Prediction of glycosaminoglycan content in human cartilage by age, T1ρ and T2 MRI.

OBJECTIVE: A relationship between T1ρ relaxation time and glycosaminoglycan (GAG) content has been demonstrated in chemically degraded bovine cartilage, but has not been demonstrated with quantitative biochemistry in human cartilage. A relationship has also been established between T2 relaxation time in cartilage and osteoarthritis (OA) severity. We hypothesized that T1ρ relaxation time would be associated with GAG content in human cartilage with normal T2 relaxation times. METHODS: T2 relaxation time, T1ρ relaxation time, and glycosaminoglycan as a percentage of wet weight (sGAG) were measured for top and bottom regions at 7 anatomical locations in 21 human cadaver patellae. For our analysis, T2 relaxation time was classified as normal or elevated based on a threshold defined by the mean plus one standard deviation of the T2 relaxation time for all samples. RESULTS: In the normal T2 relaxation time subset, T1ρ relaxation time correlated with sGAG content in the full-thickness and bottom regions, but only marginally in the top region alone. sGAG content decreased significantly with age in all regions. CONCLUSION: In the subset of cartilage specimens with normal T2 relaxation time, T1ρ relaxation time was inversely associated with sGAG content, as hypothesized. A predictive model, which accounts for T2 relaxation time and the effects of age, might be able to determine longitudinal trends in GAG content in the same person based on T1ρ relaxation time maps.

Noise performance of a precision pulsed electromagnet power supply for magnetic resonance imaging.

Prepolarized magnetic resonance imaging (PMRI) uses two pulsed electromagnets to achieve high-field image quality with the benefits of low-field data acquisition. The principal challenge with all resistive MRI systems is the implementation of a highly precise magnet current supply. The noise current through the magnet is fundamentally limited by the current transducer used to provide feedback and the voltage reference used to generate the demand signal. Field instability in the main field magnet can both corrupt the received data and degrade the robustness of Carr¿Purcell¿Meiboom¿Gill (CPMG) echo trains, which are paramount to efficient imaging in PMRI. In this work, we present the magnet control system that achieved sufficient field stability for PMRI at $0.5/0.13$ T, identify the dominant sources of noise in the control system, examine the imaging artifacts that can occur if the field stability is insufficient, and identify how the design can be improved for better field stability, should it be required for future implementations of PMRI.

New real-time interactive cardiac magnetic resonance imaging system complements echocardiography.

OBJECTIVES: We conducted an initial clinical trial of a newly developed cardiac magnetic resonance imaging (CMRI) system. We evaluated left ventricular (LV) function in 85 patients to compare the clinical utility of the CMRI system with echocardiography, the current noninvasive gold standard. BACKGROUND: Conventional CMRI systems require cardiac-gating and respiratory compensation to synthesize a single image from data acquired over multiple cardiac cycles. In contrast, the new CMRI system allows continuous real-time dynamic acquisition and display of any scan plane at 16 images/s without the need for cardiac gating or breath-holding. METHODS: A conventional 1.5T Signa MRI Scanner (GE, Milwaukee, Wisconsin) was modified by the addition of an interactive workstation and a bus adapter. The new CMRI system underwent clinical trial by testing its ability to evaluate global and regional LV function. The first group (A) consisted of 31 patients with acceptable echocardiography image quality. The second group (B) consisted of 31 patients with suboptimal echocardiography image quality. The third group (C) consisted of 29 patients with severe lung disease or congenital cardiac malformation who frequently have suboptimal echo study. Two independent observers scored wall motion and image quality using the standard 16-segment model and rank-order analysis. RESULTS: CMRI evaluation was complete in less than 15 min. In group A, no significant difference was found between ECHO and CMRI studies (p = NS). In group B, adequate visualization of wall segments was obtained 38% of the time using ECHO and 97% of the time using CMRI (p < 0.0001). When grouped into coronary segments, adequate visualization of at least one segment occurred in 18 of 30 patients (60%) with ECHO and in all 30 patients (100%) with CMRI (p < 0.0001). In group C, adequate visualization of the wall segments was obtained in 58% (CI 0.53-0.62) of the time using echocardiography and 99.7% (CI 0.99-1.0) of the time using CMRI (p < 0.0001). CONCLUSIONS: The new CMRI system provides clinically reliable evaluation of LV function and complements suboptimal echocardiography. In comparison with the conventional CMRI, the new CMRI system significantly reduces scan time, patient discomfort and associated cost.

Rapid evaluation of left ventricular volume and mass without breath-holding using real-time interactive cardiac magnetic resonance imaging system.

