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1.
Tomography ; 1(2): 145-151, 2015 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-26811845

RESUMEN

Spatially non-uniform diffusion weighting bias due to gradient nonlinearity (GNL) causes substantial errors in apparent diffusion coefficient (ADC) maps for anatomical regions imaged distant from magnet isocenter. Our previously-described approach allowed effective removal of spatial ADC bias from three orthogonal DWI measurements for mono-exponential media of arbitrary anisotropy. The present work evaluates correction feasibility and performance for quantitative diffusion parameters of the two-component IVIM model for well-perfused and nearly isotropic renal tissue. Sagittal kidney DWI scans of a volunteer were performed on a clinical 3T MRI scanner near isocenter and offset superiorly. Spatially non-uniform diffusion weighting due to GNL resulted both in shift and broadening of perfusion-suppressed ADC histograms for off-center DWI relative to unbiased measurements close to isocenter. Direction-average DW-bias correctors were computed based on the known gradient design provided by vendor. The computed bias maps were empirically confirmed by coronal DWI measurements for an isotropic gel-flood phantom. Both phantom and renal tissue ADC bias for off-center measurements was effectively removed by applying pre-computed 3D correction maps. Comparable ADC accuracy was achieved for corrections of both b-maps and DWI intensities in presence of IVIM perfusion. No significant bias impact was observed for IVIM perfusion fraction.

2.
Acta Radiol ; 55(5): 515-23, 2014 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-23986455

RESUMEN

BACKGROUND: Different perfusion characteristics and histopathologic features of liver metastasis may potentially lead to different diffusion-weighted magnetic resonance imaging (DW-MRI) characteristics which can affect the performance of DW-MRI in their diagnosis. PURPOSE: To compare ADC values of hypervascular and hypovascular metastases and the added value of DW-MRI to T2-weighted (T2-w) images in their detection. MATERIAL AND METHODS: In this retrospective study, 46 patients (21 with hypervascular, 25 with hypovascular liver metastases) who had undergone abdominal MRI were included. Two independent observers first reviewed T2-w images only and then T2-w+DW-MR images and recorded number of metastases in each session. Lesion detection rate was compared using McNemar test. ADC of metastases in each patient was measured and compared between hypo- and hypervascular lesions using t-test. RESULTS: A total of 153 hypervascular and 187 hypovascular metastases were detected at consensus review. Two observers detected significantly more hypervascular metastases on T2-w+DW-MR image review session compared to T2-w image only review session (reader 1: 148 [96.7%] vs. 129 [84.3%], P=0.002; reader 2: 125 [81.9%] vs. 113 [73.8%], P=0.004). Detection rate of hypovascular metastases was similar between two sessions for both observers (reader 1: 180 [96.2%] vs. 184 [98.4%]; reader 2: 176 [94.1%] vs. 180 [96.2%], P>0.05). The mean ADC value of hypervascular metastases was significantly lower than mean ADC value of hypovascular metastases (1.23+/-0.31 × 10(-3)mm(2)/s vs. 1.49+/-0.19 × 10(-3)mm(2)/s) (P=0.001). CONCLUSION: Liver metastases are not a homogenous group of lesions with uniform DW-MRI features. Hypervascular metastases demonstrate significantly lower ADC values compared to hypovascular metastases. DW-MRI improved detection of hypervascular metastases compared to T2-w images alone and is a useful adjunct to T2-w images for their detection.


Asunto(s)
Imagen de Difusión por Resonancia Magnética/métodos , Neoplasias Hepáticas/irrigación sanguínea , Neoplasias Hepáticas/secundario , Neovascularización Patológica/diagnóstico , Adulto , Anciano , Anciano de 80 o más Años , Biopsia , Medios de Contraste , Femenino , Gadolinio DTPA , Humanos , Aumento de la Imagen/métodos , Interpretación de Imagen Asistida por Computador/métodos , Masculino , Persona de Mediana Edad , Estudios Retrospectivos
3.
J Magn Reson Imaging ; 39(4): 781-8, 2014 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-23908146

