Short echo-time 3D radial gradient-echo MRI using concurrent dephasing and excitation.

Ultrashort echo-time imaging and sweep imaging with Fourier transformation are powerful techniques developed for imaging ultrashort T(2) species. However, it can be challenging to implement them on standard clinical MRI systems due to demanding hardware requirements. In this article, the limits of what is possible in terms of the minimum echo-time and repetition time with 3D radial gradient-echo sequences, which can be readily implemented on a standard clinical scanner, are investigated. Additionally, a new 3D radial gradient-echo sequence is introduced, called COncurrent Dephasing and Excitation (CODE). The unique feature of CODE is that the initial dephasing of the readout gradient is performed during RF excitation, which allows CODE to effectively achieve echo-times on the order of ∼0.2 ms and larger in a clinical setting. The minimum echo-time achievable with CODE is analytically described and compared with a standard 3D radial gradient-echo sequence. CODE was implemented on a clinical 3 T scanner (Siemens 3 T MAGNETOM Trio), and both phantom and in vivo human knee images are shown for demonstration.

Functional magnetic resonance imaging using RASER.

Although functional imaging of neuronal activity by magnetic resonance imaging (fMRI) has become the primary methodology employed in studying the brain, significant portions of the brain are inaccessible by this methodology due to its sensitivity to macroscopic magnetic field inhomogeneities induced near air-filled cavities in the head. In this paper, we demonstrate that this sensitivity is eliminated by a novel pulse sequence, RASER (rapid acquisition by sequential excitation and refocusing) (Chamberlain et al., 2007), that can generate functional maps. This is accomplished because RASER acquired signals are purely and perfectly T(2) weighted, without any T(2)*-effects that are inherent in the other image acquisition schemes employed to date. T(2)-weighted fMRI sequences are also more specific to the site of neuronal activity at ultrahigh magnetic fields than T(2)*-variations since they are dominated by signal components originating from the tissue in the capillary bed. The RASER based fMRI response is quantified; it is shown to have an inherently less noisy time series and to provide fMRI in brain regions, such as the orbitofrontal cortex, which are challenging to image with conventional techniques.

Outcomes of untreated posterolateral knee injuries: an in vivo canine model.

PURPOSE: The purpose of our study was to determine if sectioning the canine fibular collateral ligament, popliteus tendon, and popliteofibular ligament would result in residual posterolateral instability and produce measureable evidence of early-onset arthritis on ultra-high field MRI. METHODS: The fibular collateral ligament, popliteus tendon, and popliteofibular ligament were surgically sectioned in six canines. Six months postoperatively, both limbs were biomechanically tested involving 3.25 Nm varus and 1.25 Nm internal and external rotation torques at 28.5° (mean full extension), 60°, and 90° of flexion. A 7.0-tesla MRI scanner acquired T (1ρ)-weighted images, and relaxation time constants were calculated. RESULTS: Compared to the non-operative knees, varus angulation significantly increased by 2.0°, 8.0°, and 12.4° in the operative knees at full extension, 60° flexion, and 90° flexion, respectively. External rotation was significantly increased by 8.1° at full extension, 12.2° at 60°, and 8.2° at 90°. Internal rotation was significantly increased by 9.1° at full extension and 12.4° at 60°. T (1ρ) MRI mapping revealed a significant increase in relaxation times in the medial compartment of the surgical knees compared to controls. CONCLUSION: This study validated that grade III surgically created posterolateral knee injuries do not heal and that the canine knee developed early-onset changes of the medial compartment, indicative of early-onset osteoarthritis, developed in the operative knees.

Airway morphology and inspiratory flow features in the early stages of Chronic Obstructive Pulmonary Disease.

