Controlling Through-Slice Chemical-Shift Artifacts for Improved Non-Fat-Suppressed Musculoskeletal Turbo-Spin-Echo Magnetic Resonance Imaging at 7 T.

OBJECTIVES: Through-slice chemical shift artifacts in state-of-the-art turbo-spin-echo (TSE) images can be significantly more severe at 7 T than at lower field strengths. In musculoskeletal applications, these artifacts appear similar to bone fractures or neoplastic bone marrow disease. The objective of this work was to explore and reduce through-slice chemical shift artifacts in 2-dimensional (2D) TSE imaging at 7 T. MATERIALS AND METHODS: This prospective study was approved by the local ethics board. The bandwidths of the excitation and refocusing radiofrequency (RF) pulses of a prototype 2D TSE sequence were individually modified and their effect on the slice profiles and relative slice locations of water and fat spins was assessed in an oil-water phantom. Based on these results, it was hypothesized that the combination of matched and increased excitation and refocusing RF pulse bandwidths ("MIB") of 1500 Hz would enable 2D TSE imaging with significantly reduced chemical shift artifacts compared with a state-of-the-art sequence with unmatched and moderate RF pulse bandwidths ("UMB") of 1095 and 682 Hz.A series of T1-weighted sagittal knee examinations in 10 healthy human subjects were acquired using the MIB and UMB sequences and independently evaluated by 2 radiologists. They measured the width of chemical shift artifacts at 2 standardized locations and graded the perceived negative effect of chemical shift artifacts on image quality in the bones and in the whole gastrocnemius muscle on a 5-point scale. Similar knee, wrist, and foot images were acquired in a single subject. Signal-to-noise ratios in the femoral bone marrow were computed between the UMB and MIB sequences. RESULTS: Phantom measurements confirmed the expected spatial separation of simultaneously affected water and fat slices between 40% and 200% of the prescribed slice thickness for RF pulse bandwidths between 2500 and 500 Hz. Through-slice chemical shift artifacts at the bone-cartilage interface were significantly smaller with MIB than with UMB (location 1: 0.35 ± 0.20 mm vs 1.27 ± 0.27 mm, P < 0.001; location 2: 0.25 ± 0.13 mm vs 1.48 ± 0.46 mm, P < 0.001; intraclass correlation coefficient = 0.98). The negative effect of chemical shift artifacts on image quality was significantly smaller with MIB than with UMB (bone: 2 ± 0 vs 4 ± 1, P < 0.004 [both readers]; muscle: 3 ± 0 vs 2 ± 0, P < 0.004 [both readers]; κ = 0.69). The signal-to-noise ratio of the UMB and MIB sequences was comparable, with a ratio of 99 ± 7%. Images acquired using the UMB sequence displayed numerous artifactual hyperintensities and diffuse, as well as locally severe, fat signal loss in all examined regions, whereas the MIB sequence consistently yielded high image quality with bright T1-weighted fat signal and excellent depiction of fine tissue structures. CONCLUSIONS: On 7 T systems, the selection of high and matched RF bandwidths for excitation and refocusing pulses for 2D TSE imaging without fat suppression showed consistently better image quality than state-of-the-art sequences with unmatched lower RF pulse bandwidths.

High resolution time-of-flight MR-angiography at 7 T exploiting VERSE saturation, compressed sensing and segmentation.

