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MRI of the wrist at 7 tesla using an eight-channel array coil combined with parallel imaging: Preliminary results

Chang, Gregory; Friedrich, Klaus M; Wang, Ligong; Vieira, Renata L R; Schweitzer, Mark E; Recht, Michael P; Wiggins, Graham C; Regatte, Ravinder R
PURPOSE:: To determine the feasibility of performing MRI of the wrist at 7 Tesla (T) with parallel imaging and to evaluate how acceleration factors (AF) affect signal-to-noise ratio (SNR), contrast-to-noise ratio (CNR), and image quality. MATERIALS AND METHODS:: This study had institutional review board approval. A four-transmit eight-receive channel array coil was constructed in-house. Nine healthy subjects were scanned on a 7T whole-body MR scanner. Coronal and axial images of cartilage and trabecular bone micro-architecture (3D-Fast Low Angle Shot (FLASH) with and without fat suppression, repetition time/echo time = 20 ms/4.5 ms, flip angle = 10 degrees , 0.169-0.195 x 0.169-0.195 mm, 0.5-1 mm slice thickness) were obtained with AF 1, 2, 3, 4. T1-weighted fast spin-echo (FSE), proton density-weighted FSE, and multiple-echo data image combination (MEDIC) sequences were also performed. SNR and CNR were measured. Three musculoskeletal radiologists rated image quality. Linear correlation analysis and paired t-tests were performed. RESULTS:: At higher AF, SNR and CNR decreased linearly for cartilage, muscle, and trabecular bone (r < -0.98). At AF 4, reductions in SNR/CNR were:52%/60% (cartilage), 72%/63% (muscle), 45%/50% (trabecular bone). Radiologists scored images with AF 1 and 2 as near-excellent, AF 3 as good-to-excellent (P = 0.075), and AF 4 as average-to-good (P = 0.11). CONCLUSION:: It is feasible to perform high resolution 7T MRI of the wrist with parallel imaging. SNR and CNR decrease with higher AF, but image quality remains above-average. J. Magn. Reson. Imaging 2010;31:740-746. (c) 2010 Wiley-Liss, Inc
PMCID:2989685
PMID: 20187221
ISSN: 1053-1807
CID: 107782

In vivo 7.0-tesla magnetic resonance imaging of the wrist and hand: technical aspects and applications

Friedrich, Klaus M; Chang, Gregory; Vieira, Renata L R; Wang, Ligong; Wiggins, Graham C; Schweitzer, Mark E; Regatte, Ravinder R
Magnetic resonance imaging (MRI) at 7.0 T has the potential for higher signal-to-noise ratio (SNR), improved spectral resolution, and faster imaging compared with 1.5-T and 3.0-T MR systems. This is especially interesting for challenging imaging regions like the wrist and the hand because of the small size of the visualized anatomical structures; the increase in SNR could then be directly converted into higher spatial resolution of the images. Practically, imaging at 7.0 T poses a variety of technical challenges such as static (B (0)) and radiofrequency (B (1)) homogeneities, shimming, chemical shift artifacts, susceptibility artifacts, alterations in tissue contrast, specific absorption rate limitations, coil construction, and pulse sequence tuning. Despite these limitations, this first experience in anatomical imaging of the wrist and the hand at 7.0 T is very promising. Functional imaging techniques will gain importance at ultra-high-field MRI and need to be assessed in detail in the future
PMCID:3707126
PMID: 19235674
ISSN: 1089-7860
CID: 94396

Radiologic imaging of spinal deformities

Chapter by: Vieira RLR; Arora R; Schweitzer ME
in: Surgical management of spinal deformities by Errico TJ; Lonner BS; Moulton AW [Eds]
Philadelphia PA : Saunders/Elsevier, 2009
pp. ?-?
ISBN: 1416033726
CID: 5120

Three-dimensional spin-lock magnetic resonance imaging of the shoulder joint at 3 T: initial experience

La Rocca Vieira, Renata; Pakin, Sait Kubilay; de Albuquerque Cavalcanti, Conrado Furtado; Schweitzer, Mark; Regatte, Ravinder
OBJECTIVES: This was a pilot study which aimed to assess the feasibility of 3D-spin-lock (3D-T(1rho)) MRI of the shoulder joint and to establish baseline values of healthy humeral and glenoid cartilages in vivo. MATERIAL AND METHODS: Four asymptomatic volunteers [mean age 31 years (range 29-36 years)] were recruited. A 3.0 T scanner, employing a four-channel, phased-array, shoulder, radio-frequency (RF) coil was used. Three-dimensional T(1rho)-weighted images were acquired with a 3D gradient-echo (GRE) sequence with T(1rho) magnetization preparation. In order to a construct T(1rho) map, we acquired four 3D-T(1rho)-weighted images with spin-locking length (TSL) values of 2 ms, 10 ms, 20 ms, and 30 ms. The glenoid and humeral cartilage were segmented manually at each slice of the 3D images. We performed additional regional analysis by dividing the cartilage into anterior/posterior and superior/inferior regions. RESULTS: The global average T(1rho) value of the shoulder cartilages varied from 37.9 ms to 48.5 ms and from 32.4 ms to 36.9 ms for humeral and glenoid cartilages, respectively. In the humeral cartilage, the average regional T(1rho) values varied from 35.9 ms to 52.2 ms; 54.4 ms to 69.0 ms; 39.1 ms to 49.3 ms and 34.6 ms to 57.2 ms for the anterior-superior, anterior-inferior , posterior-superior and posterior-inferior regions, respectively. In the glenoid cartilage, the values varied from 31.3 ms to 40.8 ms; 34.1 ms to 35.3 ms; 26.7 ms to 37.2 ms and 32.8 ms to 35.7 ms for the same regions, respectively. CONCLUSION: We demonstrated that 3D-T(1rho) MRI of the shoulder can be performed on a 3 T clinical scanner within specific absorption rate (SAR) limits, and we present baseline values for healthy patients which may be useful for quantitative comparison with diseased shoulders
PMID: 17912522
ISSN: 0364-2348
CID: 76331