BACKGROUND: Chronic Obstructive Pulmonary Disease (COPD) is among the leading causes of death worldwide. Inhaled pollutants are the prime risk factor, but the pathogenesis and progression of the diseased is poorly understood. Most studies on the disease onset and trajectory have focused on genetic and molecular biomarkers. Here we investigate the role of the airway anatomy and the consequent respiratory fluid mechanics on the development of COPD. METHODS: We segmented CT scans from a five-year longitudinal study in three groups of smokers (18 subjects each) having: (i) minimal/mild obstruction at baseline with declining lung function at year five; (ii) minimal/mild obstruction at baseline with stable function, and (iii) normal and stable lung function over the five year period. We reconstructed the bronchial trees up to the 7th generation, and for one subject in each group we performed MRI velocimetry in 3D printed models. FINDINGS: The subjects with airflow obstruction at baseline have smaller airway diameters, smaller child-to-parent diameter ratios, larger length-to-diameter ratios, and smaller fractal dimensions. The differences are more significant for subjects that develop severe decline in pulmonary function. The secondary flows that characterize lateral dispersion along the airways are found to be less intense in the subjects with airflow obstruction. INTERPRETATION: These results indicate that morphology of the conducting airways and inspiratory flow features are correlated with the status and progression of COPD already at an early stage of the disease. This suggests that imaging-based biomarkers may allow a pre-symptomatic diagnosis of disease progression.

Ultra-high field parallel imaging of the superior parietal lobule during mental maze solving.

We used ultra-high field (7 T) fMRI and parallel imaging to scan the superior parietal lobule (SPL) of human subjects as they mentally traversed a maze path in one of four directions (up, down, left, right). A counterbalanced design for maze presentation and a quasi-isotropic voxel (1.46 x 1.46 x 2 mm thick) collection were implemented. Fifty-one percent of single voxels in the SPL were tuned to the direction of the maze path. Tuned voxels were distributed throughout the SPL, bilaterally. A nearest neighbor analysis revealed a "honeycomb" arrangement such that voxels tuned to a particular direction tended to occur in clusters. Three-dimensional (3D) directional clusters were identified in SPL as oriented centroids traversing the cortical depth. There were 13 same-direction clusters per hemisphere containing 22 voxels per cluster, on the average; the mean nearest-neighbor, same-direction intercluster distance was 9.4 mm. These results provide a much finer detail of the directional tuning in SPL, as compared to those obtained previously at 4 T (Gourtzelidis et al. Exp Brain Res 165:273-282, 2005). The more accurate estimates of quantitative clustering parameters in 3D brain space in this study were made possible by the higher signal-to-noise and contrast-to-noise ratios afforded by the higher magnetic field of 7 T as well as the quasi-isotropic design of voxel data collection.

Spatial specificity in spatiotemporal encoding and Fourier imaging.

PURPOSE: Ultrafast imaging techniques based on spatiotemporal encoding (SPEN), such as RASER (rapid acquisition with sequential excitation and refocusing), is a promising new class of sequences since they are largely insensitive to magnetic field variations which cause signal loss and geometric distortion in EPI. So far, attempts to theoretically describe the point-spread-function (PSF) for the original SPEN-imaging techniques have yielded limited success. To fill this gap a novel definition for an apparent PSF is proposed. THEORY: Spatial resolution in SPEN-imaging is determined by the spatial phase dispersion imprinted on the acquired signal by a frequency-swept excitation or refocusing pulse. The resulting signal attenuation increases with larger distance from the vertex of the quadratic phase profile. METHODS: Bloch simulations and experiments were performed to validate theoretical derivations. RESULTS: The apparent PSF quantifies the fractional contribution of magnetization to a voxel's signal as a function of distance to the voxel. In contrast, the conventional PSF represents the signal intensity at various locations. CONCLUSION: The definition of the conventional PSF fails for SPEN-imaging since only the phase of isochromats, but not the amplitude of the signal varies. The concept of the apparent PSF is shown to be generalizable to conventional Fourier-imaging techniques.

Gradient-Modulated PETRA MRI.