RESUMEN

PURPOSE: To study the dependence of apparent diffusion coefficient (ADC) and T2 on echo time (TE) and b-value, respectively, in normal prostate and prostate cancer, using two-dimensional MRI sampling, referred to as "hybrid multidimensional imaging." MATERIALS AND METHODS: The study included 10 patients with biopsy-proven prostate cancer who underwent 3 Tesla prostate MRI. Diffusion-weighted MRI (DWI) data were acquired at b = 0, 750, and 1500 s/mm(2) . For each b-value, data were acquired at TEs of 47, 75, and 100 ms. ADC and T2 were measured as a function of b-value and TE, respectively, in 15 cancer and 10 normal regions of interest (ROIs). The Friedman test was used to test the significance of changes in ADC as a function of TE and of T2 as a function of b-value. RESULTS: In normal prostate ROIs, the ADC at TE of 47 ms is significantly smaller than ADC at TE of 100 ms (P = 0.0003) and T2 at b-value of 0 s/mm(2) is significantly longer than T2 at b-value of 1500 s/mm(2) (P = 0.001). In cancer ROIs, average ADC and T2 values do not change as a function of TE and b-value, respectively. However, in many cancer pixels, there are large decreases in the ADC as a function of TE and large increases in T2 as a function of b-value. Cancers are more conspicuous in ADC maps at longer TEs. CONCLUSION: Parameters derived from hybrid imaging that depend on coupled/associated values of ADC and T2 may improve the accuracy of MRI in diagnosing prostate cancer.


Asunto(s)
Algoritmos , Imagen de Difusión por Resonancia Magnética/métodos , Aumento de la Imagen/métodos , Interpretación de Imagen Asistida por Computador/métodos , Imagen Multimodal/métodos , Próstata/patología , Neoplasias de la Próstata/patología , Anciano , Humanos , Masculino , Persona de Mediana Edad , Reproducibilidad de los Resultados , Sensibilidad y Especificidad
4.
Radiology ; 267(3): 932-40, 2013 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-23440319

RESUMEN

PURPOSE: To evaluate the feasibility and safety of magnetic resonance (MR) imaging-guided laser-based thermotherapy in men with clinically low-risk prostate cancer and a concordant lesion at biopsy and MR imaging. MATERIALS AND METHODS: This HIPAA-compliant phase I prospective study was approved by the institutional review board. Informed consent was obtained from all patients. Transperineal MR imaging-guided focal laser ablation for clinically low-risk prostate cancer was performed in patients with a Gleason score of 7 or less in three or fewer cores limited to one sextant obtained with transrectal ultrasonography (US)-guided biopsy and a concordant lesion at MR imaging. Lesions were targeted with a laser ablation system. Periprocedural complications were recorded. The International Prostate Symptom Score (IPSS) and the Sexual Health Inventory for Men (SHIM) score were collected before and after the procedure. MR imaging-guided biopsy of the ablation zone was performed 6 months after treatment. The prostate-specific antigen level, IPSS, and SHIM score before and after ablation were compared by using the Wilcoxon signed rank test. RESULTS: Treatment was successfully completed in nine patients (procedure duration, 2.5-4 hours; mean laser ablation duration, 4.3 minutes). Immediate contrast-enhanced posttreatment MR imaging showed a hypovascular defect in eight patients. Self-resolving perineal abrasion and focal paresthesia of the glans penis each occurred in one patient. The mean (± standard deviation) IPSS and SHIM score at baseline were 5.8 ± 5.3 and 19.0 ± 8.0, respectively. Average score changes were not significantly different from zero during follow-up (P = .18-.99). MR imaging-guided biopsy of the ablation zone showed no cancer in seven patients (78%) and Gleason grade 6 cancer in two (22%). CONCLUSION: Transperineal MR imaging-guided focal laser ablation appears to be a feasible and safe focal therapy option for clinically low-risk prostate cancer.


Asunto(s)
Terapia por Láser/métodos , Imagen por Resonancia Magnética Intervencional , Neoplasias de la Próstata/cirugía , Anciano , Biopsia , Medios de Contraste , Estudios de Factibilidad , Gadolinio DTPA , Humanos , Interpretación de Imagen Asistida por Computador , Masculino , Persona de Mediana Edad , Método de Montecarlo , Estudios Prospectivos , Neoplasias de la Próstata/diagnóstico por imagen , Estadísticas no Paramétricas , Resultado del Tratamiento , Ultrasonografía
5.
Radiology ; 267(2): 602-8, 2013 May.
Artículo en Inglés | MEDLINE | ID: mdl-23401582