MRI of the distal biceps femoris muscle: normal anatomy, variants, and association with common peroneal entrapment neuropathy

Vieira, Renata La Rocca; Rosenberg, Zehava Sadka; Kiprovski, Kiril
OBJECTIVE: The objectives of our study were to describe the previously unreported normal MR anatomy of the distal biceps femoris muscle and its relationship with the common peroneal nerve and to present a case in which previously unreported MR evidence of an anatomic variation in the distal biceps femoris muscle was associated with common peroneal entrapment neuropathy. MATERIALS AND METHODS: One hundred consecutive 1.5-T knee MR studies of 97 asymptomatic patients were retrospectively reviewed by two observers in consensus for, first, normal anatomy of the distal biceps femoris muscle; second, anatomic variations of the muscle; and, third, the relationship of the muscle to the common peroneal nerve. Measurements of the distal and posterior extents of the short and long heads of the biceps femoris were performed. An MR study of a symptomatic patient with clinical evidence of common peroneal neuropathy associated with a surgically proven anatomic variation of the distal biceps femoris was reviewed. RESULTS: Two MR anatomic patterns were seen in the asymptomatic patient group: First, in 77 knees (77%), the common peroneal nerve was located within abundant fat posterolateral to the biceps femoris; and, second, in 23 cases (23%), the common peroneal nerve traversed within a narrow fatty tunnel between the biceps femoris and lateral head of the gastrocnemius muscles. There was a positive correlation between the distal and posterior extents of the short head of the biceps femoris muscle and the presence of the tunnel. CONCLUSION: Variations in the posterior and distal extents of the biceps femoris muscle can produce a tunnel in which the common peroneal nerve travels. We also described a case of common peroneal neuropathy secondary to tunnel formation
PMID: 17715099
ISSN: 1546-3141
CID: 73917

Ultra-high-field MRI of knee joint at 7.0T: preliminary experience

Pakin, S Kubilay; Cavalcanti, Conrado; La Rocca, Renata; Schweitzer, Mark E; Regatte, Ravinder R
RATIONALE AND OBJECTIVES: To measure signal-to-noise ratio (SNR), contrast, and relaxation times (T1 and T2) in human knee joint at 7.0T whole-body scanner. MATERIALS AND METHODS: MRI experiments were performed on a 7.0T Siemens whole-body scanner using an 18-cm diameter transmit/receive knee coil. Normalized SNR and relaxation times (T1 and T2) were computed on all volunteers (healthy, n=5) for femoral, tibial, and patellar cartilage. RESULTS: Average T1 values of femoral, tibial, and patellar cartilages were found as 1.55, 1.76, and 1.62 seconds, respectively. Average T2 values of femoral, tibial, and patellar cartilages were found as 51.3, 43.9, and 39.7 milliseconds, respectively. No statistically significant differences were observed between T1 and T2 values of different cartilage tissues (P>.08 for all comparisons). Compared with previously reported relaxation times of cartilage tissue at 3.0T, an approximately 35% increase was observed in T1 values, whereas no significant change was observed in T2. Regional analysis was also performed to investigate the change in relaxation parameters for weight-bearing vs. non-weight-bearing areas. A statistically significant difference was observed in T2 of tibial cartilage (P=.009). The rest of the comparisons yielded insignificant differences (P>.32). CONCLUSION: Our preliminary results demonstrate the feasibility of acquiring high resolution three-dimensional images of knee joint (with and without fat suppression) at 7.0T whole-body scanner
PMID: 16935725
ISSN: 1076-6332
CID: 79456

Hyperplastic callus formation in osteogenesis imperfecta type V mimicking osteosarcoma: 4-year follow-up with resolution [Case Report]

Vieira, R L V; Amaral, D T; Jesus-Garcia, Filho R; Saraiva, G; Fernandes, A R C; Resnick, D
We report a case of hyperplastic callus formation that occurred in both femurs in a patient with type V osteogenesis imperfecta (OI), with 4-year follow-up and resolution. The clinical, histological and imaging aspects of this condition are discussed. Recognition of the hyperplastic callus formation in this particular type of OI is important in order to avoid misdiagnosis
PMID: 16308718
ISSN: 0364-2348
CID: 110781

Exploring molecular networks using MONET ontology

Silva, Joao Paulo Muller da; Lemke, Ney; Mombach, Jose Carlos; Souza, Jose Guilherme Camargo de; Sinigaglia, Marialva; Vieira, Renata
The description of the complex molecular network responsible for cell behavior requires new tools to integrate large quantities of experimental data in the design of biological information systems. These tools could be used in the characterization of these networks and in the formulation of relevant biological hypotheses. The building of an ontology is a crucial step because it integrates in a coherent framework the concepts necessary to accomplish such a task. We present MONET (molecular network), an extensible ontology and an architecture designed to facilitate the integration of data originating from different public databases in a single- and well-documented relational database, that is compatible with MONET formal definition. We also present an example of an application that can easily be implemented using these tools
PMID: 16755509
ISSN: 1676-5680
CID: 110780

Indirect MR arthrography

La Rocca Vieira R; Schweitzer M
EMBASE:2006593773
ISSN: 0160-9963
CID: 69533