BACKGROUND: 3D Time-of-Flight (TOF) MR-angiography (MRA) substantially benefits from ultra-high magnetic field strengths (≥7 T) due to increased Signal-to-Noise ratio and improved contrast. However, high-resolution TOF-MRA usually requires long acquisition times. In addition, specific absorption rate constraints limit the choice of optimal pulse sequence parameters, especially if venous saturation is employed. PURPOSE: To implement and evaluate an arterial TOF-MRA for accelerated high-resolution angiography at ultra-high magnetic field strength. FIELD STRENGTHS/SEQUENCE: 7 T modified gradient-echo TOF sequence including venous saturation using Variable-Rate Selective Excitation (VERSE), Compressed Sensing (CS) and sparse application of saturation pulses, called segmentation, were included for acceleration. ASSESSMENT: To analyze the acceleration techniques all volunteers were examined with the same protocols. CS with different sampling patterns and regularization factors as well as segmentation were applied for acceleration. For comparison, conventional acceleration techniques were applied (GRAPPA PAT 3 and Partial Fourier (6/8 in slice/phase encoding)). Images were co-registered and 40 mm thick transversal maximum intensity projections were created to calculate the relative number of vessels. To analyze the visibility of small vessels, the lenticulostriate arteries (LSA) were examined. This was done via multiscale vessel enhancement filtering in a VOI and quantification via Fiji ImageJ as well as qualitatively evaluation by two radiologists. Additionally, the venous/arterial vessel-to-background ratios (vVBR/aVBR) were calculated for chosen protocols. RESULTS: For the acceleration of a high resolution TOF-MRA (0.31 mm isotropic), under-sampling of 9.6 showed aliasing artifacts, whereas 7.2 showed no aliasing. The regularization factor R had a strong impact on the image quality according to smoothing (R = 0.01 to R = 0.005) and noise (R = 0.0005 to R = 0.00005). With the alternating sampling patterns it was shown that the k-space center should not be under-sampled too much. Additionally segmentation could be verified to be feasible for stronger acceleration with sufficient venous suppression. CONCLUSION: The combination of several independent techniques (VERSE, CS with acceleration factor 7.2, R = 0.001, Poisson disc radius of 80%, 3 segments) enables the application of high-resolution (0.31 mm isotropic) TOF-MRA with venous saturation at 7 T in clinical time settings (TA ≈ 5 min) and within the SAR limits.

Uniform combined reconstruction of multichannel 7T knee MRI receive coil data without the use of a reference scan.

BACKGROUND: MR image intensity nonuniformity is often observed at 7T. Reference scans from the body coil used for uniformity correction at lower field strengths are typically not available at 7T. PURPOSE: To evaluate the efficacy of a novel algorithm, Uniform Combined Reconstruction (UNICORN), to correct receive coil-induced nonuniformity in musculoskeletal 7T MRI without the use of a reference scan. STUDY TYPE: Retrospective image analysis study. SUBJECTS: MRI data of 20 subjects was retrospectively processed offline. Field Strength/Sequence: Knees of 20 subjects were imaged at 7T with a single-channel transmit, 28-channel phased-array receive knee coil. A turbo-spin-echo sequence was used to acquire 33 series of images. ASSESSMENT: Three fellowship-trained musculoskeletal radiologists with cumulative experience of 42 years reviewed the images. The uniformity, contrast, signal-to-noise ratio (SNR), and overall image quality were evaluated for images with no postprocessing, images processed with N4 bias field correction algorithm, and the UNICORN algorithm. STATISTICAL TESTS: Intraclass correlation coefficient (ICC) was used for measuring the interrater reliability. ICC and 95% confidence intervals (CIs) were calculated using the R statistical package employing a two-way mixed-effects model based on a mean rating (k = 3) for absolute agreement. The Wilcoxon signed-rank test with continuity correction was used for analyzing the overall image quality scores. RESULTS: UNICORN was preferred among the three methods evaluated for uniformity in 97.9% of the pooled ratings, with excellent interrater agreement (ICC of 0.98, CI 0.97-0.99). UNICORN was also rated better than N4 for contrast and equivalent to N4 in SNR with ICCs of 0.80 (CI 0.72-0.86) and 0.67 (CI 0.54-0.77), respectively. The overall image quality scores for UNICORN were significantly higher than N4 (P < 6 × 10-13 ), with good to excellent interrater agreement (ICC 0.90, CI 0.86-0.93). DATA CONCLUSION: Without the use of a reference scan, UNICORN provides better image uniformity, contrast, and overall image quality at 7T compared with the N4 bias field-correction algorithm. LEVEL OF EVIDENCE: 4 Technical Efficacy: Stage 1 J. Magn. Reson. Imaging 2019;50:1534-1544.

Accelerated silent echo-planar imaging.

