Black-blood imaging of the human heart using rapid stimulated echo acquisition mode (STEAM) MRI

PURPOSE: To develop a rapid stimulated echo acquisition mode (STEAM) MRI technique for "black-blood" imaging of the human heart that overcomes the single-slice limitation and partially compromised blood suppression associated with double inversion-recovery techniques. MATERIALS AND METHODS: Black-blood multislice images of the heart along anatomic orientations and triggered to end diastole were obtained from healthy human subjects at 3T using rapid STEAM MRI sequences with five-eighths partial Fourier encoding and variable flip angles. Single-shot STEAM images at 2.5 x 2.5 mm2 in-plane resolution and 6-mm section thickness were recorded in 230 msec from individual heartbeats. Improved signal-to-noise ratio (SNR) and higher spatial resolution of 2.0 x 2.0 mm2 and 1.5 x 1.5 mm2 were achieved by segmented multishot STEAM MRI with interleaved k-space acquisitions (160 msec each) from several heartbeats. In a single breathhold covering 18 heartbeats selected applications employed either three segments with six sections or six segments with three sections. RESULTS: Because stimulated echoes (STEs) dephase signals from moving spins, rapid STEAM images are free from blood signal contamination. The method offers a flexible tradeoff between spatial resolution, imaging speed (i.e., number of segments), and volume coverage (i.e., number of sections). CONCLUSION: Rapid STEAM MRI of the heart emerges as a simple technique for multislice imaging of the myocardial wall with efficient flow suppression.     

Diffusion‐weighted spectroscopy: A novel approach to determine macromolecule resonances in short‐echo time 1H‐MRS

Quantification of short‐echo time proton magnetic resonance spectroscopy results in >18 metabolite concentrations (neurochemical profile). Their quantification accuracy depends on the assessment of the contribution of macromolecule (MM) resonances, previously experimentally achieved by exploiting the several fold difference in T₁. To minimize effects of heterogeneities in metabolites T₁, the aim of the study was to assess MM signal contributions by combining inversion recovery (IR) and diffusion‐weighted proton spectroscopy at high‐magnetic field (14.1 T) and short echo time (=8 msec) in the rat brain. IR combined with diffusion weighting experiments (with δ/Δ = 1.5/200 msec and b‐value = 11.8 msec/μm²) showed that the metabolite nulled spectrum (inversion time = 740 msec) was affected by residuals attributed to creatine, inositol, taurine, choline, N‐acetylaspartate as well as glutamine and glutamate. While the metabolite residuals were significantly attenuated by 50%, the MM signals were almost not affected (<8%). The combination of metabolite‐nulled IR spectra with diffusion weighting allows a specific characterization of MM resonances with minimal metabolite signal contributions and is expected to lead to a more precise quantification of the neurochemical profile. Magn Reson Med, 2010. © 2010 Wiley‐Liss, Inc.     

Osteoporosis is associated with increased marrow fat content and decreased marrow fat unsaturation: a proton MR spectroscopy study

PURPOSE: To use proton magnetic resonance spectroscopy ((1)H-MRS) to evaluate vertebral marrow fat, and to determine whether bone density correlates with fat content and fat unsaturation levels in postmenopausal women. MATERIALS AND METHODS: Fifty-three women (mean age = 70 years) underwent dual energy x-ray absorptiometry and (1)H-MRS, and 12 young female controls (mean age = 28 years) underwent (1)H-MRS of the lumber spine. Water and lipid peak amplitudes were measured to calculate fat content and fat unsaturation index. Spearman's correlation tests and a t-test comparison of means were applied. RESULTS: (1)H-MRS was successful in 15 normal, 15 osteopenic, and 20 osteoporotic subjects, and in all controls. Marrow fat content was significantly elevated in osteoporotic (65.5% +/- 10%) and osteopenic (63.5% +/- 9.3%) subjects compared to normal subjects (56.3% +/- 11.2%) and young controls (29% +/- 9.6%). The fat unsaturation index was significantly decreased in osteoporotic (0.091 +/- 0.013) and osteopenic (0.097 +/- 0.014) subjects compared to normal subjects (0.114 +/- 0.016) and young controls (0.127 +/- 0.031). A good inverse correlation was observed between the fat content and the unsaturation index (r(s) = -0.53, P < 0.0001). CONCLUSION: Osteoporosis is associated with increased marrow fat. As marrow fat increases, saturated lipids appear to increase preferentially to unsaturated lipids.     

Reproducibility of MRI‐determined proton density fat fraction across two different MR scanner platforms

Purpose:

To evaluate magnetic resonance imaging (MRI)‐determined proton density fat fraction (PDFF) reproducibility across two MR scanner platforms and, using MR spectroscopy (MRS)‐determined PDFF as reference standard, to confirm MRI‐determined PDFF estimation accuracy.

Materials and Methods:

This prospective, cross‐sectional, crossover, observational pilot study was approved by an Institutional Review Board. Twenty‐one subjects gave written informed consent and underwent liver MRI and MRS at both 1.5T (Siemens Symphony scanner) and 3T (GE Signa Excite HD scanner). MRI‐determined PDFF was estimated using an axial 2D spoiled gradient‐recalled echo sequence with low flip‐angle to minimize T1 bias and six echo‐times to permit correction of T2* and fat‐water signal interference effects. MRS‐determined PDFF was estimated using a stimulated‐echo acquisition mode sequence with long repetition time to minimize T1 bias and five echo times to permit T2 correction. Interscanner reproducibility of MRI determined PDFF was assessed by correlation analysis; accuracy was assessed separately at each field strength by linear regression analysis using MRS‐determined PDFF as reference standard.

