Single-shot t1-and t2-weighted magnetic resonance imaging of the heart with black blood: preliminary experience

Purpose: To implement and evaluate two robust methods for T1-and T2-weighted snapshot imaging of the heart with data acquisition within a single heart beat and suppression of blood signal. Methods: Both Tl-and T2-weighted diastolic images of the heart can be obtained with half Fourier single-shot turbo spin echo (HASTE) and turbo fast low-angle shot (turboFLASH) sequences, respectively, in less than 350 ms. Signal from flowing blood in the ventricles and large vessels can be suppressed by a preceding inversion recovery preparing pulse pair (PRESTO). Fifteen volunteers and five patients have been evaluated quantitatively for signal-to-noise ratio (SNR) contrast-to-noise ratio (CNR) and flow void and qualitatively for image quality, artifacts, and black-blood effect. Results: Both PRESTO-HASTE and PRESTO-turboFLASH achieved consistently good image quality and blood signal suppression. In contrast to gradient-echo (GRE) echo-planar imaging techniques, (EPI) HASTE and turboFLASH are much less sensitive to local susceptibility differences in the thorax, resulting in a more robust imaging technique without the need for time-consuming system tuning. Compared to standard spin-echo sequences with cardiac triggering, HASTE and turboFLASH have significantly shorter image acquisition times and are not vulnerable to respiratory motion artifacts. Conclusion: PRESTO-HASTE and PRESTO-turboFLASH constitute suitable methods for fast and high-quality cardiac magnetic resonance imaging (MRI).     

Focal ischemia in cat brain as studied by diffusion-weighted and dynamic susceptibility-contrast magnetic resonance imaging

Diffusion-weighted and susceptibility-contrast-enhanced magnetic resonance imaging were used to monitor the development of focal ischemia in cat brain. Diffusion-sensitized imaging was used to assess early ischemic tissue damage which was confirmed for the latest time point (12 h) with postmortem histological analysis.T*₂-sensitized FLASH was used to measure the first passage of a bolus of FeO particles. Gamma function fitting of R*₂-time curves resulted in 2D maps of relative hemodynamic parameters, including cerebral blood volume and flow. The present data provide indications for cerebral blood flow thresholds for acute as well as for delayed ischemic tissue damage.     

Comparison of sequences for depicting bone marrow alterations in osteomyelitis applied in a low field strength magnetic resonance imaging system

Objective/Patients: to investigate the efficacy of standard sequences of a low field system for the detection of osteomyelitis, we tested TlwI pre and post i.v. contrast, T2w and fat suppressed IR sequences. Design: on the basis of clinical and laboratory evidence, pathology reports, and three phase granulocyte scintigraphy, osteomyelitis was diagnosed in 18 of 21 patients with Charcot's joints. A consecutive low and high field magnetic resonance (MR) scan confirmed osteomyelitic bone marrow changes in the same osseous regions. These 18 diabetic patients were then studied on a 0.2 Tesla dedicated MR system (Esaote ArtoScan) using TlwI (SE: relaxation time (TR) 520/echo time (TE) 24: axial and coronal) before and after i.v. application of 0.1 mmol/1 Gd-DTPA/kg BW, T2w imaging (TSE: TR 3500/TE 80 or TR 2000/TE 120: axial), and fat suppressed inversion recovery (IR) imaging (short tau inversion recovery (STIR): TR 3000/TE 30/TI 80 or inversion recovery gradient echo (IRGE)/fat suppressed IRGE (GEFS): TR 1000/TE 16m 80: coronal). Results: the SE Tlw sequence showed a significantly higher contrast-to-noise ratio (CNR) before administration of i.v. contrast. The TSE T2w pulse sequence demonstrated bone marrow changes superiorily utilizing a TE of 120 ms (CNR=16.5±2.7 compared to 5.5±2.5 with TE=80 ms). The IRGE showed a higher CNR than the standard STIR (CNR=19.2±2.5 compared to 12.4±2.9). Conclusion: fat suppressed IRGE imaging and longer TE in T2w TSE sequences result in a significantly better, CNR in osteomyelitis. This way, using optimized sequences, low field systems are apt to depict bone marrow changes in the course of osteomyelitis.     

