Blipped multi gradient-echo slice excitation profile imaging (bmGESEPI) for fast T2 * measurements with macroscopic B0 inhomogeneity compensation.

With the rapid development of human MRI at field strengths > or = 7 T, knowledge of T(2) (*) relaxation times at such field strengths is needed to optimize acquisition parameters and understand relaxation mechanisms in many applications. However, standard T(2) (*) measurements (e.g., using conventional multiecho gradient-echo (GE) sequences) are affected by macroscopic static magnetic field (B(0)) inhomogeneities, which are particularly severe at high field strength. The multi-GE slice excitation profile imaging (mGESEPI) method was developed for T(2) (*) measurements in the presence of macroscopic B(0) inhomogeneity, but it requires excessive acquisition times at field strengths > or = 7 T. In this paper a more efficient technique, named blipped mGESEPI (bmGESEPI), is proposed. To demonstrate its advantages, T(2) (*) maps were acquired using a conventional multiecho GE method, the mGESEPI method, and the bmGESEPI method in postmortem and in vivo human brains at 8 T.

Effects of static and radiofrequency magnetic field inhomogeneity in ultra-high field magnetic resonance imaging.

To characterize the severe static (B(0)) and radiofrequency (B(1)) magnetic field inhomogeneity in ultra-high field (> or =7 T) magnetic resonance imaging, gradient echo (GE) and spin echo (SE) images of in vivo and postmortem human brains were acquired. The B(0) and B(1) inhomogeneity were experimentally mapped and/or numerically simulated, and correlated with the image artifacts. Whereas B(0) inhomogeneity affects predominantly GE images near air/tissue interfaces, B(1) inhomogeneity affects SE images more severely and shows non-intuitive patterns. Mapping of the B(0) and B(1) inhomogeneity is important in characterizing image artifacts. This will help develop better B(0) and B(1) inhomogeneity correction methods.

Electromagnetic perspective on the operation of RF coils at 1.5-11.7 Tesla.

In this work experimental and numerical studies of the MR signal were performed at frequencies ranging from 64 MHz to 485 MHz, utilizing three different MRI coils: a single-strut transverse electromagnetic (TEM)-based coil, a TEM resonator, and a high-pass birdcage coil. The experimental analyses were conducted using 1.5 and 8 Tesla whole-body systems and volume RF head coils. The simulation data were obtained utilizing an in-house-developed finite difference time domain (FDTD) model. Pertinent data from the numerical and experimental setups were compared, and a remarkable agreement between the two methods was found that clearly demonstrates the effectiveness of the FDTD method when it is applied rigorously. The numerical and experimental studies demonstrate the complexity of the electromagnetic (EM) fields and their role in the MR signal. These studies also reveal unique similarities and differences between the transmit and receive field distributions at various field strengths. Finally, for ultra high-field operations, it was demonstrated mathematically, numerically, and experimentally that highly asymmetric inhomogeneous images can be acquired even for linear excitation, symmetrical load geometries, and symmetrical load positioning within the coil.

Epoxy-resin injection of the cerebral arterial microvasculature: An evaluation of the limits of spatial resolution in 8 Tesla MRI.

The purpose of this study was to quantify the spatial resolution of microscopic arteries on magnetic resonance images acquired at 8 Tesla (T). Techniques similar to those used for standard MRI of the human brain in vivo at 8 T were utilized to generate high-resolution gradient echo (GE) images of a whole postmortem human brain whose common carotid arterial system had been injected with an epoxy-resin. Single slice images, along with summed images of up to 5 contiguous slices, were then compared to color digital photographs detailing the distribution of the arterial system on the surface of the same injected brain. There was excellent MR visualization of the microscopic cerebral arteries down to a spatial resolution of 200 microm. Through the use of an 8 T whole-body MRI scanner and standard GE imaging sequences, microscopic arterial structures can be clearly resolved down to a dimension of 200 microm.

High-resolution 8 Tesla imaging of the formalin-fixed normal human hippocampus.