Results:

1.5T and 3T MRI‐determined PDFF estimates were highly correlated (r = 0.992). MRI‐determined PDFF estimates were accurate at both 1.5T (regression slope/intercept = 0.958/‐0.48) and 3T (slope/intercept = 1.020/0.925) against the MRS‐determined PDFF reference.

Conclusion:

MRI‐determined PDFF estimation is reproducible and, using MRS‐determined PDFF as reference standard, accurate across two MR scanner platforms at 1.5T and 3T. J. Magn. Reson. Imaging 2011;. © 2011 Wiley‐Liss, Inc.     

High‐field diffusion MR histology: Image‐based correction of eddy‐current ghosts in diffusion‐weighted rapid acquisition with relaxation enhancement (DW‐RARE)

High‐resolution, diffusion‐weighted (DW) MR microscopy is gaining increasing acceptance as a nondestructive histological tool for the study of fixed tissue samples. Spin‐echo sequences are popular for high‐field diffusion imaging due to their high tolerance to B₀ field inhomogeneities. Volumetric DW rapid acquisition with relaxation enhancement (DW‐RARE) currently offers the best tradeoff between imaging efficiency and image quality, but is relatively sensitive to residual eddy‐current effects on the echo train phase, resulting in encoding direction‐dependent ghosting in the DW images. We introduce two efficient, image‐based phase corrections for ghost artifact reduction in DW‐RARE of fixed tissue samples, neither of which require navigator echo acquisition. Both methods rely on the phase difference in k‐space between the unweighted reference image and a given DW image and assume a constant, per‐echo phase error arising from residual eddy‐current effects in the absence of sample motion. Significant qualitative and quantitative ghost artifact reductions are demonstrated for individual DW and calculated diffusion tensor images. Magn Reson Med, 2009. © 2008 Wiley‐Liss, Inc.     

In vivo localized 1H MR spectroscopy of rat testes: stimulated echo acquisition mode (STEAM) combined with short TI inversion recovery (STIR) improves the detection of metabolite signals.

A noninvasive NMR technique for evaluating testicular function was explored in this study. Localized in vivo 1H NMR spectroscopy was performed on rat testes using a stimulated echo acquisition mode (STEAM) sequence with a short echo time (TE). In the 1H spectra, large lipid signals dominated the chemical shift range of 0.89-2.78 ppm, which prevented the observation of metabolite signals in this region. To suppress these lipid signals, short inversion time (TI) inversion recovery (STIR) was combined with STEAM (STIR-STEAM). The optimal TI was typically 320 ms. STIR-STEAM with a TE of 15 ms allowed successful suppression of the lipid signals and the sensitive detection of several new metabolite signals. In normal testes, choline, creatine, glutamate, and glycine signals were identified. In addition to these metabolites, a lactate signal was observed in ischemic testes. To our knowledge, the signals of glutamate, glycine, and lactate have not been previously assigned in 1H MR spectra of testes in vivo. Lipid suppression by STIR aided in the detection of these metabolites, which would otherwise have been masked by the lipid signals.     

T2‐weighted 3D fast spin echo imaging with water–fat separation in a single acquisition

Purpose:

To develop a robust 3D fast spin echo (FSE) T₂‐weighted imaging method with uniform water and fat separation in a single acquisition, amenable to high‐quality multiplanar reformations.

Materials and Methods:

The Iterative Decomposition of water and fat with Echo Asymmetry and Least squares estimation (IDEAL) method was integrated with modulated refocusing flip angle 3D‐FSE. Echoes required for IDEAL processing were acquired by shifting the readout gradient with respect to the Carr‐Purcell‐Meiboom‐Gill echo. To reduce the scan time, an alternative data acquisition using two gradient echoes per repetition was implemented. Using the latter approach, a total of four gradient echoes were acquired in two repetitions and used in the modified IDEAL reconstruction.

Results:

3D‐FSE T₂‐weighted images with uniform water–fat separation were successfully acquired in various anatomies including breast, abdomen, knee, and ankle in clinically feasible scan times, ranging from 5:30–8:30 minutes. Using water‐only and fat‐only images, in‐phase and out‐of‐phase images were reconstructed.

Conclusion:

3D‐FSE‐IDEAL provides volumetric T₂‐weighted images with uniform water and fat separation in a single acquisition. High‐resolution images with multiple contrasts can be reformatted to any orientation from a single acquisition. This could potentially replace 2D‐FSE acquisitions with and without fat suppression and in multiple planes, thus improving overall imaging efficiency. J. Magn. Reson. Imaging 2010;32:745–751. © 2010 Wiley‐Liss, Inc.     

Magnetic resonance (MR) differential diagnosis of breast tumors using apparent diffusion coefficient (ADC) on 1.5‐T

To review the published reports concerning the apparent diffusion coefficient (ADC) value evaluation for the differentiation between malignant and benign breast tumors, articles were searched with the inclusion criteria: (a) a 1.5‐T unit was used; (b) the diagnostic criteria were clearly stated; (c) diffusion‐weighted images (DWIs) were obtained, and ADC value was calculated; (d) ADC values of breast tumors were reported with mean ± standard deviation (SD). Meta‐analysis from 12 articles revealed that the pooled sensitivity and specificity were 0.89 (95% confidence interval [CI], 0.85–0.91) and 0.77 (95% CI, 0.69–0.84), respectively, and that only the maximum b factor correlated with the mean ADC values of malignant and benign tumors, and the noncancerous breast tissue (P< 0.05,P < 0.01,P< 0.05, respectively). In conclusion, ADC evaluation is useful for the differentiation between malignant and benign breast tumors. J. Magn. Reson. Imaging 2009;30:249–255. © 2009 Wiley‐Liss, Inc.