Magnetic resonance functional imaging of the brain at 4 t

Blood Oxygenation Level Dependent (BOLD) contrast imaging of human brain function using echo-planar imaging at 4 T gives good freedom from motion artifact, high signal-to-noise ratio/unit time, and adequate spatial resolution. Studies were made of brain activation associated with perceptual and cognitive tasks of several minutes duration.Several cortical areas show task-dependent activity consistent across subjects, in images with a spatial resolution of 2.5 mm×2.5 mm×5 mm and a temporal resolution of up to 1 s. Multislice data were obtained at a rate of up to five slices per second. At 4 T, fractional changes of magnetic resonance (MR) image intensity up to 25% were observed.Novel cross-correlation methods, including the effect of the temporal point-spread function associated with the relatively slow hemodynamic response of the brain, allow activation maps of the brain to be generated with statistically meaningful thresholds.With appropriate data analysis, it is clear that oxygenation changes in large draining veins distant from active neural tissue do not dominate the changes observed, especially when brain tasks activating only a limited volume of gray matter are chosen. This is consistent with downstream dilution of blood oxygenation changes and direct optical observations of functional brain activity in animals.     

Evaluation of the pulmonary vasculature with three-dimensional magnetic resonance imaging techniques

Cardiac and respiratory motion during the long acquisition times required in 3d magnetic resonance imaging (MRI) can lead to excessive image degradation and consequently poor diagnosis and interpretation in the thoracic region. This paper addresses the issue of obtaining good image quality with 3d gradient echo (GE) imaging in the study of the pulmonary vascular system and its diseases. To study the pulmonary vascular system two approaches have been considered. First, a proton density/inflow weighted scan consisting of a syncopated 3d FLASH acquisition is used to provide a 3d pulmonary angiogram. Secondly, aT ₁ weighted scan using 3d IR-FLASH (inversion recovery FLASH) helps in determining the presence of pulmonary emboli. Multiple acquisitions and rectangular field of view are utilized to pseudogate to the respiratory period in order to reduce motion artifacts while keeping reasonable imaging times. Technical aspects on data collection during the approach to equilibrium and acquisition strategies in the presence of thoracic motion and its impact on vessel resolution are addressed. The method has proven successful for imaging volunteers and, more recently, in obtaining useful clinical information.     

High-resolutation magnetic resonance imaging of the endolymphatic duct and sac

An anatomical study was carried out to determine the extent to which magnetic resonance imaging (MRI) could delineate inner ear structures. Anatomical preparations of human petrous temporal bone were examined and compared with the results of MRI in 20 healthy subjects to see whether the structures of the inner ear could be visualized. Imaging of the subjects was carried out in a 1.0-T MRI scanner (Siemens Magnetom Impact). Two stronglyT ₂*-weighted sequences were used: a 3D-PSIF sequence and a 3D-CISS sequence. The 3D data sets were postprocessed using a Maximum Intensity Projection (MIP) program. Our investigations show that it is possible to obtain accurate visualization of structures with a diameter of under 1 mm. In all 20 subjects it was possible to identify both the endolymphatic duct and the endolymphatic sac.     

Application of magnetic resonance imaging in reptile medicine

Clinical examinations of reptiles are physically limited and therefore usually have to be complemented by other methods. This is especially true for Chelonians. A modern imaging technique like magnetic resonance imaging is well suited for this purpose. Its application and practical experiences with tortoises are presented.     

Potential use of the undersampling technique in the acquisition of nuclear magnetic resonance signals

This communication reviews the use of undersampling techniques to acquire NMR signals. Undersampling transforms bandpass free induction decay (FID) signals, centered at high frequencies, into lowpass signals or bandpass signals centered at much lower frequencies. Consequently, the analog electronic stages that perform the demodulation can be eliminated, gaining in stability and reducing the phase distortion while maintaining an equivalent or better signal to noise ratio when an adequate sampling rate is chosen. The technique has been tested on a BRUKER BIOSPEC BMT 47 40, and the results show that undersampling could be used to process NMR and MRI signals, extending the range of applications of the ‘digital radio’ techniques to NMR and MRI apparatus.     