RESUMEN

PURPOSE: To evaluate and compare B1 homogeneity for breast magnetic resonance (MR) imaging performed at 3 T with dual-source radiofrequency (RF) transmission to 1.5-T MR imaging and 3-T MR imaging with quadrature transmission. MATERIALS AND METHODS: This prospective study received institutional review board approval and patients provided informed consent. Women (n = 25; mean age, 53 years; range, 30-68 years) suspected of having breast lesions underwent breast MR imaging examinations on comparable 1.5-T and 3-T clinical systems between February and May 2012. B1 maps were obtained at 1.5 T and at 3 T with quadrature and dual-source RF transmission. Intrabreast differences and differences in mean B1 values between right and left breasts were investigated by using two-sided multivariate analysis of variance with interaction; t tests were used to compare the differences between measured whole-breast mean B1 values and requested B1 values. RESULTS: With quadrature transmission at 1.5 T and 3 T, the mean B1 values showed a statistically significant difference: left-breast measured B1 was -8.9% of requested B1 value at 1.5 T and -13.7% at 3 T (P < .001), whereas right-breast measured B1 was +5.4% of requested B1 value at 1.5 T (P < .001) and +2.7% at 3 T (P = .01). With dual-source RF transmission at 3 T, mean B1 values across the breasts were not statistically different, nor were the measured B1 values compared with requested B1 values (left breast, -0.6%; right breast, -0.7%). At 3 T with dual-source transmission, slight intrabreast local variations in B1 were recorded. CONCLUSION: MR imaging at 3 T with dual-source RF transmission offered an overall B1 homogeneity for breast imaging that was better than that obtained at 1.5 T and with quadrature transmission.


Asunto(s)
Neoplasias de la Mama/patología , Imagen por Resonancia Magnética/métodos , Adulto , Anciano , Análisis de Varianza , Medios de Contraste/administración & dosificación , Femenino , Gadolinio/administración & dosificación , Compuestos Heterocíclicos/administración & dosificación , Humanos , Imagenología Tridimensional , Persona de Mediana Edad , Compuestos Organometálicos/administración & dosificación , Estudios Prospectivos
6.
NMR Biomed ; 26(5): 569-77, 2013 May.
Artículo en Inglés | MEDLINE | ID: mdl-23165988

RESUMEN

Inhomogeneously broadened, non-Lorentzian water resonances have been observed in small image voxels of breast tissue. The non-Lorentzian components of the water resonance are probably produced by bulk magnetic susceptibility shifts caused by dense, deoxygenated tumor blood vessels (the 'blood oxygenation level-dependent' effect), but can also be produced by other characteristics of local anatomy and physiology, including calcifications and interfaces between different types of tissue. Here, we tested the hypothesis that the detection of non-Lorentzian components of the water resonance with high spectral and spatial resolution (HiSS) MRI allows the classification of breast lesions without the need to inject contrast agent. Eighteen malignant lesions and nine benign lesions were imaged with HiSS MRI at 1.5 T. A new algorithm was developed to detect non-Lorentzian (or off-peak) components of the water resonance. After a Lorentzian fit had been subtracted from the data, the largest peak in the residual spectrum in each voxel was identified as the major off-peak component of the water resonance. The difference in frequency between these off-peak components and the main water peaks, and their amplitudes, were measured in malignant lesions, benign lesions and breast fibroglandular tissue. Off-peak component frequencies were significantly different between malignant and benign lesions (p < 0.001). Receiver operating characteristic (ROC) analysis was used to assess the diagnostic performance of HiSS off-peak component analysis compared with dynamic contrast-enhanced (DCE) MRI parameters. The areas under the ROC curves for the 'DCE rapid uptake fraction', 'DCE washout fraction', 'off-peak component amplitude' and 'off-peak component frequency' were 0.75, 0.83, 0.50 and 0.86, respectively. These results suggest that water resonance lineshape analysis performs well in the classification of breast lesions without contrast injection and could improve the diagnostic accuracy of clinical breast MR examinations. In addition, this approach may provide an alternative to DCE MRI in women who are at risk for adverse reactions to contrast media.