OBJECTIVES: The purpose of this study was to validate cardiac measurements derived from real-time cardiac magnetic resonance imaging (MRI) as compared with well-validated conventional cine MRI. BACKGROUND: Although cardiac MRI provides accurate assessment of left ventricular (LV) volume and mass, most techniques have been relatively slow and required electrocardiogram (ECG) gating over many heart beats. A newly developed real-time MRI system allows continuous real-time dynamic acquisition and display without cardiac gating or breath-holding. METHODS: Fourteen healthy volunteers and nine patients with heart failure underwent real-time and cine MRI in the standard short-axis orientation with a 1.5T MRI scanner. Nonbreath-holding cine MRI was performed with ECG gating and respiratory compensation. Left ventricular end-diastolic volume (LVEDV), left ventricular endsystolic volume (LVESV), ejection fraction (EF) and LV mass calculated from the images obtained by real-time MRI were compared to those obtained by cine MRI. RESULTS: The total study time including localization for real-time MRI was significantly shorter than cine MRI (8.6 +/- 2.3 vs. 24.7 +/- 3.5 min, p < 0.001). Both imaging techniques yielded good quality images allowing cardiac measurements. The measurements of LVEDV, LVESV, EF and LV mass obtained with real-time MRI showed close correlation with those obtained with cine MRI (LVEDV: r = 0.985, p < 0.001; LVESV: r = 0.994, p < 0.001; EF: r = 0.975, p < 0.001; LV mass: r = 0.977, p < 0.001). CONCLUSIONS: Real-time MRI provides accurate measurements of LV volume and mass in a time-efficient manner with respect to image acquisition.

Magnetic resonance angiography.

This paper describes several methods for magnetic resonance angiography that create projection images based solely on flowing blood. To both remove static tissue from the image and generate signals from blood, two classes of methods considered are temporal subtraction and cancelling excitation. Temporal subtraction, analogous to digital subtraction angiography with live and mask images, is performed via phase or magnitude differences in blood signals, while cancelling excitation is characterized by its removal of static structures by selectively exciting only flowing material. Means of projection imaging which incorporate these flow-sensitive methods include variations of thick-slice 2-D spin-wrap imaging, line-scan imaging, and volumetric imaging with time-varying gradients.

A homogeneity correction method for magnetic resonance imaging with time-varying gradients.

When time-varying gradients are used for imaging, the off-resonance behavior does not just cause geometric distortion as is the case with spin-warp imaging, but changes the shape of the impulse response and causes blurring. This effect is well known for projection reconstruction and spiral k-space scanning sequences. The authors introduce a reconstruction and homogeneity correction method to correct for the zeroth order effects of inhomogeneity using prior knowledge of the inhomogeneity. In this method, the data are segmented according to collection time, reconstructed using some fast, linear algorithm, correlated for inhomogeneity, and then superimposed to yield a homogeneity corrected image. This segmented method is compared to a conjugate phase reconstruction in terms of degree of correction and execution time. The authors apply this method to in vivo images using projection-reconstruction and spiral-scan sequences.

The real-time interactive 3-D-DVA for robust coronary MRA.

A graphical user interface (GUI) has been developed which enables interactive feedback and control to the real-time diminishing variance algorithm (DVA). This interactivity allows the user to set scan parameters, view scan statistics, and view image updates during the course of the scan. In addition, the DVA has been extended to simultaneously reduce motion artifacts in three dimensions using three orthogonal navigators. Preliminary in vivo studies indicate that these improvements to the standard DVA allow for significantly improved consistency and robustness in eliminating respiratory motion artifacts from MR images, particularly when imaging the coronary arteries.

Magnetic resonance imaging of knee cartilage repair.

Cartilage injury resulting in osteoarthritis is a frequent cause of disability in young people. Osteoarthritis, based on either cartilage injury or degeneration, is a leading cause of disability in the United States. Over the last several decades, much progress has been made in understanding cartilage injury and repair. Magnetic resonance (MR) imaging, with its unique ability to noninvasively image and characterize soft tissue, has shown promise in assessment of cartilage integrity. In addition to standard MR imaging methods, MR imaging contrast mechanisms under development may reveal detailed information regarding the physiology and morphology of cartilage. MR imaging will play a crucial role in assessing the success or failure of therapies for cartilage injury and degeneration.

Spiral imaging on a small-bore system at 4.7T.

Spiral imaging has a number of advantages for ultrafast data acquisition. However, implementation on high-field small-bore systems requires carefully addressing the issues of inhomogeneity-induced blurring and gradient hardware constraints. In this paper, spiral imaging on a 40-cm-bore 4.7T CSI Omega System (Bruker Instruments) is discussed. A constant-voltage gradient waveform design algorithm is developed to reduce readout times as well as minimize waveform distortions due to gradient amplifier nonlinearities. Residual errors are then measured and taken into account in the image reconstruction procedure. Multiple spiral interleaves as well as a multifrequency reconstruction algorithm are used to decrease blurring of off-resonance spins. Both phantom and in vivo images demonstrate the performance of the resulting pulse sequences.

