T(1) independent, T(2) (*) corrected chemical shift based fat-water separation with multi-peak fat spectral modeling is an accurate and precise measure of hepatic steatosis

Purpose:

To determine the precision and accuracy of hepatic fat‐fraction measured with a chemical shift‐based MRI fat‐water separation method, using single‐voxel MR spectroscopy (MRS) as a reference standard.

Materials and Methods:

In 42 patients, two repeated measurements were made using a T₁‐independent, T‐corrected chemical shift‐based fat‐water separation method with multi‐peak spectral modeling of fat, and T₂‐corrected single voxel MR spectroscopy. Precision was assessed through calculation of Bland‐Altman plots and concordance correlation intervals. Accuracy was assessed through linear regression between MRI and MRS. Sensitivity and specificity of MRI fat‐fractions for diagnosis of steatosis using MRS as a reference standard were also calculated.

Results:

Statistical analysis demonstrated excellent precision of MRI and MRS fat‐fractions, indicated by 95% confidence intervals (units of absolute percent) of [?2.66%,2.64%] for single MRI ROI measurements, [?0.81%,0.80%] for averaged MRI ROI, and [?2.70%,2.87%] for single‐voxel MRS. Linear regression between MRI and MRS indicated that the MRI method is highly accurate. Sensitivity and specificity for detection of steatosis using averaged MRI ROI were 100% and 94%, respectively. The relationship between hepatic fat‐fraction and body mass index was examined.

Conclusion:

Fat‐fraction measured with T₁‐independent T‐corrected MRI and multi‐peak spectral modeling of fat is a highly precise and accurate method of quantifying hepatic steatosis. J. Magn. Reson. Imaging 2011;33:873–881. © 2011 Wiley‐Liss, Inc.

     

Bolus‐tracking MRI with a simultaneous T1‐ and T‐measurement

The aim of this study was to propose and evaluate a methodology to analyze simultaneously acquired T‐weighted dynamic susceptibility contrast (DSC) MRI and T₁‐weighted dynamic contrast enhanced (DCE) MRI data. Two generalized models of T‐relaxation are proposed to account for tracer leakage, and a two‐compartment exchange model is used to separate tracer in intra‐ and extravascular spaces. The methods are evaluated using data extracted from ROIs in three mice with subcutaneously implanted human colorectal tumors. Comparing plasma flow values obtained from DCE‐MRI and DSC‐MRI data defines a practical experimental paradigm to measure T‐relaxivities, and reveals a factor of 15 between values in tissue and blood. Comparing mean transit time values obtained from DCE‐MRI and DSC‐MRI without leakage correction, indicates a significant reduction of susceptibility weighting in DSC‐MRI during tracer leakage. A one‐parameter gradient correction model provides a good approximation for this susceptibility loss, but redundancy of the parameter limits the practical potential of this model for DSC‐MRI. Susceptibility loss is modeled more accurately with a variable T‐relaxivity, which allows to extract new parameters that cannot be derived from DSC‐MRI or DCE‐MRI alone. They reflect the cellular and vessel geometry, and thus may lead to a more complete characterization of tissue structure. Magn Reson Med, 2009. © 2009 Wiley‐Liss, Inc.     

Feasibility of T mapping for the evaluation of hip joint cartilage at 1.5T using a three‐dimensional (3D), gradient‐echo (GRE) sequence: A prospective study

