Faculty Bibliography

The critical design aim for a sodium/proton coil is to maximize sodium sensitivity and transmit field homogeneity while simultaneously providing adequate proton sensitivity and homogeneity. While most dual-frequency coils use lossy high-impedance trap circuits or PIN diodes to allow dual-resonance, we explored a nested-coil design for sodium/proton knee imaging at 7 T. A stand-alone eight-channel sodium receive array was implemented without standard dual-resonance circuitry to provide improved sodium signal-to-noise ratio. A detunable sodium birdcage was added for homogeneous sodium excitation and a four-channel proton transmit-receive array was added to provide anatomical reference imaging and B(0) shimming capabilities. Both additional modules were implemented with minimal disturbance to the eight-channel sodium array by managing their respective resonances and geometrical arrangement. In vivo sodium signal-to-noise ratio was 1.2-1.7 times greater in the developed eight-channel array than in a mononuclear sodium birdcage coil, whereas the developed four-channel proton array provided signal-to-noise ratio similar to that of a commercial mononuclear proton birdcage coil. Magn Reson Med, 2012. (c) 2012 Wiley Periodicals, Inc.

PURPOSE: To evaluate the feasibility and perform initial comparative evaluations of a 5-minute comprehensive whole-heart magnetic resonance imaging (MRI) protocol with four image acquisition types: perfusion (PERF), function (CINE), coronary artery imaging (CAI), and late gadolinium enhancement (LGE). MATERIALS AND METHODS: This study protocol was Health Insurance Portability and Accountability Act (HIPAA)-compliant and Institutional Review Board-approved. A 5-minute comprehensive whole-heart MRI examination protocol (Accelerated) using 6-8-fold-accelerated volumetric parallel imaging was incorporated into and compared with a standard 2D clinical routine protocol (Standard). Following informed consent, 20 patients were imaged with both protocols. Datasets were reviewed for image quality using a 5-point Likert scale (0 = non-diagnostic, 4 = excellent) in blinded fashion by two readers. RESULTS: Good image quality with full whole-heart coverage was achieved using the accelerated protocol, particularly for CAI, although significant degradations in quality, as compared with traditional lengthy examinations, were observed for the other image types. Mean total scan time was significantly lower for the Accelerated as compared to Standard protocols (28.99 +/- 4.59 min vs. 1.82 +/- 0.05 min, P < 0.05). Overall image quality for the Standard vs. Accelerated protocol was 3.67 +/- 0.29 vs. 1.5 +/- 0.51 (P < 0.005) for PERF, 3.48 +/- 0.64 vs. 2.6 +/- 0.68 (P < 0.005) for CINE, 2.35 +/- 1.01 vs. 2.48 +/- 0.68 (P = 0.75) for CAI, and 3.67 +/- 0.42 vs. 2.67 +/- 0.84 (P < 0.005) for LGE. Diagnostic image quality for Standard vs. Accelerated protocols was 20/20 (100%) vs. 10/20 (50%) for PERF, 20/20 (100%) vs. 18/20 (90%) for CINE, 18/20 (90%) vs. 18/20 (90%) for CAI, and 20/20 (100%) vs. 18/20 (90%) for LGE. CONCLUSION: This study demonstrates the technical feasibility and promising image quality of 5-minute comprehensive whole-heart cardiac examinations, with simplified scan prescription and high spatial and temporal resolution enabled by highly parallel imaging technology. The study also highlights technical hurdles that remain to be addressed. Although image quality remained diagnostic for most scan types, the reduced image quality of PERF, CINE, and LGE scans in the Accelerated protocol remain a concern. J. Magn. Reson. Imaging 2012. (c) 2012 Wiley Periodicals, Inc.

For patients with impaired breath-hold capacity and/or arrhythmias, real-time cine MRI may be more clinically useful than breath-hold cine MRI. However, commercially available real-time cine MRI methods using parallel imaging typically yield relatively poor spatio-temporal resolution due to their low image acquisition speed. We sought to achieve relatively high spatial resolution ( approximately 2.5 x 2.5 mm(2) ) and temporal resolution ( approximately 40 ms), to produce high-quality real-time cine MR images that could be applied clinically for wall motion assessment and measurement of left ventricular function. In this work, we present an eightfold accelerated real-time cardiac cine MRI pulse sequence using a combination of compressed sensing and parallel imaging (k-t SPARSE-SENSE). Compared with reference, breath-hold cine MRI, our eightfold accelerated real-time cine MRI produced significantly worse qualitative grades (1-5 scale), but its image quality and temporal fidelity scores were above 3.0 (adequate) and artifacts and noise scores were below 3.0 (moderate), suggesting that acceptable diagnostic image quality can be achieved. Additionally, both eightfold accelerated real-time cine and breath-hold cine MRI yielded comparable left ventricular function measurements, with coefficient of variation <10% for left ventricular volumes. Our proposed eightfold accelerated real-time cine MRI with k-t SPARSE-SENSE is a promising modality for rapid imaging of myocardial function. J. Magn. Reson. Imaging 2012;. (c) 2012 Wiley Periodicals, Inc.

