Factors in myocardial "perfusion" imaging with ultrafast MRI and Gd-DTPA administration.

Ultrafast magnetic resonance imaging (MRI) and first pass observation of an interstitial contrast agent are currently being used to study myocardial perfusion. Image intensity, however, is a function of several parameters, including the delivery of the contrast agent to the interstitium (coronary flow rate and diffusion into the interstitium) and the relaxation properties of the tissue (contrast agent concentration, proton exchange rates, and relative intra- and extracellular volume fractions). In this study, image intensity during gadopentetate dimeglumine (Gd-DTPA) administration with T1-weighted ultrafast MR imaging was assessed in an isolated heart preparation. With increasing Gd-DTPA concentration, the steady-state myocardial image intensity increased but the time to reach steady state remained unchanged, resulting in an increased slope of image intensity change. A range of physiologic perfusion pressures (and resulting coronary flow rates) had insignificant effects on kinetics of Gd-DTPA wash-in or steady-state image intensity, suggesting that diffusion of Gd-DTPA into the interstitium is the rate limiting step in image intensity change with this preparation. Following global ischemia and reperfusion, transmural differences in the slope of image intensity change were apparent. However, the altered steady-state image intensity (due to postischemic edema) makes interpretation of this finding difficult. The studies described here demonstrate that although Gd-DTPA administration combined with ultrafast imaging may be a sensitive indicator of perfusion abnormalities, factors other than perfusion will affect image intensity. Extensive studies will be required before image intensity with this protocol is fully understood.     

Spatial and temporal resolution in cardiovascular MR imaging: review and recommendations

Because of the nature of digital imaging, the number of pixels in a reconstructed image is often unrelated to the actual spatial resolution of the image. Similarly, the number of reconstructed frames of a dynamic or cine examination can be unrelated to the acquired temporal resolution. These discrepancies can result in misinterpretations and inaccuracies when image resolution is reported in the literature. The goal of this report is to clarify the differences between acquired and displayed resolution, both spatial and temporal, in magnetic resonance imaging. The effects of imaging parameters on acquired resolution are discussed, as are the mathematic effects of the reconstruction process on the displayed resolution of the resulting image. Finally, recommendations to authors are offered to promote accurate and unambiguous reporting of spatiotemporal resolution in the literature.     

Thin-section diffusion-weighted magnetic resonance imaging of the brain with parallel imaging

BACKGROUND: Thin-section diffusion-weighted imaging (DWI) is known to improve lesion detectability, with long imaging time as a drawback. Parallel imaging (PI) is a technique that takes advantage of spatial sensitivity information inherent in an array of multiple-receiver surface coils to partially replace time-consuming spatial encoding and reduce imaging time. PURPOSE: To prospectively evaluate a 3-mm-thin-section DWI technique combined with PI by means of qualitative and quantitative measurements. MATERIAL AND METHODS: 30 patients underwent conventional echo-planar (EPI) DWI (5-mm section thickness, 1-mm intersection gap) without parallel imaging, and thin-section EPI-DWI with PI (3-mm section thickness, 0-mm intersection gap) for a b value of 1000 s/mm(2), with an imaging time of 40 and 80 s, respectively. Signal-to-noise ratio (SNR), relative signal intensity (rSI), and apparent diffusion coefficient (ADC) values were measured over a lesion-free cerebral region on both series by two radiologists. A quality score was assigned for each set of images to assess the image quality. When a brain lesion was present, contrast-to-noise ratio (CNR) and corresponding ADC were also measured. Student t-tests were used for statistical analysis. RESULTS: Mean SNR values of the normal brain were 33.61+/-4.35 and 32.98+/-7.19 for conventional and thin-slice DWI (P>0.05), respectively. Relative signal intensities were significantly higher on thin-section DWI (P<0.05). Mean ADCs of the brain obtained by both techniques were comparable (P>0.05). Quality scores and overall lesion CNR were found to be higher in thin-section DWI with parallel imaging. CONCLUSION: A thin-section technique combined with PI improves rSI, CNR, and image quality without compromising SNR and ADC measurements in an acceptable imaging time.     