The purpose of this study was to evaluate the capacity of high-resolution magnetic resonance imaging (MRI) to visualize the normal anatomic features of the human hippocampus in vitro, using high field imaging equipment, parameters, and acquisition times appropriate for imaging human subjects in vivo. This research compared high field, high-resolution MRI of formalin-fixed normal human hippocampus specimens to histologic sectioning of the same hippocampus samples. Four specimens were evaluated using an 8 Tesla (T), 80 cm bore whole-body MRI scanner equipped with a 12.7 cm single strut transverse electromagnetic resonator (TEM) coil. Hahn spin echo images were acquired with a repetition time (TR) of 800 msec, echo times (TE) of 20, 50, 90, and 134 msec, and an acquisition time (TA) of 3.25 min. The image quality was superb with demonstration of most of the features of the hippocampus. High field, high-resolution MRI can be used to depict multiple layers of the formalin-fixed human hippocampus in vitro using an 8 T whole-body scanner, a TEM coil, and short acquisition times compatible with human imaging in vivo.

Static magnetic field effects on human subjects related to magnetic resonance imaging systems.

GOAL: This paper reviews recent studies evaluating human subjects for physiologic or neuro-cognitive function adverse effects resulting from exposure to static magnetic fields of magnetic resonance imaging systems. MATERIALS AND METHODS: The results of three studies are summarized. Two studies evaluated exposure to a maximum of 8 Tesla (T). The first series studied 25 normal human subjects' sequential vital signs (heart rate, blood pressure, blood oxygenation, core temperature, ECG, respiratory rate) measured at different magnetic field strengths to a maximum of 8 T. A second series of 25 subjects were studied at 0.05 and 8 T (out and in the bore of the magnet), performing 12 different standardized neuro-psychological tests and auditory-motor reaction times. The subjects' comments were recorded immediately following the study and after a three-month interval. The third study contained 17 subjects, placed near the bore of a 1.5 T magnet, and it used six different cognitive, cognitive-motor, or sensory tests. RESULTS: There were no clinically significant changes in the subjects' physiologic measurements at 8 T. There was a slight increase in the systolic blood pressure with increasing magnetic field strength. There did not appear to be any adverse effect on the cognitive performance of the subjects at 8 T. A few subjects commented at the time of initial exposure on dizziness, metallic taste in the mouth, or discomfort related to the measurement instruments or the head coil. There were no adverse comments at 3 months. The 1.5 T study had two of the four neuro-behavioral domains exhibiting adverse effects (sensory and cognitive-motor). CONCLUSIONS: These studies did not demonstrate any clinically relevant adverse effects on neuro-cognitive testing or vital sign changes. One short-term memory, one sensory, and one cognitive-motor test demonstrated adverse effects, but the significance is not clear.

Susceptibility-based imaging of glioblastoma microvascularity at 8 T: correlation of MR imaging and postmortem pathology.

BACKGROUND AND PURPOSE: Imaging methods are currently being optimized in an attempt to assess and monitor angiogenesis in vivo. The purpose of this investigation was to determine whether areas of apparently increased tumor vascularity, as identified on 8-T gradient-echo (GE) imaging of a known glioblastoma multiforme (GBM), corresponds to foci of increased microvascularity on histopathologic analysis. METHODS: We performed postmortem in situ, high-resolution GE 8-T MR imaging of the brain in a 53-year-old woman with GBM. Ten histopathologic specimens in the region of the tumor bed were studied by using hematoxylin-eosin and reticulin stains. MR and histopathologic results were assessed and compared for microvascular size and density. RESULTS: 8-T GE images showed small, penetrating vessels in the gray matter and white matter. The images, however, were partly inhomogeneous as a result of local magnetic field inhomogeneities adjacent to the skull base and aerated paranasal sinus structures. 8-T MR images demonstrated serpiginous areas of signal intensity loss, which were thought to represent areas of increased microvascularity. Areas of lower microvascularity in the tumor bed corresponded to areas of lower vascularity on histopathologic sections with smaller vessel diameters. There was concurrence between vascular size predicted by histopathologic analysis and 8-T MR imaging in nine of nine biopsy samples. Vascular density agreed in seven of nine biopsy samples. CONCLUSION: Our pilot data suggest that microvascularity in GBM can be identified by use of high-resolution, GE, 8-T MR imaging.

