Mapping of glutamate metabolism using 1H FID-MRSI after oral administration of [1-13C]Glc at 9.4 T.

Glutamate is the major excitatory transmitter in the brain and malfunction of the related metabolism is associated with various neurological diseases and disorders. The observation of labeling changes in the spectra after the administration of a 13C labelled tracer is a common tool to gain better insights into the function of the metabolic system. But so far, only a very few studies presenting the labeling effects in more than two voxels to show the spatial dependence of metabolism. In the present work, the labeling effects were measured in a transversal plane in the human brain using ultra-short TE and TR 1H FID-MRSI. The measurement set-up was most simple: The [1-13C]Glc was administered orally instead of intravenous and the spectra were measured with a pure 1H technique without the need of a 13C channel (as Boumezbeur et al. demonstrated in 2004). Thus, metabolic maps and enrichment curves could be obtained for more metabolites and in more voxels than ever before in human brain. Labeling changes could be observed in [4-13C]glutamate, [3-13C]glutamate+glutamine, [2-13C]glutamate+glutamine, [4-13C]glutamine, and [3-13C]aspartate with a high temporal (3.6 min) and spatial resolution (32 × 32 grid with nominal voxel size of 0.33 µL) in five volunteers.

Improving the Effective Spatial Resolution in 1H-MRSI of the Prostate with Three-Dimensional Overdiscretized Reconstructions.

In in vivo 1H-MRSI of the prostate, small matrix sizes can cause voxel bleeding extending to regions far from a voxel, dispersing a signal of interest outside that voxel and mixing extra-prostatic residual lipid signals into the prostate. To resolve this problem, we developed a three-dimensional overdiscretized reconstruction method. Without increasing the acquisition time from current 3D MRSI acquisition methods, this method is aimed to improve the localization of metabolite signals in the prostate without compromising on SNR. The proposed method consists of a 3D spatial overdiscretization of the MRSI grid, followed by noise decorrelation with small random spectral shifts and weighted spatial averaging to reach a final target spatial resolution. We successfully applied the three-dimensional overdiscretized reconstruction method to 3D prostate 1H-MRSI data at 3T. Both in phantom and in vivo, the method proved to be superior to conventional weighted sampling with Hamming filtering of k-space. Compared with the latter, the overdiscretized reconstructed data with smaller voxel size showed up to 10% less voxel bleed while maintaining higher SNR by a factor of 1.87 and 1.45 in phantom measurements. For in vivo measurements, within the same acquisition time and without loss of SNR compared with weighted k-space sampling and Hamming filtering, we achieved increased spatial resolution and improved localization in metabolite maps.

Deuterium metabolic imaging of the human brain in vivo at 7 T.

PURPOSE: To explore the potential of deuterium metabolic imaging (DMI) in the human brain in vivo at 7 T, using a multi-element deuterium (2 H) RF coil for 3D volume coverage. METHODS: 1 H-MR images and localized 2 H MR spectra were acquired in vivo in the human brain of 3 healthy subjects to generate DMI maps of 2 H-labeled water, glucose, and glutamate/glutamine (Glx). In addition, non-localized 2 H-MR spectra were acquired both in vivo and in vitro to determine T1 and T2 relaxation times of deuterated metabolites at 7 T. The performance of the 2 H coil was assessed through numeric simulations and experimentally acquired B1 + maps. RESULTS: 3D DMI maps covering the entire human brain in vivo were obtained from well-resolved deuterated (2 H) metabolite resonances of water, glucose, and Glx. The T1 and T2 relaxation times were consistent with those reported at adjacent field strengths. Experimental B1 + maps were in good agreement with simulations, indicating efficient and homogeneous B1 + transmission and low RF power deposition for 2 H, consistent with a similar array coil design reported at 9.4 T. CONCLUSION: Here, we have demonstrated the successful implementation of 3D DMI in the human brain in vivo at 7 T. The spatial and temporal nominal resolutions achieved at 7 T (i.e., 2.7 mL in 28 min, respectively) were close to those achieved at 9.4 T and greatly outperformed DMI at lower magnetic fields. DMI at 7 T and beyond has clear potential in applications dealing with small brain lesions.

A 32-element loop/dipole hybrid array for human head imaging at 7 T.

