Fourier imaging using rf phase encoding

Fourier imaging methods encode information in the amplitudes and phases of a NMR signal over multiple acquisitions. Several of the techniques that can be used for encoding this information are reviewed and a general theory of phase encoding presented. The discussion is then extended to include encoding as part of the rf excitation sequence. Radiofrequency phase encoding can be obtained using tailored excitation techniques or special-purpose rf field gradient coils, and may be applied prior to excitation or incorporated within the excitation or refocusing pulses. This phase-encoding method may be used for spatial and spectral discrimination, as well as being combined with other methods of image formation. An example of the proposed imaging method is described which enables Fourier imaging of short T2 signals.     

Chemical shift imaging: a review

Chemical shift is the phenomenon that is seen when an isotope possessing a nuclear magnetic dipole moment resonates at a spectrum of resonance frequencies in a given magnetic field. These resonance frequencies, or chemical shifts, depend on the chemical environments of particular nuclei. Mapping the spatial distribution of nuclei associated with a particular chemical shift (e.g., hydrogen nuclei associated with water molecules or with lipid groups) is called chemical shift imaging. Several techniques of proton chemical shift imaging that have been applied in vivo are presented, and their clinical findings are reported and summarized. Acquiring high-resolution spectra for large numbers of volume elements in two or three dimensions may be prohibitive because of time constraints, but other methods of imaging lipid of water distributions (i.e., selective excitation, selective saturation, or variations in conventional magnetic resonance imaging pulse sequences) can provide chemical shift information. These techniques require less time, but they lack spectral information. Since fat deposition seen by chemical shift imaging may not be demonstrated by conventional magnetic resonance imaging, certain applications of chemical shift imaging, such as in the determination of fatty liver disease, have greater diagnostic utility than conventional magnetic resonance imaging. Furthermore, edge artifacts caused by chemical shift effects can be eliminated by certain selective methods of data acquisition employed in chemical shift imaging.     

The role of neuroimaging in sport-related concussion

This article describes some of the newer techniques that are being used in the clinical assessment of patients following mild to moderate TBI, addresses their use in the acute setting, and explores their potential role in long-term follow-up. Also addressed are the challenges faced before some of these newer techniques can be incorporated into routine clinical management. Large studies are needed with a special emphasis on the effects of repeated head trauma in the young athlete. This is especially relevant where conventional imaging does not demonstrate a macroscopic abnormality. The emphasis has to shift from identifying structural abnormalities on imaging studies to understanding the functional changes in the brain that may explain the long-term neuropsychological effects of concussion and mTBI.     

Deconvolution of chemical shift spectra in two- or three-dimensional [19F] MR imaging

The chemical shift spectra of 19F in perfluorinated compounds (PFCs) present a nontrivial impulse response function for magnetic resonance (MR) imaging. The 19F images of organs containing PFCs can be degraded by blurring and ghost image artifacts. Two methods (noise masked deconvolution and maximum entropy deconvolution) are presented that allow the chemical shift spectra of 19F in PFCs to be used to extract high quality MR images free of chemical shift artifact. Both techniques rely on postprocessing of either the raw data or the original image to produce images that are not degraded by the chemical shift spectra of the compound being imaged and that exhibit a signal-to-noise ratio equal to or better than that observed in the original image. The techniques are general in that they can be used with many PFC spectra. Using MR imaging data obtained from phantoms filled with cis/transperfluorodecalin and perfluorotributylamine (FC-43), the methods are compared in terms of their (a) ability to eliminate the chemical shift artifact associated with the PFC spectrum; (b) signal-to-noise performance; and (c) ability to preserve information related to the density and the longitudinal relaxation rate of the resonant nuclei. The utility of these techniques is demonstrated by a series of three-dimensional Fourier transform in vivo images of FC-43 emulsion in a mouse liver.     