Asunto(s)
Neoplasias de la Mama/patología , Mama/patología , Medios de Contraste/efectos adversos , Imagen por Resonancia Magnética/métodos , Adulto , Anciano , Femenino , Humanos , Persona de Mediana Edad , Curva ROC , Agua
7.
Acad Radiol ; 18(12): 1467-74, 2011 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-21962476

RESUMEN

RATIONALE AND OBJECTIVES: The aims of this study were to evaluate high spectral and spatial resolution (HiSS) magnetic resonance imaging (MRI) for the diagnosis of breast cancer without the injection of contrast media by comparing the performance of precontrast HiSS images to that of conventional contrast-enhanced, fat-suppressed, T1-weighted images on the basis of image quality and in the task of classifying benign and malignant breast lesions. MATERIALS AND METHODS: Ten benign and 44 malignant lesions were imaged at 1.5 T with HiSS (precontrast administration) and conventional fat-suppressed imaging (3-10 minutes after contrast administration). This set of 108 images, after randomization, was evaluated by three experienced radiologists blinded to the imaging technique. Breast Imaging Reporting and Data System morphologic criteria (lesion shape, lesion margin, and internal signal intensity pattern) and final assessment were used to measure reader performance. Image quality was evaluated on the basis of boundary delineation and quality of fat suppression. An overall probability of malignancy was assigned to each lesion for HiSS and conventional images separately. RESULTS: On boundary delineation and quality of fat suppression, precontrast HiSS scored similarly to conventional postcontrast MRI. On benign versus malignant lesion separation, there was no statistically significant difference in receiver-operating characteristic performance between HiSS and conventional MRI, and HiSS met a reasonable noninferiority condition. CONCLUSIONS: Precontrast HiSS imaging is a promising approach for showing lesion morphology without blooming and other artifacts caused by contrast agents. HiSS images could be used to guide subsequent dynamic contrast-enhanced MRI scans to maximize spatial and temporal resolution in suspicious regions. HiSS MRI without contrast agent injection may be particularly important for patients at risk for contrast-induced nephrogenic systemic fibrosis or allergic reactions.


Asunto(s)
Neoplasias de la Mama/diagnóstico , Imagen por Resonancia Magnética/métodos , Anciano , Enfermedades de la Mama/diagnóstico , Neoplasias de la Mama/diagnóstico por imagen , Medios de Contraste , Grasas , Femenino , Humanos , Aumento de la Imagen , Persona de Mediana Edad , Estudios Prospectivos , Radiografía
8.
J Magn Reson Imaging ; 34(4): 983-7, 2011 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-21928310

RESUMEN

PURPOSE: To present the use of a quality control ice-water phantom for diffusion-weighted magnetic resonance imaging (DW-MRI). DW-MRI has emerged as an important cancer imaging biomarker candidate for diagnosis and early treatment response assessment. Validating imaging biomarkers through multicenter trials requires calibration and performance testing across sites. MATERIALS AND METHODS: The phantom consisted of a center tube filled with distilled water surrounded by ice water. Following preparation of the phantom, ≈30 minutes was allowed to reach thermal equilibrium. DW-MRI data were collected at seven institutions, 20 MRI scanners from three vendors, and two field strengths (1.5 and 3T). The phantom was also scanned on a single system on 16 different days over a 25-day period. All data were transferred to a central processing site at the University of Michigan for analysis. RESULTS: Results revealed that the variation of measured apparent diffusion coefficient (ADC) values between all systems tested was ±5%, indicating excellent agreement between systems. Reproducibility of a single system over a 25-day period was also found to be within ±5% ADC values. Overall, the use of an ice-water phantom for assessment of ADC was found to be a reasonable candidate for use in multicenter trials. CONCLUSION: The ice-water phantom described here is a practical and universal approach to validate the accuracy of ADC measurements with ever changing MRI sequence and hardware design and can be readily implemented in multicenter clinical trial designs.


Asunto(s)
Imagen de Difusión por Resonancia Magnética/métodos , Hielo , Fantasmas de Imagen , Análisis de Varianza , Humanos , Estudios Multicéntricos como Asunto , Control de Calidad , Reproducibilidad de los Resultados
9.
Magn Reson Med ; 63(6): 1557-63, 2010 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-20512859

RESUMEN

High spectral and spatial resolution MRI, based on echo-planar spectroscopic imaging, has been applied successfully in diagnostic breast imaging, but acquisition times are long. One way of increasing acquisition speed is to apply the sensitivity encoding algorithm for complex high spectral and spatial resolution data. We demonstrate application of a complex sensitivity encoding algorithm to high spectral and spatial resolution MRI data, in a phantom and human breast, with 7- and 16-channel dedicated breast phased-array coils. Very low g factors are obtained using the breast coils, and the signal-to-noise ratio (SNR) penalty for water resonance peak height and water resonance asymmetry images is small at acceleration factors of up to 6 and 4, respectively, as evidenced by high Pearson correlation factors between fully sampled and accelerated data. This is the first application of the sensitivity encoding algorithm to characterize the structure of the water resonance at high spatial resolution.