PURPOSE: The standard approach to Echo-Planar Imaging (EPI) is to use trapezoidal readout (RO) gradients with blipped phase-encoding (PE) gradients. Sinusoidal RO gradients with constant PE gradients can reduce acoustic noise. However, this sequence, originally introduced by Mansfield et al., constitutes major challenges for Cartesian parallel imaging techniques. In this study two alternatives to reconstruct a non-blipped EPI are proposed and evaluated. THEORY AND METHODS: The first method separates the acquired k-space data into odd and even echoes and applies Cartesian GRAPPA separately to each partial data set. Afterwards, the resulting reconstructed data sets for each echo are summed in image space. In the second method, an iterative parallel-imaging algorithm is used to reconstruct images from the highly non-Cartesian data samples. RESULTS: Compared to blipped-EPI, the first method reduces image SNR depending on the acceleration factor between 11% and 60%. For an acceleration factor of 3 folding artefacts appear. The second method produces slight fold-over artefacts although image SNR is on the same level as the blipped approach. CONCLUSION: In this study, we have introduced two new approaches to EPI that allow the use of Cartesian parallel imaging in conjunction with continuous data sampling. In addition to providing a reduction in acoustic noise compared to the standard blipped PE EPI sequence, the proposed techniques improve sampling efficiency, resulting in a reduction of the echo-spacing. Of the two methods, the second approach, based on an iterative image reconstruction, provides higher SNR, but requires a longer reconstruction time.

Mapping fine-scale anatomy of gray matter, white matter, and trigeminal-root region applying spherical deconvolution to high-resolution 7-T diffusion MRI.

OBJECTIVES: We assessed the use of high-resolution ultra-high-field diffusion magnetic resonance imaging (dMRI) to determine neuronal fiber orientation density functions (fODFs) throughout the human brain, including gray matter (GM), white matter (WM), and small intertwined structures in the cerebellopontine region. MATERIALS AND METHODS: We acquired 7-T whole-brain dMRI data of 23 volunteers with 1.4-mm isotropic resolution; fODFs were estimated using constrained spherical deconvolution. RESULTS: High-resolution fODFs enabled a detailed view of the intravoxel distributions of fiber populations in the whole brain. In the brainstem region, the fODF of the extra- and intrapontine parts of the trigeminus could be resolved. Intrapontine trigeminal fiber populations were crossed in a network-like fashion by fiber populations of the surrounding cerebellopontine tracts. In cortical GM, additional evidence was found that in parts of primary somatosensory cortex, fODFs seem to be oriented less perpendicular to the cortical surface than in GM of motor, premotor, and secondary somatosensory cortices. CONCLUSION: With 7-T MRI being introduced into clinical routine, high-resolution dMRI and derived measures such as fODFs can serve to characterize fine-scale anatomic structures as a prerequisite to detecting pathologies in GM and small or intertwined WM tracts.

High-resolution 7T fMRI of Human Hippocampal Subfields during Associative Learning.

Examining the function of individual human hippocampal subfields remains challenging because of their small sizes and convoluted structures. Previous human fMRI studies at 3 T have successfully detected differences in activation between hippocampal cornu ammonis (CA) field CA1, combined CA2, CA3, and dentate gyrus (DG) region (CA23DG), and the subiculum during associative memory tasks. In this study, we investigated hippocampal subfield activity in healthy participants using an associative memory paradigm during high-resolution fMRI scanning at 7 T. We were able to localize fMRI activity to anterior CA2 and CA3 during learning and to the posterior CA2 field, the CA1, and the posterior subiculum during retrieval of novel associations. These results provide insight into more specific human hippocampal subfield functions underlying learning and memory and a unique opportunity for future investigations of hippocampal subfield function in healthy individuals as well as those suffering from neurodegenerative diseases.

Anatomical brain imaging at 7T using two-dimensional GRASE.

PURPOSE: Specific absorption rate is a serious problem at high field strengths, especially for sequences involving many high power radiofrequency pulses, such as turbo spin echo (TSE). GRASE (gradient and spin echo) may overcome this problem by omitting a certain number of refocusing pulses of a TSE sequence, and replacing them with segmented echo-planar imaging readouts. METHODS: GRASE and TSE were compared using similar sequence parameters at a field strength of 7T. The signal-to-noise ratio (SNR) per unit time, contrast, and point spread function (PSF) were determined. High-resolution human brain images were acquired and the implementation of an inversion recovery preparation for T(1) weighting was evaluated. RESULTS: TSE and GRASE images at 7T showed very similar SNR and contrast. The slightly worse PSF for GRASE is balanced by a significant reduction in scan time or increase in spatial coverage compared with TSE. Furthermore, implementing an additional inversion recovery preparation enables the acquisition of T(1)-weighted images with high SNR per unit time. CONCLUSION: GRASE is highly suitable for structural scanning at ultra-high field strengths and is a valid alternative to the commonly used TSE sequence.