Limits of 8-Tesla magnetic resonance imaging spatial resolution of the deoxygenated cerebral microvasculature.

PURPOSE: To quantify the minimum magnetic resonance imaging (MRI) spatial resolution of the visible deoxygenated microscopic vessels of the human brain at 8 T. MATERIALS AND METHODS: This study compared 8-T gradient echo (GE) images of a human cadaver brain having an in-plane resolution of 195 x 195 microm to corresponding digital photographs of 205 cryomicrotome sections of the same cadaver brain, along with summed images of 25 contiguous cryomicrotome sections. One-millimeter-thick GE images of a 1-cm-thick unfixed whole coronal brain section were acquired using techniques similar to those commonly utilized for 8-T human imaging in vivo. RESULTS: There was excellent MR visualization of the deoxygenated microscopic vessels within the brain down to a resolution of approximately 100 microm. CONCLUSION: By taking advantage of magnetic susceptibility-based blood oxygenation level-dependent (BOLD) contrast, deoxygenated microscopic blood vessels smaller than the pixel dimensions used for imaging can be visualized using a whole-body 8-T MRI system.

Venous cavernoma at 8 Tesla MRI.

Cavernous angiomas or cavernomas are vascular malformations, which may be associated with risk of bleeding episodes. We present a case report comparing high resolution 8 Tesla gradient echo (GE) imaging with routine fast spin echo (FSE) at 1.5 Tesla in a patient with venous cavernoma. A 55-year-old male with a history of hemorrhagic stroke was studied using high-resolution 8 Tesla magnetic resonance imaging (MRI) system, which revealed venous cavernoma (9 x 8.6 mm) in the left parietal region and visualized adjacent microvascular supply. Signal loss was prominent in the cavernoma region compared to surrounding brain tissue, and signal intensity declined by factor 7.3 +/- 2.4 (679 +/- 62%) on GE images at 8 Tesla. Cavernoma was not apparent on routine T(2)-weighted FSE images at 1.5 Tesla MRI. This case report indicates that GE images at 8 Tesla can be useful for evaluation of vascular pathologies and microvasculature.

MR imaging visualization of the cerebral microvasculature: a comparison of live and postmortem studies at 8 T.

SUMMARY: In this study, we compared 8-T gradient-echo MR images of the microvasculature in the live human brain with images of the unembalmed and embalmed postmortem brain. Small vessels were well visualized in the live brain and even better seen in the unembalmed postmortem brain, but they could not be visualized in the embalmed postmortem brain. These findings are important for direct comparisons of the microvasculature on 8-T MR images and on histologic sections.

Enhanced gray and white matter contrast of phase susceptibility-weighted images in ultra-high-field magnetic resonance imaging.

PURPOSE: To evaluate if magnetic susceptibility sensitive phase postprocessed images can be used to enhance the inherent brain/gray white matter contrast in gradient echo (GE) images at 8-Tesla (T) magnetic resonance (MR). MATERIALS AND METHODS: Phase and magnitude images of high-resolution GE MR 8-T images were created. Comparisons were made between the magnitude, the product of the magnitude and phase, and pure phase images. RESULTS: The pure phase images significantly improved the contrast between the gray and white matter structures. In general, the higher the iron content or subvoxel field inhomogeneities, the higher was the contrast, and the greater were the resultant phase shifts. The phase images best demonstrated anatomy that was not apparent on the standard magnitude images. CONCLUSION: Phase imaging can significantly improve the demonstration of the internal anatomical brain structures over standard magnitude GE imaging techniques at high field.

Randomized comparison of cognitive function in humans at 0 and 8 Tesla.

PURPOSE: To discover whether there was a measurable alteration in cognitive performance in humans when exposed to a static magnetic field of 8 Tesla (T). MATERIALS AND METHODS: Twenty-five normal human subjects were evaluated at both 0.05 and 8 T in a randomized order. Six standardized neuropsychological tests were administered and auditory reaction times were assessed. The cognitive assessment included measures of learning and retention, verbal fluency (spontaneous word generation), auditory attention, and auditory working memory. Alternate test forms were utilized to reduce practice effects. The sequential order of testing, 0.05 T first vs. 8 T first exposure, was randomized. The data was analyzed using univariate comparisons for correlated means to assess potential differences under the two conditions. RESULTS: There were no clinically significant differences in any of the measures. On a measure of recognition memory the subjects performed significantly better in the 0.05T condition, but the difference was extremely small, not clinically meaningful, and likely due to statistical artifact. CONCLUSION: This study shows that exposure of the brain to high magnetic fields of up to 8 T does not appear to alter human cognitive performance.