The application of phase shifts in NMR for flow measurement

A brief overview of the history of the application of phase shifts in NMR, and in particular NMR imaging, is presented. The imaging methods include direct phase mapping, Fourier flow imaging (where the flow data are Fourier transformed into one dimension of an image), and alternative methods, where flow-related phase shifts are utilized for flow measurement from the magnitude of the signal. A discussion then follows of the principal errors that can affect the accuracy of the various flow imaging techniques, with particular reference to the phase mapping methods that have been used extensively in our institution. The results from a number of experiments are included to illustrate the extent of the errors and methods of removing or minimizing these effects are suggested.     

Field inhomogeneity correction and data processing for spectroscopic imaging

To obtain separate NMR images of spatially resolved high-resolution chemical-shift information the effects of magnetic field inhomogeneity must be accounted for. A suitable correction method is described which relies on first generating a plot of the magnetic field distribution. Using these data the spectroscopic imaging data can be processed to display the spatial distributions of separate resonances without distortion from field inhomogeneity. The field plot is obtained by using the same data acquisition sequence while imaging a phantom object or in particular cases the plot may be derived from the spectroscopic imaging data set itself. The correction procedure is illustrated using proton in vivo imaging of a cat. Some additional data processing techniques are presented which offer alternative methods of displaying spectroscopic imaging data.     

Fast concomitant gradient field and field inhomogeneity correction for spiral cardiac imaging

Non‐Cartesian imaging provides many advantages in terms of flexibility, functionality, and speed. However, a major drawback to these imaging methods is off‐resonance distortion artifacts. These artifacts manifest as blurring in spiral imaging. Common techniques that remove the off‐resonance field inhomogeneity distortion effects are not sufficient, because the high order concomitant gradient fields are nontrivial for common imaging conditions, such as imaging 5 cm off isocenter in an 1.5 T scanner. Previous correction algorithms are either slow or do not take into account the known effects of concomitant gradient fields along with the field inhomogeneities. To ease the correction, the distortion effects are modeled as a non‐stationary convolution problem. In this work, two fast and accurate postgridding algorithms are presented and analyzed. These methods account for both the concomitant field effects and the field inhomogeneities. One algorithm operates in the frequency domain and the other in the spatial domain. To take advantage of their speed and accuracy, the algorithms are applied to a real‐time cardiac study and a high‐resolution cardiac study. Both of the presented algorithms provide for a practical solution to the off‐resonance problem in spiral imaging. Magn Reson Med, 2011. © 2011 Wiley‐Liss, Inc.     

A reduced field-of-view method to increase temporal resolution or reduce scan time in cine MRI.

In some dynamic applications of MRI, only a part of the field-of-view (FOV) actually undergoes dynamic changes. A class of methods, called reduced-FOV (rFOV) methods, convert the knowledge that some part of the FOV is static or not very dynamic into an increase in temporal resolution for the dynamic part, or into a reduction in the scan time. Although cardiac imaging is an important example of an imaging situation where changes are concentrated in a fraction of the FOV, the rFOV methods developed up to now are not compatible with one of the most common cardiac sequences, the so-called retrospective cine method. The present work is a rFOV method designed to be compatible with cine imaging. An increase by a factor n in temporal resolution or a decrease by n in scan time is obtained in the case where only one nth of the FOV is dynamic (the rest being considered static). Results are presented for both Cartesian and spiral imaging.     

AN OVERVIEW OF ELASTOGRAPHY - AN EMERGING BRANCH OF MEDICAL IMAGING

From times immemorial manual palpation served as a source of information on the state of soft tissues and allowed detection of various diseases accompanied by changes in tissue elasticity. During the last two decades, the ancient art of palpation gained new life due to numerous emerging elasticity imaging (EI) methods. Areas of applications of EI in medical diagnostics and treatment monitoring are steadily expanding. Elasticity imaging methods are emerging as commercial applications, a true testament to the progress and importance of the field.In this paper we present a brief history and theoretical basis of EI, describe various techniques of EI and, analyze their advantages and limitations, and overview main clinical applications. We present a classification of elasticity measurement and imaging techniques based on the methods used for generating a stress in the tissue (external mechanical force, internal ultrasound radiation force, or an internal endogenous force), and measurement of the tissue response. The measurement method can be performed using differing physical principles including magnetic resonance imaging (MRI), ultrasound imaging, X-ray imaging, optical and acoustic signals.Until recently, EI was largely a research method used by a few select institutions having the special equipment needed to perform the studies. Since 2005 however, increasing numbers of mainstream manufacturers have added EI to their ultrasound systems so that today the majority of manufacturers offer some sort of Elastography or tissue stiffness imaging on their clinical systems. Now it is safe to say that some sort of elasticity imaging may be performed on virtually all types of focal and diffuse disease. Most of the new applications are still in the early stages of research, but a few are becoming common applications in clinical practice.     

