Faculty Bibliography

We present high-resolution anatomical imaging of the cervical spinal cord in healthy volunteers at the ultrahigh field of 7 T with a prototype four-channel radiofrequency coil array, in comparison with 3-T imaging of the same subjects. Signal-to-noise ratios at both field strengths were estimated using the rigorous Kellman method. Spinal cord cross-sectional area measurements were performed, including whole-cord measurements at both fields and gray matter segmentation at 7 T. The 7-T array coil showed reduced sagittal coverage, comparable axial coverage and the expected significantly higher signal-to-noise ratio compared with equivalent 3-T protocols. In the cervical spinal cord, the signal-to-noise ratio was found by the Kellman method to be higher by a factor of 3.5 with the 7-T coil than with standard 3-T coils. Cervical spine imaging in healthy volunteers at 7 T revealed not only detailed white/gray matter differentiation, but also structures not visualized at lower fields, such as denticulate ligaments, nerve roots and rostral-caudal blood vessels. Whole-cord cross-sectional area measurements showed good agreement at both field strengths. The measurable gray/white matter cross-sectional areas at 7 T were found to be comparable with reports from histology. These pilot data demonstrate the use of higher signal-to-noise ratios at the ultrahigh field of 7 T for significant improvement in anatomical resolution of the cervical spinal cord, allowing the visualization of structures not seen at lower field strength, particularly for axial imaging

Although there have been many advancements in cancer research, much is still unknown about the heterogeneous tumor microenvironment. Diffusion-weighted MRI has proven to be a viable and versatile microstructural probe. Diffusion-weighted sequences specifically sensitive to intravoxel incoherent motion (IVIM) have seen a recent resurgence of interest as they promise to provide a valuable window on the vascular microenvironment. To understand, test, and optimize IVIM-sensitive approaches, a complex flow phantom was constructed to mimic certain characteristics of the tumor microenvironment such as tortuous microvasculature, heterogeneous vascular permeability, and interstitial fluid pressure buildup. Results using this phantom on a clinical scanner platform confirmed IVIM sensitivity to microscopic flow effects. Biexponential fitting of signal decay curves enabled quantitative extraction of perfusion fraction, IVIM-related pseudodiffusivity, and tissue diffusivity. Parametric maps were also generated, illustrating the potential utility of IVIM-sensitive imaging in clinical settings. The flow phantom proved to be an effective test-bed for validating and optimizing the IVIM-MRI technique to provide surrogate markers for microvascular properties. Magn Reson Med, 2011. (c) 2011 Wiley Periodicals, Inc

The effective delivery of a therapeutic drug to the core of a tumor is often impeded by physiological barriers, such as the interstitial fluid pressure (IFP). There are a number of therapies that can decrease IFP and induce tumor vascular normalization. However, a lack of a noninvasive means to measure IFP hinders the utilization of such a window of opportunity for the maximization of the treatment response. Thus, the purpose of this study was to investigate the feasibility of using intravoxel incoherent motion (IVIM) diffusion parameters as noninvasive imaging biomarkers for IFP. Mice bearing the 4T1 mammary carcinoma model were studied using diffusion-weighted imaging (DWI), immediately followed by wick-in-needle IFP measurement. Voxelwise analysis was conducted with a conventional monoexponential diffusion model, as well as a biexponential model taking IVIM into account. There was no significant correlation of IFP with either the median apparent diffusion coefficient from the monoexponential model (r = 0.11, p = 0.78) or the median tissue diffusivity from the biexponential model (r = 0.30, p = 0.44). However, IFP was correlated with the median pseudo-diffusivity (D(p) ) of apparent vascular voxels (r = 0.76, p = 0.02) and with the median product of the perfusion fraction and pseudo-diffusivity (f(p) D(p) ) of apparent vascular voxels (r = 0.77, p = 0.02). Although the effect of IVIM in tumors has been reported previously, to our knowledge, this study represents the first direct comparison of IVIM metrics with IFP, with the results supporting the feasibility of the use of IVIM DWI metrics as noninvasive biomarkers for tumor IFP