PURPOSE: To improve whole-brain SNR at 7 Tesla, a novel 32-element hybrid human head array coil was developed, constructed, and tested. METHODS: Our general design strategy is based on 2 major ideas: Firstly, following suggestions of previous works based on the ultimate intrinsic SNR theory, we combined loops and dipoles for improvement of SNR near the head center. Secondly, we minimized the total number of array elements by using a hybrid combination of transceive (TxRx) and receive (Rx) elements. The new hybrid array consisted of 8 folded-end TxRx-dipole antennas and 3 rows of 24 Rx-loops all placed in a single layer on the surface of a tight-fit helmet. RESULTS: The developed array significantly improved SNR in vivo both near the center (∼20%) and at the periphery (∼20% to 80%) in comparison to a common commercial array coil with 8 transmit (Tx) and 32 Rx-elements. Whereas 24 loops alone delivered central SNR very similar to that of the commercial coil, the addition of complementary dipole structures provided further improvement. The new array also provided ∼15% higher Tx efficiency and better longitudinal coverage than that of the commercial array. CONCLUSION: The developed array coil demonstrated advantages in combining complementary TxRx and Rx resonant structures, that is, TxRx-dipoles and Rx-loops all placed in a single layer at the same distance to the head. This strategy improved both SNR and Tx-performance, as well as simplified the total head coil design, making it more robust.

Measurement of glucose metabolism in the occipital lobe and frontal cortex after oral administration of [1-13C]glucose at 9.4 T.

For the first time, labeling effects after oral intake of [1-13C]glucose are observed in the human brain with pure 1H detection at 9.4 T. Spectral time series were acquired using a short-TE 1H MRS MC-semiLASER (Metabolite Cycling semi Localization by Adiabatic SElective Refocusing) sequence in two voxels of 5.4 mL in the frontal cortex and the occipital lobe. High-quality time-courses of [4-13C]glutamate, [4-13C]glutamine, [3-13C]glutamate + glutamine, [2-13C] glutamate+glutamine and [3-13C]aspartate for individual volunteers and additionally, group-averaged time-courses of labeled and non-labeled brain glucose could be obtained. Using a one-compartment model, mean metabolic rates were calculated for each voxel position: The mean rate of the TCA-cycle (Vtca) value was determined to be 1.36 and 0.93 µmol min-1 g-1, the mean rate of glutamine synthesis (Vgln) was calculated to be 0.23 and 0.45 µmol min-1 g-1, the mean exchange rate between cytosolic amino acids and mitochondrial Krebs cycle intermediates (Vx) rate was found to be 0.57 and 1.21 µmol min-1 g-1 for the occipital lobe and the frontal cortex, respectively. These values were in agreement with previously reported data. Altogether, it can be shown that this most simple technique combining oral administration of [1-13C]Glc with pure 1H MRS acquisition is suitable to measure metabolic rates.

Phosphorus transversal relaxation times and metabolite concentrations in the human brain at 9.4 T.

A method to estimate phosphorus (31 P) transversal relaxation times (T2 s) of coupled spin systems is demonstrated. Additionally, intracellular and extracellular pH and relaxation-corrected metabolite concentrations are reported. Echo time (TE) series of 31 P metabolite spectra were acquired using stimulated echo acquisition mode (STEAM) localization. Spectra were fitted using LCModel with accurately modeled Versatile Simulation, Pulses and Analysis (VeSPA) basis sets accounting for J-evolution of the coupled spin systems. T2 s were estimated by fitting a single exponential two-parameter model across the TE series. Fitted inorganic phosphate frequencies were used to calculate pH, and estimated relaxation times were used to determine the relaxation-corrected brain metabolite concentrations on an assumption of 3 mM γ-ATP. The method was demonstrated in healthy human brain at a field strength of 9.4 T. T2 times of ATP and nicotinamide adenine dinucleotide (NAD) were shortest between 8 and 20 ms, followed by T2 s of inorganic phosphate between 25 and 50 ms, and phosphocreatine with a T2 of 100 ms. Phosphomonoesters and phosphodiesters had the longest T2 s of about 130 ms. The measured T2 s are comparable with literature values and fit in a decreasing trend with increasing field strengths. Calculated pHs and metabolite concentrations are also comparable with literature values.

Double-row dipole/loop combined array for human whole brain imaging at 7 T.