Effect of static magnetic field exposure of up to 8 Tesla on sequential human vital sign measurements.

PURPOSE: To determine if increasing static magnetic field strength exposures up to 8 Tesla (T) affect vital signs or electrocardiograms (ECGs) in normal human volunteers. MATERIALS AND METHODS: We studied 25 normal subjects, consisting of 19 men and six women, ages 24-53 years. The vital signs and ECGs of the subjects were measured 14 times inside and outside the magnetic field. This included the heart rate, respiratory rate, systolic and diastolic blood pressures, finger pulse oxygenation levels, core body temperature via the external auditory canal temperature, and fiber optic core body sublingual temperatures. Inside the magnetic field the vital signs were measured sequentially at field strengths of 8, 6, 4.5, 3, and 1.5 T. RESULTS: The only statistically significant effect of magnetic field strength was observed with systolic blood pressure. An average increase of 3.6 mm Hg in systolic blood pressure was seen with 8 T exposure. ECG rhythm strip analysis demonstrated no significant changes post-exposure. CONCLUSIONS: Normal subjects exposed to varying magnetic field strengths of up to 8 T demonstrated no clinically significant changes in vital signs. Transient ECG artifacts were noted to increase with the field strength.

Intra-arterial carboplatin and intravenous etoposide for the treatment of metastatic brain tumors.

Metastatic brain tumors (MBT) are the most frequent complication of systemic cancer and often respond poorly to treatment. Median survival is only 16-24 weeks after conventional radiation therapy. Regional intra-arterial (IA) administration of chemotherapy results in increased tumor uptake of drug and may improve response rates and survival. Twenty-seven patients with MBT who had received prior irradiation were treated with IA carboplatin (200 mg/m2/d) and intravenous (i.v.) etoposide (100 mg/m2/d) for 2 days every 3-4 weeks. Eighteen patients (67%) had received prior systemic chemotherapy for their primary tumor. Patients ranged in age from 19 to 68 years (mean 48.1). Thirteen of 24 evaluable patients had objective responses (54.2%). There were 6 complete responses (25%), 6 partial responses (25%), 1 minor response (4.2%), 7 stable disease (32%), and 5 progressive disease (20.8%). Some patients with multifocal tumors had a mixture of responses. The median time to progression was 16.0 weeks overall and 30.0 weeks in responders (range 6-118 weeks). Overall median survival from the time of protocol initiation was 20.0 weeks. In six responders, death occurred due to systemic illness unrelated to MBT progression. Therapy was well tolerated, with predominantly hematologic toxicity. Angiographic complications were rare. Although these are preliminary results, IA carboplatin and IV etoposide is safe and well tolerated, appears to be active against brain metastases, and warrants further study.

8.0-Tesla human MR system: temperature changes associated with radiofrequency-induced heating of a head phantom.

PURPOSE: To investigate if the heat induced in biological tissues by typical radio frequency (RF) energy associated with an 8.0-Tesla magnetic resonance (MR) system causes excessive temperature changes. MATERIALS AND METHODS: Fluoroptic thermometry was used to measure temperatures in multiple positions in a head phantom made of ground turkey breast. A series of experiments were conducted with measurements obtained at RF power levels ranging from a specific absorption rate (SAR) of up to 4.0 W/kg for 10 minutes. RESULTS: The highest temperature increases were up to 0.7 degrees C. An inhomogeneous heating pattern was observed. In general, the deep regions within the phantom registered higher temperature increases compared to the peripheral sites. CONCLUSION: The expectation of an inhomogeneous RF distribution in ultra high field systems (> 4 T) was confirmed. At a frequency of 340 MHz and in-tissue RF wave length of about 10 cm, the RF inhomogeneity was measured to create higher temperatures in deeper regions of a human head phantom compared to peripheral tissues. Our results agree with the computational electromagnetic calculations for such frequencies. Importantly, these experiments indicated that there were no regions of heating that exceeded the current FDA guidelines.