Sports injuries of the hip

With the increasing emphasis on physical activity and physical fitness, the human body is being subjected to an increasing number of stresses, leading to a variety of injuries to the musculoskeletal system. These may be the result of direct trauma to the soft tissues or bony skeleton or may be seen as the result of continued subclinical trauma and stresses (fatigue fractures), or the effects of forceful contraction of muscles (avulsion injuries). Since much of the physical activity involves the lower limbs, stresses on or around the hip are producing, in ever-increasing numbers, sports-related injuries of which the physician and radiologist should be aware. This article explores a variety of sports-related injuries around the hip and identifies the various methods of investigation that may be used in their diagnosis as well as their characteristic radiographic appearance.     

Fat suppression in MR imaging: techniques and pitfalls.

Fat suppression is commonly used in magnetic resonance (MR) imaging to suppress the signal from adipose tissue or detect adipose tissue. Fat suppression can be achieved with three methods: fat saturation, inversion-recovery imaging, and opposed-phase imaging. Selection of a fat suppression technique should depend on the purpose of the fat suppression (contrast enhancement vs tissue characterization) and the amount of fat in the tissue being studied. Fat saturation is recommended for suppression of signal from large amounts of fat and reliable acquisition of contrast material-enhanced images. The main drawbacks of this technique are sensitivity to magnetic field nonuniformity, misregistration artifacts, and unreliability when used with low-field-strength magnets. Inversion-recovery imaging allows homogeneous and global fat suppression and can be used with low-field-strength magnets. However, this technique is not specific for fat, and the signal intensity of tissue with a long T1 and tissue with a short T1 may be ambiguous. Opposed-phase imaging is a fast and readily available technique. This method is recommended for demonstration of lesions that contain small amounts of fat. The main drawback of opposed-phase imaging is unreliability in the detection of small tumors embedded in fatty tissue.     

Multimodality imaging of osteomyelitis

Early diagnosis of osteomyelitis continues to be a clinical problem. Multiple imaging modalities are being used for the diagnosis of osteomyelitis, but none of them is ideal for all cases. The choice of modality depends on several factors based on an understanding of the pathophysiologic aspects of different forms of osteomyelitis. After a brief introduction outlining some basic principles regarding the diagnosis of osteomyelitis, pathophysiologic aspects are reviewed. Advantages and disadvantages of each imaging modality and their applications in different forms of osteomyelitis are discussed. The use of different imaging modalities in the diagnosis of special forms of osteomyelitis, including chronic, diabetic foot, and vertebral osteomyelitis, and osteomyelitis associated with orthopedic appliances and sickle cell disease is reviewed. Taking into account the site of suspected osteomyelitis and the presence or absence of underlying pathologic changes and their nature, an algorithm summarizing the use of various imaging modalities in the diagnosis of osteomyelitis is presented.     

Effects of, and corrections for, cross-term interactions in Q-space MRI.

The present study assesses the effects of cross-term interactions between diffusion and imaging gradients in magnetic resonance imaging q-space analysis, and corrects for those effects for both spin echo and stimulated echo diffusion-weighted sequences. These corrections are demonstrated experimentally in unrestricted media for water and theoretically by simulating the case of restricted diffusion in a sphere. By correcting for the cross-term interactions, large imaging gradients can be used without compromising the results. Ignoring cross-term interactions could lead to a misunderstanding of the q-space analysis; for instance, the microstructural size of the sample could be overestimated, or isotropic media could be misinterpreted as being anisotropic.     