Voxel sensitivity function description of flow-induced signal loss in MR imaging: implications for black-blood MR angiography with turbo spin-echo sequences.

The conditions in which the image intensity of vessels transporting laminar flow is attenuated in black-blood MR angiography (BB-MRA) with turbo spin-echo (TSE) and conventional spin-echo (CSE) pulse sequences are investigated experimentally with a flow phantom, studied theoretically by means of a Bloch equation-voxel sensitivity function (VSF) formalism, and computer modeled. The experiments studied the effects of: a) flow velocity, b) imaging axes orientation relative to the flow direction, and c) phase encoding order of the TSE train. The formulated Bloch equation-VSF theory describes flow effects in two-dimensional (2D)- and 3D-Fourier transform magnetic resonance imaging. In this theoretical framework, the main attenuation mechanism instrumental to BB-MRA, i.e., transverse magnetization dephasing caused by flow in the presence of the imaging gradients, is described in terms of flow-induced distortions of the individual voxel sensitivity functions. The computer simulations predict that the intraluminal homogeneity and extent of flow-induced image intensity attenuation increase as a function of decreasing vessel diameter, in support of the superior image quality achieved with TSE-based BB-MRA in the brain.     

Signal intensity artifacts in clinical MR imaging.

Signal intensity artifacts are often encountered during magnetic resonance (MR) imaging. Occasionally, these artifacts are severe enough to degrade image quality and interfere with interpretation. Signal intensity artifacts inherent in local coil imaging include intensity gradients and local intensity shift artifact. The latter can be minimized but not eliminated with optimal coil design and tuning. Improper coil or patient positioning can produce subtle or, in some cases, severe signal intensity artifacts, and each is easily corrected. Signal intensity artifacts and image degradation can also occur in a perfectly functioning coil if protocols are not optimized. Failure of decoupling mechanisms can produce signal intensity artifacts that will not respond to protocol optimization and will worsen with gradient imaging. Improper coil tuning manifests as a shading artifact that can mimic other findings. Signal-degrading artifacts may be caused by a ferromagnetic foreign body in the imager. Signal intensity artifacts can also result from performing ultrafast imaging with coils that were not designed for this type of imaging or from MR imaging system malfunction. Familiarity with the various causes of signal intensity artifacts is necessary to maintain optimal image quality and should be required as part of any MR imaging quality assurance program.     

双探头符合探测图像的噪声分析

目的分析双探头符合探测图像的噪声成分。方法采用Hawkeye双探头SPECT仪及东芝模型，对7种活度进行采集重建图像，测量^18F-脱氧葡萄糖(FDG)均匀分布区域像素均值及标准差，对数据进行曲线拟合。结果噪声分为3个成分：成分1与信号强度成正比，由随机符合造成；成分2与信号强度的平方根成正比，由放射性统计涨落造成；成分3与信号强度无关。图像的信噪比平方与计数成二次．线性关系，随计数增加信噪比增加，但其速度逐渐缓慢，达最大值后开始降低。结论符合探测图像噪声的平方与计数成二次一线性关系。与单光子显像相比，其噪声中增加了与信号强度成正比的随机符合噪声部分。     

A general theoretical formalism for X-ray phase contrast imaging

The in-line phase-contrast imaging has great potential for clinical imaging applications. This work presents a general theoretical formalism for the in-line phase-contrast imaging. The theoretical formalism developed in this work is derived by taking a new strategy to calculate the Fourier transform of image intensity directly. Different from the transport of intensity equation (TIE) formalism for phase-contrast imaging in literature [6], this general formalism covers both the near field regime and the holography regime of phase-contrast imaging. The image intensity formulas have been derived in both the image space and frequency space. Especially our results show that the Fresnel diffraction image intensity is a sum of convolutions of the cosine- and sine-Fresnel filters with the object attenuation A20(x) and attenuated phase A20(x)φ(x), respectively. The Pogany-Gao-Wilkins (PGW) formalism is recovered as a special case of our general formalism. In addition, in the low-resolution approximation, the general formula is reduced a spherical wave-generalization of the TIE-based formula for phase-contrast imaging. This spherical wave-generalization will be useful for phase-contrast imaging with a micro-focus x-ray tube. The transition of the formalism from 1-D to 2-D cases has been provided as well.     