Transient global brain ischemia in the rat: spatial distribution, extension, and evolution of lesions evaluated by magnetic resonance imaging

A newly-developed model of transient global ischemia in the rat was evaluated by magnetic resonance imaging (MRI) in terms of localization of brain lesions, their extent and severity, and temporal evolution. Such a model, consisting of bilateral occlusion of common carotid arteries for 10 minutes and mild hypoxia (15% O₂) for 20 minutes induces delayed neuronal degeneration, necrosis, and gliosis (detected histologically and immunohistochemically). Ischemia was assessed by full suppression of spontaneous electroencephalographic activity. A “hybrid” T₂-/diffusion-weighted MR sequence enhancing more effectively the contrast between injured and intact tissues as compared to T₂-weighted MRI was used at 24, 48, 72, and 96 hours and at 7 days postischemia. Twenty hypoxic-ischemic rats showed a considerable variability in brain damage. In 8, there were no MRI-detectable lesions at any interval. In the other 12 rats, the severity and extension of neuronal damage varied markedly, but the lesions were always localized (monolaterally in 8 and bilaterally in 4 rats) in the occipital, temporal, or parietal cerebral cortex. Mainly, they were of intermediate severity or were severe (as assessed by MRI hyperintensity) and were accompanied by usually less severe lesions in the thalamus and/or caudate putamen. The hippocampus was affected moderately or severely in 4 of 12 rats. In most cases, there was at 48 hours a considerable growth in severity and/or extension of lesions, which usually remained stable at later intervals. In conclusion, MRI allowed us to follow brain lesions during the first week in this relatively simple and noninvasive model of transient global ischemia.     

High-resolution venography of the brain using magnetic resonance imaging

The purpose of this study was to evaluate a non-flow related magnetic resonance imaging method to visualize small veins independent of arteries in the human brain. A long TE, high-resolution 3D gradient echo MR acquisition was used to highlight venous information. The method is based on the paramagnetic property of deoxyhemoglobin and the resulting phase difference between veins and brain parenchyma at long echo times. The MR magnitude images were masked with a phase mask filter to enhance small structure visibility.. Venous information down to sub-pixel vessel diameters of several hundred microns is visible. Venous data are displayed in an angiographic manner using a minimum intensity projection algorithm. Both superficial veins and deep white matter veins are visible. The method has been successfully applied in volunteers. Preliminary results in patients with cerebral arteriovenous malformations indicate its potential in clinical applications. The proposed method is easy to implement and does not require administration of a contrast agent or application of specially designed rf pulses to highlight the veins. Rather it exploits the intrinsic magnetic properties (BOLD-effect) and the prolonged T ^_2* of venous blood. The method may be of diagnostic potential in the assessment of arteriovenous malformations or other vascular venous lesions. © 1998 Elsevier Science B.V. All rights reserved.     

MR imaging of focal liver lesions: comparison between turbo spin-echo and conventional spin-echo pulse sequences

The aim of this study was to compare conventional spin-echo (CSE)T ₂-weighted (T2W) images with turbo spin-echo (TSE) T2W pulse sequences in their ability to detect focal liver lesions. Seventy-eight consecutive patients with focal liver lesions were entered into this study. All patients were imaged using the gradient-echo (GE) sequence with the breath-hold technique forT ₁-weighted (T1W) images, and CSE and TSE sequences for T2W images. Qualitative evaluation included lesion detection (number of lesions detected) and conspicuity (extent of visualization of lesional borders); quantitative evaluation included the signal-to-noise (S/N) ratio and the contrast-to-noise (C/N) ratio. TSE showed the best performance in terms of lesion detection; however, the difference between TSE and CSE was significant only in the case of benign cysts (p<0.01). Conspicuity was higher with TSE and CSE, and lower with GE. The S/N and C/N ratios of the two T2W sequences were also comparable, and better than those of GE. However, the combined use of GE and TSE resulted in improved lesion detection. The results show that, because the acquisition time is greatly reduced with TSE sequences, these should be considered as first-line approach to magnetic resonance imaging of the liver for the study of focal lesions.     