High-resolution MRI and diffusion-weighted imaging of the human habenula at 7 tesla.

PURPOSE: To investigate the feasibility of discriminating the habenula in human brain using high-resolution structural MRI and diffusion-weighted imaging at 7 Tesla (T). MATERIALS AND METHODS: MRI experiments included a MP2RAGE and GRE sequence to acquire quantitative parameter maps of T1, T2*, and a calculated proton density map and the combined approach of zoomed and parallel imaging (ZOOPPA) to obtain dw images. Probabilistic tractography algorithms were used to identify multiple fiber orientations in submillimetre voxels, and constrained spherical deconvolution to resolve orientations in regions where fibers cross. RESULTS: Maps of T1, T2*, and proton density showed high contrast of the human habenula. The lateral habenula and its commissure can be distinguished from medial habenula and adjacent tissue. DWI data with 0.7 mm isotropic resolution revealed that fiber populations differ in medial and lateral habenula and two major fiber bundles that connect habenular nuclei with forebrain structures and brainstem. CONCLUSION: High resolution 7T MR imaging of the human habenula provides sufficient signal-to-noise and contrast to enable identification of the lateral and medial nuclei. In vivo high resolution DWI at 7T is able to distinguish between lateral and medial habenula, and to detect major fiber tracts that connect the habenula with other brain areas.

Slice accelerated diffusion-weighted imaging at ultra-high field strength.

PURPOSE: Diffusion magnetic resonance imaging (dMRI) data with very high isotropic resolution can be obtained at 7T. However, for extensive brain coverage, a large number of slices is required, resulting in long acquisition times (TAs). Recording multiple slices simultaneously (SMS) promises to reduce the TA. METHODS: A combination of zoomed and parallel imaging is used to achieve high isotropic resolution dMRI data with a low level of distortions at 7T. The blipped-CAIPI (controlled aliasing in parallel imaging) approach is used to acquire several slices simultaneously. Due to their high radiofrequency (RF) power deposition and ensuing specific absorption rate (SAR) constraints, the commonly used multiband (MB) RF pulses for SMS imaging are inefficient at 7T and entail long repetition times, counteracting the usefulness of SMS acquisitions. To address this issue, low SAR multislice Power Independent of Number of Slices RF pulses are employed. RESULTS: In vivo dMRI results with and without SMS acceleration are presented at different isotropic spatial resolutions at ultra high field strength. The datasets are recorded at a high angular resolution to detect fiber crossings. CONCLUSION: From the results and compared with earlier studies at these resolutions, it can be seen that scan time is significantly reduced, while image quality is preserved.

k-space and q-space: combining ultra-high spatial and angular resolution in diffusion imaging using ZOOPPA at 7 T.

There is ongoing debate whether using a higher spatial resolution (sampling k-space) or a higher angular resolution (sampling q-space angles) is the better way to improve diffusion MRI (dMRI) based tractography results in living humans. In both cases, the limiting factor is the signal-to-noise ratio (SNR), due to the restricted acquisition time. One possible way to increase the spatial resolution without sacrificing either SNR or angular resolution is to move to a higher magnetic field strength. Nevertheless, dMRI has not been the preferred application for ultra-high field strength (7 T). This is because single-shot echo-planar imaging (EPI) has been the method of choice for human in vivo dMRI. EPI faces several challenges related to the use of a high resolution at high field strength, for example, distortions and image blurring. These problems can easily compromise the expected SNR gain with field strength. In the current study, we introduce an adapted EPI sequence in conjunction with a combination of ZOOmed imaging and Partially Parallel Acquisition (ZOOPPA). We demonstrate that the method can produce high quality diffusion-weighted images with high spatial and angular resolution at 7 T. We provide examples of in vivo human dMRI with isotropic resolutions of 1 mm and 800 µm. These data sets are particularly suitable for resolving complex and subtle fiber architectures, including fiber crossings in the white matter, anisotropy in the cortex and fibers entering the cortex.

Isotropic submillimeter fMRI in the human brain at 7 T: combining reduced field-of-view imaging and partially parallel acquisitions.