The markedly increased degrees of freedom introduced by parallel radiofrequency transmission presents both opportunities and challenges for specific absorption rate (SAR) management. On one hand they enable E-field tailoring and SAR reduction while facilitating excitation profile control. On other hand they increase the complexity of SAR behavior and the risk of inadvertently exacerbating SAR by improper design or playout of radiofrequency pulses. The substantial subject-dependency of SAR in high field magnetic resonance can be a compounding factor. Building upon a linear system concept and a calibration scheme involving a finite number of in situ measurements, this work establishes a clinically applicable method for characterizing global SAR behavior as well as channel-by-channel power transmission. The method offers a unique capability of predicting, for any excitation, the SAR and power consequences that are specific to the subject to be scanned and the MRI hardware. The method was validated in simulation and experimental studies, showing promise as the foundation to a prospective paradigm where power and SAR are not only monitored but, through prediction-guided optimization, proactively managed. Magn Reson Med, 2011. (c) 2011 Wiley Periodicals, Inc

Noncontrast techniques for peripheral MR angiography are receiving renewed interest because of safety concerns about the use of gadolinium in patients with renal insufficiency. One class of techniques involves subtraction of dark-blood images acquired during fast systolic flow from bright-blood images obtained during slow diastolic flow. The goal of this work was to determine whether the inherent sparsity of the difference images could be exploited to achieve greater acceleration without loss of image quality in the context of generalized autocalibrating partially parallel acquisition (GRAPPA). It is shown that noise amplification at high acceleration factors can be reduced by performing subtraction on the raw data, before calculation of the GRAPPA weights, rather than on the final magnitude images. Use of the difference data to calculate the GRAPPA weights decreases the geometry factor (g-factor), because the difference data represent a sparse image set. This demonstrates an inherent property of GRAPPA and does not require the use of compressed sensing. Application of this approach to highly accelerated data from healthy volunteers resulted in similar depiction of large arteries to that obtained with low acceleration and standard reconstruction. However, visualization of very small vessels and arterial branches was compromised. Magn Reson Med, 2011. (c) 2011 Wiley-Liss, Inc

PURPOSE: To evaluate the feasibility of performing single breathhold three-dimensional (3D) thoracic noncontrast MR angiography (NC-MRA) using highly accelerated parallel imaging. MATERIALS AND METHODS: We developed a single breathhold NC MRA pulse sequence using balanced steady state free precession (SSFP) readout and highly accelerated parallel imaging. In 17 subjects, highly accelerated noncontrast MRA was compared against electrocardiogram-triggered contrast-enhanced MRA. Anonymized images were randomized for blinded review by two independent readers for image quality, artifact severity in eight defined vessel segments and aortic dimensions in six standard sites. NC-MRA and CE-MRA were compared in terms of these measures using paired sample t- and Wilcoxon tests. RESULTS: The overall image quality (3.21 +/- 0.68 for NC-MRA versus 3.12 +/- 0.71 for CE-MRA) and artifact (2.87 +/- 1.01 for NC-MRA versus 2.92 +/- 0.87 for CE-MRA) scores were not significantly different, but there were significant differences for the great vessel and coronary artery origins. NC-MRA demonstrated significantly lower aortic diameter measurements compared with CE-MRA; however, this difference was not considered clinically relevant (>3 mm difference) for less than 12% of segments, most commonly at the sinotubular junction. Mean total scan time was significantly lower for NC-MRA compared with CE-MRA (18.2 +/- 6.0 s versus 28.1 +/- 5.4 s, respectively; P < 0.05). CONCLUSION: Single breathhold NC-MRA is feasible and can be a useful alternative for evaluation and follow-up of thoracic aortic diseases. J. Magn. Reson. Imaging 2011;. (c) 2011 Wiley Periodicals, Inc

In 7 T traveling wave imaging, waveguide modes supported by the scanner radiofrequency shield are used to excite an MR signal in samples or tissue which may be several meters away from the antenna used to drive radiofrequency power into the system. To explore the potential merits of traveling wave excitation for whole-body imaging at 7 T, we compare numerical simulations of traveling wave and TEM systems, and juxtapose full-wave electrodynamic simulations using a human body model with in vivo human traveling wave imaging at multiple stations covering the entire body. The simulated and in vivo traveling wave results correspond well, with strong signal at the periphery of the body and weak signal deep in the torso. These numerical results also illustrate the complicated wave behavior that emerges when a body is present. The TEM resonator simulation allowed comparison of traveling wave excitation with standard quadrature excitation, showing that while the traveling wave B +1 per unit drive voltage is much less than that of the TEM system, the square of the average B +1 compared to peak specific absorption rate (SAR) values can be comparable in certain imaging planes. Both systems produce highly inhomogeneous excitation of MR signal in the torso, suggesting that B(1) shimming or other parallel transmission methods are necessary for 7 T whole body imaging. Magn Reson Med 67:1183-1193, 2011. (c) 2011 Wiley-Liss, Inc.

