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A prospective study in 31 patients was designed to compare contrast quantitatively using axial conventional, gated spin-echo T2-weighted (T2W) (SE) (asymmetrical echo TE 30 and 80 ms) and axial dual-echo fast spin-echo (FSE) sequences (TEeff 20 and 120 ms) to image lumbar discs, nerve roots, and cerebrospinal fluid CSF. We used two quantitative measures, percent (%) contrast and contrast-to-noise ratio (CNR), to compare the sequences. The FSE sequence had greater % contrast and CNR on the first and second echo images for both disc and nerve root detection using these scan parameters. An axial FSE sequence, therefore, provided contrast characteristics similar to those of gated axial T2W SE sequence in the lumbar spine, with a 60% saving in acquisition time. The FSE sequence is now our standard axial T2W study for the lumbar spine.

The authors have developed a technique based on a solution of the Poisson equation to unwrap the phase in magnetic resonance (MR) phase images. The method is based on the assumption that the magnitude of the inter-pixel phase change is less than /spl pi/ per pixel. Therefore, the authors obtain an estimate of the phase gradient by "wrapping" the gradient of the original phase image. The problem is then to obtain the absolute phase given the estimate of the phase gradient. The least-squares (LS) solution to this problem is shown to be a solution of the Poisson equation allowing the use of fast Poisson solvers. The absolute phase is then obtained by mapping the LS phase to the nearest multiple of 2 K from the measured phase. The proposed technique is evaluated using MR phase images and is proven to be robust in the presence of noise. An application of the proposed method to the 3-point Dixon technique for water and fat separation is demonstrated. >

The different sources of spatial distortion in magnetic resonance images are reviewed from the point of view of stereotactic target localization. The extents of the two most complex sources of spatial distortion, gradient field nonlinearities and magnetic field inhomogeneities, are discussed both qualitatively and quantitatively. Several ways by which the spatial distortion resulting from these sources can be minimized are discussed. The clinical relevance of the spatial distortion along with some strategies to minimize the localization errors in magnetic resonance-guided stereotaxy are presented.

RATIONALE AND OBJECTIVES: We compared the effectiveness of pulsed magnetization transfer contrast (MTC) magnetic resonance imaging (MRI) and spin-echo MRI in detecting tumor necrosis. METHODS: Adenocarcinoma cells were transplanted in the livers of 12 syngenic BDIX rats. To induce various degrees of tumor necrosis, the rats were randomly assigned to the following groups: 1) control; 2) localized hyperthermia; 3) intralesional cisplatin; and 4) hyperthermia plus intralesional cisplatin. At day 7 after treatment, the rats were imaged using a 1.5-T imager with 1) multiplanar gradient-recalled echo sequence (MPGR) 500/8/20 degrees with and without magnetization transfer contrast (MTC); 2) spin-echo 2500/20,80, and 3) spin-echo 300/20 pulse sequences. The rats were then sacrificed and pathologic specimens were prepared using MR images as guidance. T2 and ratios of signal intensity after saturation to signal intensity before saturation (Ms/Mo ratios) of the necrotic and granulation tissues and viable tumors were determined in 10 rats. RESULTS: Compared with standard MPGR images, MPGR images with MTC provided better contrast between the pathologic tissues and normal liver. However, T2 values were more useful than Ms/Mo ratios in distinguishing necrotic areas from viable tumor. The T2 values of coagulative necrosis and granulation tissue were significantly different from that of viable tumor. No significant difference between the Ms/Mo ratios of the different pathologic tissues and normal liver was found. CONCLUSION: Pulsed magnetization transfer contrast MRI was inferior to spin-echo MRI in distinguishing necrotic from viable tumors in rat livers using the pulse sequences described, and none of the sequences studied was thought to be reliable enough for this purpose.

The authors have developed a method to reduce noise in three-dimensional (3D) phase-contrast magnetic resonance (MR) velocity measurements by exploiting the property that blood is incompressible and, therefore, the velocity field describing its flow must be divergence-free. The divergence-free condition is incorporated by a projection operation in Hilbert space. The velocity field obtained with 3D phase-contrast MR imaging is projected onto the space of divergence-free velocity fields. The reduction of noise is achieved because the projection operation eliminates the noise component that is not divergence-free. Signal-to-noise ratio (S/N) gains on the order of 15%-25% were observed. The immediate effect of this noise reduction manifests itself in higher-quality phase-contrast MR angiograms. Alternatively, the S/N gain can be traded for a reduction in imaging time and/or improved spatial resolution.

