postgadolinium TOF technique resulted in an improvement in all areas of image quality compared with the noncontrast acquisition method, with very good interobserver agreement (kappa 0.67). Postcontrast images provided superior vessel visualization (p=0.024, Wilcoxon signed rank test), with minimal artifact (84% with none, kappa 1.0), and excellent agreement on grading of dorsalis pedis stenosis (kappa 0.78). Vessel-to-background signal intensity ratio was doubled compared to the standard technique (mean 19.5, SD 6.5 versus 8.8, SD 4.5; p=0.016). Conclusion Postgadolinium TOF MR angiography of the foot demonstrates significantly improved image quality over noncontrast techniques.