Analysis of subtraction methods in three-dimensional contrast-enhanced peripheral MR angiography

PURPOSE: To compare the effectiveness of three image subtraction algorithms designed to improve arterial conspicuity in first-pass contrast-enhanced magnetic resonance (MR) angiography. MATERIALS AND METHODS: Three subtraction methods were analyzed through computer simulations, phantom studies, and clinical studies. These algorithms were: complex subtraction, magnitude subtraction, and maximum intensity projection subtraction. RESULTS: In high resolution three-dimensional imaging, maximum intensity projection subtraction generally yields the best background suppression. Complex subtraction is effective in reducing partial volume effects in low resolution imaging. Magnitude subtraction works better in high resolution, low contrast concentration protocols. CONCLUSION: Choosing the appropriate subtraction method according to the protocol is helpful in optimizing image quality.     

CSF-gated MR imaging of the spine: theory and clinical implementation

A spine phantom and cervical spines of seven volunteers were studied with cerebrospinal fluid (CSF)-gated magnetic resonance imaging to optimize acquisition factors reducing CSF flow artifacts. Peripheral gating was performed with either an infrared reflectance photoplethysmograph or peripheral arterial Doppler signal. The effects of effective repetition time, echo train, trigger delay, number of sections, and imaging plane on image quality were evaluated. Gated imaging of oscillatory CSF motion simulated constant-velocity flow and reduced CSF flow artifacts caused by cardiac-dependent temporal phase-shift effects. Velocity compensation on sagittal even-echo images with a symmetric short-echo time echo train reduced the remaining CSF flow artifacts caused by spatial phase-shift effects. Overall gated imaging time was not increased compared with nongated imaging and was reduced when improved image quality permitted the use of fewer excitations. These results suggest that the combination of CSF gating and flow compensation is clinically useful and efficient because it improves image quality without prolonging imaging time.     

Image distortion correction in EPI: comparison of field mapping with point spread function mapping.

Echo-planar imaging (EPI) can provide rapid imaging by acquiring a complete k-space data set in a single acquisition. However, this approach suffers from distortion effects in geometry and intensity, resulting in poor image quality. The distortions, caused primarily by field inhomogeneities, lead to intensity loss and voxel shifts, the latter of which are particularly severe in the phase-encode direction. Two promising approaches to correct the distortion in EPI are field mapping and point spread function (PSF) mapping. The field mapping method measures the field distortions and translates these into voxel shifts, which can be used to assign image intensities to the correct voxel locations. The PSF approach uses acquisitions with additional phase-encoding gradients applied in the x, y, and/or z directions to map the 1D, 2D, or 3D PSF of each voxel. These PSFs encode the spatial information about the distortion and the overall distribution of intensities from a single voxel. The measured image is the convolution of the undistorted density and the PSF. Measuring the PSF allows the distortion in geometry and intensity to be corrected. This work compares the efficacy of these methods with equal time allowed for field mapping and PSF mapping.     

Initial experience with the intravascular contrast agent NC100150-injection (Clariscan) for breath-hold and navigator-gated magnetic resonance coronary artery imaging

PURPOSE: To examine magnetic resonance coronary artery imaging after NC100150-Injection. MATERIALS AND METHODS: Breath-hold and navigator-gated images were acquired in five patients. RESULTS: Breath-hold image quality, coronary artery-fat SDNR, and coronary artery SNR improved. Respiratory artifacts due to reduced liver signal intensity degraded navigator-gated image quality. CONCLUSION: NC100150-Injection improves breath-hold coronary artery imaging. Navigator-gated acquisitions should use techniques that are insensitive to T2* effects.     