Cross relaxation between macromolecular protons and water protons is known to be important in biologic tissue. In magnetic resonance (MR) imaging sequences, selective saturation of the characteristically short T2 macromolecular proton pool can produce contrast called magnetization transfer contrast, based on the cross-relaxation process. Selective saturation can be achieved with continuous wave irradiation several kilohertz off resonance or short, intense 0 degree pulses on resonance. The authors analyze 0 degree binomial pulses for T2 selective saturation, present design guidelines, and demonstrate the use of these pulses in spin-echo imaging sequences in healthy volunteers and patients. Using the phenomenologic Bloch equations modified for two-site exchange, the authors derive the analytic expressions for water proton relaxation under periodic pulsed saturation of the macromolecular protons. This relaxation is shown to be monoexponential, with a rate constant dependent on the saturation pulse repetition rate and the individual and cross-relaxation rates.

It is shown that a conventional 1.5-T magnetic resonance (MR) imaging system can help characterize some of the key components of atherosclerotic plaque ex vivo. Fresh human aorta with atheromata was suspended in solutions of agarose and manganese chloride and heated to body temperature. The specimens were imaged with modified Dixon and projection-reconstruction imaging sequences. The specimens were then examined histologically to obtain direct correlation between images, spectra, and histologic characteristics. The results show that vessel wall and plaque components can be identified by means of their MR characteristics and correlated with their histologic appearance. The authors were able to identify normal vessel wall components, such as adventitial lipids and smooth muscle. They were also able to identify and localize plaque components such as fibrous tissue, calcification, lipids, and possible areas of hemorrhage and hemosiderin deposition.

Pulsed magnetization transfer and continuous wave irradiation techniques are analyzed and compared for saturation efficiency and radio-frequency (RF) power requirements at 1.5 and 0.5 T. Binomial RF pulses transmitted on resonance are a more power-efficient method of exciting saturation transfer and are easily implemented with any pulse sequence. Binomial pulses selectively excite all short T2 species and behave as 0 degrees pulses for on-resonance, long T2 species.

Motion of the subject causes inconsistencies in MR scan data which in turn produce streaks in projection reconstruction (PR) scans or ghosts in 2DFT imaging. It is shown that a data manifold consistent with a static object may be extracted from input scan data by applying consistency criteria based on moment or Fourier expansions of the object's projections. The criteria limit the spectrum of azimuthal variation relative to the radial moments or radial spectral components, and their application diminishes k-space inconsistencies from motion or flow by discarding unallowed expansion terms. This consistent projection reconstruction (CPR) algorithm was applied to the reconstruction of projection data from a moving phantom and from human abdominal sections, and in each case provided reduced motion streaks relative to conventional reconstructions. In addition, CPR was found to be effective when used with 2DFT data by resampling the Cartesian data as radial projections, but to a lesser extent.

The authors present a new in vivo method to correct the nonlinear, object-shape-dependent and material-dependent spatial distortion in magnetic resonance (MR) images caused by magnetic susceptibility variations. This distortion across the air/tissue interface before and after the correction is quantified using a phantom. The results are compared to the distortion-free computed tomography (CT) images of the same phantom by fusing CT and MR images using fiducials, with a registration accuracy of better than a millimeter. The distortion at the bone/tissue boundary is negligible compared to the typical MRI (MR imaging) resolution of 1 mm, while that at the air/tissue boundary creates displacements of about 2 mm (for G/sub x/ 3.13 mT/m). This is a significant value if MRI is to provide highly accurate geometric measurements, as in the case of target localization for stereotaxic surgery. The correction scheme provides MR images with accuracy similar to that of CT: 1 mm. A new method to estimate the magnetic susceptibility of materials from MR images is presented. The magnetic susceptibility of cortical bone is measured using a SQUID magnetometer, and is found to be -8.86 ppm (with respect to air), which is quite similar to that of tissue (-9 ppm). >

As new boron compounds are introduced for BNCT, requirements to conduct pharmacokinetic studies more quickly and noninvasively will intensify. The purpose of this paper is to present a method for determining the in vivo distribution and kinetics of Na2B12H11SH (Borocaptate Sodium or BSH) and to monitor it’s deployment in real time. To obtain pharmacokinetic data in “real time” the method must be non invasive and fast enough to sample the changing environment. Magnetic Resonance (MR) had been suggested from the beginning as an ideal non invasive method, but, because of the low signal-to-noise (SNR) for boron imaging (about 106 times less than proton imaging) and fast relaxation of the nuclei (less than 1 msec), problems seemed insurmountable. With the advances in MRI technology, a solution has been found that makes the premise of this research feasible. Instead of using two-dimensional chemical shift imaging1,2 (2D-CSI) which takes too long to acquire image data, we are proposing the use of a three-dimensional (3D) projection reconstruction method. The details of this method have been reported elsewhere3 and will not be repeated here. The method meets the necessary requirements of being non invasive and fast, with data acquisition on the order of minutes instead of hours.