Image blurring due to off-resonance and fast T 2* signal decay is a common issue in radial ultrashort echo time MRI sequences. One solution is to use a higher readout bandwidth, but this may be impractical for some techniques like pointwise encoding time reduction with radial acquisition (PETRA), which is a hybrid method of zero echo time and single point imaging techniques. Specifically, PETRA has severe specific absorption rate (SAR) and radiofrequency (RF) pulse peak power limitations when using higher bandwidths in human measurements. In this study, we introduce gradient modulation (GM) to PETRA to reduce image blurring artifacts while keeping SAR and RF peak power low. Tolerance of GM-PETRA to image blurring was evaluated in simulations and experiments by comparing with the conventional PETRA technique. We performed inner ear imaging of a healthy subject at 7T. GM-PETRA showed significantly less image blurring due to off-resonance and fast T2* signal decay compared to PETRA. In in vivo imaging, GM-PETRA nicely captured complex structures of the inner ear such as the cochlea and semicircular canals. Gradient modulation can improve the PETRA image quality and mitigate SAR and RF peak power limitations without special hardware modification in clinical scanners.

Functional MRI using super-resolved spatiotemporal encoding.

Recently, new ultrafast imaging sequences such as rapid acquisition by sequential excitation and refocusing (RASER) and hybrid spatiotemporal encoding (SPEN) magnetic resonance imaging (MRI) have been proposed, in which the phase encoding of conventional echo planar imaging (EPI) is replaced with a SPEN. In contrast to EPI, SPEN provides significantly higher immunity to frequency heterogeneities including those caused by B(0) inhomogeneities and chemical shift offsets. Utilizing the inherent robustness of SPEN, it was previously shown that RASER can be used to successfully perform functional MRI (fMRI) experiments in the orbitofrontal cortex--a task which is challenging using EPI due to strong magnetic susceptibility variation near the air-filled sinuses. Despite this superior performance, systematic analyses have shown that, in its initial implementation, the use of SPEN was penalized by lower signal-to-noise ratio (SNR) and higher radiofrequency power deposition as compared to EPI-based methods. A recently developed reconstruction algorithm based on super-resolution principles is able to alleviate both of these shortcomings; the use of this algorithm is hereby explored within an fMRI context. Specifically, a series of fMRI measurements on the human visual cortex confirmed that the super-resolution algorithm retains the statistical significance of the blood oxygenation level dependent (BOLD) response, while significantly reducing the power deposition associated with SPEN and restoring the SNR to levels that are comparable with those of EPI.

Heating induced near deep brain stimulation lead electrodes during magnetic resonance imaging with a 3 T transceive volume head coil.

Heating induced near deep brain stimulation (DBS) lead electrodes during magnetic resonance imaging with a 3 T transceive head coil was measured, modeled, and imaged in three cadaveric porcine heads (mean body weight = 85.47 ± 3.19 kg, mean head weight = 5.78 ± 0.32 kg). The effect of the placement of the extra-cranial portion of the DBS lead on the heating was investigated by looping the extra-cranial lead on the top, side, and back of the head, and placing it parallel to the coil's longitudinal axial direction. The heating was induced using a 641 s long turbo spin echo sequence with the mean whole head average specific absorption rate of 3.16 W kg(-1). Temperatures were measured using fluoroptic probes at the scalp, first and second electrodes from the distal lead tip, and 6 mm distal from electrode 1 (T(6 mm)). The heating was modeled using the maximum T(6 mm) and imaged using a proton resonance frequency shift-based MR thermometry method. Results showed that the heating was significantly reduced when the extra-cranial lead was placed in the longitudinal direction compared to the other placements (peak temperature change = 1.5-3.2 °C versus 5.1-24.7 °C). Thermal modeling and MR thermometry may be used together to determine the heating and improve patient safety online.

A comparative analysis of 7.0-Tesla magnetic resonance imaging and histology measurements of knee articular cartilage in a canine posterolateral knee injury model: a preliminary analysis.

