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1.
Magn Reson Med ; 91(4): 1608-1624, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38102807

RESUMO

PURPOSE: MP2RAGE parameter optimization is redefined to allow more time-efficient MR acquisitions, whereas the T1 -based synthetic imaging framework is used to obtain on-demand T1 -weighted contrasts. Our aim was to validate this concept on healthy volunteers and patients with multiple sclerosis, using plug-and-play parallel-transmission brain imaging at 7 T. METHODS: A "time-efficient" MP2RAGE sequence was designed with optimized parameters including TI and TR set as small as possible. Extended phase graph formalism was used to set flip-angle values to maximize the gray-to-white-matter contrast-to-noise ratio (CNR). Several synthetic contrasts (UNI, EDGE, FGATIR, FLAWSMIN , FLAWSHCO ) were generated online based on the acquired T1 maps. Experimental validation was performed on 4 healthy volunteers at various spatial resolutions. Clinical applicability was evaluated on 6 patients with multiple sclerosis, scanned with both time-efficient and conventional MP2RAGE parameterizations. RESULTS: The proposed time-efficient MP2RAGE protocols reduced acquisition time by 40%, 30%, and 19% for brain imaging at (1 mm)3 , (0.80 mm)3 and (0.65 mm)3 , respectively, when compared with conventional parameterizations. They also provided all synthetic contrasts and comparable contrast-to-noise ratio on UNI images. The flexibility in parameter selection allowed us to obtain a whole-brain (0.45 mm)3 acquisition in 19 min 56 s. On patients with multiple sclerosis, a (0.67 mm)3 time-efficient acquisition enhanced cortical lesion visualization compared with a conventional (0.80 mm)3 protocol, while decreasing the scan time by 15%. CONCLUSION: The proposed optimization, associated with T1 -based synthetic contrasts, enabled substantial decrease of the acquisition time or higher spatial resolution scans for a given time budget, while generating all typical brain contrasts derived from MP2RAGE.


Assuntos
Imageamento por Ressonância Magnética , Esclerose Múltipla , Humanos , Imageamento por Ressonância Magnética/métodos , Encéfalo/diagnóstico por imagem , Encéfalo/patologia , Aumento da Imagem/métodos , Imageamento Tridimensional/métodos , Esclerose Múltipla/diagnóstico por imagem , Esclerose Múltipla/patologia
2.
MAGMA ; 37(2): 169-183, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38197908

RESUMO

OBJECTIVE: To assess the possible influence of third-order shim coils on the behavior of the gradient field and in gradient-magnet interactions at 7 T and above. MATERIALS AND METHODS: Gradient impulse response function measurements were performed at 5 sites spanning field strengths from 7 to 11.7 T, all of them sharing the same exact whole-body gradient coil design. Mechanical fixation and boundary conditions of the gradient coil were altered in several ways at one site to study the impact of mechanical coupling with the magnet on the field perturbations. Vibrations, power deposition in the He bath, and field dynamics were characterized at 11.7 T with the third-order shim coils connected and disconnected inside the Faraday cage. RESULTS: For the same whole-body gradient coil design, all measurements differed greatly based on the third-order shim coil configuration (connected or not). Vibrations and gradient transfer function peaks could be affected by a factor of 2 or more, depending on the resonances. Disconnecting the third-order shim coils at 11.7 T also suppressed almost completely power deposition peaks at some frequencies. DISCUSSION: Third-order shim coil configurations can have major impact in gradient-magnet interactions with consequences on potential hardware damage, magnet heating, and image quality going beyond EPI acquisitions.


Assuntos
Imageamento por Ressonância Magnética , Imãs , Imageamento por Ressonância Magnética/métodos
3.
Magn Reson Med ; 90(1): 51-63, 2023 07.
Artigo em Inglês | MEDLINE | ID: mdl-36779346

RESUMO

PURPOSE: To optimize the homogeneity of the presaturation module in a Chemical Exchange Saturation Transfer (CEST) acquisition at 7 T using parallel transmission (pTx). THEORY AND METHODS: An optimized pTx-CEST presaturation scheme based on precomputed universal pulses was designed. The optimization was performed by minimizing the L2-norm between the effective B 1 , RMS + $$ {B}_{1,\mathrm{RMS}}^{+} $$ and a given target while imposing energy constraints under virtual observation points (VOPs) supervision. The proposed method was evaluated through simulations and experimentally, both in vitro, on a realistic human head phantom, and in vivo, on healthy volunteers. The results were compared with circular polarization (CP) presaturation and other pTx approaches previously proposed. All experiments were conducted on a 7 T MRI scanner using a commercial 8Tx/32Rx head coil. RESULTS: The simulations show that the proposed pTx strategy boosted with VOPs is superior to the CP mode and existent pTx approaches. While the best results are obtained with subject specific pulses, the gain provided by the use of VOPs renders the universal pulses superior to tailored pulses optimized under vendor provided Specific Absorption Rate (SAR) management. In the phantom, the glucose MTR asym $$ {\mathrm{MTR}}_{\mathrm{asym}} $$ map was significantly more homogeneous than with CP (root mean square error [RMSE] 17% vs. 30%). The efficiency of the method for in vivo hydroxyl, glutamate and rNOE weighted CEST acquisitions was also demonstrated. CONCLUSION: The use of a pTx presaturation scheme based on universal pulses optimized under VOP SAR management is significantly benefiting CEST imaging at high magnetic field.


