Faculty Bibliography

PURPOSE/OBJECTIVE:To demonstrate that strategic use of materials with high electric permittivity along with integrated head-sized coil arrays can improve SNR in the entire brain. METHODS:Numerical simulations were used to design a high-permittivity material (HPM) helmet for enhancing SNR throughout the brain in receive arrays of 8 and 28 channels. Then, two 30-channel head coils of identical geometry were constructed: one fitted with a prototype helmet-shaped ceramic HPM helmet, and the second with a helmet-shaped low-permittivity shell, each 8-mm thick. An eight-channel dipole array was used for excitation. In vivo maps of excitation flip angle and SNR were acquired. RESULTS:Simulation results showed improvement in transmit efficiency by up to 65% and in receive-side SNR by up to 47% on average through the head with use of an HPM helmet. Experimental results showed that experimental transmit efficiency was improved by approximately 56% at the center of brain, and experimental receive-side SNR (SNR normalized to flip angle) was improved by approximately 21% on average through orthogonal planes through the cerebrum, including at the center of the brain, with the HPM. CONCLUSION/CONCLUSIONS:Although HPM is used increasingly to improve transmit efficiency locally in situations in which the transmit coil and imaging volume are much larger than the HPM, here we demonstrate that HPM can also be used to improve transmit efficiency and receive-side SNR throughout the brain by improving performance of a head-sized receive array. This includes the center of the brain, where it is difficult to improve SNR by other means.

PURPOSE/OBJECTIVE:Demonstrate ability to produce reasonable simulations of temperature using numerical models of the human body with a limited number of tissues. METHODS:For both a male and female human body model, numerical simulations were used to calculate temperature distributions in three different models of the same human body: the original model with 35 tissues for the male model and 76 tissues for the female model, a simplified model having only three tissues (muscle, fat, and lung), and a simplified model having six tissues (muscle, fat, lung, bone, brain, and skin). RESULTS:Although a three-tissue model gave reasonable specific absorption rate estimates in comparison to an original with many more tissues, because of tissue-specific thermal and physiological properties that do not affect specific absorption rate, such as rate of perfusion by blood, the three-tissue model did not provide temperature distributions similar to those of the original model. Inclusion of a few additional tissues, as in the six-tissue model, produced results in much better agreement with those from the original model. CONCLUSION/CONCLUSIONS:Reasonable estimates of temperature can be simulated with a limited number of tissues, although this number is higher than the number of tissues required to produce reasonable simulations of specific absorption rate. For exposures primarily in the head and thorax, six tissues may be adequate for reasonable estimates of temperature.

Magnetic resonance imaging and spectroscopy (MRI/MRS) at 7T represents an exciting advance in MR technology, with intriguing possibilities to enhance image spatial, spectral, and contrast resolution. To ensure the safe use of this technology while still harnessing its potential, clinical staff and researchers need to be cognizant of some safety concerns arising from the increased magnetic field strength and higher Larmor frequency. The higher static magnetic fields give rise to enhanced transient bioeffects and an increased risk of adverse incidents related to electrically conductive implants. Many technical challenges remain and the continuing rapid pace of development of 7T MRI/MRS is likely to present further challenges to ensuring safety of this technology in the years ahead. The recent regulatory clearance for clinical diagnostic imaging at 7T will likely increase the installed base of 7T systems, particularly in hospital environments with little prior ultrahigh-field MR experience. Informed risk/benefit analyses will be required, particularly where implant manufacturer-published 7T safety guidelines for implants are unavailable. On behalf of the International Society for Magnetic Resonance in Medicine, the aim of this article is to provide a reference document to assist institutions developing local institutional policies and procedures that are specific to the safe operation of 7T MRI/MRS. Details of current 7T technology and the physics underpinning its functionality are reviewed, with the aim of supporting efforts to expand the use of 7T MRI/MRS in both research and clinical environments. Current gaps in knowledge are also identified, where additional research and development are required. LEVEL OF EVIDENCE: 5 TECHNICAL EFFICACY: 2.

PURPOSE/OBJECTIVE:To investigate how high-permittivity materials (HPMs) can improve SNR when placed between MR detectors and the imaged body. METHODS:We used a simulation framework based on dyadic Green's functions to calculate the electromagnetic field inside a uniform dielectric sphere at 7 Tesla, with and without a surrounding layer of HPM. SNR-optimizing (ideal) current patterns were expressed as the sum of signal-optimizing (signal-only) current patterns and dark mode current patterns that minimize sample noise while contributing nothing to signal. We investigated how HPM affects the shape and amplitude of these current patterns, sample noise, and array SNR. RESULTS:Ideal and signal-only current patterns were identical for a central voxel. HPMs introduced a phase shift into these patterns, compensating for signal propagation delay in the HPMs. For an intermediate location within the sphere, dark mode current patterns were present and illustrated the mechanisms by which HPMs can reduce sample noise. High-amplitude signal-only current patterns were observed for HPM configurations that shield the electromagnetic field from the sample. For coil arrays, these configurations corresponded to poor SNR in deep regions but resulted in large SNR gains near the surface due to enhanced fields in the vicinity of the HPM. For very high relative permittivity values, HPM thicknesses corresponding to even multiples of λ/4 resulted in coil SNR gains throughout the sample. CONCLUSION/CONCLUSIONS:HPMs affect both signal sensitivity and sample noise. Lower amplitude signal-only optimal currents corresponded to higher array SNR performance and could guide the design of coils integrated with HPM.