BACKGROUND: There has recently been increased interest in the use of 7.0-T magnetic resonance imaging for evaluating articular cartilage degeneration and quantifying the progression of osteoarthritis. PURPOSE: The purpose of this study was to evaluate articular cartilage cross-sectional area and maximum thickness in the medial compartment of intact and destabilized canine knees using 7.0-T magnetic resonance images and compare these results with those obtained from the corresponding histologic sections. STUDY DESIGN: Controlled laboratory study. METHODS: Five canines had a surgically created unilateral grade III posterolateral knee injury that was followed for 6 months before euthanasia. The opposite, noninjured knee was used as a control. At necropsy, 3-dimensional gradient echo images of the medial tibial plateau of both knees were obtained using a 7.0-T magnetic resonance imaging scanner. Articular cartilage area and maximum thickness in this site were digitally measured on the magnetic resonance images. The proximal tibias were processed for routine histologic analysis with hematoxylin and eosin staining. Articular cartilage area and maximum thickness were measured in histologic sections corresponding to the sites of the magnetic resonance slices. RESULTS: The magnetic resonance imaging results revealed an increase in articular cartilage area and maximum thickness in surgical knees compared with control knees in all specimens; these changes were significant for both parameters (P <.05 for area; P <.01 for thickness). The average increase in area was 14.8% and the average increase in maximum thickness was 15.1%. The histologic results revealed an average increase in area of 27.4% (P = .05) and an average increase in maximum thickness of 33.0% (P = .06). Correlation analysis between the magnetic resonance imaging and histology data revealed that the area values were significantly correlated (P < .01), but the values for thickness obtained from magnetic resonance imaging were not significantly different from the histology sections (P > .1). CONCLUSION: These results demonstrate that 7.0-T magnetic resonance imaging provides an alternative method to histology to evaluate early osteoarthritic changes in articular cartilage in a canine model by detecting increases in articular cartilage area. CLINICAL RELEVANCE: The noninvasive nature of 7.0-T magnetic resonance imaging will allow for in vivo monitoring of osteoarthritis progression and intervention in animal models and humans for osteoarthritis.

Transient signal changes in diffusion-weighted stimulated echoes during neuronal stimulation at 3T.

PURPOSE: To develop a sensitive method for detecting minute transient signal changes that can arise due to variations in the extravascular apparent self-diffusion coefficient, D, during neuronal activation. MATERIALS AND METHODS: A three-pulse sequence that reads out a moderately diffusion-weighted (DW) primary echo (PRE) and a heavily DW stimulated echo (STE) was employed to investigate whether small transient signal changes in extravascular D occur in response to a visual stimulus. Contributions to signal changes caused by subtle differences in the transient variations of the apparent transverse relaxation constant, T(2), between the PRE and STE were also quantified. RESULTS: On z-maps obtained from the STE, more voxels showed significant stimulus-related signal changes compared to maps of the PRE. The average maximum signal change of the STE was larger than that of the PRE. The observed increase in the relative signal change was independent of the strength of the diffusion weighting. CONCLUSION: The STE is more sensitive to neuronal activity than the PRE. The discrepancy between the two echoes does not arise from transient changes in D, but from subtle differences in stimulus-related variations of T(2) between the two echoes.

Enhanced relative BOLD signal changes in T(2)-weighted stimulated echoes.

