Direct MR arthrography of cadaveric wrists: comparison between MR imaging at 3.0T and 7.0T and gross pathologic inspection

Purpose:

To prospectively evaluate the diagnostic accuracy of magnetic resonance (MR) arthrography for the detection of articular cartilage abnormalities at 3.0T and 7.0T in cadaveric wrists.

Materials and Methods:

MR imaging (MRI) was performed in nine cadaveric wrists (four right wrists, five left; mean age, 81.0 ± 9.8 years) after the intraarticular administration of gadoterate‐meglumine. A 3.0T and 7.0T MR system, mechanically identical custom‐built 8‐channel wrist coil arrays and a similar standard MRI protocol, were used. MR images were evaluated for visibility of articular cartilage surfaces, presence of cartilage lesions, and confidence of diagnosis by two independent radiologists. Open pathologic inspection served as reference standard. Sensitivity, specificity, negative predictive values (NPV) and positive predictive values (PPV), and accuracy (ACC) were calculated. Wilcoxon signed rank test was used to assess differences in the diagnostic performance.

Results:

Visibility of articular cartilage surfaces was significantly better at 3.0T than at 7.0T (P < 0.001). Mean sensitivity, specificity, NPV, PPV, ACC for both readers were 63%, 90%, 85%, 76%, 82% at 3.0T, respectively, and 52%, 91%, 82%, 75%, 79% at 7.0T. The difference between 3.0T and 7.0T was not significant for reader 1 (P = 0.51), but was significant for reader 2 (P = 0.01). The level of confidence was significantly higher at 3.0T than at 7.0T for both readers (P = 0.004; P = 0.03).

Conclusion:

MR arthrography of the wrist at 7.0T is still limited by the lack of commercially available radiofrequency coils and limited experience in sequence optimization, resulting in a significantly lower visibility of anatomy, lower diagnostic accuracy, and level of confidence in judging cartilage lesions compared to 3.0T. J. Magn. Reson. Imaging 2011;. © 2011 Wiley Periodicals, Inc.     

Regional metabolite T2 in the healthy rhesus macaque brain at 7T

Although the rhesus macaque brain is an excellent model system for the study of neurological diseases and their responses to treatment, its small size requires much higher spatial resolution, motivating use of ultra‐high‐field (B₀) imagers. Their weaker radio‐frequency fields, however, dictate longer pulses; hence longer TE localization sequences. Due to the shorter transverse relaxation time (T₂) at higher B₀s, these longer TEs subject metabolites to T₂‐weighting, that decrease their quantification accuracy. To address this we measured the T₂s of N‐acetylaspartate (NAA), choline (Cho), and creatine (Cr) in several gray matter (GM) and white matter (WM) regions of four healthy rhesus macaques at 7T using three‐dimensional (3D) proton MR spectroscopic imaging at (0.4 cm)³ = 64 μl spatial resolution. The results show that macaque T₂s are in good agreement with those reported in humans at 7T: 169 ± 2.3 ms for NAA (mean ± SEM), 114 ± 1.9 ms for Cr, and 128 ± 2.4 ms for Cho, with no significant differences between GM and WM. The T₂ histograms from 320 voxels in each animal for NAA, Cr, and Cho were similar in position and shape, indicating that they are potentially characteristic of “healthy” in this species. Magn Reson Med 59:1165–1169, 2008. © 2008 Wiley‐Liss, Inc.     

Out-and-in spiral spectroscopic imaging in rat brain at 7 T.

With standard spectroscopic imaging, high spatial resolution is achieved at the price of a large number of phase-encoding steps, leading to long acquisition times. Fast spatial encoding methods reduce the minimum total acquisition time. In this article, a k-space scanning scheme using a continuous series of growing and shrinking, or "out-and-in," spiral trajectories is implemented and the feasibility of spiral spectroscopic imaging for animal models at high B(0) field is demonstrated. This method was applied to rat brain at 7 T. With a voxel size of about 8.7 microl (as calculated from the point-spread function), a 30 x 30 matrix, and a spectral bandwidth of 11 kHz, the minimum scan time was 9 min 20 sec for a signal-to-noise ratio of 7.1 measured on the N-acetylaspartate peak.     