Assuntos
Algoritmos , Imageamento por Ressonância Magnética , Humanos , Imageamento por Ressonância Magnética/métodos , Imagens de Fantasmas , Voluntários Saudáveis
4.
Magn Reson Med ; 90(2): 770-783, 2023 08.
Artigo em Inglês | MEDLINE | ID: mdl-36999747

RESUMO

PURPOSE: Optimization of transmit array performance is crucial in ultra-high-field MRI scanners such as 11.7T because of the increased RF losses and RF nonuniformity. This work presents a new workflow to investigate and minimize RF coil losses, and to choose the optimum coil configuration for imaging. METHODS: An 8-channel transceiver loop-array was simulated to analyze its loss mechanism at 499.415 MHz. A folded-end RF shield was developed to limit radiation loss and improve the B 1 + $$ {B}_1^{+} $$ efficiency. The coil element length, and the shield diameter and length were further optimized using electromagnetic (EM) simulations. The generated EM fields were used to perform RF pulse design (RFPD) simulations under realistic constraints. The chosen coil design was constructed to demonstrate performance equivalence in bench and scanner measurements. RESULTS: The use of conventional RF shields at 11.7T resulted in significantly high radiation losses of 18.4%. Folding the ends of the RF shield combined with optimizing the shield diameter and length increased the absorbed power in biological tissue and reduced the radiation loss to 2.4%. The peak B 1 + $$ {B}_1^{+} $$ of the optimal array was 42% more than the reference array. Phantom measurements validated the numerical simulations with a close match of within 4% of the predicted B 1 + $$ {B}_1^{+} $$ . CONCLUSION: A workflow that combines EM and RFPD simulations to numerically optimize transmit arrays was developed. Results have been validated using phantom measurements. Our findings demonstrate the need for optimizing the RF shield in conjunction with array element design to achieve efficient excitation at 11.7T.


Assuntos
Cabeça , Ondas de Rádio , Imageamento por Ressonância Magnética/métodos , Encéfalo/diagnóstico por imagem , Imagens de Fantasmas , Desenho de Equipamento , Neuroimagem
5.
Magn Reson Med ; 90(4): 1328-1344, 2023 10.
Artigo em Inglês | MEDLINE | ID: mdl-37246894

RESUMO

PURPOSE: The acquisition of accurate B1 maps is critical for parallel transmit techniques (pTx). The presaturated turboFLASH (satTFL) method has been widely used in combination with interferometric encoding to provide robust and fast B1 maps. However, typical encodings, mostly evaluated on brain, do not necessarily fit all coils and organs. In this work, we evaluated and improved the accuracy of the satTFL for cervical spine at 7 T, proposing a novel interferometric encoding optimization. The benefits of such improvements were investigated in an exploratory study of quantitative T1 mapping with pTx-MP2RAGE. METHODS: Global optimization of interferometric encoding was implemented by simulating the ability of the satTFL to reconstruct B1 maps, with varying encoding and inclusion of complex noise, inside a region of interest covering the cervical spine. The performance of satTFL before and after optimization was compared to actual flip angle imaging. Optimized and non-optimized B1 maps were then used to calculate pTx pulses for MP2RAGE T1 mapping. RESULTS: Interferometric encoding optimization resulted in satTFL closer to actual flip angle imaging, with substantial gain of signal in regions where non-optimized satTFL could fail. T1 maps measured with non-adiabatic pTx pulses were closer to standard non-pTx results (which used adiabatic pulses) when using optimized-satTFL, with substantially lower specific absorption rate. CONCLUSION: Optimization of the satTFL interferometric encoding improves B1 maps in the spinal cord, in particular in low SNR regions. A linear correction of the satTFL was additionally shown to be required. The method was successfully used for quantitative phantom and in vivo T1 mapping, showing improved results compared to non-optimized satTFL thanks to improved pTx-pulse generation.