Important issues in designing radiofrequency (RF) coils for human head imaging at ultra-high field (UHF; ≥7 T) are the inhomogeneity and longitudinal coverage (along the magnet axis) of the transmit (Tx) RF field. Both the homogeneity and coverage produced by Tx volume coils can be improved by means of three-dimensional (3D) RF shimming, which requires the use of multirow Tx-arrays. In addition, according to recent findings of the ultimate intrinsic signal-to-noise ratio (UISNR) theory, the loop-only receive (Rx) arrays do not provide optimal SNR near the brain center at UHF. The latter can be obtained by combining complementary conductive structures carrying different current patterns (e.g., loops and dipole antennas). In this work, we developed, constructed, and evaluated a novel 32-element hybrid array design for human head imaging at 7 T. The array consists of 16 transceiver loops placed in two rows circumscribing the head and 16 folded-end Rx-only dipoles positioned in the centers of loops. By placing all elements in a single layer, we increased RF power deposition into the tissue and, thus, preserved the Tx-efficiency. Using this hybrid design also simplifies the coil structure by minimizing the total number of array elements. The array demonstrated whole brain coverage, 3D RF shimming capability, and high SNR. It provided ~15% higher SNR near the brain center and, depending on the RF shim mode, from 20% to 40% higher Tx-efficiency than a common commercial head array coil.

Deuterium metabolic imaging in the human brain at 9.4 Tesla with high spatial and temporal resolution.

PURPOSE: To present first highly spatially resolved deuterium metabolic imaging (DMI) measurements of the human brain acquired with a dedicated coil design and a fast chemical shift imaging (CSI) sequence at an ultrahigh field strength of B0 = 9.4 T. 2H metabolic measurements with a temporal resolution of 10 min enabled the investigation of the glucose metabolism in healthy human subjects. METHODS: The study was performed with a double-tuned coil with 10 TxRx channels for 1H and 8TxRx/2Rx channels for 2H and an Ernst angle 3D CSI sequence with a nominal spatial resolution of 2.97 ml and a temporal resolution of 10 min. RESULTS: The metabolism of [6,6'-2H2]-labeled glucose due to the TCA cycle could be made visible in high resolution metabolite images of deuterated water, glucose and Glx over the entire human brain. CONCLUSION: X-nuclei MRSI as DMI can highly benefit from ultrahigh field strength enabling higher temporal and spatial resolutions.

3D 31 P MRSI of the human brain at 9.4 Tesla: Optimization and quantitative analysis of metabolic images.

PURPOSE: To present 31 P whole brain MRSI with a high spatial resolution to probe quantitative tissue analysis of 31 P MRSI at an ultrahigh field strength of 9.4 Tesla. METHODS: The study protocol included a 31 P MRSI measurement with an effective resolution of 2.47 mL. For SNR optimization, the nuclear Overhauser enhancement at 9.4 Tesla was investigated. A sensitivity correction was achieved by applying a low rank approximation of the γ-adenosine triphosphate signal. Group analysis and regression on individual volunteers were performed to investigate quantitative concentration differences between different tissue types. RESULTS: Differences in gray and white matter tissue 31 P concentrations could be investigated for 12 different 31 P resonances. In addition, the first highly resolved quantitative MRSI images measured at B0 = 9.4 Tesla of 31 P detectable metabolites with high SNR could be presented. CONCLUSION: With an ultrahigh field strength B0 = 9.4 Tesla, 31 P MRSI moves further toward quantitative metabolic imaging, and subtle differences in concentrations between different tissue types can be detected.

Feasibility of deuterium magnetic resonance spectroscopy of 3-O-Methylglucose at 7 Tesla.

Deuterium Magnetic Resonance Spectroscopy (DMRS) is a non-invasive technique that allows the detection of deuterated compounds in vivo. DMRS has a large potential to analyze uptake, perfusion, washout or metabolism, since deuterium is a stable isotope and therefore does not decay during biologic processing of a deuterium labelled substance. Moreover, DMRS allows the distinction between different deuterated substances. In this work, we performed DMRS of deuterated 3-O-Methylglucose (OMG). OMG is a non-metabolizable glucose analog which is transported similar to D-glucose. DMRS of OMG was performed in phantom and in vivo measurements using a preclinical 7 Tesla MRI system. The chemical shift (3.51 ± 0.1 ppm) and relaxation times were determined. OMG was injected intravenously and spectra were acquired over a period of one hour to monitor the time evolution of the deuterium signal in tumor-bearing rats. The increase and washout of OMG could be observed. Three different exponential functions were compared in terms of how well they describe the OMG washout. A mono-exponential model with offset seems to describe the observed time course best with a time constant of 1910 ± 770 s and an offset of 2.5 ± 1.2 mmol/l (mean ± std, N = 3). Chemical shift imaging could be performed with a voxel size of 7.1 mm x 7.1 mm x 7.9 mm. The feasibility of DMRS with deuterium labelled OMG could be demonstrated. These data might serve as basis for future studies that aim to characterize glucose transport using DMRS.

