Dielectric waveguides for ultrahigh field magnetic resonance imaging.

PURPOSE: The design of RF coils for MRI transmit becomes increasingly challenging at high frequencies required for MRI at 7T and above. Our goal is to show a proof of principle of a new type of transmit coil for higher field strengths. METHOD: We demonstrate an alternative transmit coil design based on dielectric waveguide principles which transfers energy via evanescent wave coupling. The operating principles and conditions are explored by simulations. The waveguide is applied for in vivo imaging at 7T. RESULTS: The waveguide can be an efficient transmit coil when four conditions are fulfilled: (1) the waveguide should be operated just above the cutoff frequency of the lowest order transverse electric mode, (2) the waveguide should not operate at a frequency where the wavelength fits an integer number of times in the waveguide length and standing wave patterns become very prominent, (3) for homogeneous excitation, the waveguide should be bent around the object, and (4) there should be an air gap between the waveguide and the object. CONCLUSIONS: By choosing the dielectric and the dimensions adequately, the dielectric waveguide couples the magnetic field efficiently into the body. The waveguide can be redesigned for higher frequencies by simple adaptations and may be a promising transmit alternative. Magn Reson Med 76:1314-1324, 2016. © 2015 Wiley Periodicals, Inc.

MRI of the carotid artery at 7 Tesla: quantitative comparison with 3 Tesla.

PURPOSE: To evaluate the 7 Tesla (T) MRI of the carotid arteries, as quantitatively compared with 3T. MATERIALS AND METHODS: The 7T MRI of the carotid arteries was performed in six healthy subjects and in two patients with carotid stenosis. The healthy group was scanned at 3T and at 7T, using current coil setups at both field strengths. T1 and T2 values of the normal carotid vessel wall were assessed at both field strengths. B1 (+) maps and signal to noise ratio (SNR) maps were obtained, as well as T1 weighted images with a resolution as high as 0.4 × 0.4 × 1.5 mm(3) . RESULTS: The T1 of the normal carotid vessel wall was found to be 1227 ± 47 ms at 3T and 1628 ± 130 ms at 7T, while a T2 of 55 ± 11 ms at 3T and 46 ± 4 ms at 7T was found. A twofold average gain in SNR at the carotid arteries was found with 7T. T1 weighted images showed an increased SNR at 7T for all subjects. CONCLUSION: Evaluation between 3T and 7T carotid MRI with optimized setups at both field strengths showed improved SNR at 7T, an increase in vessel wall T1 and a decrease in vessel wall T2.

Adiabatic turbo spin echo in human applications at 7 T.

Nonuniform B(1) fields in ultrahigh-field MR imaging cause severe image artifacts, when conventional radiofrequency (RF) pulses are used. Particularly in MR sequences that encompass multiple RF pulses, e.g., turbo spin echo (TSE) sequences, complete signal loss may occur in certain areas. When using a surface coil for transmitting the RF pulses, these problems become even more challenging, as the spatial B(1) field variance is substantial. As an alternative to conventional TSE sequences, adiabatic TSE sequences can be applied, which have the benefit that these sequences are insensitive to B(1) nonuniformity. In this study, we investigate the potential of using adiabatic TSE at 7 T with surface coil transceivers in human applications. The adiabatic RF pulses were tuned to deal with the constraints in B(1) strength and RF power deposition, but remained in the superadiabatic regime. As a consequence, the dynamic range in B(1) is compromised, and signal modulation is obtained over the echo train. Multidimensional Bloch simulations over the echo train and phantom measurements were obtained to assess these limitations. Still, using proper k-space sampling, we demonstrate improved image quality of the adiabatic TSE versus conventional TSE in the brain, the neck (carotid artery) and in the pelvis (prostate) at 7 T.

Seven-tesla magnetic resonance imaging of atherosclerotic plaque in the significantly stenosed carotid artery: a feasibility study.

OBJECTIVES: The objective of this study was to assess the feasibility of carotid vessel wall imaging at 7.0 for T magnetic resonance imaging (MRI) in a series of patients with a symptomatic greater than 70% stenosis of the internal carotid artery. MATERIALS AND METHODS: First, a series of 6 healthy volunteers were scanned at 3.0 T and 7.0 T MRI to perform a signal-to-noise ratio comparison between these 2 field strengths. Second, in patients with a greater than 70% stenosed carotid artery, a 7.0 T MRI protocol, consisting of a dual-echo turbo spin echo sequence (echo times of 45 and 150 milliseconds) and a T1-weighted turbo spin echo sequence, was obtained. Lumen and vessel wall were delineated for interobserver and intraobserver reproducibility, and signal intensity distribution in the most severely stenosed part of the internal carotid artery was correlated with different plaque components on histopathologic findings. RESULTS: The mean (SD) signal-to-noise ratio in the vessel wall was 42 (12) at 7.0 T and 24 (4) at 3.0 T. Nineteen patients were included, but technical issues yielded carotid MRI data of 14 patients available for the final analysis. Of these patients, 4 were diagnosed with stroke, 7 were diagnosed with a transient ischemic attack, and 3 were diagnosed with amaurosis fugax. Intraclass correlation coefficient of the agreements of lumen and vessel wall determination between 2 observers and between the repeated measures of 1 observer were above 0.80 in both 3.0 T and 7.0 T data sets of the healthy volunteers and also in the 7.0 T data set of the patients. Signal hyperintensity in the 7.0 T magnetic resonance images was inversely proportional to calcification. Other correlations between plaque components and signal intensity could not be confirmed. CONCLUSIONS: This first series of patients with carotid atherosclerotic plaque who were scanned at 7.0 T MRI shows that 7.0 T MRI enables to adequately determine lumen and vessel wall areas. Signal hyperintensity in these 7.0 T magnetic resonance images was inversely proportional to calcification. However, at this stage, no other correlations between histologic findings and vessel wall contrast were found. Implementation of in vivo high-resolution 7.0 T MRI of plaque components for risk stratification remains challenging. Future development of hardware and software is still needed to attain a more robust setup and to enable complete plaque characterization, similar to what is currently possible with multiple MRI sequences at 1.5 T and 3.0 T MRI.

7.0 T MRI detection of cerebral microinfarcts in patients with a symptomatic high-grade carotid artery stenosis.

In the current study, the presence of cerebral cortical microinfarcts (CMIs) was evaluated in a series of 21 patients with a symptomatic high-grade >50% stenosis of the carotid artery. A T2-weighted fluid-attenuated inversion recovery sequence and a T1-weighted turbo field echo sequence of the brain were obtained at 7.0 Tesla magnetic resonance imaging. Primary study endpoint was the number of CMIs and macroinfarcts. In total, 53 cerebral infarcts (35 macroinfarcts; 18 CMIs) were found ipsilateral to the symptomatic carotid artery, in 14 patients (67%). In four of these patients, both CMIs and macroinfarcts were visible. In the contralateral hemisphere, seven infarcts (five macroinfarcts and two CMIs) were found in five patients (24%). In the ipsilateral hemispheres, the number of CMIs and macroinfarcts were significantly correlated (P=0.02). Unpaired comparison of medians showed that the number of CMIs in the ipsilateral hemisphere was significantly higher than the number of CMIs in the contralateral hemisphere (P=0.04). No significant correlation was found between stenosis grade and the number of any infarct. The current study shows that in symptomatic patients with significant extracranial carotid artery stenosis, CMIs are part of the total cerebrovascular burden and these CMIs prevail with a similar pattern as observed macroinfarcts.