Assuntos
Algoritmos , Imageamento por Ressonância Magnética , Reprodutibilidade dos Testes , Imageamento por Ressonância Magnética/métodos , Encéfalo/diagnóstico por imagem , Imagens de Fantasmas , Medula Espinal/diagnóstico por imagem
6.
Neuroimage ; 261: 119498, 2022 11 01.
Artigo em Inglês | MEDLINE | ID: mdl-35917918

RESUMO

Increased static field inhomogeneities are a burden for human brain MRI at Ultra-High-Field. In particular they cause enhanced Echo-Planar image distortions and signal losses due to magnetic susceptibility gradients at air-tissue interfaces in the subject's head. In the past decade, Multi-Coil Arrays (MCA) have been proposed to shim the field in the brain better than the 2nd or 3rd order Spherical Harmonic (SH) coils usually offered by MRI manufacturers. Here we present a novel MCA, named SCOTCH, optimized for whole brain shimming. Based on a cylindrical structure, it features several layers of small coils whose shape, size and location are found from a principal component analysis of ideal stream functions computed from an internal 100-brain fieldmap database. From an Open-Access external database of 126 brains, our SCOTCH implementation is shown to be equivalent to a partial 7th-order SH system with unlimited power, outperforming all known existing MCA prototypes. This result is further confirmed by a low-cost  30-cm diameter SCOTCH prototype built with 48 coils on 3 layers, and tested on 7 volunteers at 7T with a parallel-transmit RF coil made to be inserted in SCOTCH. Echo-Planar images of the subject brains before and after SCOTCH shimming show large signal recoveries, especially in the prefrontal cortex.


Assuntos
Processamento de Imagem Assistida por Computador , Imageamento por Ressonância Magnética , Encéfalo/diagnóstico por imagem , Humanos , Processamento de Imagem Assistida por Computador/métodos , Imageamento por Ressonância Magnética/métodos , Magnetismo , Ondas de Rádio
7.
Magn Reson Med ; 87(6): 2839-2850, 2022 06.
Artigo em Inglês | MEDLINE | ID: mdl-35122302

RESUMO

PURPOSE: In parallel transmission (pTX), subject-tailored RF pulses allow achieving excellent flip angle (FA) accuracy but often require computationally extensive online optimizations, precise characterization of the static field ( ΔB0 ), and the transmit RF field ( B1+ ) distributions. This costs time and requires expertise from the MR user. Universal pulses (UPs) have been proposed to reduce this burden, yet, with a penalty in FA accuracy. This study introduces the concept of standardized universal pulses (SUPs), where pulses are designed offline and adjusted to the subject through a fast online calibration scan. METHODS: A SUP is designed offline using a so-called standardized database, wherein each B1+ map has been normalized to a reference transmit RF field distribution. When scanning a new subject, a 3-slice B1+ acquisition (scan time <10  s) is performed and used to adjust the SUP to the subject through a linear transform. SUP performance was assessed at 7T with simulations by computing the FA-normalized root mean square error (FA-NRMSE) and the FA pattern stability as measured by the average and coefficient of variation of the FA across 15 control subjects, along with in vivo experiments using an MP2RAGE sequence implementing the SUP variant for the FLASH readout. RESULTS: Adjusted SUP improved the FA-NRMSE (8.8 % for UP vs. 7.1 % for adjusted SUP). Experimentally in vivo, this translated in an improved signal homogeneity and more accurate T1 quantification using MP2RAGE. CONCLUSION: The proposed SUP approach improves excitation accuracy (FA-NRMSE) while preserving the same offline pulse design principle as offered by UPs.


Assuntos
Algoritmos , Imageamento por Ressonância Magnética , Encéfalo , Calibragem , Bases de Dados Factuais , Humanos , Imagens de Fantasmas , Ondas de Rádio
8.
Magn Reson Med ; 85(2): 1004-1012, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-32851654

RESUMO

PURPOSE: To correct with gradient trim blips for gradient delays in bipolar-spoke RF pulses in slice-selective and slab-selective excitations, compatible with tilted acquisitions and anisotropic delays. THEORY: The effect of small gradient delays with respect to RF pulses results in a dephasing of the second RF spoke, proportional to the slab-selection gradient amplitude and the distance of the slice center from the magnet isocenter. Accordingly, adding a trim blip along the corresponding logical gradient axis between the two spokes compensates for the same dephasing, and therefore cancels the gradient delay effects, regardless of position and orientation. METHODS: Gradient delays on different axes were first measured on a 7T system based on an imaging method. Parallel transmission universal bipolar spokes were designed offline to mitigate the RF field inhomogeneity problem in the human brain. Trim blips were used to compensate for the known delays, which was validated with flip angle and temporal SNR measurements on two different volunteers at 7 T. RESULTS: Pulses corrected with trim blips greatly reduced gradient delay effects. Acquisitions made with corrected and noncorrected pulses showed good fidelity with simulations. CONCLUSIONS: Unlike time or phase-shifting approaches, trim blip-based methods apply to all possible bipolar spoke scenarios such as slice excitations, slab excitations, and anisotropy in the gradient delays.


