Optimizing signal-to-noise ratio of high-resolution parallel single-shot diffusion-weighted echo-planar imaging at ultrahigh field strengths.

The potential signal-to-noise ratio (SNR) gain at ultrahigh field strengths offers the promise of higher image resolution in single-shot diffusion-weighted echo-planar imaging the challenge being reduced T(2) and T(2) * relaxation times and increased B(0) inhomogeneity which lead to geometric distortions and image blurring. These can be addressed using parallel imaging (PI) methods for which a greater range of feasible reduction factors has been predicted at ultrahigh field strengths-the tradeoff being an associated SNR loss. Using comprehensive simulations, the SNR of high-resolution diffusion-weighted echo-planar imaging in combination with spin-echo and stimulated-echo acquisition is explored at 7 T and compared to 3 T. To this end, PI performance is simulated for coil arrays with a variable number of circular coil elements. Beyond that, simulations of the point spread function are performed to investigate the actual image resolution. When higher PI reduction factors are applied at 7 T to address increased image distortions, high-resolution imaging benefits SNR-wise only at relatively low PI reduction factors. On the contrary, it features generally higher image resolutions than at 3 T due to smaller point spread functions. The SNR simulations are confirmed by phantom experiments. Finally, high-resolution in vivo images of a healthy volunteer are presented which demonstrate the feasibility of higher PI reduction factors at 7 T in practice.

Measurement and analysis of electromagnetic fields of pulsed magnetic field therapy systems for private use.

Recently, pulsed magnetic field therapy (PMFT) systems have become available for private use. Although they may be applied without medical supervision, only a little is known about their field quantities. In this study, the spatial distribution and the temporal characteristics of the magnetic flux densities of three PMFT systems, available in Europe, were analysed. In close proximity to the surface, the maxima of the peak magnetic flux densities were 461 µT, 170 µT and 133 µT, respectively. At a distance of 30 cm above the whole body mat, the peak magnetic flux density was 77 µT. The excitation patterns consisted of repeating bursts with carrier frequencies between 210 and 1667 Hz. In conclusion, magnetic flux densities were far above International Commission on Non-Ionizing Radiation Protection reference levels. Since these systems are supposed to be medical devices as well as wellness devices, risk analysis of PMFT systems and the effectiveness of these devices need to be investigated in future studies.

Hypoxia-induced acute mountain sickness is associated with intracellular cerebral edema: a 3 T magnetic resonance imaging study.

Acute mountain sickness is common among not acclimatized persons ascending to high altitude; the underlying mechanism is unknown, but may be related to cerebral edema. Nine healthy male students were studied before and after 6-h exposure to isobaric hypoxia. Subjects inhaled room air enriched with N(2) to obtain arterial O(2) saturation values of 75 to 80%. Acute mountain sickness was assessed with the environmental symptom questionnaire, and cerebral edema with 3 T magnetic resonance imaging in 18 regions of interest in the cerebral white matter. The main outcome measures were development of intra- and extracellular cerebral white matter edema assessed by visual inspection and quantitative analysis of apparent diffusion coefficients derived from diffusion-weighted imaging, and B0 signal intensities derived from T2-weighted imaging. Seven of nine subjects developed acute mountain sickness. Mean apparent diffusion coefficient increased 2.12% (baseline, 0.80+/-0.09; 6 h hypoxia, 0.81+/-0.09; P=0.034), and mean B0 signal intensity increased 4.56% (baseline, 432.1+/-98.2; 6 h hypoxia, 450.7+/-102.5; P<0.001). Visual inspection of magnetic resonance images failed to reveal cerebral edema. Cerebral acute mountain sickness scores showed a negative correlation with relative changes of apparent diffusion coefficients (r=-0.83, P=0.006); there was no correlation with relative changes of B0 signal intensities. In conclusion, isobaric hypoxia is associated with mild extracellular (vasogenic) cerebral edema irrespective of the presence of acute mountain sickness in most subjects, and severe acute mountain sickness with additional mild intracellular (cytotoxic) cerebral edema.

Three-dimensional fiber architecture of the nonpregnant human uterus determined ex vivo using magnetic resonance diffusion tensor imaging.

The global muscle and collagen fiber orientation in the human uterus has been analyzed hitherto by various standard microscopic techniques. However, no widely accepted model of the fiber architecture of the myometrium could be acquired. The purpose of the present study was to investigate the uterus by magnetic resonance (MR) diffusion tensor imaging (DTI) in a 3D macroscopic approach. Ex vivo MR DTI measurements were performed on five uteri from nonpregnant patients. The main diffusion directions reflecting the orientation of directional structures in the examined tissues were determined from diffusion-weighted spin-echo measurements. A fiber tracking algorithm was used to extrapolate the fiber architecture. The method was validated against histological slides and indirectly through the analysis of leiomyomas, which exhibit less anisotropy than normal myometrium. Significant anisotropy was found in most regions of all examined nonpregnant human uteri. But only two systems of fibers were found running circularly along the intramural part of the uterine tubes. They merged caudally and built a close fitting envelope of circular layers around the uterine cavity. On the cervix, circular fibers were observed in the outer part as well as mostly longitudinal fibers in the inner part. These results confirm the existence of directional structures in the complex fiber architecture of the human uterus. They also indicate that MR DTI is a beneficial and complementary tool to standard microscopic techniques to determine the intrinsic fiber architecture in human organs.

Effects of memory consolidation on human hippocampal activity during retrieval.