This study defines the feasibility of utilizing three‐dimensional (3D) gradient‐echo (GRE) MRI at 1.5T for T mapping to assess hip joint cartilage degenerative changes using standard morphological MR grading while comparing it to delayed gadolinium‐enhanced MRI of cartilage (dGEMRIC). MRI was obtained from 10 asymptomatic young adult volunteers and 33 patients with symptomatic femoroacetabular impingement (FAI). The protocol included T mapping without gadolinium‐enhancement utilizing a 3D‐GRE sequence with six echoes, and after gadolinium injection, routine hip sequences, and a dual‐flip‐angle 3D‐GRE sequence for dGEMRIC T₁ mapping. Cartilage was classified as normal, with mild changes, or with severe degenerative changes based on morphological MRI. T₁ and T findings were subsequently correlated. There were significant differences between volunteers and patients in normally‐rated cartilage only for T₁ values. Both T₁ and T values decreased significantly with the various grades of cartilage damage. There was a statistically significant correlation between standard MRI and T (T₁) (P < 0.05). High intraclass correlation was noted for both T₁ and T. Correlation factor was 0.860 to 0.954 (T‐T₁ intraobserver) and 0.826 to 0.867 (T‐T₁ interobserver). It is feasible to gather further information about cartilage status within the hip joint using GRE T mapping at 1.5T. Magn Reson Med, 2009. © 2009 Wiley‐Liss, Inc.     

Comparison of 1H blood oxygen level–dependent (BOLD) and 19F MRI to investigate tumor oxygenation

Fluorine‐19 [¹⁹F] MRI oximetry and ¹H blood oxygen level–dependent (BOLD) MRI were used to investigate tumor oxygenation in rat breast 13762NF carcinomas, and correlations between the techniques were examined. A range of tissue oxygen partial pressure (pO₂) values was found in the nine tumors while the anesthetized rats breathed air, with individual tumor pO₂ ranging from a mean of 1 to 36 torr and hypoxic fraction (HF10) (<10 torr) ranging from 0% to 75%, indicating a large intra‐ and intertumor heterogeneity. Breathing oxygen produced significant increase in tumor pO₂ (mean ΔpO₂ = 50 torr) and decrease in HF₁₀ (P < 0.01). ¹H BOLD MRI observed using a spin echo‐planar imaging (EPI) sequence revealed a heterogeneous response and significant increase in mean tumor signal intensity (SI) (ΔSI = 7%, P < 0.01). R measured by multigradient‐echo (MGRE) MRI decreased significantly in response to oxygen (mean ΔR = ?4 s^?1; P < 0.05). A significant correlation was found between changes in mean tumor pO₂ and mean EPI BOLD ΔSI accompanying oxygen breathing (r² > 0.7, P < 0.001). Our results suggest that BOLD MRI provides information about tumor oxygenation and may be useful to predict pO₂ changes accompanying interventions. Significantly, the magnitude of the BOLD response appears to be predictive for residual tumor HFs. Magn Reson Med, 2009. © 2009 Wiley‐Liss, Inc.     

The concordance of MRI and quantitative autoradiography estimates of the transvascular transfer rate constant of albumin in a rat brain tumor model

The apparent forward transfer constant, K, for albumin was measured in 9L cerebral tumors in 15 rats. An MRI study using gadolinium‐labeled bovine serum albumin was followed by terminal quantitative autoradiography (QAR) using radioiodinated serum albumin. Look‐Locker MRI estimates of T₁ followed gadolinium‐labeled bovine serum albumin blood and tissue concentration. QAR and MRI maps of K were coregistered, a region of interest (ROI) that included the tumor and its surround was selected, and the two estimates of K from the ROI on QAR and MRI maps were compared by either mean per animal ROI or on pixel‐by‐pixel data using a generalized estimating equation. An ROI analysis showed a moderate correlation between the two measures (r = 0.57, P = 0.026); pixel‐by‐pixel generalized estimating equation analysis concurred (r = 0.54, P < 0.0001). The estimates of QAR with MRI of last time points (e.g., 25 min) showed a moderate correlation (ROI r = 0.55, P < 0.035; generalized estimating equation r = 0.58, P < 0.0001). Differences between the QAR and MRI estimates of K did not differ from zero, but the MRI 25‐min estimate was significantly lower than the QAR estimate. Thus, noninvasive MRI estimates of vascular permeability can serve as a surrogate for QAR measures. Magn Reson Med, 2011. © 2011 Wiley Periodicals, Inc.     