Assuntos
Transtorno Bipolar , Algoritmos , Encéfalo/diagnóstico por imagem , Humanos , Imageamento por Ressonância Magnética , Imagens de Fantasmas
9.
Magn Reson Med ; 84(6): 3286-3299, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-32618387

RESUMO

PURPOSE: Performing simultaneous quantitative MRI at ultrahigh field is challenging, as B0 and B1+ heterogeneities as well as specific absorption rate increase. Too large deviations of flip angle from the target can induce biases and impair SNR in the quantification process. In this work, we use calibration-free parallel transmission, a dedicated pulse-sequence parameter optimization and signal fitting to recover 3D proton density, flip angle, T1 , and T2 maps over the whole brain, in a clinically suitable time. METHODS: Eleven optimized contrasts were acquired with an unbalanced SSFP sequence by varying flip-angle amplitude and RF phase-cycling increment, at a 1.0 × 1.0 × 3.0 mm3 resolution. Acquisition time was 16 minutes 36 seconds for the whole brain. Parallel transmission and universal pulses were used to mitigate B1+ heterogeneity, to improve the results' reliability over 6 healthy volunteers (3 females/3 males, age 22.6 ± 2.7 years old). Quantification of the physical parameters was performed by fitting the acquired contrasts to the simulated ones using the Bloch-Torrey equations with a realistic diffusion coefficient. RESULTS: Whole-brain 3D maps of effective flip angle, proton density, and relaxation times were estimated. Parallel transmission improved the robustness of the results at 7 T. Results were in accordance with literature and with measurements from standard methods. CONCLUSION: These preliminary results show robust proton density, flip angle, T1 , and T2 map retrieval. Other parameters, such as ADC, could be assessed. With further optimization in the acquisition, scan time could be reduced and spatial resolution increased to bring this multiparametric quantification method to clinical research routine at 7 T.


Assuntos
Processamento de Imagem Assistida por Computador , Prótons , Adulto , Algoritmos , Encéfalo/diagnóstico por imagem , Feminino , Humanos , Imageamento Tridimensional , Imageamento por Ressonância Magnética , Masculino , Imagens de Fantasmas , Reprodutibilidade dos Testes , Adulto Jovem
10.
Neuroimage ; 195: 1-10, 2019 07 15.
Artigo em Inglês | MEDLINE | ID: mdl-30923027

RESUMO

The Human Connectome Project (HCP) has a 7T component that aims to study the human brain's organization and function with high spatial and temporal resolution fMRI and diffusion-weighted acquisitions. For whole brain applications at 7T, a major weakness however remains the heterogeneity of the radiofrequency transmission field (B1+ ), which prevents from achieving an optimal signal and contrast homogeneously throughout the brain. In this work, we use parallel transmission (pTX) Universal Pulses (UP) to improve the flip angle homogeneity and demonstrate their application to highly accelerated multi-band EPI (MB5 and GRAPPA2, as prescribed in the 7T HCP protocol) sequence, but also to acquire at 7T B1+ -artefact-free T1 - and T2 -weighted anatomical scans used in the pre-processing pipeline of the HCP protocol. As compared to typical implementations of pTX, the proposed solution is fully operator-independent and allows "plug and play" exploitation of the benefits offered by multi-channel transmission. Validation in five healthy adults shows that the proposed technique achieves a flip angle homogeneity comparable to that of a clinical 3 T system. Compared to standard single-channel transmission, the use of UPs at 7T yielded up to a two-fold increase of the temporal signal-to-noise ratio in the temporal lobes as well as improved detection of functional connectivity in the brain regions most strongly affected by B1+ inhomogeneity.


Assuntos
Encéfalo/fisiologia , Conectoma/métodos , Processamento de Imagem Assistida por Computador/métodos , Adulto , Imagem Ecoplanar/métodos , Feminino , Humanos , Masculino , Descanso/fisiologia
11.
Magn Reson Med ; 82(4): 1518-1526, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31095776

RESUMO

PURPOSE: To investigate the correlation between electrical conductivity and sodium concentration, both measured in vivo, in the human brain. METHODS: Conductivity measurements were performed on samples with different sodium (Na+ ) and agarose concentrations using a dielectric probe, and the correlation between conductivity and Na+ content was evaluated. Subsequently, brain conductivity and total Na+ content maps were measured in 8 healthy subjects using phase-based MREPT and sodium MRI, respectively. After co-registration and spatial normalization to the 1 mm 152 MNI brain atlas, the relationship between conductivity and tissue sodium concentration (TSC) was examined within different brain regions. RESULTS: The conductivities of agarose gels increased linearly with NaCl concentration, while remaining almost independent of agarose content. When measured in healthy subjects, conductivities showed positive correlation with total tissue sodium concentration (R = 0.39, P < 0.005). The same trend was found in gray matter (R = 0.36, P < 0.005) and in white matter (R = 0.28, P < 0.05). CONCLUSION: Tissue conductivity shows a positive correlation with total sodium concentration. Conductivity might serve as a novel technique to visualize the total tissue electrolyte concentration, although refinements in the consideration of e.g., tissue water content, would be necessary to improve the quantitative value.