Echo-planar imaging is the most widely used imaging sequence for functional magnetic resonance imaging (fMRI) due to its fast acquisition. However, it is prone to local distortions, image blurring, and signal voids. As these effects scale with echo train length and field strength, it is essential for high-resolution echo-planar imaging at ultrahigh field to address these problems. Partially parallel acquisition methods can be used to improve the image quality of echo-planar imaging. However, partially parallel acquisition can be affected by aliasing artifacts and noise enhancement. Another way to shorten the echo train length is to reduce the field-of-view (FOV) while maintaining the same spatial resolution. However, to achieve significant acceleration, the resulting FOV becomes very small. Another problem occurs when FOV selection is incomplete such that there is remaining signal aliased from the region outside the reduced FOV. In this article, a novel approach, a combination of reduced FOV imaging with partially parallel acquisition, is presented. This approach can address the problems described above of each individual method, enabling high-quality single-shot echo-planar imaging acquisition, with submillimeter isotropic resolution and good signal-to-noise ratio, for fMRI at ultrahigh field strength. This is demonstrated in fMRI of human brain at 7T with an isotropic resolution of 650 µm.

How the brain tissue shapes the electric field induced by transcranial magnetic stimulation.

In transcranial magnetic stimulation (TMS), knowledge of the distribution of the induced electric field is fundamental for a better understanding of the position and extent of the stimulated brain region. However, the different tissue types and the varying fibre orientation in the brain tissue result in an inhomogeneous and anisotropic conductivity distribution and distort the electric field in a non-trivial way. Here, the field induced by a figure-8 coil is characterized in detail using finite element calculations and a geometrically accurate model of an individual head combined with high-resolution diffusion-weighted imaging for conductivity mapping. It is demonstrated that the field strength is significantly enhanced when the currents run approximately perpendicular to the local gyral orientation. Importantly, the spatial distribution of this effect differs distinctly between gray matter (GM) and white matter (WM): While the field in GM is selectively enhanced at the gyral crowns and lips, high field strengths can still occur rather deep in WM. Taking the anisotropy of brain tissue into account tends to further boost this effect in WM, but not in GM. Spatial variations in the WM anisotropy affect the local field strength in a systematic way and result in localized increases of up to 40% (on average ~7% for coil orientations perpendicular to the underlying gyri). We suggest that these effects might create hot spots in WM that might contribute to the excitation of WM structures by TMS. However, our results also demonstrate the necessity of using realistic nerve models in the future to allow for more definitive conclusions.

Track density imaging (TDI): validation of super resolution property.

We have recently introduced a novel MRI methodology, so-called super resolution track-density imaging (TDI), which produces high-quality white matter images, with high spatial resolution and exquisite anatomical contrast not available from other MRI modalities. This method achieves super resolution by utilising the long-range information contained in the diffusion MRI fibre tracks. In this study, we validate the super resolution property of the TDI method by using in vivo diffusion MRI data acquired at ultra-high magnetic field strength (7 T), and in silico diffusion MRI data from a well-characterised numerical phantom. Furthermore, an alternative version of the TDI technique is described, which mitigates the track length weighting of the TDI map intensity. For the in vivo data, high-resolution diffusion images were down-sampled to simulate low-resolution data, for which the high-resolution images serve as a gold standard. For the in silico data, the gold standard is given by the known simulated structures of the numerical phantom. Both the in vivo and in silico data show that the structures that could be identified in the TDI maps only after using super resolution were consistent with the corresponding structures identified in the reference maps. This supports the claim that the structures identified by the super resolution step are accurate, thus providing further evidence for the important potential role of the super resolution TDI methodology in neuroscience.

Comprehensive small animal imaging strategies on a clinical 3 T dedicated head MR-scanner; adapted methods and sequence protocols in CNS pathologies.