High-resolution 7T MRI of the human hippocampus in vivo

Purpose

To describe an initial experience imaging the human hippocampus in vivo using a 7T magnetic resonance (MR) scanner and a protocol developed for very high field neuroimaging.

Materials and Methods

Six normal subjects were scanned on a 7T whole body MR scanner equipped with a 16‐channel head coil. Sequences included a full field of view T1‐weighted 3D turbo field echo (T1W 3D TFE: time of acquisition (TA) = 08:58), T2*‐weighted 2D fast field echo (T2*W 2D FFE: TA = 05:20), and susceptibility‐weighted imaging (SWI: TA = 04:20). SWI data were postprocessed using a minimum intensity projection (minIP) algorithm. Total imaging time was 23 minutes.

Results

T1W 3D TFE images with 700 μm isotropic voxels provided excellent anatomic depiction of macroscopic hippocampal structures. T2*W 2D FFE images with 0.5 mm in‐plane resolution and 2.5 mm slice thickness provided clear discrimination of the Cornu Ammonis and the compilation of adjacent sublayers of the hippocampus. SWI images (0.5 mm in‐plane resolution, 1.0 mm slice thickness) delineated microvenous anatomy of the hippocampus.

Conclusion

In vivo 7T MR imaging can take advantage of higher signal‐to‐noise and novel contrast mechanisms to provide increased conspicuity of hippocampal anatomy. J. Magn. Reson. Imaging 2008;28:1266–1272. © 2008 Wiley‐Liss, Inc.     

Proton MR spectroscopic imaging of rhesus macaque brain in vivo at 7T

Due to the overall similarity of their brains' structure and physiology to its human counterpart, nonhuman primates provide excellent model systems for the pathogenesis of neurological diseases and their response to treatments. Its much smaller size, 80 versus 1250 cm(3), however, requires proportionally higher spatial resolution to study, nondestructively, as many analogous regions as efficiently as possible in anesthetized animals. The confluence of these requirements underscores the need for the highest sensitivity, spatial coverage, resolution, and exam speed. Accordingly, we demonstrate the feasibility of 3D multi-voxel, proton ((1)H) MRSI at (0.375 cm)(3)=0.05 cm(3) isotropic spatial resolution over 21 cm(3) (approximately 25%) of the anesthetized rhesus macaques brain at 7T in 25 min. These voxels are x10(2)-10(1) times smaller than the 8-1 cm(3) common to (1)H-MRS in humans, retaining similar proportions between the macaque and human brain. The spectra showed a signal-to-noise-ratio (SNR) approximately 9-10 for the major metabolites and the interanimal SNR spatial distribution reproducibility was in the +/-10% range for the standard error of their means (SEMs). Their metabolites' linewidths, 9+/-2 Hz, yield excellent spectral resolution as well. These results indicate that 3D (1)H-MRSI can be integrated into comprehensive MR studies in primates at such high fields.     

Metabolite proton T2 mapping in the healthy rhesus macaque brain at 3 T

The structure and metabolism of the rhesus macaque brain, an advanced model for neurologic diseases and their treatment response, is often studied noninvasively with MRI and ¹H‐MR spectroscopy. Due to the shorter transverse relaxation time (T₂) at the higher magnetic fields these studies favor, the echo times used in ¹H‐MR spectroscopy subject the metabolites to unknown T₂ weighting, decreasing the accuracy of quantification which is key for inter‐ and intra‐animal comparisons. To establish the “baseline” (healthy animal) T₂ values, we mapped them for the three main metabolites' T₂s at 3 T in four healthy rhesus macaques and tested the hypotheses that their mean values are similar (i) among animals; and (ii) to analogs regions in the human brain. This was done with three‐dimensional multivoxel ¹H‐MR spectroscopy at (0.6 × 0.6 × 0.5 cm)³ = 180 μL spatial resolution over a 4.2 × 3.0 × 2.0 = 25 cm³ (～30%) of the macaque brain in a two‐point protocol that optimizes T₂ precision per unit time. The estimated T₂s in several gray and white matter regions are all within 10% of those reported in the human brain (mean ± standard error of the mean): N‐acetylaspartate = 316 ± 7, creatine = 177 ± 3, and choline = 264 ± 9 ms, with no statistically significant gray versus white matter differences. Magn Reson Med, 2009. © 2009 Wiley‐Liss, Inc.     