PURPOSE/OBJECTIVE:Evaluate the possibility to reduce specific energy absorption rate (SAR)-induced maximum temperature and thermal dose by rearranging the order and spacing of sequences without increasing duration of the MRI examination. METHODS:Using numerical simulations based on an actual SAR-intensive MRI examination, optimizations to reduce either maximum temperature or thermal dose were performed. For each permutation of groups of sequences having the same patient table position, temperature and thermal dose were computed very rapidly using recently published methods. Disposition of sequences was further adjusted by optimizing the spacing between each sequence without exceeding the original exam duration. RESULTS:The maximum simulated temperature in the original exam was 42.38°C, and the maximum thermal dose was 3.23 cumulative effective minutes at 43°C (CEM43). After optimization to reduce maximum temperature, it was 41.77°C, and after optimization to minimize the thermal dose, it was 1.42 CEM43. CONCLUSION/CONCLUSIONS:It is possible to reduce maximum temperature and thermal dose in the exam by changing the arrangement and spacing of the sequences without increasing the duration of the exam (by increasing TR or adding delays) or compromising image quality (by reducing flip angles).

PURPOSE/OBJECTIVE:Introduce a novel coil design using an electrically long transversely oriented slot in a conductive sheet. THEORY AND METHODS/UNASSIGNED:Theoretical considerations, numerical simulations, and experimental measurements are presented for transverse slot antennas as compared with electric dipole antennas. RESULTS:Simulations show improved central and average transmit and receive efficiency, as well as larger coverage in the transverse plane, for a single slot as compared to a single dipole element. Experiments on a body phantom confirm the simulation results for a slot antenna relative to a dipole, demonstrating a large region of relatively high sensitivity and homogeneity. Images in a human subject also show a large imaging volume for a single slot and six slot antenna array. High central transmit efficiency was observed for slot arrays relative to dipole arrays. CONCLUSION/CONCLUSIONS:Transverse slots can exhibit improved sensitivity and larger field of view compared with traditional conductive dipoles. Simulations and experiments indicate high potential for slot antennas in high field MRI. Magn Reson Med, 2018. © 2018 The Authors Magnetic Resonance in Medicine published by Wiley Periodicals, Inc. on behalf of International Society for Magnetic Resonance in Medicine. This is an open access article under the terms of the Creative Commons Attribution NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

BACKGROUND:There is growing interest in detecting cerebro-cerebellar circuits, which requires adequate blood oxygenation level dependent contrast and signal-to-noise ratio (SNR) throughout the brain. Although 7T scanners offer increased SNR, coverage of commercial head coils is currently limited to the cerebrum. PURPOSE/OBJECTIVE:To improve cerebellar functional MRI (fMRI) at 7T with high permittivity material (HPM) pads extending the sensitivity of a commercial coil. STUDY TYPE/METHODS:Simulations were used to determine HPM pad configuration and assess radiofrequency (RF) safety. In vivo experiments were performed to evaluate RF field distributions and SNR and assess improvements of cerebellar fMRI. SUBJECTS/METHODS:Eight healthy volunteers enrolled in a prospective motor fMRI study with and without HPM. FIELD STRENGTH/SEQUENCE/UNASSIGNED:Gradient echo (GRE) echo planar imaging for fMRI, turbo FLASH for flip angle mapping, GRE sequence for SNR maps, and T1 -weighted MPRAGE were acquired with and without HPM pads at 7T. ASSESSMENT/RESULTS:Field maps, SNR maps, and anatomical images were evaluated for coverage. Simulation results were used to assess SAR levels of the experiment. Activation data from fMRI experiments were compared with and without HPM pads. STATISTICAL TESTS: fMRI data were analyzed using FEAT FSL for each subject followed by group level analysis using paired t-test of acquisitions with and without HPM. RESULTS:Simulations showed 52% improvement in transmit efficiency in cerebellum with HPM and SAR levels well below recommended limits. Experiments showed 27% improvement in SNR in cerebellum and improvement in coverage on T1 -weighted images. fMRI showed greater cerebellar activation in individual subjects with the HPM pad present (Z > = 4), especially in inferior slices of cerebellum, with 59% average increase in number of activated voxels in the cerebellum. Group-level analysis showed improved functional activation (Z > = 2.3) in cerebellar regions with HPM pads without loss of measured activation elsewhere. DATA CONCLUSION/UNASSIGNED:HPM pads can improve cerebellar fMRI at 7T with a commonly-used head coil without compromising RF safety. LEVEL OF EVIDENCE/METHODS:2 Technical Efficacy: Stage 1 J. Magn. Reson. Imaging 2017.