A brief review of hardware for catheter tracking in magnetic resonance imaging

Magnetic resonance imaging (MRI) has traditionally been used exclusively in a role for patient diagnosis. However, it is unlikely that this role is sufficient for its continued prominence in medical imaging. Instead, the more ambitious role in diagnosis and also therapy intervention will occur as demand for minimally invasive procedures increases. Fortunately, with recent improvement in technical specifications and creative pulse sequence design, MRI systems can now provide high quality near-real-time images that facilitate a variety of image-guided procedures, many based around delivery via catheters. While X-ray opacity is not available as a means for detecting the progression of the catheter in MRI systems today, a variety of novel hardware devices have been designed and used for MRI catheter tracking. This report provides a brief review of some fundamental methods for catheter tracking in MRI. Submitted at the ISMRM Hardware Workshop held 23–25 February 2001 in Cleveland, OH, USA.     

Effects of riluzole on the evolution of focal cerebral ischemia: a magnetic resonance imaging study

The aim of this study was to investigate the effects of riluzole on the lesion induced by a permanent middle cerebral artery occlusion (MCAO) in rats. Riluzole at 4 or 8 mg/kg i.v. significantly reduced the cortical ischemic brain damage. With the most effective dose of 8 mg/kg, the time evolution of the lesion was assessed by T₂-weighted magnetic resonance imaging (MRI) repeated on the same animals after MCAO. MRI obtained at 24, 48, and 72 hours after MCAO showed a progressive increase of the ischemic lesion, except in the cortex of the riluzole-treated rats (8 mg/kg i.v.). Furthermore, there was no difference between lesion volumes as measured by MRI or by histology. This study indicates that MRI may be a valuable method to quantifyin vivo the neuroprotective profile of a drug.     

Transient global brain ischemia in young and aged rats: differences in severity and progression, but not localisation, of lesions evaluated by magnetic resonance imaging

A model of transient global brain ischemia consisting of bilateral occlusion of common carotid arteries for 10 min and mild hypoxia (15% O₂−85% N₂) for 20 min was studied by means of MRI in young and aged Fischer 344 rats (3–4 and 24–26 months, respectively). Ischemia was assessed by full suppression of spontaneous EEG activity, which reappeared and normalized similarly in the two age-groups. The survival of young with respect to aged rats was considerably higher both at 24 h (20/20, i.e. 100% vs 12/16, i.e. 75%) and at 48 h (16/20, i.e. 80% vs 6/16, i.e. 38%). The localisation of brain lesions, their severity and progression were evaluated by a diffusion-weighted MRI (DWI) sequence at 24 and 48 h post-ischemia. There were no DWI-detectable lesions in eight out of 20 young and two out of 12 aged rats. The localisation of DWI-detected lesions was rather similar in rats of the two age-groups. In fact, the cerebral cortex, mainly parietal, occipital and temporal lobes were damaged in 83% of young and 90% of aged rats. The respective percentages for the thalamus were 83 and 60%, for the striatum 58 and 50%, and for the hippocampus 25 and 30%. The lesions present in the cerebral cortex and the thalamus were considerably more severe in aged than in young rats. In conclusion, in spite of similar localisation of ischemic lesions in the two age-groups, their incidence was higher, appearance more rapid and severity more pronounced in aged with respect to young rats. This resulted in a considerably higher mortality of the former. The overall data indicate that the age issue is very important in experimental ischemia research.     

Measurements of left ventricular dimensions using real-time acquisition in cardiac magnetic resonance imaging: comparison with conventional gradient echo imaging

This study investigates the use of real-time acquisition in cardiac magnetic resonance imaging (MRI) for measurements of left ventricular dimensions in comparison with conventional gradient echo acquisition. Thirty-one subjects with a variety of left ventricular morphologies to represent a typical clinical population were studied. Short-axis data sets of the left ventricle (LV) were acquired using a conventional turbo-gradient echo and an ultrafast hybrid gradient echo/echo planar sequence with acquisition in real-time. End-diastolic volume (EDV), end-systolic volume (ESV), ejection fraction (EF) and left ventricular mass (LV mass) were measured. The agreement between the two acquisitions and interobserver, intraobserver and interstudy variabilities were determined. The bias between the two methods was 5.86 ml for EDV, 0.23 ml for ESV and 0.94% for EF. LV mass measurements were significantly lower with the real-time method (mean bias 14.38 g). This is likely to be the result of lower spatial resolution and chemical shift artefacts with the real-time method. Interobserver, intraobserver and interstudy variabilities were low for all parameters. In conclusion, real time acquisition in MRI can provide accurate and reproducible measurements of LV dimensions in subjects with normal as well as abnormal LV morphologies, but LV mass measurements were lower than with conventional gradient echo imaging. Presented in abstract form at the International Society of Magnetic Resonance in Medicine meeting in Denver, Colorado in April 2000.     