Sodium long‐component T mapping in human brain at 7 Tesla

Sodium (²³Na) MRI may provide unique information about the cellular and metabolic integrity of the brain. The quantification of tissue sodium concentration from ²³Na images with nonzero echo time (TE) requires knowledge of tissue‐specific parameters that influence the single‐quantum sodium signal such as transverse (T₂) relaxation times. We report the sodium (²³Na) long component of the effective transverse relaxation time T values obtained at 7 T in several brain regions from six healthy volunteers. A two‐point protocol based on a gradient‐echo sequence optimized for the least error per given imaging time was used (TE₁ = 12 ms; TE₂ = 37 ms; averaged N₁ = 5; N₂ = 15 times; pulse repetition time = 130 ms). The results reveal that long T component of tissue sodium (mean ± standard deviation) varied between cerebrospinal fluid (54 ± 4 ms) and gray (28 ± 2 ms) and white (29 ± 2 ms) matter structures. The results also show that the long T component increases as a function of the main static field B₀, indicating that correlation time of sodium ion motion is smaller than the time‐scale defined by the Larmor frequency. These results are a prerequisite for the quantification of tissue sodium concentration from ²³Na MRI scans with nonzero echo time, will contribute to the design of future measurements (such as triple‐quantum imaging), and themselves may be of clinical utility. Magn Reson Med, 2009. © 2009 Wiley‐Liss, Inc.     

Cross‐sectional and longitudinal reproducibility of rhesus macaque brain metabolites: A proton MR spectroscopy study at 3 T

Non‐human primates are often used as preclinical model systems for (mostly diffuse or multi‐focal) neurological disorders and their experimental treatment. Due to cost considerations, such studies frequently utilize non‐destructive imaging modalities, MRI and proton MR spectroscopy (¹H MRS). Cost may explain why the inter‐ and intra‐animal reproducibility of the ¹H MRS observed brain metabolites, are not reported. To this end, we performed test‐retest three‐dimensional brain ¹H MRS in five healthy rhesus macaques at 3 T. Spectra were acquired from 224 isotropic (0.5 cm)³ = 125 μL voxels, over 28 cm³ (～35%) of the brain, then individually phased, frequency aligned and summed into a spectrum representative of the entire volume of interest. This dramatically increases the metabolites' signal‐to‐noise ratios, while maintaining the (narrow) voxel linewidth. The results show that the average N‐acetylaspartate, creatine, choline, and myo‐inositol concentrations in the macaque brain are: 7.7 ± 0.5, 7.0 ± 0.5, 1.2 ± 0.1 and 4.0 ± 0.6 mM/g wet weight (mean ± standard deviation). Their inter‐animal coefficients of variation (CV) are 4%, 4%, 6%, and 15%; and the longitudinal (intra‐animal) CVs are lower still: 4%, 5%, 5%, and 4%, much better than the 22%, 33%, 36%, and 45% intra‐voxel CVs, demonstrating the advantage of the approach and its utility for preclinical studies of diffuse neurological diseases in rhesus macaques. Magn Reson Med, 2011. © 2011 Wiley‐Liss, Inc.     

Reproducibility of 3D 1H MR spectroscopic imaging of the prostate at 1.5T

Purpose:

To determine the reproducibility of 3D proton magnetic resonance spectroscopic imaging (¹H‐MRSI) of the human prostate in a multicenter setting at 1.5T.