Posttraumatic stress disorder (PTSD) is a prevalent psychiatric disorder, especially in combat veterans. Existing functional neuroimaging studies have provided important insights into the neural mechanisms of PTSD using various experimental paradigms involving trauma recollection or other forms of emotion provocation. However it is not clear whether the abnormal brain activity is specific to the mental processes related to the experimental tasks or reflects general patterns across different brain states. Thus, studying intrinsic spontaneous brain activity without the influence of external tasks may provide valuable alternative perspectives to further understand the neural characteristics of PTSD. The present study evaluated the magnitudes of spontaneous brain activity of male US veterans with or without PTSD, with the two groups matched on age, gender, and ethnicity. Amplitudes of low frequency fluctuation (ALFF), a data driven analysis method, were calculated on each voxel of the resting state fMRI data to measure the magnitudes of spontaneous brain activity. Results revealed that PTSD subjects showed increased spontaneous activity in the amygdala, ventral anterior cingulate cortex, insula, and orbital frontal cortex, as well as decreased spontaneous activity in the precuneus, dorsal lateral prefrontal cortex and thalamus. Within the PTSD group, larger magnitudes of spontaneous activity in the thalamus, precuneus and dorsal lateral prefrontal cortex were associated with lower re-experiencing symptoms. Comparing our results with previous functional neuroimaging findings, increased activity of the amygdala and anterior insula and decreased activity of the thalamus are consistent patterns across emotion provocation states and the resting state.

Radiofrequency shimming with multiple channel excitation has been proposed to increase the transverse magnetic field uniformity and reduce specific absorption rate at high magnetic field strengths (>/=7 T) where high-frequency effects can make traditional single channel volume coils unsuitable for transmission. In the case of deep anatomic regions and power-demanding pulse sequences, optimization of transmit efficiency may be a more critical requirement than homogeneity per se. This work introduces a novel method to maximize transmit efficiency using multiple channel excitation and radiofrequency shimming. Shimming weights are calculated in order to obtain the lowest possible net radiofrequency power deposition into the subject for a given transverse magnetic field strength. The method was demonstrated in imaging studies of articular cartilage of the hip joint at 7 T. We show that the new radiofrequency shimming method can enable reduction in power deposition while maintaining an average flip angle or adiabatic condition in the hip cartilage. Building upon the improved shimming, we further show that the signal-to-noise ratio in hip cartilage at 7 T can be substantially greater than that at 3 T, illustrating the potential benefits of high field hip imaging. Magn Reson Med, 2012. (c) 2012 Wiley Periodicals, Inc.

In ultra-high-field magnetic resonance imaging, parallel radiofrequency (RF) transmission presents both opportunities and challenges for specific absorption rate management. On one hand, parallel transmission provides flexibility in tailoring electric fields in the body while facilitating magnetization profile control. On the other hand, it increases the complexity of energy deposition as well as possibly exacerbating local specific absorption rate by improper design or delivery of RF pulses. This study shows that the information needed to characterize RF heating in parallel transmission is contained within a local power correlation matrix. Building upon a calibration scheme involving a finite number of magnetic resonance thermometry measurements, this work establishes a way of estimating the local power correlation matrix. Determination of this matrix allows prediction of temperature change for an arbitrary parallel transmit RF pulse. In the case of a three transmit coil MR experiment in a phantom, determination and validation of the power correlation matrix were conducted in less than 200 min with induced temperature changes of <4 degrees C. Further optimization and adaptation are possible, and simulations evaluating potential feasibility for in vivo use are presented. The method allows general characteristics indicative of RF coil/pulse safety determined in situ. Magn Reson Med, 2012. (c) 2012 Wiley Periodicals, Inc.