Characterization and detection of experimental rat gliomas using magnetic resonance imaging

Two different experimental rat brain tumours (F98 glioma and 9L glioma) were characterized using T1 and T2, apparent diffusion coefficient (ADC) and magnetization transfer ratio (MTR). Even though both tumours appeared homogenous at the early stage of growth, significant differences were measured for all parametric images between tumours and normal brain tissue. Irrespective of the sequence used, tumour lesion/normal parenchyma contrast for the non-infiltrative 9L was twice that of the infiltrative F98 glioma. The use of spin preparation via an inversion pulse in a fast spin echo sequence increases contrast by a factor of 20–30.     

The strengths of in vivo magnetic resonance imaging (MRI) to study environmental adaptational physiology in fish

Adaptational physiology studies how animals cope with their environment, even if this environment is subject to permanent fluctuations such as tidal or seasonal variations. Aquatic organisms are generally more prone to be exposed to osmotic, hypoxic and temperature challenges than terrestrial animals. Some of these challenges are more restraining in an aquatic environment. To date, very few studies have used in vivo magnetic resonance imaging (MRI) to uncover the physiological mechanisms that respond to or compensate for these challenges. This paper provides an overview of what has been accomplished thus far by using MRI to study the environmental physiology of fish. It introduces the reader to the use of small teleost fish such as carp (12 cm, 60 g) and eelpout (25 cm, 50 g) as models for such research and to provide new perceptions into the applicability of MRI tools based on new insights into the nature of MRI contrast. Representative MRI studies have made contributions to the identification of the lack of cell volume repair in stenohaline fish during osmotic stress. They have studied the underlying physiological mechanisms of brain anoxia tolerance in fish and have qualified the role of the cardio-circulatory system in setting thermal tolerance windows of fish.     

Magnetic resonance imaging of peripheral vascular disease and muscle atrophy in diabetes

Knowledge of the state of tissue hydration in patients suffering from peripheral vascular disease and neuropathy as a result of diabetes is important in their treatment. Further, because magnetic resonance imaging (MRI) is uniquely able to generate information about soft tissues and their water content, it is ideal for studying disorders of this kind. The feet and hands, often affected in diabetes, are ideal for studying fundamental aspects of the disease state and the response of patients to treatment. In this preliminary study, two related areas are reported: the measurement of diffusion coefficients in the finger and the visualization of the distribution of edema and muscle atrophy in the feet of people suffering from diabetes. Diffusion coefficients of water have been measured in the normal finger as a baseline study for a current patient study. It was found that the measured diffusion coefficient increased with subject age; this is not consistent with a direct-hydration model and it is conjectured that this could be linked to structural changes in proteins. Linked to this study, we have also imaged the feet of patients suffering from diabetes. Magnetization transfer has clearly demonstrated changes in muscle tissue with atrophy caused by motor neuropathy—in general, the amount of tissue water is increased as muscle volume decreases. Further, it is evident that these changes can be related to changes in cross-linking of protein and collagen molecules as muscle fibers become thinned, thus relating these studies to the diffusion coefficient measurements. The studies of the feet have also revealed artifacts in the images, consistent with the deposition of ferrous material in tissues. It is surmised that this is caused by hemosiderin deposits at ulcer sites associated with progress of the disease. MRI could be a useful tool for monitoring the distribution of ulcers below the skin surface and provide a means of determining the response of patients to treatment.     

Segmentation of fascias, fat and muscle from magnetic resonance images in humans: the DISPIMAG software

Segmentation of human limb MR images into muscle, fat and fascias remains a cumbersome task. We have developed a new software (DISPIMAG) that allows automatic and highly reproducible segmentation of lower-limb MR images. Based on a pixel intensity analysis, this software does not need any previous mathematical or statistical assumptions. It displays a histogram with two main signals corresponding to fat and muscle, and permits an accurate quantification of their relative spatial distribution. To allow a systematic discrimination between muscle and fat in any subject, fixed boundaries were first determined manually in a group of 24 patients. Secondly, an entirely automatic process using these boundaries was tested by three operators on four patients and compared to the manual approach, showing a high concordance.