On the measurement of absolute cerebral blood volume (CBV) using vascular‐space‐occupancy (VASO) MRI

Recently, a vascular‐space‐occupancy (VASO) MRI technique was developed for quantitative assessment of cerebral blood volume (CBV). This method uses the T₁‐shortening effect of gadolinium diethylenetriamine pentaacetic acid (Gd‐DTPA) with imaging parameters chosen that null the precontrast blood magnetization but allow the postcontrast blood magnetization to recover to equilibrium. A key advantage of VASO CBV estimation is that it provides a straightforward procedure for converting MR signals to absolute physiologic values. However, as with other T₁‐based steady‐state approaches, several important factors need to be considered that influence the accuracy of CBV values obtained with VASO MRI. Here, the transverse relaxation (T₂/T) effect in VASO MRI was investigated using multiecho spin‐echo and gradient‐echo experiments, resulting in underestimation of CBV by 14.9% ± 1.1% and 16.0% ± 2.5% for spin echo (TE = 10 ms) and gradient echo (TE = 6 ms), respectively. In addition, the influence of contrast agent clearance was studied by acquiring multiple postcontrast VASO images at 2.2‐min intervals, which showed that the concentration of Gd‐DTPA in the first 14 min (single dose) was sufficient for the blood magnetization to fully recover to equilibrium. Finally, the effect of vascular Gd‐DTPA leakage was assessed for scalp tissue, and signal extrapolation as a function of postinjection time was demonstrated to be useful in minimizing the associated errors. Specific recommendations for VASO MRI acquisition and processing strategies are provided. Magn Reson Med, 2009. © 2008 Wiley‐Liss, Inc.     

Longitudinal and noninvasive assessment of emphysema evolution in a murine model using proton MRI

Ultrashort echo time (550 μs) MR imaging was implemented to track the emphysema development in mice lung challenged with elastase. Two parameters, namely, signal intensity and T, were used to monitor the disease evolution. Nine mice were imaged before and at 24 h as well as at 3 and 8 weeks after elastase instillation. Five mice instilled with saline served as controls. At week 8, the mean normalized signal intensity ± SD was 0.89 ± 0.20 for healthy controls and 0.64 ± 0.10 for animals with emphysema. Similarly, a reduced value of T (1.27 ± 0.35 ms vs 0.96 ± 0.18 ms) was found in the emphysema group. The mean signal intensity drop and the reduction of T were prominent at 3 weeks following elastase instillation and stabilized between 3 and 8 weeks. The results indicated an excellent agreement between MR findings and histological morphometry (signal intensity, r = ?0.78, P = 0.004; T, r = ?0.78, P = 0.001). This result shows that proton MRI allows structural changes at alveolar level to be monitored longitudinally. This technique, applied routinely in preclinical trials will represent a valuable tool for assessment of drug therapy efficacy. Magn Reson Med, 2012. © 2011 Wiley Periodicals, Inc.     

Validation of MRI biomarkers of hepatic steatosis in the presence of iron overload in the ob/ob mouse

Purpose:

To validate the utility and performance of a T correction method for hepatic fat quantification in an animal model of both steatosis and iron overload.

Materials and Methods:

Mice with low (n = 6), medium (n = 6), and high (n = 8) levels of steatosis were sedated and imaged using a chemical shift‐based fat‐water separation method to obtain magnetic resonance imaging (MRI) fat‐fraction measurements. Imaging was performed before and after each of two superparamagnetic iron oxide (SPIO) injections to create hepatic iron overload. Fat‐fraction maps were reconstructed with and without T correction. Fat‐fraction with and without T correction and T measurements were compared after each injection. Liver tissue was harvested and imaging results were compared to triglyceride extraction and histology grading.

Results:

Excellent correlation was seen between MRI fat‐fraction and tissue‐based fat quantification. Injections of SPIOs led to increases in R (=1/T). Measured fat‐fraction was unaffected by the presence of iron when T correction was used, whereas measured fat‐fraction dramatically increased without T correction.