BACKGROUND: Small animal models of human diseases are an indispensable aspect of pre-clinical research. Being dynamic, most pathologies demand extensive longitudinal monitoring to understand disease mechanisms, drug efficacy and side effects. These considerations often demand the concomitant development of monitoring systems with sufficient temporal and spatial resolution. METHODOLOGY AND RESULTS: This study attempts to configure and optimize a clinical 3 Tesla magnetic resonance scanner to facilitate imaging of small animal central nervous system pathologies. The hardware of the scanner was complemented by a custom-built, 4-channel phased array coil system. Extensive modification of standard sequence protocols was carried out based on tissue relaxometric calculations. Proton density differences between the gray and white matter of the rodent spinal cord along with transverse relaxation due to magnetic susceptibility differences at the cortex and striatum of both rats and mice demonstrated statistically significant differences. The employed parallel imaging reconstruction algorithms had distinct properties dependent on the sequence type and in the presence of the contrast agent. The attempt to morphologically phenotype a normal healthy rat brain in multiple planes delineated a number of anatomical regions, and all the clinically relevant sequels following acute cerebral ischemia could be adequately characterized. Changes in blood-brain-barrier permeability following ischemia-reperfusion were also apparent at a later time. Typical characteristics of intra-cerebral haemorrhage at acute and chronic stages were also visualized up to one month. Two models of rodent spinal cord injury were adequately characterized and closely mimicked the results of histological studies. In the employed rodent animal handling system a mouse model of glioblastoma was also studied with unequivocal results. CONCLUSIONS: The implemented customizations including extensive sequence protocol modifications resulted in images of high diagnostic quality. These results prove that lack of dedicated animal scanners shouldn't discourage conventional small animal imaging studies.

A simple low-SAR technique for chemical-shift selection with high-field spin-echo imaging.

We have discovered a simple and highly robust method for removal of chemical shift artifact in spin-echo MR images, which simultaneously decreases the radiofrequency power deposition (specific absorption rate). The method is demonstrated in spin-echo echo-planar imaging brain images acquired at 7 T, with complete suppression of scalp fat signal. When excitation and refocusing pulses are sufficiently different in duration, and thus also different in the amplitude of their slice-select gradients, a spatial mismatch is produced between the fat slices excited and refocused, with no overlap. Because no additional radiofrequency pulse is used to suppress fat, the specific absorption rate is significantly reduced compared with conventional approaches. This enables greater volume coverage per unit time, well suited for functional and diffusion studies using spin-echo echo-planar imaging. Moreover, the method can be generally applied to any sequence involving slice-selective excitation and at least one slice-selective refocusing pulse at high magnetic field strengths. The method is more efficient than gradient reversal methods and more robust against inhomogeneities of the static (polarizing) field (B(0)).

Diffusion imaging in humans at 7T using readout-segmented EPI and GRAPPA.

Anatomical MRI studies at 7T have demonstrated the ability to provide high-quality images of human tissue in vivo. However, diffusion-weighted imaging at 7T is limited by the increased level of artifact associated with standard, single-shot, echo-planar imaging, even when parallel imaging techniques such as generalized autocalibrating partially parallel acquisitions (GRAPPA) are used to reduce the effective echo spacing. Readout-segmented echo-planar imaging in conjunction with parallel imaging has the potential to reduce these artifacts by allowing a further reduction in effective echo spacing during the echo-planar imaging readout. This study demonstrates that this approach does indeed provide a substantial improvement in image quality by reducing image blurring and susceptibility-based distortions, as well as by allowing the acquisition of diffusion-weighted images with a high spatial resolution. A preliminary application of the technique to high-resolution diffusion tensor imaging provided a high level of neuroanatomical detail, which should prove valuable in a wide range of applications.

Spiral demystified.

Spiral acquisition schemes offer unique advantages such as flow compensation, efficient k-space sampling and robustness against motion that make this option a viable choice among other non-Cartesian sampling schemes. For this reason, the main applications of spiral imaging lie in dynamic magnetic resonance imaging such as cardiac imaging and functional brain imaging. However, these advantages are counterbalanced by practical difficulties that render spiral imaging quite challenging. Firstly, the design of gradient waveforms and its hardware requires specific attention. Secondly, the reconstruction of such data is no longer straightforward because k-space samples are no longer aligned on a Cartesian grid. Thirdly, to take advantage of parallel imaging techniques, the common generalized autocalibrating partially parallel acquisitions (GRAPPA) or sensitivity encoding (SENSE) algorithms need to be extended. Finally, and most notably, spiral images are prone to particular artifacts such as blurring due to gradient deviations and off-resonance effects caused by B(0) inhomogeneity and concomitant gradient fields. In this article, various difficulties that spiral imaging brings along, and the solutions, which have been developed and proposed in literature, will be reviewed in detail.

Cerebral ischemia-reperfusion injury in rats--a 3 T MRI study on biphasic blood-brain barrier opening and the dynamics of edema formation.