Assuntos
Química Encefálica/fisiologia , Encéfalo/diagnóstico por imagem , Imageamento por Ressonância Magnética/métodos , Sódio/química , Adulto , Encéfalo/fisiologia , Condutividade Elétrica , Feminino , Humanos , Processamento de Imagem Assistida por Computador/métodos , Masculino , Rede Nervosa/diagnóstico por imagem , Imagens de Fantasmas , Processamento de Sinais Assistido por Computador
12.
Magn Reson Med ; 81(5): 3202-3208, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-30652352

RESUMO

PURPOSE: The fluid attenuated inversion recovery sequence is a pillar technique to detect brain lesions in MRI. At ultrahigh field, the lengthening of T1 often advocates a T2 -weighting preparation module to regain signal and contrast between tissues, which can be affected by transmit RF field inhomogeneity. In this note, we report an extension of a previous fluid attenuated inversion recovery study that now incorporates the T2 preparation with parallel transmission calibration-free universal pulses to mitigate the problem. METHODS: The preparation consisted of a 90°-τ-180° -τ-90° module to implement an effective inversion in the CSF and a saturation in the brain tissues. Care was taken for the pulses to have the desired phase relationship in every voxel by appropriate pulse design. The RF pulse design made use of the kT -point parametrization and was based on a database of 20 B1+ and ΔB0 maps previously acquired on different subjects at 7 T. Simulations and experiments on 5 volunteers, not contained in the database, were performed for validation. RESULTS: Simulations reported very good inversion efficiency for the preparation module with 8% variation, with respectively 4 and 6 times less power and specific absorption rate than for the adiabatic version. Experiments revealed fluid attenuated inversion recovery images free of B1+ artifacts. CONCLUSION: This work contributes further to the panel of 3D sequences validated and now available with universal pulses at 7 T. The drop in power and specific absorption rate demand compared with adiabatic pulses in the T2 preparation leads to more freedom for the design of the readout train.


Assuntos
Encefalopatias/diagnóstico por imagem , Encéfalo/diagnóstico por imagem , Imageamento por Ressonância Magnética , Esclerose Múltipla/diagnóstico por imagem , Algoritmos , Artefatos , Calibragem , Líquido Cefalorraquidiano , Simulação por Computador , Voluntários Saudáveis , Humanos , Interpretação de Imagem Assistida por Computador/métodos , Processamento de Imagem Assistida por Computador/métodos , Imageamento Tridimensional , Esclerose Múltipla/líquido cefalorraquidiano , Imagens de Fantasmas , Razão Sinal-Ruído
13.
Magn Reson Med ; 82(6): 2016-2031, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31257612

RESUMO

PURPOSE: A calibration-free pulse design method is introduced to alleviate B1+ artifacts in clinical routine with parallel transmission at high field, dealing with significant inter-subject variability, found for instance in the abdomen. THEORY AND METHODS: From a dual-transmit 3T scanner, a database of B1+ and off-resonance abdominal maps from 50 subjects was first divided into 3 clusters based on mutual affinity between their respective tailored kT -points pulses. For each cluster, a kT -points pulse was computed, minimizing normalized root-mean-square flip angle deviations simultaneously for all subjects comprised in it. Using 30 additional subjects' field distributions, a machine learning classifier was trained on this 80-labeled-subject database to recognize the best pulse from the 3 ones available, relying only on patient features accessible from the preliminary localizer sequence present in all protocols. This so-called SmartPulse process was experimentally tested on an additional 53-subject set and compared with other pulse types: vendor's hard calibration-free dual excitation, tailored static radiofrequency shimming, universal and tailored kT -points pulses. RESULTS: SmartPulse outperformed both calibration-free approaches. Tailored static radiofrequency shimming yielded similar flip angle homogeneity for most patients but broke down for some while SmartPulse remained robust. Although flip angle homogeneity was systematically better with tailored kT -points, the difference was barely noticeable on in vivo images. CONCLUSION: The proposed method paves the way toward an efficient trade-off between tailored and universal pulse design approaches for large inter-subject variability. With no need for on-line field mapping or pulse design, it can fit seamlessly into a clinical protocol.