Projection reconstruction techniques for reduction of motion effects in MRI.

Projection reconstruction (PR) techniques are shown to have intrinsic advantages over spin-warp (2DFT) methods with respect to diminished artifacts from respiratory motion. The benefits result from (1) portrayal of artifacts as radial streaks, with the amplitude smallest near the moving elements; (2) streak deployment perpendicular to the direction of motion of moving elements and often residing outside the anatomic boundaries of the subject; (3) inherent signal averaging of low spatial frequencies from oversampling of central k-space data. In addition, respiratory-ordered view angle (ROVA) acquisition is found to diminish residual streaking significantly by reducing interview inconsistencies. Comparisons of 2DFT and PR acquisitions are made with and without ROVA. Reconstructions from magnitude-only projections are found to have increased streaks from motion-induced phase shifts.

Linear combination steady-state free precession MRI.

A new, fast, spectrally selective steady-state free precession (SSFP) imaging method is presented. Combining k-space data from SSFP sequences with certain phase schedules of radiofrequency excitation pulses permits manipulation of the spectral selectivity of the image. For example, lipid and water can be resolved. The contrast of each image depends on both T1 and T2, and the relative contribution of the two relaxation mechanisms to image contrast can be controlled by adjusting the flip angle. Several potential applications of the technique, referred to as linear combination steady-state free precession (LCSSFP), are demonstrated: fast musculoskeletal, abdominal, angiographic, and brain imaging.

Lung parenchyma: magnetic susceptibility in MR imaging.

Magnetic susceptibility effects in magnetic resonance (MR) imaging of normal lung parenchyma occur because of magnetic-field inhomogeneities induced by the microscopic heterogeneity of the lung. The effects on MR imaging of the lung are loss of signal from intravoxel phase dispersion (measured with T2') and a shift in the macroscopic resonant frequency from that of water toward that of air (delta v). These effects of MR imaging at 1.5 T were quantitated by measuring T2' decay and delta v at different locations in the lungs of two adult volunteers and one excised inflated human lung. The average T2' was 7 msec in the excised inflated specimen and 6.3 msec in normal in vivo lungs. There was a gravitational increase in T2' from nondependent to dependent lung. T2' increased to 35 msec in atelectatic lung tissue and to more than 140 msec in tumor. The macroscopic resonant lung frequency increased to 3.6 ppm more than that of mediastinal muscle. These values are important for developing MR pulse sequences appropriate for imaging lung parenchyma.

On the nature and reduction of the displacement artifact in flow images.

In flow-imaging experiments with 2-D Fourier transform sequences, the time difference between phase encoding and readout leads to a potentially misleading displacement artifact. This artifact arises in regions of rapid flow and high shear, and manifests as an intensity distortion in addition to a bulk shift. We have studied methods of mitigating the artifact, including offset-echo acquisition, backward-evolving phase encoding, moment-compensated phase encoding, and projection-reconstruction imaging. Experiments on flow phantoms verified the nature and reduction of this displacement artifact. Of the four methods studied, the projection-reconstruction sequence proved to be the most effective, completely eliminating the artifact.

MRI using piecewise-linear spiral trajectory.

A new generation of high power gradient systems which allow much faster MR imaging as well as shorter echo times has recently become available. Some of these high-speed gradient systems impose limits on the percentage of time during which the gradient can change in amplitude (slewing duty cycle). While this limitation may be immaterial to many 2DFT and echo planar imaging methods, a traditional circular spiral trajectory is difficult to use on these systems because its gradient waveforms change during the entire course of the trajectory so that the slewing duty cycle during the readout period is 100%. We describe a piecewise-linear spiral trajectory which is composed of linear segments and rounded corners. This trajectory reduces the slewing duty cycle while maintaining the desirable imaging properties of circular spirals including interleaving by simple gradient rotation. For one representative example, the slewing duty cycle is reduced to 46%. A conventional gridding method was used for image reconstruction, but a new numerical algorithm to calculate the density compensation factor was required. Use of piecewise-linear spiral trajectories reduces the impact imposed by limited gradient slewing duty cycle.

Magnetic resonance fluoroscopy using spirals with variable sampling densities.

