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OBJECTIVE. Diffuse excessive high signal intensity (DEHSI) is observed in the majority of preterm infants at term-equivalent age on conventional MRI, and diffusion-weighted imaging has shown that apparent diffusion coefficient values are elevated in the white matter (WM) in DEHSI. Our aim was to obtain diffusion tensor imaging on preterm infants at term-equivalent age and term control infants to test the hypothesis that radial diffusivity was significantly different in the WM in preterm infants with DEHSI compared with both preterm infants with normal-appearing WM on conventional MRI and term control infants. METHODS. Diffusion tensor imaging was obtained on 38 preterm infants at term-equivalent age and 8 term control infants. Values for axial ([[lambda].sub.1]) and radial [([[lambda].sub.2] + [[lambda].sub.3])/2] diffusivity were calculated in regions of interest positioned in the central WM at the level of the centrum semiovale, frontal WM, posterior periventricular WM, occipital WM, anterior and posterior portions of the posterior limb of the internal capsule, and the genu and splenium of the corpus callosum. RESULTS. Radial diffusivity was elevated significantly in the posterior portion of the posterior limb of the internal capsule and the splenium of the corpus callosum, and both axial and radial diffusivity were elevated significantly in the WM at the level of the centrum semiovale, the frontal WM, the periventricular WM, and the occipital WM in preterm infants with DEHSI compared with preterm infants with normal-appearing WM and term control infants. There was no significant difference between term control infants and preterm infants with normal-appearing WM in any region studied. CONCLUSIONS. These findings suggest that DEHSI represents an oligodendrocyte and/or axonal abnormality that is widespread throughout the cerebral WM. Key Words preterm, brain, diffusion tensor imaging, magnetic resonance imaging Abbreviations GA--gestational age DEHSI--diffuse excessive high signal intensity DWI--diffusion-weighted imaging ADC--apparent diffusion coefficient WM--white matter DTI--diffusion tensor imaging PLIC--posterior limb of the internal capsule PMA--postmenstrual age FOV--field of view ROI--region of interest, THE DEVELOPING BRAIN is vulnerable to injury from many causes, resulting in significant mortality and morbidity. At 30 months of age, impairment can be identified in one half of all [...]

Objective. The most common finding on magnetic resonance imaging (MRI) of the brain in preterm infants at term-equivalent age is diffuse excessive high signal intensity (DEHSI) in the white matter. It is unclear whether DEHSI represents a biological abnormality. This study used diffusion-weighted imaging (DWI) to compare apparent diffusion coefficient (ADC) values in DEHSI with infants with normal imaging and those with overt brain damage to determine whether DEHSI shows the diffusion characteristics of normal or abnormal tissue. Methods. MRI, using conventional and diffusion-weighted imaging (DWI), was performed in 50 preterm infants at term-equivalent age using a 1.5 Tesla MR scanner. The infants were divided into 3 groups on the basis of their MRI results: 1) normal white matter, 2) DEHSI, or 3) overt white matter pathology. ADC values were measured in the frontal, central, and posterior white matter at the level of the centrum semiovale. ADC values in the 3 groups of preterm infants were compared using a 1-way analysis of variance with a Bonferroni test for multiple comparisons. Results. ADC values were significantly higher in infants with DEHSI and infants with overt white matter pathology than in infants with normal white matter. There was no significant difference between ADC values in infants with DEHSI and those with overt white matter pathology. Conclusions. This study provides objective evidence that DEHSI represents diffuse white matter abnormality., ABBREVIATIONS. PVL, periventricular leukomalacia; PHI, periventricular hemorrhagic infarction; IVH, intraventricular hemorrhage; MRI, magnetic resonance imaging; DEHSI, diffuse excessive high signal intensity; DWI, diffusion-weighted imaging; ADC, apparent diffusion coefficient; GA, gestational [...]

Accuracy of B1 mapping for array coils can be improved by mapping the fields produced by driving linear combinations of the array elements, chosen to produce a more uniform distribution of B1 amplitude. Quality of the resulting single element B1 maps is influenced by the transformation used both via the uniformity of the resulting linear combination fields and by the degree to which these linear combinations differ from one another. In this work we investigate the effect of using different transformations on the quality of B1 maps by simulating the B1 mapping process for two different techniques, using real data from a 3T 8-channel body transmit system. Different transformations are generated using a single complex parameter. It is demonstrated that the optimal transformation within this framework is different for different imaging targets (pelvis and brain of healthy volunteers, and water and oil phantoms). For the same target (pelvis) the optimum condition, however, is similar for a number of subjects, suggesting that optimal configurations to be used for calibrating coils in specific anatomical contexts can be determined in advance. Potential gains may be translated into significant reductions in scan time for equivalent signal-to-noise ratio coil maps. Magn Reson Med, 2009. © 2009 Wiley-Liss, Inc. [ABSTRACT FROM AUTHOR]

Hepatic encephalopathy (HE) is a common neuro-psychiatric abnormality, which complicates the course of patients with liver disease and results from hepatocellular failure and/or portosystemic shunting. The manifestations of HE are widely variable and involve a spectrum from mild subclinical disturbance to deep coma. Research interest has focused on the role of circulating gut-derived toxins, particularly ammonia, the development of brain swelling and changes in cerebral neurotransmitter systems that lead to global CNS depression and disordered function. Until recently the direct investigation of cerebral function has been difficult in man. However, new magnetic resonance imaging (MRI) techniques provide a non-invasive means of assessment of changes in brain volume (coregistered MRI) and impaired brain function (fMRI), while proton magnetic resonance spectroscopy (1H MRS) detects changes in brain biochemistry, including direct measurement of cerebral osmolytes, such as myoinositol, glutamate and glutamine which govern processes intrinsic to cellular homeostasis, including the accumulation of intracellular water. The concentrations of these intracellular osmolytes alter with hyperammonaemia. MRS-detected metabolite abnormalities correlate with the severity of neuropsychiatric impairment and since MR spectra return towards normal after treatment, the technique may be of use in objective patient monitoring and in assessing the effectiveness of various treatment regimens.

Multiple receiver coils produce images with different but complementary views of a patient. This can be used to shorten scans times but there often remain image artifacts caused by patient motion or physiological processes such as flowing blood. This paper reviews how the extra information from the multiple coils can be used to reduce image artifacts. In one method, affected portions of data can be identified and discarded but enough information is still available to reconstruct an improved image. In other methods, the motion itself is determined and the corrupted data is then corrected, leading to an image with reduced artifacts. Results are presented from images corrupted by motion or by flowing blood.

Objective: The objective of this study was to image the Achilles tendon with MR imaging at the magic angle (the long axis of the tendon at 55 degrees relative to the direction of the main static magnetic field [B(0)]) to detect signal from the tendon, to measure the T1 of the tendon, and to determine patterns of contrast enhancement in control subjects and patients., Conclusion: Mean T1 values of 311 +/- 30 msec (at 1.0 T) were found in six volunteers. In six control volunteers, slow uptake of contrast material that dispersed over 40 min-1.5 hr was shown without focal change, with elimination in most cases occurring within 18-24 hr. Small rapidly enhancing focal areas of enhancement were seen next to the insertion of the tendon and centrally within 5-10 min in two control volunteers. The focal areas were located at the sites of the blood supply. A patient with chronic tendinopathy showed early local contrast enhancement that extended widely within the tendon over several hours. Two patients with a partially ruptured or repaired tendon showed marked rapid contrast enhancement. The enhancement was obvious with the tendon at the magic angle but was not evident with the tendon in the usual orientation for MR examinations parallel to B(0).