FDG imaging

F-18 fluorodeoxyglucose positron emission tomography (FDG-PET) imaging is being increasingly utilized in the detection of malignancy and in following the effects of therapy. FDG-PET imaging has been demonstrated to be accurate in the diagnosis of several malignancies including lung cancer, lymphoma, recurrent colorectal cancer, and recurrent melanoma. The initial studies evaluating FDG-PET in determining the effect of therapy reveal promising results. The clinical images are interpreted subjectively like other clinical nuclear medicine imaging studies. Semiquantitative indices such as the standardized uptake value may be used for research purposes to provide a quantitative parameter from the study.     

Ultra-fast imaging using low flip angles and fids

A new ultra-fast imaging technique that does not place extreme demands on the speed of the gradient system is described. When used with comparable MRI systems, the rotating ultra-fast imaging sequence (RUFIS) can acquire images 4 to 5 times faster than gradient-moment nulled EPI and more than twice as fast as DUFIS, OUFIS, or BURST techniques. Because the technique uses free induction decays instead of echoes, it can be made particularly insensitive to effects of motion, flow, and diffusion. Preliminary images of turbulent flow are presented to demonstrate this insensitivity. However, with appropriate encoding, flow effects may be imaged.     

Reducing motion artefacts in diffusion-weighted MRI of the brain: efficacy of navigator echo correction and pulse triggering

Diffusion-weighted MRI (DWI) is extremely sensitive to motion of the object being examined. Pulse triggering and navigator echo correction are methods for reducing motion artefacts which can be combined with conventional DWI sequences. Implementation of these methods in imaging sequences with a readout of one, three, or five echoes is presented and imaging results compared in a study of five healthy volunteers. As an objective measure for motion-induced image artefacts, the “artefacticity” of an image is defined. Pulse triggering and navigator echo correction significantly improve image quality and provide a technique for high-quality DWI on standard imagers without improved gradient hardware. Received: 31 January 1999/Accepted: 12 July 1999     

Blood pool contrast agents for cardiovascular MR imaging.

The distribution and elimination of contrast agents is mainly determined by their size. First-pass perfusion with the use of blood pool contrast agents (BPCAs) and/or rapid clearance blood-pool-like contrast agents may allow quantitative myocardial perfusion evaluation in patients. This requires contrast bolus injection with a very fast injection speed. A major profit from BPCAs is expected for magnetic resonance angiography (MRA). The persistent signal-enhancing effects of BPCAs allow for a longer acquisition time window, which may be used to increase both the signal-to-noise ratio and/or image resolution. This is of paramount importance for coronary imaging, in which high-resolution imaging is desired. Moreover, the improved acquisition time window can be used to make multiple scans after one contrast injection. The role of ultrasmall paramagnetic iron oxide particles (USPIOs) for MRA is not clear yet, as they are limited by T2* effects at higher doses. Several safety aspects have to be taken into account before BPCAs are applied in humans, for whom toxicity caused by the injection speed is a concern.     

Fast high-resolution T1 mapping of the human brain.

A sequence for the acquisition of high-resolution T1 maps, based on magnetization-prepared multislice fast low-angle shot (FLASH) imaging, is presented. In contrast to similar methods, no saturation pulses are used, resulting in an increased dynamic range of the relaxation process. Furthermore, it is possible to acquire data during all relaxation delays because only slice-selective radiofrequency (RF) pulses are used for inversion and excitation. This allows for a reduction of the total acquisition time, or scanning with a reduced bandwidth, which improves the signal-to-noise ratio (SNR). The method generates quantitative T1 maps with an in-plane resolution of 1 mm, slice thickness of 4 mm, and whole-brain coverage in a clinically acceptable imaging time of about 19 s per slice. It is shown that the use of off-center RF pulses does not result in imperfect inversion or magnetization transfer (MT) effects. In addition, an improved fitting algorithm based on smoothed flip angle maps is presented and tested successfully.