The imaging of dynamic processes in the body is of considerable interest in interventional examinations as well as kinematic studies, and spiral imaging is a fast magnetic resonance imaging technique ideally suited for such fluoroscopic applications. In this manuscript, magnetic resonance fluoroscopy pulse sequences in which interleaved spirals are used to continuously acquire data and reconstruct one movie frame for each repetition time interval are implemented. For many applications, not all of k-space needs to be updated each frame, and nonuniform k-space sampling can be used to exploit this rapid imaging strategy by allowing variable update rates for different spatial frequencies. Using the appropriate reconstruction algorithm, the temporal updating rate for each spatial frequency is effectively proportional to the corresponding k-space sampling density. Results from a motion phantom as well as in in vivo gadolinium diethylenetriaminopentaacetic acid (Gd-DTPA) bolus tracking studies in a rat model demonstrate the high temporal resolution achievable using these techniques as well as the tradeoffs available with nonuniform sampling densities. This paper focuses on the acquisition of real-time dynamic information, and all images presented are reconstructed retrospectively. The issues of real-time data reconstruction and display are not addressed.

Lung parenchyma: projection reconstruction MR imaging.

Magnetic resonance (MR) imaging of lung parenchyma is limited by the low proton density and short T2 in the lung as well as the effects of susceptibility and motion. The MR imaging appearance of lung parenchyma was investigated with a pulse sequence that offers some solutions to these problems. This sequence employs projection reconstruction (PR) acquisition gradients and a section-selective excitation pulse designed to eliminate the need to refocus and to allow low-frequency k-space data to be collected with minimal delay. Echo times as short as 50 microseconds can be achieved, producing a proton-density-weighted image. An excised inflated lung specimen and specimens from human subjects with normal lungs (n = 3), pulmonary arteriovenous malformations (n = 1), bronchogenic carcinoma (n = 1), and bullous lung disease with lung metastases (n = 1) were examined. Signal intensity from lung parenchyma and visibility of pulmonary structures were superior on images obtained with the PR MR imaging technique compared with spin-echo images.

Design of practical T2-selective RF excitation (TELEX) pulses.

Traditional T2-based imaging techniques are geared toward imaging long-T2 species. Traditional techniques are, therefore, not optimal in clinical situations where the information of interest lies in the short-T2 species. T2-selective RF excitation (TELEX) is a technique for obtaining a T2-based contrast that highlights short-T2 values while suppressing long-T2 values-opposite to traditional T2 contrast. Previously, TELEX has been demonstrated qualitatively to highlight only very short-T2 values (T2 approximately 0.001 s). When applied to longer T2 values (T2 > or = 0.01 s), TELEX becomes sensitive to deltaB0 non-uniformities. This restricts its application to problems in which the T2 of interest is very short. In this study, TELEX is characterized quantitatively. Furthermore, a bandwidth broadening scheme is developed that reduces the deltaB0 sensitivity of TELEX. This permits the technique to be applied to longer T2 values. The capabilities and limitations of a practical implementation of TELEX are discussed.

Improved automatic off-resonance correction without a field map in spiral imaging.

Non-2DFT k-space readout strategies are useful in fast imaging but prone to blurring when reconstructed off resonance. Field inhomogeneities or susceptibility variations, coupled with a long readout time, are the major sources of this artifact. Correction methods based on a priori off-resonance information such as an acquired field map have been proposed in the literature. An alternative approach estimates the spatially varying off-resonance frequency from the data itself before applying a correction. In this latter approach there is a trade-off between the extent of correction and the chance of increased artifact due to estimation error. This paper introduces an improved algorithm for field map estimation which is both faster and more robust than the existing method. It uses a multi-stage estimation of the field map, starting from a coarse estimate both in frequency and space and proceeds towards higher resolution. The new algorithm is applied to phantom and in vivo images acquired with radial and spiral sequences to give sharper images.

Multifrequency interpolation for fast off-resonance correction.

Field inhomogeneities or susceptibility variations produce blurring in images acquired using non-2DFT k-space readout trajectories. This problem is more pronounced for sequences with long readout times such as spiral imaging. Theoretical and practical correction methods based on an acquired field map have been reported in the past. This paper introduces a new correction method based on the existing concept of frequency segmented correction but which is faster and theoretically more accurate. It consists of reconstructing the data at several frequencies to form a set of base images that are then added together with spatially varying linear coefficients derived from the field map. The new algorithm is applied to phantom and in vivo images acquired with projection reconstruction and spiral sequences, yielding sharply focused images.

Considerations of magnetic resonance angiography by selective inversion recovery.

In the selective inversion recovery method for projection angiography, upstream blood is tagged by an inversion excitation and then allowed to flow into the imaged region. The subtraction of this first image from a second image acquired without the tagging leaves a signal from only the selectively tagged blood. Pulse sequence design involves consideration of the duration of the blood transit interval, excitation timing and cardiac gating, static material suppression, inversion excitation pulses, and flow compensation. Each of these considerations must be viewed with respect to the particular application. The method has demonstrated potential application to areas such as the carotid arteries, aortic arch, and peripheral vessels.