9.4 T double-tuned 13 C/1 H human head array using a combination of surface loops and dipole antennas.

MRI at ultra-high field (UHF, ≥7 T) provides a natural strategy for improving the quality of X-nucleus magnetic resonance spectroscopy and imaging due to the intrinsic benefit of increased signal-to-noise ratio. Considering that RF coils require both local transmission and reception at UHF, the designs of double-tuned coils, which often consist of several layers of transmit and receive resonant elements, become quite complex. A few years ago, a new type of RF coil, ie a dipole antenna, was developed and used for human body and head imaging at UHF. Due to the mechanical and electrical simplicity of dipole antennas, combining an X-nucleus surface loop array with 1 H dipoles can substantially simplify the design of a double-tuned UHF human head array coil. Recently, we developed a novel bent folded-end dipole transceiver array for human head imaging at 9.4 T. The new eight-element dipole array demonstrated full brain coverage, and transmit efficiency comparable to that of the substantially more complex 16-element surface loop array. In this work, we developed, constructed and evaluated a double-tuned 13 C/1 H human head 9.4 T array consisting of eight 13 C transceiver surface loops and eight 1 H transceiver bent folded-end dipole antennas all placed in a single layer. We showed that interaction between loops and dipoles can be minimized by placing four 1 H traps into each 13 C loop. The presented double-tuned RF array coil substantially simplifies the design as compared with the common double-tuned surface loop arrays. At the same time, the coil demonstrated an improved 1 H longitudinal coverage and good transmit efficiency.

Folded-end dipole transceiver array for human whole-brain imaging at 7 T.

The advancement of clinical applications of ultrahigh field (UHF) MRI depends heavily on advances in technology, including the development of new radiofrequency (RF) coil designs. Currently, the number of commercially available 7 T head RF coils is rather limited, implying a need to develop novel RF head coil designs that offer superior transmit and receive performance. RF coils to be used for clinical applications must be robust and reliable. In particular, for transmit arrays, if a transmit channel fails the local specific absorption rate may increase, significantly increasing local tissue heating. Recently, dipole antennas have been proposed and used to design UHF head transmit and receive arrays. The dipole provides a unique simplicity while offering comparable transmit efficiency and signal-to-noise ratio with the conventional loop design. Recently, we developed a novel array design in our laboratory using a folded-end dipole antenna. In this work, we developed, constructed and evaluated an eight-element transceiver bent folded-end dipole array for human head imaging at 7 T. Driven in the quadrature circularly polarized mode, the array demonstrated more than 20% higher transmit efficiency and significantly better whole-brain coverage than that provided by a widely used commercial array. In addition, we evaluated passive dipole antennas for decoupling the proposed array. We demonstrated that in contrast to the common unfolded dipole array, the passive dipoles moved away from the sample not only minimize coupling between the adjacent folded-end active dipoles but also produce practically no destructive interference with the quadrature mode of the array.

Unshielded bent folded-end dipole 9.4 T human head transceiver array decoupled using modified passive dipoles.

PURPOSE: To develop an unshielded dipole transceiver array for human head imaging at 9.4 Tesla and to improve decoupling of adjacent dipole elements, a novel array design with modified passive dipole antennas was developed, evaluated, and tested. METHODS: The new array consisted of 8 bent folded-end dipole elements placed in a single row and surrounding the head. Adjacent elements of RF transceiver arrays are usually decoupled by introducing circuits electrically connected to elements. These methods are difficult to use for dipole arrays because of the distant location of the adjacent antennas. A recently developed decoupling technique using passive dipoles is simple and does not require any electrical connection. However, common parallel passive dipoles can produce destructive interference with the RF field of the array itself. To minimize this interference, we placed the passive dipoles perpendicularly to the active dipoles and positioned them at the ends of the array. We also evaluated the effect of different passive dipoles on the array transmit performance. Finally, we optimized the array transmit performance by varying the length of the dipole folded portion. RESULTS: By rotating the passive dipoles 90º and moving them toward the ends of the array, we minimized the destructive interference to an acceptable level without compromising decoupling and the transmit efficiency. CONCLUSION: While keeping the benefits of the passive dipole decoupling method, the new modified dipoles produce substantially less destructive interference with the RF field of the array than the common design. The constructed transceiver array demonstrated good decoupling and whole-brain coverage.