Conclusion:

Hepatic fat‐fraction measured using a T‐corrected chemical shift‐based fat‐water separation method was validated in an animal model of steatosis and iron overload. T correction enables robust fat‐fraction estimation in both the presence and absence of iron, and is necessary for accurate hepatic fat quantification. J. Magn. Reson. Imaging 2012;35:844–851. © 2011 Wiley Periodicals, Inc.     

Multiecho water‐fat separation and simultaneous R estimation with multifrequency fat spectrum modeling

Multiecho chemical shift–based water‐fat separation methods are seeing increasing clinical use due to their ability to estimate and correct for field inhomogeneities. Previous chemical shift‐based water‐fat separation methods used a relatively simple signal model that assumes both water and fat have a single resonant frequency. However, it is well known that fat has several spectral peaks. This inaccuracy in the signal model results in two undesired effects. First, water and fat are incompletely separated. Second, methods designed to estimate T in the presence of fat incorrectly estimate the T decay in tissues containing fat. In this work, a more accurate multifrequency model of fat is included in the iterative decomposition of water and fat with echo asymmetry and least‐squares estimation (IDEAL) water‐fat separation and simultaneous T estimation techniques. The fat spectrum can be assumed to be constant in all subjects and measured a priori using MR spectroscopy. Alternatively, the fat spectrum can be estimated directly from the data using novel spectrum self‐calibration algorithms. The improvement in water‐fat separation and T estimation is demonstrated in a variety of in vivo applications, including knee, ankle, spine, breast, and abdominal scans. Magn Reson Med 60:1122–1134, 2008. © 2008 Wiley‐Liss, Inc.     

Fast CPMG‐based Bloch‐Siegert B1+ mapping

A novel method for B mapping based on the Bloch‐Siegert (BS) shift was recently presented. This method applies off‐resonant pulses before signal acquisition to encode B₁ information into the signal phase. BS‐based methods possess significant advantages in measurement time and accuracy compared to magnitude‐based B methods. This study extends the idea of BS B mapping to Carr, Purcell, Meiboom, Gill (CPMG)‐based multi‐spin‐echo (BS‐CPMG‐MSE) and turbo‐spin‐echo (BS‐CPMG‐TSE) imaging. Compared to BS‐based spin echo imaging (BS‐SE), faster acquisition of the B information was possible using the BS‐CPMG‐TSE sequence. Furthermore, signal loss by T₂* effects could be minimized using these spin echo‐based techniques. These effects are critical for gradient echo‐based BS methods at high field strengths. However, multi‐spin‐echo‐based BS B₁ methods inherently possess high specific absorption rates. Thus, the relative specific absorption rate of BS‐CPMG‐TSE sequences was estimated and compared with the specific absorption rate produced by BS‐SE sequences. Magn Reson Med, 2012. © 2011 Wiley Periodicals, Inc.     

Rapid B1+ mapping using a preconditioning RF pulse with TurboFLASH readout

In MRI, the transmit radiofrequency field (B) inhomogeneity can lead to signal intensity variations and quantitative measurement errors. By independently mapping the local B variation, the radiofrequency‐related signal variations can be corrected for. In this study, we present a new fast B mapping method using a slice‐selective preconditioning radiofrequency pulse. Immediately after applying a slice‐selective preconditioning pulse, a turbo fast low‐angle‐shot imaging sequence with centric k‐space reordering is performed to capture the residual longitudinal magnetization left behind by the slice‐selective preconditioning pulse due to B variation. Compared to the reference double‐angle method, this method is considerably faster. Specifically, the total scan time for the double‐angle method is equal to the product of 2 (number of images), the number of phase‐encoding lines, and approximately 5T₁, whereas the slice‐selective preconditioning method takes approximately 5T₁. This method was validated in vitro and in vivo with a 3‐T whole‐body MRI system. The combined brain and pelvis B measurements showed excellent agreement and strong correlation with those by the double‐angle method (mean difference = 0.025; upper and lower 95% limits of agreement were ?0.07 and 0.12; R = 0.93; P < 0.001). This fast B mapping method can be used for a variety of applications, including body imaging where fast imaging is desirable. Magn Reson Med, 2010. © 2010 Wiley‐Liss, Inc.     