Visualization of microvascularity in glioblastoma multiforme with 8-T high-spatial-resolution MR imaging.

We used 8-T high-spatial-resolution gradient-echo MR imaging to directly visualize microvascularity in pathologically proved glioblastoma multiforme. Images were compared with 1.5-T high-spatial-resolution fast spin-echo T2-weighted images and digital subtraction angiograms. Preliminary data indicate that 8-T high-spatial-resolution MR imaging may enable the identification of areas of abnormal microvascularity in glioblastoma multiforme that are not visible with other routine clinical techniques.

Comparison of 1.5 and 8 tesla high-resolution magnetic resonance imaging of lacunar infarcts.

PURPOSE: We present a case report comparing 1.5 fast spin-echo (FSE) and high-resolution 8 Tesla (T) gradient echo (GE) MRI of a patient with multiple lacunar infarcts. METHODS: A 51-year-old man with a history of previous lacunar infarctions was studied with two-dimensional Fourier transform axial 8 T GE MRI using the following parameters: 3 mm thick slices skip 3 mm, flip-angle approximately 20 degrees, TR 800 milliseconds, TE 12 milliseconds, 1024 x 1024 matrix, field of view (FOV) 20 cm, and bandwidth 50 kHz. These images were then compared with routine clinical 1.5 T T2-weighted FSE images with 5 mm thick sections, 256 x 256, FOV 20, TR 5650, TE 102, and 16 echo train length. RESULTS: The majority of the infarctions were seen as areas of high signal intensity on both the 1.5 and 8 T images. They were seen in the corona radiata or the basal ganglia. More lesions were seen on the 8 T images. Low intensity signal was best demonstrated on the 8 T images at segments of the periphery of a few of the larger infarcts. There were a few small punctate low signal intensity regions localized at the termination of some of the microvessels on the 8 T images only. The foci of decreased signal intensity in regions of chronic hemorrhage appeared larger on the 8 T images compared with the 1.5 T images. The 8 T images demonstrated direct visualization of many small vessels, primarily in the deep white matter, which were not visible on the 1.5 T images. On the 8 T images, some of the infarcts appeared to be located between the medullary veins of the deep white matter. CONCLUSION: This case report indicates that GE 8 T images demonstrate more infarctions compared with the FSE 1.5 T images. It is possible to simultaneously identify the microvessels of the brain, small foci of hemorrhage, and lacunar infarctions using 8 T MRI.

Use of a disposable real-time CT stereotactic navigator device for minimally invasive dog brain biopsy through a mini-burr hole.

We assessed the feasibility, accuracy, and safety of securing site-selective brain biopsy specimens by using a real-time CT-guided stereotactic navigation system through a mini-burr hole in the skulls of two dogs. Two beagle dogs each underwent two biopsy procedures. Our results indicated that the navigation system was accurate, safe, fast, and reliable for performing real-time brain biopsy in dogs and eliminated the need or risk of a standard-flap craniotomy.

In vivo high-resolution MR imaging of the carpal tunnel at 8.0 tesla.

OBJECTIVE: To determine the feasibility of acquiring in vivo images of the human carpal tunnel at 8 tesla (T). DESIGN: The wrist of an asymptomatic volunteer was imaged with an 8 T /80 cm magnet. The subject was imaged prone with the arm over the head and the wrist placed in neutral position in a custom-built dedicated shielded wrist coil. Axial two-dimensional gradient-echo (GRE) images of the wrist were acquired. RESULTS: Image contrast and resolution at 8 T are excellent. The infrastructure of the median nerve, particularly the interfascicular epineurium and individual fascicles, is better visualized at 8 T than at 1.5 T. The flexor tendons are well delineated from each other and the surrounding soft tissues, and tertiary tendon fiber bundles are resolved. The boundaries of the carpal tunnel are better defined at 8 T. CONCLUSION: We have obtained the first high-quality in vivo images of the human carpal tunnel at 8 T. The 8 T images demonstrated better contrast and resolution than those obtained at 1.5 T.