Assuntos
Abdome/diagnóstico por imagem , Processamento de Imagem Assistida por Computador/métodos , Aprendizado de Máquina , Imageamento por Ressonância Magnética , Ondas de Rádio , Adulto , Idoso , Idoso de 80 Anos ou mais , Algoritmos , Artefatos , Índice de Massa Corporal , Calibragem , Análise por Conglomerados , Feminino , Humanos , Interpretação de Imagem Assistida por Computador/métodos , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Adulto Jovem
14.
Metab Brain Dis ; 34(4): 1071-1076, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31089866

RESUMO

Hepatic encephalopathy (HE) is a frequent and debilitating complication of cirrhosis and its pathogenesis is not definitively clarified. Recent hypotheses focus on the possible existence of low-grade cerebral edema due to accumulation of osmolytes secondary to hyperammonemia. In the present study we investigated increases in cerebral water content by a novel magnetic resonance impedance (MRI) technique in cirrhosis patients with and without clinically manifest HE. We used a 3 T MRI technique for quantitative cerebral water content mapping in nine cirrhosis patients with an episode of overt HE, ten cirrhosis patients who never suffered from HE, and ten healthy aged-matched controls. We tested for differences between groups by statistical non-parametric mapping (SnPM) for a voxel-based spatial evaluation. The patients with HE had significantly higher water content in white matter than the cirrhosis patients (0.6%), who in turn, had significantly higher content than the controls (1.7%). Although the global gray matter water content did not differ between the groups, the patients with HE had markedly higher thalamic water content than patients who never experienced HE (6.0% higher). We found increased white matter water content in cirrhosis patients, predominantly in those with manifest HE. This confirms the presence of increasing degrees of low-grade edema with exacerbation of pathology. The thalamic edema in manifest HE may lead to compromised basal ganglia-thalamo-cortical circuits, in accordance with the major clinical symptoms of HE. The identification of the thalamus as particularly inflicted in manifest HE is potentially relevant to the pathophysiology of HE.


Assuntos
Edema Encefálico/patologia , Encéfalo/patologia , Encefalopatia Hepática/patologia , Cirrose Hepática/patologia , Água , Adulto , Idoso , Encéfalo/diagnóstico por imagem , Edema Encefálico/diagnóstico por imagem , Feminino , Substância Cinzenta/diagnóstico por imagem , Substância Cinzenta/patologia , Encefalopatia Hepática/diagnóstico por imagem , Humanos , Cirrose Hepática/diagnóstico por imagem , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Substância Branca/diagnóstico por imagem , Substância Branca/patologia , Adulto Jovem
15.
Magn Reson Med ; 80(1): 53-65, 2018 07.
Artigo em Inglês | MEDLINE | ID: mdl-29193250

RESUMO

PURPOSE: T2 -weighted sequences are particularly sensitive to the radiofrequency (RF) field inhomogeneity problem at ultra-high-field because of the errors accumulated by the imperfections of the train of refocusing pulses. As parallel transmission (pTx) has proved particularly useful to counteract RF heterogeneities, universal pulses were recently demonstrated to save precious time and computational efforts by skipping B1 calibration and online RF pulse tailoring. Here, we report a universal RF pulse design for non-selective refocusing pulses to mitigate the RF inhomogeneity problem at 7T in turbo spin-echo sequences with variable flip angles. METHOD: Average Hamiltonian theory was used to synthetize a single non-selective refocusing pulse with pTx while optimizing its scaling properties in the presence of static field offsets. The design was performed under explicit power and specific absorption rate constraints on a database of 10 subjects using a 8Tx-32Rx commercial coil at 7T. To validate the proposed design, the RF pulses were tested in simulation and applied in vivo on 5 additional test subjects. RESULTS: The root-mean-square rotation angle error (RA-NRMSE) evaluation and experimental data demonstrated great improvement with the proposed universal pulses (RA-NRMSE ∼8%) compared to the standard circularly polarized mode of excitation (RA-NRMSE ∼26%). CONCLUSION: This work further completes the spectrum of 3D universal pulses to mitigate RF field inhomogeneity throughout all 3D MRI sequences without any pTx calibration. The approach returns a single pulse that can be scaled to match the desired flip angle train, thereby increasing the modularity of the proposed plug and play approach. Magn Reson Med 80:53-65, 2018. © 2017 International Society for Magnetic Resonance in Medicine.


Assuntos
Encéfalo/diagnóstico por imagem , Imageamento Tridimensional/métodos , Imageamento por Ressonância Magnética/métodos , Ondas de Rádio , Adulto , Algoritmos , Aorta/patologia , Mapeamento Encefálico/métodos , Calibragem , Simulação por Computador , Meios de Contraste , Bases de Dados Factuais , Feminino , Humanos , Interpretação de Imagem Assistida por Computador/métodos , Processamento de Imagem Assistida por Computador , Masculino , Pessoa de Meia-Idade , Imagens de Fantasmas , Processamento de Sinais Assistido por Computador , Adulto Jovem
16.
J Magn Reson Imaging ; 47(6): 1562-1571, 2018 06.
Artigo em Inglês | MEDLINE | ID: mdl-29159855