Myocardial T measurement in iron‐overloaded thalassemia: An ex vivo study to investigate optimal methods of quantification

Myocardial T measurement has been increasingly used for iron quantification to assess the risk of cardiac complications in thalassemia patients. In this study the noise effects were evaluated along with different curve‐fitting models on an iron overloaded ex vivo heart in order to determine the optimal method of T measurement and to help understand issues affecting reproducibility and accuracy. Gradient multiecho short axis images were acquired with differing numbers of excitations to generate varying signal‐to‐noise ratio (SNR) images. A noise correction method was implemented; linear and nonlinear curve‐fitting algorithms were compared and different curve‐fitting models (monoexponential, truncation, baseline subtraction, and offset) were evaluated. This study suggests that the T decay curve in an ex vivo heart can be fitted by a monoexponential model and accurate T measurements can be obtained with proper noise correction. With MRI noise, T is generally overestimated by including late low SNR data points, but underestimated by the offset or baseline subtraction models, which are in fact equivalent. In this situation the truncation model proves to be reproducible and more accurate than the other models. The study also shows that the nonlinear algorithm is preferred in T curve fitting. Magn Reson Med 60:350–356, 2008. © 2008 Wiley‐Liss, Inc.     

Compensation of slice profile mismatch in combined spin‐ and gradient‐echo echo‐planar imaging pulse sequences

Combined acquisition of gradient‐echo and spin‐echo signals in MRI time series reveals additional information for perfusion‐weighted imaging and functional MRI because of differences in the sensitivity of gradient‐echo and spin‐echo measurements to the properties of the underlying vascular architecture. The acquisition of multiple echo trains within one time frame facilitates the simultaneous estimation of the transversal relaxation parameters R₂ and R. However, the simultaneous estimation of these parameters tends to be incorrect in the presence of slice profile mismatches between signal excitation and subsequent refocusing pulses. It is shown here that improvements in pulse design reduced R₂ and R estimation errors. Further improvements were achieved by augmented parameter estimation through the introduction of an additional parameter δ to correct for discordances in slice profiles to facilitate more quantitative measurements. Moreover, the analysis of time‐resolved acquisitions revealed that the temporal stability of R₂ estimates could be increased with improved pulse design, counteracting low contrast‐to‐noise ratios in spin‐echo‐based perfusion and functional MRI. Magn Reson Med, 2012. © 2011 Wiley Periodicals, Inc.     

B interferometry for the calibration of RF transmitter arrays

Multiple‐channel RF transmission holds great promise for MRI, especially for human applications at high fields. For calibration it requires mapping the effective RF magnetic fields, B, of the transmitter array. This is challenging to do accurately and fast due to the large dynamic range of B and tight SAR constraints. In the present work, this problem is revisited and solved by a novel mapping approach relying on an interference principle. The B fields of individual transmitter elements are measured indirectly by observing their interference with a SAR‐efficient baseline RF field. In this fashion even small RF fields can be observed in the B ‐sensitive large‐flip‐angle regime. Based on a set of such experiments B maps of the individual transmitter channels are obtained by solving a linear inverse problem. Confounding relaxation and off‐resonance effects are addressed by an extended signal model and nonlinear fitting. Using the novel approach, 2D mapping of an 8‐channel transmitter array was accomplished in less than a minute. For validation it is demonstrated that mapping results do not vary with T₁ or parameters of the mapping sequence. In RF shimming experiments it is shown that the measured B maps accurately reflect the linearity of RF superposition. Magn Reson Med, 2009. © 2009 Wiley‐Liss, Inc.     

Increased SNR and reduced distortions by averaging multiple gradient echo signals in 3D FLASH imaging of the human brain at 3T

Purpose

To demonstrate how averaging of multiple gradient echoes can improve high‐resolution FLASH (fast low angle shot) magnetic resonance imaging (MRI) of the human brain.