Day-to-day memories undergo transformation from short-term to long-term storage, a process called memory consolidation. Animal studies showed that memory consolidation requires protein synthesis and the growth of new hippocampal synapses within 24 h. To test for effects of memory consolidation in the human, we examined brain activation during the retrieval of information at 10 min and at 24 h following learning using functional magnetic resonance imaging (fMRI), an indirect measure of synaptic activity. Learning instructions were adjusted to yield a comparable retrieval quantity and retrieval quality at 10 min and 24 h after learning. The left hippocampal formation exhibited enhanced activity during the retrieval at the 24 h lag compared to the retrieval at the 10 min lag. Moreover, the activity in the left anterior hippocampal formation showed stronger correlations with retrieval quantity and retrieval quality at the 24 h lag than at the 10 min lag. This suggests that the relation between left anterior hippocampal activity and retrieval success became closer as consolidation progressed. These fMRI results in the human hippocampal formation may correspond to the neurobiological results in the animal hippocampal formation of a strengthening and growth of synaptic connections within 24 h.

Ventricular myocardial architecture as visualised in postmortem swine hearts using magnetic resonance diffusion tensor imaging.

OBJECTIVE: The three-dimensional arrangement of the ventricular myocardial architecture remains controversial, in part because histological assessment is difficult to achieve, while anatomic dissections are, of necessity, destructive. In this study, we describe how the use of magnetic resonance diffusion tensor imaging has permitted us to reconstruct with precision the architecture of the ventricular myocardial fibres in the post-mortem swine heart. METHODS AND RESULTS: We obtained diffusion-weighted spin-echo measurements of autopsied porcine hearts using a whole body MR system. We calculated the diffusion tensor and the corresponding eigenvectors on a voxel-by-voxel basis. This permitted us to colour code the fibres, and reconstruct them by connecting voxels in direction of the largest eigenvector. Such reconstructions show that, in the middle layer of the left ventricle, most of the fibres have a circular orientation, albeit that a far from negligible component runs in a transverse direction. With increasing distance from the epicardium, the orientation of the fibres shows a continuous change in angulation with respect to an axis normal to the epicardium. CONCLUSION: Our data presented here supports the concept that the ventricular mass is arranged as a complex three-dimensional mesh of tangential and intruding fibres. The data offers no support for the concept of a "unique myocardial band". The method has the potential to detecting deviations from this basic normal architecture, being capable of reconstructing the ventricular mass so as to assess the spatial coordinates of any single fibre strand. The technique, therefore, has major potential clinical applications in the setting of the failing or malformed heart, potentially being able to identify either systematic or regional disarray of the myocardial fibres.

Construction of a temperature-controlled diffusion phantom for quality control of diffusion measurements.

PURPOSE: To construct a temperature-controlled diffusion phantom with known diffusion properties and geometry in order to facilitate the comparison and optimization of diffusion sequences with the objective of increasing the precision of experimentally derived diffusion parameters. MATERIALS AND METHODS: A temperature-stabilized diffusion phantom made up of two crossing strands of hydrophobic polyethylene fibers was constructed. Reproducibility and temperature dependence of several diffusion parameters was investigated and compared with computer simulations. Furthermore, in order to stimulate actual use, the precision of measurement of different diffusion-encoding schemes was compared using bootstrap analysis. RESULTS: The measured values of the diffusion parameters are highly reproducible and feature strong temperature dependence which is reproduced in simulations, underlining the necessity of a temperature-stabilized environment for quality control. The exemplary application presented here demonstrates that the phantom allows comparing and optimizing different diffusion sequences with regard to their measurement precision. CONCLUSION: The present work demonstrates that the diffusion phantom facilitates and improves the comparison and quality control of diffusion sequences and the ensuing parameters. The results show that an accurate temperature control is a vital prerequisite for highly reproducible calibration measurements. As such, the phantom might provide a valuable calibration tool for clinical studies.

Statistical analysis of the angle of intrusion of porcine ventricular myocytes from epicardium to endocardium using diffusion tensor magnetic resonance imaging.

Pairs of cylindrical knives were used to punch semicircular slices from the left basal, sub-basal, equatorial, and apical ventricular wall of porcine hearts. The sections extended from the epicardium to the endocardium. Their semicircular shape compensated for the depth-related changing orientation of the myocytes relative to the equatorial plane. The slices were analyzed by diffusion tensor magnetic resonance imaging. The primary eigenvector of the diffusion tensor was determined in each pixel to calculate the number and angle of intrusion of the long axis of the aggregated myocytes relative to the epicardial surface. Arrays of axially sectioned aggregates were found in which 53% of the approximately two million segments evaluated intruded up to +/-15 degrees , 40% exhibited an angle of intrusion between +/-15 degrees and +/-45 degrees , and 7% exceeded an angle of +/-45 degrees , the positive sign thereby denoting an epi- to endocardial spiral in clockwise direction seen from the apex, while a negative sign denotes an anticlockwise spiral from the epicardium to the endocardium. In the basal and apical slices, the greater number of segments intruded in positive direction, while in the sub-basal and equatorial slices, negative angles of intrusion prevailed. The sampling of the primary eigenvectors was insensitive to postmortem decomposition of the tissue. In a previous histological study, we also documented the presence of large numbers of myocytes aggregated with their long axis intruding obliquely from the epicardial to the endocardial ventricular surfaces. We used magnetic resonance diffusion tensor imaging in this study to provide a comprehensive statistical analysis.