RESUMO

BACKGROUND: The excitation inhomogeneity artifact occurring at 3T in the abdomen can lead to dramatic loss of signal and contrast, thereby hampering diagnosis. PURPOSE: To assess excitation homogeneity and image quality achieved by nonselective prototypical kT -points pulses, compared to tailored static RF shimming, in clinical routine on a commercial dual-transmit scanner. STUDY TYPE: Retrospective study with Institutional Review Board approval; informed consent was waived. POPULATION: Fifty consecutive patients referred for liver MRI at a single hospital. FIELD STRENGTH/SEQUENCE: 3D breath-hold dynamic contrast-enhanced (DCE) MRI at 3T. ASSESSMENT: Flip angle homogeneity was estimated via numerical simulation based on measured static and RF field maps. In all, 20 of the 50 patients underwent DCE-MRI while a pulse designer was present. The effect of RF shimming and kT -point pulses could be compared by repeating the acquisition with each transmit scheme before injection and in the late phase. Signal homogeneity, T1 contrast, enhancement quality, structure details, and global image quality were assessed on a 4-level scale (0 to 3) by two radiologists. STATISTICAL TESTS: Means were compared using Wilcoxon signed-rank tests. RESULTS: Normalized root mean square flip angle error was significantly reduced with kT -points compared to static RF shimming (8.5% ± 1.5% [mean ± standard deviation, SD] vs. 20.4% ± 9.8%; P < 0.0001). The worst case (heavy ascites) led to 13.0% (kT -points) vs. 54.9% (RF shimming). Global image quality was significantly higher for kT -points (2.3 ± 0.5 vs. 1.9 ± 0.6; P = 0.008). One subject's examination was judged unusable with RF shimming by one reader, none with kT -points. 85% of kT -points acquisitions were graded at least 2/3, and only 55% for static RF shimming. DATA CONCLUSION: KT -points reduce excitation inhomogeneity quantitatively and qualitatively, especially in patients with ascites and prone to B1 shading. LEVEL OF EVIDENCE: 1 Technical Efficacy: Stage 1 J. Magn. Reson. Imaging 2018;47:1562-1571.


Assuntos
Artefatos , Processamento de Imagem Assistida por Computador/métodos , Fígado/diagnóstico por imagem , Imageamento por Ressonância Magnética , Radiologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Algoritmos , Ascite/diagnóstico por imagem , Simulação por Computador , Feminino , Humanos , Aumento da Imagem/métodos , Interpretação de Imagem Assistida por Computador/métodos , Masculino , Pessoa de Meia-Idade , Modelos Teóricos , Pâncreas/diagnóstico por imagem , Reprodutibilidade dos Testes , Estudos Retrospectivos , Processamento de Sinais Assistido por Computador , Adulto Jovem
17.
Magn Reson Med ; 77(2): 635-643, 2017 02.
Artigo em Inglês | MEDLINE | ID: mdl-26888654

RESUMO

PURPOSE: A calibration-free parallel transmission method is investigated to mitigate the radiofrequency (RF) field inhomogeneity problem in brain imaging at 7 Tesla (T). THEORY AND METHODS: Six volunteers were scanned to build a representative database of RF and static field maps at 7T. Small-tip-angle and inversion pulses were designed with joint kT -points trajectory optimization to work robustly on all six subjects. The returned "universal" pulses were then inserted in an MPRAGE sequence implemented on six additional volunteers without further field measurements and pulse optimizations. Similar acquisitions were performed in the circularly polarized mode and with subject-based optimizations for comparison. Performance of the different approaches was evaluated by means of image analysis and computation of the flip angle normalized root mean square errors (NRMSE). RESULTS: For both the excitation and inversion, the universal pulses (NRMSE∼11%) outperformed the circularly polarized (NRMSE∼28%) and RF shim modes (NRMSE∼20%) across all volunteers and returned slightly worse results than for subject-based optimized pulses (NRMSE∼7%). CONCLUSION: RF pulses can be designed to robustly mitigate the RF field inhomogeneity problem over a population class. This appears as a first step toward another plug and play parallel transmission solution where the pulse design can be done offline and without measuring subject-specific field maps. Magn Reson Med 77:635-643, 2017. © 2016 International Society for Magnetic Resonance in Medicine.