Phase-contrast (PC) cine MRI is a promising method for assessment of pathologic hemodynamics, including cardiovascular and hepatoportal vascular dynamics, but its low data acquisition efficiency limits the achievable spatial and temporal resolutions within clinically acceptable breath-hold durations. We propose to accelerate PC cine MRI using an approach which combines compressed sensing and parallel imaging (k-t SPARSE-SENSE). We validated the proposed 6-fold accelerated PC cine MRI against 3-fold accelerated PC cine MRI with parallel imaging (generalized autocalibrating partially parallel acquisitions). With the programmable flow pump, we simulated a time varying waveform emulating hepatic blood flow. Normalized root mean square error between two sets of velocity measurements was 2.59%. In multiple blood vessels of 12 control subjects, two sets of mean velocity measurements were in good agreement (mean difference = -0.29 cm/s; lower and upper 95% limits of agreement = -5.26 and 4.67 cm/s, respectively). The mean phase noise, defined as the standard deviation of the phase in a homogeneous stationary region, was significantly lower for k-t SPARSE-SENSE than for generalized autocalibrating partially parallel acquisitions (0.05 +/- 0.01 vs. 0.19 +/- 0.06 radians, respectively; P < 0.01). The proposed 6-fold accelerated PC cine MRI pulse sequence with k-t SPARSE-SENSE is a promising investigational method for rapid velocity measurement with relatively high spatial (1.7 mm x 1.7 mm) and temporal ( approximately 35 ms) resolutions. Magn Reson Med, 2011. (c) 2011 Wiley Periodicals, Inc.

Purpose:To investigate technical feasibility, test-retest reproducibility, and the ability to differentiate healthy subjects from subjects with osteoarthritis (OA) with diffusion-tensor (DT) imaging parameters and T2 relaxation time.Materials and Methods:This study was approved by the institutional review board and was HIPAA compliant. All subjects provided written informed consent. DT imaging parameters and T2 (resolution = 0.6 x 0.6 x 2 mm) of patellar cartilage were measured at 7.0 T in 16 healthy volunteers and 10 patients with OA with subtle inhomogeneous signal intensity but no signs of cartilage erosion at clinical magnetic resonance (MR) imaging. Ten volunteers were imaged twice to determine test-retest reproducibility. After cartilage segmentation, maps of mean apparent diffusion coefficient (ADC), fractional anisotropy (FA), and T2 relaxation time were calculated. Differences for ADC, FA, and T2 between the healthy and OA populations were assessed with nonparametric tests. The ability of each MR imaging parameter to help discriminate healthy subjects from subjects with OA was assessed by using receiver operating characteristic curve analysis.Results:Test-retest reproducibility was better than 10% for mean ADC (8.1%), FA (9.7%), and T2 (5.9%). Mean ADC and FA differed significantly (P < .01) between the OA and healthy populations, but T2 did not. For ADC, the optimal threshold to differentiate both populations was 1.2 x 10(-3) mm(2)/sec, achieving specificity of 1.0 (16 of 16) and sensitivity of 0.80 (eight of 10). For FA, the optimal threshold was 0.25, yielding specificity of 0.88 (14 of 16) and sensitivity of 0.80 (eight of 10). T2 showed poor differentiation between groups (optimal threshold = 22.9 msec, specificity = 0.69 [11 of 16], sensitivity = 0.60 [six of 10]).Conclusion:In vivo DT imaging of patellar cartilage is feasible, has good test-retest reproducibility, and may be accurate in discriminating healthy subjects from subjects with OA. ADC and FA are two promising biomarkers for early OA.(c) RSNA, 2011

Specific absorption rate management and excitation fidelity are key aspects of radiofrequency pulse design for parallel transmission at ultra-high magnetic field strength. The design of radiofrequency pulses for multiple channels is often based on the solution of regularized least-squares optimization problems for which a regularization term is typically selected to control the integrated or peak pulse waveform amplitude. Unlike single-channel transmission, the specific absorption rate of parallel transmission is significantly influenced by interferences between the electric fields associated with the individual transmission elements, which a conventional regularization term does not take into account. This work explores the effects upon specific absorption rate of incorporating experimentally measurable electric field interactions into parallel transmission pulse design. Results of numerical simulations and phantom experiments show that the global specific absorption rate during parallel transmission decreases when electric field interactions are incorporated into pulse design optimization. The results also show that knowledge of electric field interactions enables robust prediction of the net power delivered to the sample or subject by parallel radiofrequency pulses before they are played out on a scanner. Magn Reson Med, 2011. (c) 2011 Wiley-Liss, Inc