Projection reconstruction (PR) techniques are shown to have intrinsic advantages over spin-warp (2DFT) methods with respect to diminished artifacts from respiratory motion. The benefits result from (1) portrayal of artifacts as radial streaks, with the amplitude smallest near the moving elements; (2) streak deployment perpendicular to the direction of motion of moving elements and often residing outside the anatomic boundaries of the subject; (3) inherent signal averaging of low spatial frequencies from oversampling of central k-space data. In addition, respiratory-ordered view angle (ROVA) acquisition is found to diminish residual streaking significantly by reducing interview inconsistencies. Comparisons of 2DFT and PR acquisitions are made with and without ROVA. Reconstructions from magnitude-only projections are found to have increased streaks from motion-induced phase shifts.

Quantitative measurements of arterial and venous blood flow were obtained with phase-contrast cine magnetic resonance (MR) imaging and compared with such measurements obtained by means of implanted ultrasound (US) blood flow probes in anesthetized dogs. The US flowmeter was enabled during a portion of each MR imaging sequence to allow virtually simultaneous data acquisition with the two techniques. MR imaging data were gated by means of electrocardiography and divided into 16 phases per cardiac cycle. The rates of portal venous blood flow measured with MR imaging and averaged across the cardiac cycle (710 mL/min +/- 230 [standard deviation]) correlated well with those measured with the flowmeter and averaged in like fashion (751 mL/min +/- 238) (r = .995, slope = 1.053). The correspondence in arterial blood flow was almost as good. No statistically significant difference existed between the paired measurements of blood flow obtained with MR imaging and the implanted probe. It is concluded that, as a noninvasive means of accurate quantification of blood flow, phase-contrast MR imaging may be especially useful in deep blood vessels in humans.

Fast spin-echo (FSE) magnetic resonance (MR) imaging was compared with conventional, peripherally gated T2-weighted spin-echo (SE) imaging in the detection of high- and low-signal-intensity lesions in the central nervous system. Lesion detectability was determined with percentage of contrast measurements and contrast-to-noise ratios with two different measurements for noise. All three measures of lesion detectability were similar. FSE and SE sequences were quantitatively equivalent in the detection of high-signal-intensity lesions. The SE sequence, however, was superior to the FSE sequence in the detection of small, low-signal-intensity lesions in the central nervous system caused by magnetic susceptibility effects.

We demonstrate a new in-vivo correction scheme for the non-linear, shape dependent spatial distortion in MR images due to magnetic susceptibility variations. Geometric distortion at the air/tissue and tissue/bone boundaries before and after the correction is quantified using a phantom. Assuming CT is distortion-free, MR images were compared to CT images of the phantom. Edges of the images were detected. Using fiducials, transformation from CT to MR was determined. CT edges were projected onto MR planes. Corrected and uncorrected MR edges were compared with CT edges. Magnetic susceptibility of cortical bone was measured using a Superconducting Quantum Interference Device (SQUID) magnetometer and found to be -8.86 ppm which is quite similar to that of tissue (-9 ppm). As expected, the distortion at the bone/tissue interface was negligible while that at the air/tissue interface created displacements of about 2.0 mm with a 1.5 T main magnetic field and a 3.13 mT/m gradient field. This is a significant value if MR images are used to localize targets with the degree of accuracy expected for stereotaxic surgery. Our correction scheme diminished the errors to the same level of accuracy as CT.

The three-point Dixon technique is an enhancement of the original Dixon method for the creation of water- and fat-proton magnetic resonance (MR) images. With the three-point Dixon technique, three measurements of phase shift at 0, pi, and -pi between the fat and water resonances are employed. Compensation for B0 inhomogeneity leads to an error-free decomposition into water- and fat-proton images; an accurate B0 map is also created. The lack of chemical shift artifact in the water- and fat-selective MR images permits the application of narrow receive bandwidth for the creation of T2-weighted images with a high signal-to-noise ratio. The technique was applied in vivo with four healthy subjects, seven patients with prostatic carcinoma, and one patient with benign prostatic hypertrophy and compared with conventional T2-weighted imaging. The three-point technique yielded images with improved definition of normal intraprostatic structures and zonal anatomy and, in some cases of prostatic carcinoma, provided better visualization of extraprostatic spread of tumor.