Materials and Methods

3D‐FLASH with multiple bipolar echoes was studied by simulation and in three experiments on human brain at 3T. First, the repetition time (TR) was increased by the square of the flip angle to maintain contrast as derived by theory. Then the number of echoes was increased at constant TR with bandwidths between 110 and 1370 Hz/pixel. Finally, signals of a 12‐echo acquisition train (echo times 4.9–59 msec) were averaged consecutively to study the increase in SNR.

Results

At unchanged contrast, the signal increased proportionally with flip angle and sqrt(TR). Increasing the bandwidth improved delineation of the basal cortex and vessels, while most of the loss in the signal‐to‐noise ratio (SNR) was recovered by averaging. Consecutive averaging increased the SNR to reach maximum efficiency at an echo train length corresponding roughly to T.

Conclusion

SNR is gained efficiently by acquiring additional echoes and increasing TR (and flip angle accordingly to maintain contrast) until the associated T loss in the averaged signal consumes the sqrt(TR) increase in the steady state. A bandwidth of 350 Hz/pixel or higher and echo trains shorter than T are recommended. J. Magn. Reson. Imaging 2009;29:198–204. © 2008 Wiley‐Liss, Inc.     

Regional variations of T2* in healthy and pathologic achilles tendon in vivo at 7 Tesla: Preliminary results

The aim of this study was to investigate T in the Achilles tendon (AT), in vivo, using a three‐dimensional ultrashort time echo (3D‐UTE) sequence, to compare field strength differences (3 and 7 T) and to evaluate a regional variation of T in healthy and pathologic tendon. Ten volunteers with no history of pain in the AT and five patients with chronic Achilles tendinopathy were recruited. 3D‐UTE images were measured with the following echo times, at echo time = [0.07, 0.2, 0.33, 0.46, 0.59, 0.74, 1.0, 1.5, 2.0, 4.0, 6.0, and 9.0 ms]. T values in the AT were calculated by fitting the signal decay to biexponential function. Comparing volunteers between 3 and 7 T, short component T was 0.71 ± 0.17 ms and 0.34 ± 0.09 ms (P < 0.05); bulk long component T was 12.85 ± 1.87 ms and 10.28 ± 2.28 ms (P < 0.05). In patients at 7 T, bulk T was 0.53 ± 0.17 ms (P = 0.045, compared to volunteers), T was 11.49 ± 4.28 ms (P = 0.99, compared to volunteers). The results of this study suggest that the regional variability of AT can be quantified by T in in vivo conditions. Advanced quantitative imaging of the human AT using a 3D‐UTE sequence may provide additional information to standard clinical imaging. Finally, as the preliminary patient data suggest, T may be a promising marker for the diagnosis of pathological changes in the AT. Magn Reson Med, 2012. © 2012 Wiley Periodicals, Inc.     

Visualization of seminiferous tubules in rat testes in normal and diseased conditions by high‐resolution MRI

Rat seminiferous tubules were visualized for the first time using high‐spatial‐resolution MRI and their MRI features were investigated under normal and various kinds of pathological conditions. All testes images were obtained at 4.7 T with a dedicated quadrature surface coil. T₂‐ and T‐weighted images with in‐plane resolution of 66 × 66 μm² demonstrated numerous tubular structures with low‐signal‐intensity walls and high‐signal‐intensity lumens tightly packed throughout the entire testicle. The tubular structures were attributed to the seminiferous tubules in the histological specimens. In testicular ischemia, T‐weighted images demonstrated prominent low‐signal‐intensity bands along the radiate veins and normal‐appearing seminiferous tubules. As the ischemic condition persisted, the contour of the seminiferous tubules became less visible on both T₂‐ and T‐weighted images, reflecting the disorganization of the seminiferous epithelia and severe interstitial edema. Changes in the images of testes treated with glycerol or diethylstilbestrol, a synthetic estrogen hormone, were also investigated. In the chronic spermatogenic impairment caused by these substances, extensive shrinkage of the seminiferous tubules was demonstrated. High‐resolution MRI aids in noninvasive evaluation of seminiferous tubules, and therefore has potential as a diagnostic test for human testes. Magn Reson Med, 2009. © 2009 Wiley‐Liss, Inc.     