OBJECTIVES: The objective of this study was to evaluate the performance of a highly accelerated breath-hold 3-dimensional noncontrast-enhanced steady-state free precession thoracic magnetic resonance angiography (NC-MRA) technique in a clinical population, including assessment of image quality, aortic dimensions, and aortic pathology, compared with electrocardiographically gated gadolinium-enhanced MRA (Gd-MRA). MATERIALS AND METHODS: After approval from the institution board and informed consent were obtained, 30 patients (22 men; mean age, 53.4 years) with known or suspected aortic pathology were imaged with NC-MRA followed by Gd-MRA at a single examination at 1.5 T. Images were made anonymous and reviewed by 2 readers for aortic pathology and diagnostic confidence on a 5-point scale (1, worst; 5, best) on a patient basis. Image quality and artifacts were also evaluated in 10 vascular segments: aortic annulus, sinuses of Valsalva, sinotubular junction, ascending aorta, aortic arch, descending aorta, diaphragmatic aorta, great vessel origins, and the left main and right coronary artery origins. Finally, aortic dimensions were measured in each of the 7 aortic segments. The Wilcoxon signed rank test was used to compare diagnostic confidence, image quality, and artifact scores between NC-MRA and Gd-MRA. The paired Student t test and Bland-Altman analysis were used for comparison of aortic dimensions. RESULTS: All patients completed NC-MRA and Gd-MRA successfully. Vascular pathologic findings were concordant with Gd-MRA in 29 of 30 (96.7%) patients and 28 of 30 (93.3%) patients for readers 1 and 2, respectively, with high diagnostic confidence (mean [SD], 4.35 [0.77]) not significantly different from Gd-MRA (4.38 [0.64]; P = 0.74). The image quality and artifact scores were comparable with Gd-MRA in most vascular segments. Notable differences were observed at the ascending aorta, where Gd-MRA had superior image quality (4.13 [0.73]) compared with NC-MRA (3.80 [0.88]; P = 0.028), and at the coronary artery origins where NC-MRA was considered superior (NC-MRA vs Gd-MRA, 3.38 [1.47] vs 2.78 [1.21] for the left main artery and NC-MRA vs Gd-MRA, 3.55 [1.40] vs 2.32 [1.16] for the right coronary artery; P < 0.05, both comparisons). The aortic dimensions were comparable, with the only significant difference observed at the ascending aorta, where NC-MRA dimension (4.05 [0.76]) was less than 1 mm smaller than that of Gd-MRA (4.12 [0.7]; P = 0.043). CONCLUSIONS: Breath-hold NC-MRA of the thoracic aorta yields good image quality, comparable to Gd-MRA, with high accuracy for aortic dimension and pathology. It can be considered as an alternative to Gd-MRA in patients with relative contraindications to gadolinium contrast or problems with intravenous access.

OBJECTIVES: We utilized dynamic magnetic resonance imaging to visualize the pharynx and upper esophageal segment in normal, healthy subjects. METHODS: A 3-T scanner with a 4-channel head coil and a dual-channel neck coil was used to obtain high-speed magnetic resonance images of subjects who were swallowing liquids and pudding. Ninety sequential images were acquired with a temporal resolution of 113 ms. Imaging was performed in axial planes at the levels of the oropharynx and the pharyngoesophageal segment. The images were then analyzed for variables related to alterations in the area of the pharynx and pharyngoesophageal segment during swallowing, as well as temporal measures related to these structures. RESULTS: All subjects tolerated the study protocol without complaint. Changes in the area of the pharyngeal wall lumen and temporal measurements were consistent within and between subjects. The inter-rater and intra-rater reliabilities for the measurement tool were excellent. CONCLUSIONS: Dynamic magnetic resonance imaging of the swallow sequence is both feasible and reliable and may eventually complement currently used diagnostic methods, as it adds substantive information.

OBJECTIVE: The objectives of this study were to develop a new method for free-breathing contrast-enhanced multiphase liver magnetic resonance imaging (MRI) using a combination of compressed sensing, parallel imaging, and radial k-space sampling and to demonstrate the feasibility of this method by performing image quality comparison with breath-hold cartesian T1-weighted (conventional) postcontrast acquisitions in healthy participants. MATERIALS AND METHODS: This Health Insurance Portability and Accountability Act-compliant prospective study received approval from the institutional review board. Eight participants underwent 3 separate contrast-enhanced fat-saturated T1-weighted gradient-echo MRI examinations with matching imaging parameters: conventional breath-hold examination with cartesian k-space sampling volumetric interpolate breath hold examination (BH-VIBE) and free-breathing acquisitions with interleaved angle-bisection and continuous golden-angle radial sampling schemes. Interleaved angle-bisection and golden-angle data from each 100 consecutive spokes were reconstructed using a combination of compressed sensing and parallel imaging (interleaved-angle radial sparse parallel [IARASP] and golden-angle radial sparse parallel [GRASP]) to generate multiple postcontrast phases.Arterial- and venous-phase BH-VIBE, IARASP, and GRASP reconstructions were evaluated by 2 radiologists in a blinded fashion. The readers independently assessed quality of enhancement (QE), overall image quality (IQ), and other parameters of image quality on a 5-point scale, with the highest score indicating the most desirable examination. Mixed model analysis of variance was used to compare each measure of image quality. RESULTS: Images of BH-VIBE and GRASP had significantly higher QE and IQ values compared with IARASP for both phases (P < 0.05). The differences in QE between BH-VIBE and GRASP for the arterial and venous phases were not significant (P > 0.05). Although GRASP had lower IQ score compared with BH-VIBE for the arterial (3.9 vs 4.8; P < 0.0001) and venous (4.2 vs 4.8; P = 0.005) phases, GRASP received IQ scores of 3 or more in all participants, which was consistent with acceptable or better diagnostic image quality. CONCLUSION: Contrast-enhanced multiphase liver MRI of diagnostic quality can be performed during free breathing using a combination of compressed sensing, parallel imaging, and golden-angle radial sampling.