Asunto(s)
Algoritmos , Mama/anatomía & histología , Fantasmas de Imagen , Agua/química , Imagen Eco-Planar/métodos , Femenino , Humanos , Imagen por Resonancia Magnética/métodos , Aceites/química , Estándares de Referencia , Sensibilidad y Especificidad , Factores de Tiempo
10.
J Magn Reson Imaging ; 31(3): 531-7, 2010 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-20187193

RESUMEN

PURPOSE: To compare apparent diffusion coefficients (ADCs) with distributed diffusion coefficients (DDCs) in high-grade gliomas. MATERIALS AND METHODS: Twenty patients with high-grade gliomas prospectively underwent diffusion-weighted MRI. Traditional ADC maps were created using b-values of 0 and 1000 s/mm(2). In addition, DDC maps were created by applying the stretched-exponential model using b-values of 0, 1000, 2000, and 4000 s/mm(2). Whole-tumor ADCs and DDCs (in 10(-3) mm(2)/s) were measured and analyzed with a paired t-test, Pearson's correlation coefficient, and the Bland-Altman method. RESULTS: Tumor ADCs (1.14 +/- 0.26) were significantly lower (P = 0.0001) than DDCs (1.64 +/- 0.71). Tumor ADCs and DDCs were strongly correlated (R = 0.9716; P < 0.0001), but mean bias +/- limits of agreement between tumor ADCs and DDCs was -0.50 +/- 0.90. There was a clear trend toward greater discordance between ADC and DDC at high ADC values. CONCLUSION: Under the assumption that the stretched-exponential model provides a more accurate estimate of the average diffusion rate than the mono-exponential model, our results suggest that for a little diffusion attenuation the mono-exponential fit works rather well for quantifying diffusion in high-grade gliomas, whereas it works less well for a greater degree of diffusion attenuation.


Asunto(s)
Neoplasias Encefálicas/patología , Neoplasias Encefálicas/fisiopatología , Imagen de Difusión por Resonancia Magnética/métodos , Glioma/patología , Glioma/fisiopatología , Interpretación de Imagen Asistida por Computador/métodos , Modelos Biológicos , Adulto , Anciano , Anciano de 80 o más Años , Algoritmos , Simulación por Computador , Femenino , Humanos , Aumento de la Imagen/métodos , Masculino , Persona de Mediana Edad , Reproducibilidad de los Resultados , Sensibilidad y Especificidad
11.
NMR Biomed ; 23(2): 179-87, 2010 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-19777501

RESUMEN

This study aimed to determine the potential value of intravoxel water diffusion heterogeneity imaging for brain tumor characterization and evaluation of high-grade gliomas, by comparing an established heterogeneity index (alpha value) measured in human high-grade gliomas to those of normal appearing white and grey matter landmarks. Twenty patients with high-grade gliomas prospectively underwent diffusion-weighted magnetic resonance imaging using multiple b-values. The stretched-exponential model was used to generate alpha and distributed diffusion coefficient (DDC) maps. The alpha values and DDCs of the tumor and contralateral anatomic landmarks were measured in each patient. Differences between alpha values of tumors and landmark tissues were assessed using paired t-tests. Correlation between tumor alpha and tumor DDC was assessed using Pearson's correlation coefficient. Mean alpha of tumors was significantly lower than that of contralateral frontal white matter (p = 0.0249), basal ganglia (p < 0.0001), cortical grey matter (p < 0.0001), and centrum semiovale (p = 0.0497). Correlation between tumor alpha and tumor DDC was strongly negative (Pearson correlation coefficient, -0.8493; p < 0.0001). The heterogeneity index alpha of human high-grade gliomas is significantly different from those of normal brain structures, which potentially offers a new method for evaluating brain tumors. The observed negative correlation between tumor alpha and tumor DDC requires further investigation.