B(1) mapping with selective pulses

Knowledge of B distribution is crucial for many applications, such as quantitative MRI. A novel method has been developed to improve the accuracy of the conventionally applied double‐angle method for B mapping. It solves the remaining issues raised by the use of selective pulses for slice selection to accelerate the acquisition process. A general approach for reconstructing B maps is presented first. It takes B‐induced slice profile distortions over off‐resonance frequencies into account. It is then shown how the ratio between the prescribed flip angles can be adjusted to reach a compromise between the level of noise propagated onto B maps and the width of the range in which the field can be mapped. Lastly, several solutions are proposed for reducing the B‐dependent pollution of regions distal to the image slice which participates significantly in the inaccuracy of B mapping. These methods were experimentally tested by comparison with gold standard B maps obtained on a phantom using a non‐selective and thus much slower technique. As they are independent and lead to significant improvements, these solutions can be combined to achieve high precision and fast B mapping using spin‐echo DAM. Magn Reson Med, 2012. © 2012 Wiley Periodicals, Inc.     

Perfusion mapping with multiecho multishot parallel imaging EPI

Echo‐planar imaging (EPI) is the standard technique for dynamic susceptibility‐contrast (DSC) perfusion MRI. However, EPI suffers from well‐known geometric distortions, which can be reduced by increasing the k‐space phase velocity. Moreover, the long echo times (TEs) used in DSC lead to signal saturation of the arterial input signal, and hence to severe quantitation errors in the hemodynamic information. Here, through the use of interleaved shot acquisition and parallel imaging (PI), rapid volumetric EPI is performed using pseudo‐single‐shot (ss)EPI with the effective T blur and susceptibility distortions of a multishot EPI sequence. The reduced readout lengths permit multiple echoes to be acquired with temporal resolution and spatial coverage similar to those obtained with a single‐echo method. Multiecho readouts allow for unbiased R mapping to avoid incorrect estimation of tracer concentration due to signal saturation or T₁ shortening effects. Multiecho perfusion measurement also mitigates the signal‐to‐noise ratio (SNR) reduction that results from utilizing PI. Results from both volunteers and clinical stroke patients are presented. This acquisition scheme can aid most rapid time‐series acquisitions. The use of this method for DSC addresses the problem of signal saturation and T₁ contamination while it improves image quality, and is a logical step toward better quantitative MR PWI. Magn Reson Med 58:70–81, 2007. © 2007 Wiley‐Liss, Inc.     

Early detection of lung inflammation: Exploiting T1‐effects of iron oxide particles using UTE MRI

At high magnetic fields diagnostic proton MRI of the lung is problematic, because of fast T relaxation. The application of superparamagnetic contrast agents and the exploitation of the corresponding T effect is inefficient with conventional MRI methods, which limits the early detection of lung diseases. However, a simple theoretical treatment shows that in the lung, by the use of ultra‐short echo time sequences, T effects can be neglected while T₁ shortening effects can be used for signal detection. In our study, we have applied a theoretically and experimentally optimized 3D ultra‐short echo time sequence to lung phantoms and to a mouse model of lung inflammation, which was induced by systemic bacterial infection. Following the systemic application of very small superparamagnetic iron oxide nanoparticles, a significant signal increase in the lung of infected animals was detected already at 24 h postinfection, compared to control mice (17%, P < 0.001). Iron accumulation in the lung parenchyma as consequence of the host immune response was histologically confirmed. By conventional T‐ and T₂‐weighted imaging, neither structural changes nor formation of substantial edema were observed. Magn Reson Med, 2012. © 2012 Wiley Periodicals, Inc.