Comparison of four 31P single-voxel MRS sequences in the human brain at 9.4 T.

PURPOSE: In this study, different single-voxel localization sequences were implemented and systematically compared for the first time for phosphorous MRS (31 P-MRS) in the human brain at 9.4 T. METHODS: Two multishot sequences, image-selected in vivo spectroscopy (ISIS) and a conventional slice-selective excitation combined with localization by adiabatic selective refocusing (semiLASER) variant of the spin-echo full intensity-acquired localized spectroscopy (SPECIAL-semiLASER), and two single-shot sequences, semiLASER and stimulated echo acquisition mode (STEAM), were implemented and optimized for 31 P-MRS in the human brain at 9.4 T. Pulses and coil setup were optimized, localization accuracy was tested in phantom experiments, and absolute SNR of the sequences was compared in vivo. The SNR per unit time (SNR/t) was derived and compared for all four sequences and verified experimentally for ISIS in two different voxel sizes (3 × 3 × 3 cm3 , 5 × 5 × 5 cm3 , 10-minute measurement time). Metabolite signals obtained with ISIS were quantified. The possible spectral quality in vivo acquired in clinically feasible time (3:30 minutes, 3 × 3 × 3 cm3 ) was explored for two different coil setups. RESULTS: All evaluated sequences performed with good localization accuracy in phantom experiments and provided well-resolved spectra in vivo. However, ISIS has the lowest chemical shift displacement error, the best localization accuracy, the highest SNR/t for most metabolites, provides metabolite concentrations comparable to literature values, and is the only one of the sequences that allows for the detection of the whole 31 P spectrum, including ß-adenosine triphosphate, with the used setup. The SNR/t of STEAM is comparable to the SNR/t of ISIS. The semiLASER and SPECIAL-semiLASER sequences provide good results for metabolites with long T2 . CONCLUSION: At 9.4 T, high-quality single-voxel localized 31 P-MRS can be performed in the human brain with different localization methods, each with inherent characteristics suitable for different research issues.

Decoupling of folded-end dipole antenna elements of a 9.4 T human head array using an RF shield.

Dipole antennas have recently been introduced to the field of MRI and successfully used, mostly as elements of ultra-high field (UHF, ≥ 7 T) human body arrays. Usage of dipole antennas for UHF human head transmit (Tx) arrays is still under development. Due to the substantially smaller size of the sample, dipoles must be made significantly shorter than in the body array. Additionally, head Tx arrays are commonly placed on the surface of rigid helmets made sufficiently large to accommodate tight-fit receive arrays. As a result, dipoles are not well loaded and are often poorly decoupled, which compromises Tx efficiency. Commonly, adjacent array elements are decoupled by circuits electrically connected to them. Placement of such circuits between distantly located dipoles is difficult. Alternatively, decoupling is provided by placing passive antennas between adjacent dipole elements. This method only works when these additional components are sufficiently small (compared with the size of active dipoles). Otherwise, RF fields produced by passive elements interfere destructively with the RF field of the array itself, and previously reported designs have used passive dipoles of about the size of array dipoles. In this work, we developed a novel method of decoupling for adjacent dipole antennas, and used this technique while constructing a 9.4 T human head eight-element transceiver array. Decoupling is provided without any additional circuits by simply folding the dipoles and using an RF shield located close to the folded portion of the dipoles. The array reported in this work demonstrates good decoupling and whole-brain coverage.

Bent folded-end dipole head array for ultrahigh-field MRI turns "dielectric resonance" from an enemy to a friend.