Dynamic image reconstruction: MR movies from motion ghosts.

It has been previously shown that an image with motion ghost artifacts can be decomposed into a ghost mask superimposed over a ghost-free image. The present study demonstrates that the ghost components carry useful dynamic information and should not be discarded. Specifically, ghosts of different orders indicate the intensity and phase of the corresponding harmonics contained in the quasi-periodically varying spin-density distribution. A summation of the ghosts weighted by appropriate temporal phase factors can give a time-dependent dynamic image that is a movie of the object motion. This dynamic image reconstruction technique does not necessarily require monitoring of the motion and thus is easy to implement and operate. It also has a shorter imaging time than point-by-point imaging of temporal variation, because the periodic motion is more efficiently sampled with a limited number of harmonics recorded in the motion ghosts. This technique was tested in both moving phantoms and volunteers. It is believed to be useful for dynamic imaging of time-varying anatomic structures, such as in the cardiovascular system.     

Spin echo entrapped perfusion image (SEEPAGE). A nonsubtraction method for direct imaging of perfusion.

Arterial spin-labeled perfusion imaging is increasingly being applied to the study of the brain and other organs. To date, perfusion information has invariably been obtained by subtraction of images with and without spin-labeling of inflowing water. Due to the relatively small amount of blood which enters tissue over a typical inflow period (1-1.5 sec), subtraction errors due to image instability or, in certain circumstances, magnetization transfer effects, can lead to very significant amounts of artifactual image intensity. These problems are avoided in the nonsubtraction method described here. Initially, spins in the imaging slice are selectively saturated, leaving other spins unaffected. A subsequent spin-echo train traps these magnetizations irrespective of flow. Finally, an imaging module generates intensity only from those spins which have entered the imaging slice during the inflow period. A slight modification of the sequence facilitates validation by detecting any contaminating signal in a control image.     

Analysis of imaging parameters, relaxation time (T1,T2), and relative proton density as they influence the signal intensity of spin echo images

It is difficult to recognize signal intensity changes on spin echo (SE) images. Clinically both T1-weighted and T2-weighted images are now used in most institutions to evaluate signal intensity changes due to different T1 and T2 of the lesions in MRI. However, these are not sufficient to understand signal intensity changes completely. The authors attempted to summarize on a two-dimensional graph the effects of T1, T2, proton density, and imaging parameters that influence signal intensities on SE images. Both end point (E) and start point (S), as defined later, depended mainly on proton density, but the former also depended on T2 and the later on T1 value. The image obtained in the former situation (near point E) was then called the T2-weighted image. Conditions to accelerate recovery and attenuation velocities (VR and VA), also mentioned later, were the same as those that increased points E and S, respectively. However, when TR was relatively short, the effect of a shorter T1 on VR was greatly emphasized. Such an image was then called the T1-weighted image.     

Contrast-enhanced first-pass myocardial perfusion magnetic resonance imaging with parallel acquisition at 3.0 Tesla

OBJECTIVE: Magnetic resonance imaging (MRI) at 3 T is significantly different than 1.5 T and needs to be optimized due to increased signal-to-noise ratio (SNR) and specific absorption ratio (SAR). This study tests the hypothesis that first-pass myocardial perfusion MRI using saturation recovery (SR)-TrueFISP with parallel imaging is superior to SR-TurboFLASH and a more achievable technique for clinical application at 3 T. MATERIALS AND METHODS: Myocardial perfusion imaging was performed on 12 subjects using SR-TurboFLASH and SR-TrueFISP sequences combined with parallel imaging. Four myocardial slices were acquired and evaluated by image segmentation. Quality of the measurements was determined from SNR, contrast-to-noise ratio (CNR), enhancement-to-noise ratio (ENR), and myocardial perfusion upslope. Data were analyzed using a 2-way ANOVA with imaging method and segment number as the independent variables. RESULTS: SNR, CNR, ENR, and upslope were significantly higher for SR-TrueFISP versus SR-TurboFLASH (P < 0.001). Significant differences in SNR, CNR, ENR, and upslope were found among the myocardial segments (P < 0.005). CONCLUSIONS: Optimized SR-TrueFISP first-pass myocardial perfusion MRI at 3 T has superior image quality compared with SR-TurboFLASH, independent of the myocardial segment analyzed. However, coil sensitivity nonuniformities and dielectric resonance effects cause signal intensity differences between myocardial segments that must be accounted for when interpreting 3 T perfusion studies.     