Materials and Methods:

Fourteen subjects were measured twice with 3D point‐resolved spectroscopy (PRESS) ¹H‐MRSI using an endorectal coil. MRSI voxels were selected in the peripheral zone and combined central gland at the same location in the prostate in both measurements. Voxels with approved spectral quality were included to calculate Bland–Altman parameters for reproducibility from the choline plus creatine to citrate ratio (CC/C). The repeated spectroscopic data were also evaluated with a standardized clinical scoring system.

Results:

A total of 74 voxels were included for reproducibility analysis. The complete range of biologically interesting CC/C ratios was covered. The overall within‐voxel standard deviation (SD) of the CC/C ratio of the repeated measurements was 0.13. This value is equal to the between‐subject SD of noncancer prostate tissue. In >90% of the voxels the standardized clinical score did not differ relevantly between the measurements.

Conclusion:

Repeated measurements of in vivo 3D ¹H‐MRSI of the complete prostate at 1.5T produce equal and quantitative results. The reproducibility of the technique is high enough to provide it as a reliable tool in assessing tumor presence in the prostate. J. Magn. Reson. Imaging 2012;35:166‐173. © 2011 Wiley Periodicals, Inc.     

RF shimming for spectroscopic localization in the human brain at 7 T

Spectroscopic imaging of the human head at short echo times (≤15 ms) typically requires suppression of signals from extracerebral tissues. However, at 7 T, decreasing efficiency in B generation (hertz/watt) and increasing spectral bandwidth result in dramatic increases in power deposition and increased chemical shift registration artifacts for conventional gradient‐based in‐plane localization. In this work, we describe a novel method using radiofrequency shimming and an eight‐element transceiver array to generate a B field distribution that excites a ring about the periphery of the head and leaves central brain regions largely unaffected. We have used this novel B distribution to provide in‐plane outer volume suppression (>98% suppression of extracerebral lipids) without the use of gradients. This novel B distribution is used in conjunction with a double inversion recovery method to provide suppression of extracerebral resonances with T₁s greater than 400 ms, while having negligible effect on metabolite ratios of cerebral resonances with T₁s > 1000 ms. Despite the use of two adiabatic pulses, the high efficiency of the ring distribution allows radiofrequency power deposition to be limited to 3‐4 W for a pulse repetition time of 1.5 sec. The short echo time enabled the acquisition of images of the human brain, displaying glutamate, glutamine, macromolecules, and other major cerebral metabolites. Magn Reson Med, 2010. © 2009 Wiley‐Liss, Inc.     

Short echo time proton magnetic resonance spectroscopic imaging of macromolecule and metabolite signal intensities in the human brain

A novel approach is presented for imaging macromolecule and metabolite signals in brain by proton magnetic resonance spectroscopic imaging. The method differentiates between metabolites and macromolecules by T₁ weighting using an inversion pulse followed by a variable inversion recovery time before localization and spectroscopic imaging. In healthy subjects, the major macromolecule resonances at 2.05 and 0.9 ppm were mapped at a nominal spatial resolution of 1 × 1 × 1.5 cm³ and were demonstrated to be highly reproducible between subjects. In subacute stroke patients, a highly elevated macromolecule resonance at 1.3 ppm was mapped to infarcted brain regions, suggesting potential applications for studying pathological conditions.     

2D 1H spectroscopic imaging of the human brain at 4.1 T

A two-dimensional spectroscopic imaging sequence consisting of an inversion recovery pulse, a plane selective prefocused pulse, and a semiselective water suppression pulse has been used to create ¹H spectroscopic images of the human brain with nominal voxels of 0.5 cc. Due to the excellent lipid suppression provided by the inversion recovery pulse and subsequent delay, only planar volume selection is required enabling the entire brain within the slice to be imaged without contamination from extracerebral lipids in the brain voxels. The use of a semiselective refocusing pulse for water suppression permits any echo evolution time to be used, minimizing J-modulation and T₂ losses, while retaining full sensitivity in the lactate resonance. Using this sequence we have visualized the lactate elevation in the peri-infarct region about a 6-week-old stroke.