Assuntos
Algoritmos , Encéfalo/anatomia & histologia , Aumento da Imagem/métodos , Interpretação de Imagem Assistida por Computador/métodos , Imageamento por Ressonância Magnética/métodos , Processamento de Sinais Assistido por Computador , Adulto , Calibragem , Feminino , Humanos , Masculino , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
18.
Magn Reson Med ; 78(1): 130-141, 2017 07.
Artigo em Inglês | MEDLINE | ID: mdl-27476684

RESUMO

PURPOSE: To design a general framework for the optimization of an MRI protocol based on the the diffusion-weighted dual-echo steady-state (DW-DESS) sequence, enabling quantitative and simultaneous mapping of proton density (PD), relaxation times T1 and T2 and diffusion coefficient D. METHODS: A parameterization of the DW-DESS sequence minimizing the Cramér-Rao lower bound of each parameter estimate was proposed and tested in a phantom experiment. An extension of the protocol was implemented for brain imaging to return the rotationally invariant mean diffusivity (MD). RESULTS: In an NiCl2 -doped agar gel phantom wherein T1/T2=920/65 ms, the parameter estimation errors were below 3% for PD and T1 and below 7% for T2 and D while the measured signal-to-noise ratio always exceeded 20. In the human brain, the in vivo parametric maps obtained were overall in reasonable agreement with gold standard measurements, despite a broadening of the distributions due to physiological motion. CONCLUSION: Within the optimization framework presented here, DW-DESS images can be quantitatively interpreted to yield four intrinsic parameters of the tissue. Currently, the method is limited by the sensitivity of the DW-DESS sequence in terms of physiological motion. Magn Reson Med 78:130-141, 2017. © 2016 International Society for Magnetic Resonance in Medicine.


Assuntos
Algoritmos , Imagem de Difusão por Ressonância Magnética/métodos , Interpretação de Imagem Assistida por Computador/métodos , Pletismografia de Impedância/métodos , Processamento de Sinais Assistido por Computador , Difusão , Imagem de Difusão por Ressonância Magnética/instrumentação , Humanos , Aumento da Imagem/métodos , Imagens de Fantasmas , Prótons , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
19.
Magn Reson Med ; 78(6): 2194-2202, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-28112827

RESUMO

PURPOSE: Small gradient delays with respect to radiofrequency (RF) events can have disastrous effects on the performance of bipolar spokes RF pulses used in parallel transmission (pTx). In this work, we propose a new method to characterize and correct this delay with sub-µs precision. METHODS: By determining experimentally the phase Δφ producing a 0 ° flip angle excitation in a α0°-α180°+Δφ bipolar two-spoke pulse configuration at multiple slice locations, we demonstrate the possibility of deducing the underlying gradient delay with precision. The technique also suggests prospectively compensating for the same delay by altering the phase of the second pulse. The approach was tested with a multislice gradient echo sequence on a phantom and on one healthy volunteer at 7 Tesla. RESULTS: Application of the method returned an accuracy of approximately 50 ns on the gradient delay measurement, a performance shown in fact to be desirable for high-performance pTx 2D applications. Phase corrections of up to 180 ° on the second spoke RF pulse in the bipolar configuration allowed us to obtain similar performance as for unipolar designs, yet with significantly shorter excitations. CONCLUSIONS: A simple and accurate gradient-delay calibration method was proposed that offers the possibility of using bipolar multispoke pulses in multislice protocols. Magn Reson Med 78:2194-2202, 2017. © 2017 International Society for Magnetic Resonance in Medicine.


Assuntos
Imageamento por Ressonância Magnética , Ondas de Rádio , Adulto , Algoritmos , Encéfalo/diagnóstico por imagem , Calibragem , Voluntários Saudáveis , Humanos , Processamento de Imagem Assistida por Computador , Imagens de Fantasmas , Reprodutibilidade dos Testes , Água/química
20.
Magn Reson Med ; 78(3): 1217-1223, 2017 09.
Artigo em Inglês | MEDLINE | ID: mdl-27670737

RESUMO

PURPOSE: Specific absorption rate (SAR) calculations in parallel transmission are commonly performed by using electromagnetic simulations on generic models. In this study, we propose a probabilistic analysis to study the safety factor employed to account for SAR intersubject variability versus risk relationship in head imaging at 7T. METHODS: Thirty-three finite-element electromagnetic simulations were conducted to sample the four-dimensional parameter space consisting of the head length, head breadth, and shifts in Z and Y random variables. Based on the SAR matrices for each configuration, a multivariate second-order polynomial of the SAR versus the different parameters was reconstructed for different types of radiofrequency pulses. A Monte Carlo calculation was then performed to compute the probability of occurrence of a given SAR value. RESULTS: By testing a large number of radiofrequency excitation pulses, the SAR calculated for the average model amplified by a safety margin of 1.5 was found to return a probability of less than 1% to be exceeded across the adult Caucasian population given the investigated parameters. CONCLUSION: The proposed method to study SAR intersubject variability uses a reasonable number of electromagnetic simulations. Look-ahead SAR safety margins can be deduced based on risk/benefit ratio assessments. Magn Reson Med 78:1217-1223, 2017. © 2016 International Society for Magnetic Resonance in Medicine.


Assuntos
Simulação por Computador , Imageamento por Ressonância Magnética/métodos , Modelos Estatísticos , Absorção Fisico-Química , Feminino , Análise de Elementos Finitos , Cabeça/diagnóstico por imagem , Humanos
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