Magnetization structure contrast based on intermolecular multiple-quantum coherences.

In vivo and ex vivo MRI based on intermolecular multiple-quantum coherences (iMQC) is predicted to provide a fundamentally different source of contrast for MRI. This article investigates the dependence of image contrast upon the choice of correlation distance for a heterogeneous material. A closely packed array of parallel hollow cylinders was used to demonstrate signal intensity variations when the correlation distance becomes comparable to the gap size between the cylinders. The observed effects agree well with three-dimensional calculations of the time evolution of magnetization under the nonlinear Bloch equations.     

A fast Edge‐preserving Bayesian reconstruction method for Parallel Imaging applications in cardiac MRI

Among recent parallel MR imaging reconstruction advances, a Bayesian method called Edge‐preserving Parallel Imaging reconstructions with GRAph cuts Minimization (EPIGRAM) has been demonstrated to significantly improve signal‐to‐noise ratio when compared with conventional regularized sensitivity encoding method. However, EPIGRAM requires a large number of iterations in proportion to the number of intensity labels in the image, making it computationally expensive for high dynamic range images. The objective of this study is to develop a Fast EPIGRAM reconstruction based on the efficient binary jump move algorithm that provides a logarithmic reduction in reconstruction time while maintaining image quality. Preliminary in vivo validation of the proposed algorithm is presented for two‐dimensional cardiac cine MR imaging and three‐dimensional coronary MR angiography at acceleration factors of 2–4. Fast EPIGRAM was found to provide similar image quality to EPIGRAM and maintain the previously reported signal‐to‐noise ratio improvement over regularized sensitivity encoding method, while reducing EPIGRAM reconstruction time by 25–50 times. Magn Reson Med, 2010. © 2010 Wiley‐Liss, Inc.     

Cavernous lymphangioma of prostate: Radiological findings

A case of a cavernous lymphangioma of the prostate in a 29-year-old man is reported. The mass was hyperechoic on sonography, of low-signal intensity of T1-weighted magnetic resonance (MR) image, and of high-signal intensity on T2-weighted MR image. The combination of these sonographic and MR imaging findings may be suggestive of the diagnosis of lymphangioma.     

Extraslice spin tagging (EST) magnetic resonance imaging for the determination of perfusion

A new magnetic resonance technique to measure perfusion is described in detail. The means by which this is done is to invert all the spins in the radiofrequency RF coil with a non-spatially selective pulse and immediately re-invert the spins in the imaging plane. The net effect is that the spins in the imaging plane experience minimal perturbation of their magnetization while the spins outside the plane (extraslice) are inverted, or tagged. Tagged spins that flow into the imaging plane before image data are acquired decrease the signal intensity in the imaging plane when compared with an image in which the inflowing spins are not tagged. This decrease in signal can be used to calculate the number of spins that have flowed into the imaging plane, i.e., can be used to calculate the perfusion in mL x 100 g(tissue)(- 1)x min(-1). The extraslice spin tagging (EST) magnetization preparation period was coupled with a fast imaging sequence to obtain perfusion maps for normal volunteers.     

Reduction of field of view for dynamic imaging

This paper describes a simple technique that improves the temporal resolution for certain dynamic imaging applications. The technique is based on the assumption that the image to image intensity changes sought in dynamic imaging studies ire sometimes localized, and a smaller field of view can be used to reduce imaging time. Technical details and experimental results are presented. Experimental results show that this technique works reasonably well for in vivo applications.