The origin of the stimulus/task-induced signal changes in spin echo (SE) functional MRI (fMRI) at high magnetic fields is dynamic averaging due to diffusion in the presence of field gradients surrounding deoxyhemoglobin-containing microvasculature. The same mechanism is expected to be operative in stimulated echoes (STE). Compared to SE-fMRI, however, STE-fMRI has the potential for larger diffusion weighting and consequently larger stimulus/task-induced signal changes as a result of an additional delay, the mixing time, T(M). In the present study, functional signal changes were quantified for both primary echo (PRE) and STE as a function of echo and mixing time. The relative blood oxygenation level dependent (BOLD) signal changes in STE were larger than in PRE at the same echo time and increased with both mixing and echo time. The contrast-to-noise ratio (CNR) of the STE, however, is close to the CNR of the PRE, indicating an increase of physiological noise with longer mixing times. In addition, the signal attenuation due to diffusion in the presence of magnetic field gradients near blood vessels was modeled using Monte Carlo simulations. They support the hypothesis that the sensitivity of the STE to fluctuations of susceptibility-induced magnetic field gradients near microvasculature is enhanced as a result of an extended diffusion time.

Application of parallel imaging to fMRI at 7 Tesla utilizing a high 1D reduction factor.

Gradient-echo EPI, blood oxygenation level-dependent (BOLD) functional MRI (fMRI) using parallel imaging (PI) is demonstrated at 7 Tesla with 16 channels, a fourfold 1D reduction factor (R), and fourfold maximal aliasing. The resultant activation detection in finger-tapping fMRI studies was robust, in full agreement with expected activation patterns based on prior knowledge, and with functional maps generated from full field of view (FOV) coverage of k-space using segmented acquisition. In all aspects the functional maps acquired with PI outperformed segmented coverage of full k-space. With a 1D R of 4, fMRI activation based on PI had higher statistical significance, up to 1.6-fold in an individual case and 1.25+/-.25 (SD) fold when averaged over six studies, compared to four-segment/full-FOV data in which the square root R reduction in the image signal-to-noise ratio (SNR) due to k-space undersampling was compensated for by acquiring additional repetitions of the undersampled k-space. When this compensation for loss in SNR was not performed, the effect of PI was determined by the ratio of physiologically induced vs. intrinsic (thermal) noise in the fMRI time series and the extent to which physiological "noise" was amplified by the use of segmentation in the full-FOV data. The results demonstrate that PI is particularly beneficial at this ultrahigh field strength, where both the intrinsic image SNR and temporal signal fluctuations due to physiological processes are large.

A comparison of signal instability in 2D and 3D EPI resting-state fMRI.

Spatiotemporally structured noise, such as physiological noise, is a potential source of artifacts in functional magnetic resonance imaging (fMRI) and is the main limiting factor for the detection of small blood oxygen level-dependent (BOLD) signal variations. fMRI was employed to detect low-frequency BOLD signal fluctuations, which are thought to be related to spontaneous neuronal activity in the resting human brain. The sensitivity to noise, that is, signal variations of non-BOLD origin, was investigated for two- (2D) and three-dimensional (3D) imaging techniques. Incomplete relaxation between subsequent scans increases the level of temporally and spatially correlated signal variations originating from physiological and/or systemic noise. Although inflow effects are suspected to be reduced in 3D echo-planar imaging (EPI) compared with multi-slice 2D EPI, the noise level was higher in the 3D technique. The noise level in 3D fMRI experiments was significantly increased by instabilities of the transverse steady-state magnetization as the repetition time was of the order of T(2). By implementing radiofrequency spoiling, temporal signal fluctuations and erroneous inter-regional correlation in connectivity maps were diminished to a level present in data sets acquired with 2D EPI.

Continuous arterial spin labeling using a local magnetic field gradient coil.

Continuous arterial spin labeling (ASL) using a locally induced magnetic field gradient for adiabatic inversion of spins in the common carotid artery of human volunteers is demonstrated. The experimental setup consisted of a helmet resonator for imaging, a circular RF surface coil for labeling, and gradient loops to produce a magnetic field gradient. A spin-echo (SE) echo-planar imaging (EPI) sequence was used for imaging. The approach is independent of the gradients of the MR scanner. This technology may be used if the imaging gradient system does not produce an appropriate magnetic field gradient at the location of the carotid artery-for example, in a head-only scanner-and is a prerequisite for the development of a system that allows continuous labeling during the imaging experiment.