Complex regional pain syndrome (CRPS) is a debilitating chronic neuropathic pain condition. Central mechanisms have been proposed to play a role in the generation and maintenance of many chronic pain conditions. In this study we investigated regional gray matter volume (GMV) differences between CRPS patients and controls by performing voxelbased morphometry (VBM) analyses on high-resolution T1 magnetic resonance images. Eighteen right-handed patients with right upper extremity CRPS (mean age 41.7 11.3 (SD)) meeting IASP criteria for CRPS were matched with 25 right-handed controls (age 35.0 14.0). Statistical Parametrical Mapping 5 (SPM5) software and tools provided by Dr. Christian Gaser were used to process the data. Gray matter (GM) images were then submitted to an analysis of covariance (ANCOVA) regressing out age and total GMV (p 0.01 corrected). We found that CRPS patients, compared to controls, had significantly reduced GM in the cingulate to precuneus and increased GM in the right occipital cerebellar region. At a more lenient threshold, we found increased GM in the left lateral prefrontal region and the midbrain including periaqueductal gray. A second analysis (CRPS: n15, age 43.7 9.1 RH females with right upper-extremity CRPS; Controls: n15, age 41.6 12.8, RH females) showed similar trends. The increase in cerebellar volume may be due to repeated painful stimuli being processed through the cerebellothalamo-cortical pathways. Increases in periaqueductal gray may represent continued increased inhibitory activity in patients with chronic pain. The posterior cingulate and the precuneus are thought to be involved in the experience of pain -the posterior cingulate through the encoding of pain intensity, and the precuneas through emotional learning and integrative tasks. The areas of decreased GM are shown in functional studies to be hyperactive in pain patients adds further support to the theory that CRPS induces structural abnormalities in the human brain.

Background: Schizophrenia is associated with deficits in using context to establish prepotent responses in complex paradigms and failures to inhibit prepotent responses once established. Objective: To assess prepotent response establishment and inhibition in patients with schizophrenia using event-related brain potential (ERP) and functional magnetic resonance imaging (fMRI) in a simple NoGo task. To combine fMRI and ERP data to focus on fMRI activations associated with the brief (approximately 200 ms) moment of context updating reflected in the NoGo P300 ERP component. Design and Setting: We collected ERP and fMRI data while subjects performed a NoGo task requiring a speedy button press to X stimuli (P=.88) but not to K stimuli (P = .12). The ERPs were collected at the Veterans Affairs Palo Alto Health Care System, Palo Alto, Calif; fMRIs were collected at Stanford University, Stanford, Calif. Participants: We recruited patients withDSM-IV schizophrenia (n=11) from the community and the VA hospital and sex- and age-matched healthy control subjects (n=11) from the community. Main Outcome Measures: Behavioral accuracy, P300 amplitudes and latencies, and fMRI activations suggested that patients with schizophrenia did not establish as strong a prepotent tendency to respond to the Go stimulus as healthy subjects. In healthy subjects, NoGo P300 was related to activations in the anterior cingulate cortex, dorsal lateral prefrontal cortex, and right inferior parietal lobule and caudate nucleus, perhaps reflecting conflict experienced when withholding a response, control needed to inhibit a response, and stopping a response in action, respectively. In patients with schizophrenia, NoGo P300 was modestly related to activations in the anterior cingulate cortex, which is consistent with experiencing conflict. Conclusions: The difference in ERP and fMRI responses to Go and NoGo stimuli suggested that inhibiting a response was easier for patients with schizophrenia than for healthy subjects. Correlations of P300 and fMRI data suggested that patients with schizophrenia and healthy subjects used different neural structures to inhibit responses, with healthy subjects using a more complex system. Arch Gen Psychiatry. 2004;61:119-129

New imaging techniques — PET and fMRI— enable researchers to unlock the heretofore mysterious functions of the human brain.

An in-vivo correction method for the non-linear, shape dependent spatial distortion in MR images due to magnetic field inhomogeneity including inhomogeneity due to susceptibility variations is disclosed. Geometric distortion at the air/tissue and tissue/bone interfaces before and after the correction is quantified using a phantom. The results are also compared to the "distortion-free" CT images of the same phantom. Magnetic susceptibility of cortical cattle bone was measured using a SQUID magnetometer and found to be -8.86 ppm which is quite similar to that of tissue (-9 ppm). The distortion at the bone/tissue boundary was negligible while that at the air/tissue boundary created displacements of about 2.0 mm with a1.5T main magnetic field and a 3.13 mT/m gradient field, a significant value if MR images are used to localize targets with the high accuracy expected for stereotaxic surgery. The correction method reduces the errors to at least the same level of accuracy as CT.