PURPOSE: To provide transmit whole-brain coverage at 9.4 T using an array with only eight elements and improve the specific absorption rate (SAR) performance, a novel dipole array was developed, constructed, and tested. METHODS: The array consists of eight optimized bent folded-end dipole antennas circumscribing a head. Due to the asymmetrical shape of the dipoles (bending and folding) and the presence of an RF shield near the folded portion, the array simultaneously excites two modes: a circular polarized mode of the array itself, and the TE mode ("dielectric resonance") of the human head. Mode mixing can be controlled by changing the length of the folded portion. Due to this mixing, the new dipole array improves longitudinal coverage as compared with unfolded dipoles. By optimizing the length of the folded portion, we can also minimize the peak local SAR (pSAR) value and decouple adjacent dipole elements. RESULTS: The new array improves the SEE (< B1+ >/√pSAR) value by about 50%, as compared with the unfolded bent dipole array. It also provides better whole-brain coverage compared with common single-row eight-element dipole arrays, or even to a more complex double-row 16-element surface loop array. CONCLUSION: In general, we demonstrate that rather than compensating for the constructive interference effect using additional hardware, we can use the "dielectric resonance" to improve coverage, transmit field homogeneity, and SAR efficiency. Overall, this design approach not only improves the transmit performance in terms of the coverage and SAR, but substantially simplifies the common surface loop array design, making it more robust, and therefore safer.

Double-tuned 31 P/1 H human head array with high performance at both frequencies for spectroscopic imaging at 9.4T.

PURPOSE: To develop a robust design of a human head double-tuned 31 P/1 H array, which provides good performance at both 31 P and 1 H frequencies for MR spectroscopic imaging at 9.4T. METHODS: Increasing the number of surface loops in a human head array improves the peripheral signal-to-noise ratio (SNR), while the central SNR doesn't substantially change. High peripheral SNR can contaminate MR spectroscopic imaging data at both 1 H and 31 P frequency. To minimize this effect, we limited the number of elements in the 31 P array to 10, i.e., 8 transceiver surface loops circumscribing the head and 2 receive "vertical" loops placed at the superior location. The 1 H-portion of the array also consists of 10 elements, i.e., 8 transceiver surface loops circumscribing the head and 2 transceiver "vertical" loops at the superior location of the head. Both the 31 P array and 1 H array are placed in a single layer at the same distance to the head, which provides high loading and, thus, a good performance for both arrays. RESULTS: Transmit efficiency of the 1 H-portion of the double-tuned array was very similar to that of the single-tuned arrays of similar size. Also, addition of the cross-loops substantially improved the brain coverage. CONCLUSION: We developed a novel 31 P/1 H double-tuned array for MR spectroscopic imaging of a human brain at 9.4T. Placing both 31 P and 1 H loops in a single layer provides for high transmit efficiency at both frequencies without compromising SNR near the brain center at the 31 P-frequency. Addition of the cross-loops at the superior location improves the brain coverage.

Evaluation of short folded dipole antennas as receive elements of ultra-high-field human head array.

PURPOSE: To improve the receive (Rx) performance of a human head transceiver (TxRx) array at 9.4T without compromising its transmit (Tx) performance, a novel 16-element array was developed, constructed, and tested. METHODS: We designed and constructed a phased array, which consists of 8 TxRx surface loops placed in a single row and circumscribing a head, and 8 Rx-only short folded dipole antennas. Dipoles were positioned along the central axis of each transceiver loop perpendicular to its surface. We evaluated the effect of Rx dipoles on the Tx efficiency of the array and maximum local specific absorption rate (SAR) as compared to the array of 8 surface loops only. We also compared the new array to a 16-channel array of the same size consisting of 8 TxRx surface loops and 8 Rx-only vertical loops in terms of Tx efficiency, SAR, and signal-to-noise ratio (SNR). RESULTS: The new array improves both peripheral (up to 2 times) and central (1.17 times) SNR as compared to the 16-element array of the same geometry consisting of 8 TxRx surface loops and 8 Rx-only vertical loops. We demonstrated that an addition of actively detuned Rx-only dipole elements produces only a small decrease (~7%) of the B1+ transmit field and a small increase (<7%) of the maximum local SAR. CONCLUSION: As a proof of concept, we developed and constructed a prototype of a 9.4T (400 MHz) head array consisting of 8 TxRx surface loops and 8 Rx-only short optimized folded dipoles. We demonstrated that at ultra-high field, dipoles outperformed Rx-only vertical loops in vivo.