Serial magnetic resonance imaging (MRI) was performed to investigate the temporal and spatial relationship between the biphasic nature of blood-brain barrier (BBB) opening and, in parallel, edema formation after ischemia-reperfusion (I/R) injury in rats. T(2)-weighted imaging combined with T(2)-relaxometry, mainly for edema assessment, was performed at 1 h after ischemia, after reperfusion, and at 4, 24 and 48 h after reperfusion. T(1)-weighted imaging was performed before and after gadolinium contrast at the last three time points to assess BBB integrity. The biphasic course of BBB opening with a significant reduction in BBB permeability at 24 h after reperfusion, associated with a progressive expansion of leaky BBB volume, was accompanied by a peak ipsilateral edema formation. In addition, at 4 h after reperfusion, edema formation could also be detected at the contralateral striatum as determined by the elevated T(2)-values that persisted to varying degrees, indicative of widespread effects of I/R injury. The observations of this study may indicate a dynamic temporal shift in the mechanisms responsible for biphasic BBB permeability changes, with complex relations to edema formation. Stroke therapy aimed at vasogenic edema and drug delivery for neuroprotection may also be guided according to the functional status of the BBB, and these findings have to be confirmed in human stroke.

High resolution diffusion-weighted imaging using readout-segmented echo-planar imaging, parallel imaging and a two-dimensional navigator-based reacquisition.

Single-shot echo-planar imaging (EPI) is well established as the method of choice for clinical, diffusion-weighted imaging with MRI because of its low sensitivity to the motion-induced phase errors that occur during diffusion sensitization of the MR signal. However, the method is prone to artifacts due to susceptibility changes at tissue interfaces and has a limited spatial resolution. The introduction of parallel imaging techniques, such as GRAPPA (GeneRalized Autocalibrating Partially Parallel Acquisitions), has reduced these problems, but there are still significant limitations, particularly at higher field strengths, such as 3 Tesla (T), which are increasingly being used for routine clinical imaging. This study describes how the combination of readout-segmented EPI and parallel imaging can be used to address these issues by generating high-resolution, diffusion-weighted images at 1.5T and 3T with a significant reduction in susceptibility artifact compared with the single-shot case. The technique uses data from a 2D navigator acquisition to perform a nonlinear phase correction and to control the real-time reacquisition of unusable data that cannot be corrected. Measurements on healthy volunteers demonstrate that this approach provides a robust correction for motion-induced phase artifact and allows scan times that are suitable for routine clinical application.

Free breathing hyperpolarized 3He lung ventilation spiral MR imaging.

OBJECTIVES: Current clinical hyperpolarized He lung ventilation MR imaging protocols rely on the patient's ability to control inhalation and exhalation and hold their breath on demand. This is impractical for intensive care unit patients under ventilation or for pediatric populations under the age of 3 to 4 years. To address this problem, we propose a free-breathing protocol for hyperpolarized He lung ventilation spiral imaging. This approach was evaluated in vitro and on rabbits. MATERIALS AND METHODS: The protocol was implemented on a clinical 1.5-T magnetic resonance imaging scanner. Ventilation images were acquired using a spiral sequence, in vitro on a lung phantom and in vivo on rabbits, the animal breathing freely from a gas reservoir. Dynamic spiral ventilation images were reconstructed using retrospective Cine synchronization. Magnetic resonance (MR) signal dynamics was modeled taking account of gas inflow and outflow, radiofrequency depolarization and oxygen-induced relaxation. RESULTS: Cine ventilation images acquired in spontaneously breathing rabbits were reconstructed with a temporal resolution of 50 milliseconds. Gas volume variations and time-to-maximum maps were obtained. The numerical model was validated in vitro and in vivo with various gas mixtures. Ventilation parameters (functional residual capacity, tidal volume, and alveolar pO2) were extracted from the MR signal dynamics. CONCLUSIONS: Ventilation imaging can be performed at tidal volume using a simple experimental protocol, without any ventilation device or breath-hold period. Acquisition time, SNR and pO2 decay can be optimized using the developed numerical model. Free-breathing ventilation images can be obtained without artifacts related to motion or gas flow. Lastly, parametric maps can be derived from the time-resolved ventilation images and physiological parameters extracted from the global signal dynamics.