Asunto(s)
Neoplasias Encefálicas/diagnóstico , Imagen de Difusión por Resonancia Magnética/métodos , Glioma/diagnóstico , Agua/química , Adulto , Anciano , Anciano de 80 o más Años , Mapeo Encefálico , Femenino , Humanos , Masculino , Persona de Mediana Edad , Modelos Biológicos , Lóbulo Temporal/patología , Adulto Joven
12.
J Magn Reson Imaging ; 30(5): 1027-33, 2009 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-19856431

RESUMEN

PURPOSE: To assess the feasibility of TRacking Only Navigator echo (TRON) for diffusion-weighted magnetic resonance imaging (DWI) of the liver at 3.0T. MATERIALS AND METHODS: Ten volunteers underwent TRON, respiratory triggered, and free breathing DWI of the liver at 3.0 Tesla (T). Scan times were measured. Image sharpness, degree of stair-step and stripe artifacts for the three methods were assessed by two observers. RESULTS: Mean scan times of TRON and respiratory triggered DWI relative to free breathing DWI were 34% and 145% longer respectively. In four of eight comparisons (two observers, two b-values, two slice orientations), TRON DWI image sharpness was significantly better than free breathing DWI, but inferior to respiratory triggered DWI. In two of four comparisons (two observers, two b-values), degree of stair-step artifacts in TRON DWI was significantly lower than in respiratory triggered DWI. Degree of stripe artifacts between the three methods was not significantly different. CONCLUSION: DWI of the liver at 3.0T using TRON is feasible. Image sharpness in TRON DWI is superior to that in free breathing DWI. Although image sharpness of respiratory triggered DWI is still better, TRON DWI requires less scan time and reduces stair-step artifacts.


Asunto(s)
Imagen de Difusión por Resonancia Magnética/métodos , Hígado/patología , Técnicas de Imagen Sincronizada Respiratorias/métodos , Adulto , Algoritmos , Artefactos , Diagnóstico por Imagen/métodos , Estudios de Factibilidad , Femenino , Humanos , Masculino , Persona de Mediana Edad , Modelos Estadísticos , Variaciones Dependientes del Observador , Respiración
13.
MAGMA ; 22(5): 319-25, 2009 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-19727877

RESUMEN

PURPOSE: To assess cardiac motion-induced signal loss in diffusion-weighted magnetic resonance imaging (DWI) of the liver using dynamic DWI. MATERIALS AND METHODS: Three volunteers underwent dynamic coronal DWI of the liver under breathholding, in the diastolic (DWI(diast)) or systolic (DWI(syst)) cardiac phase, and with motion probing gradients (MPGs) in phase encoding (P, left-right), frequency encoding (M, superior-inferior), or slice select (S, anterior-posterior) direction. Liver-to-background contrasts (LBCs) of DWI(syst) were compared to those of DWI(diast), for both the left and right liver lobes, using nonparametric tests. Signal decrease ratios (SDRs) were calculated as (1-(LBCDWI(syst)/LBCDWI(diast))) x 100%. DWI(syst) was further analyzed to determine which direction of MPGs was most affected by cardiac motion. RESULTS: In the left liver lobe, LBCs of DWI(syst) (median 3.35) were significantly lower (P < 0.0001) than those of DWI(diast) (median 4.84). In the right liver lobe, LBCs of DWI(syst) (median 4.17) were also significantly lower (P < 0.0001) than those of DWI(diast) (median 5.35 ). SDRs of the left and right liver lobes were 25.5% and 17.3%, respectively. In DWI(syst), the significantly lowest (P < 0.05) LBCs were observed in the M direction (left liver lobe) and P direction (right liver lobe) of MPGs. CONCLUSION: Signal intensity of both liver lobes are affected by cardiac motion in DWI. In the left liver lobe, signal loss especially occurs in the superior-inferior direction of MPGs, whereas in the right lobe, signal loss especially occurs in the left-right direction of MPGs.


Asunto(s)
Artefactos , Imagen de Difusión por Resonancia Magnética , Hígado , Contracción Miocárdica/fisiología , Adulto , Anisotropía , Femenino , Humanos , Masculino , Movimiento , Reproducibilidad de los Resultados , Procesamiento de Señales Asistido por Computador , Adulto Joven
14.
J Neuroophthalmol ; 29(2): 119-27, 2009 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-19491635

RESUMEN

Conventional MRA provides inadequate visualization of the dynamic features of blood flow in vascular lesions of the head and neck. Four-dimensional time-resolved angiography using keyhole (4D-TRAK) is a new technique of performing contrast-enhanced MRA. By combining parallel imaging with sensitivity encoding (SENSE) with the keyhole imaging technique and a high field strength (3 T) magnet, we have been able to obtain detailed hemodynamic information similar to that obtained via catheter angiography with digital subtraction (DSA), but without the risks associated with ionizing radiation exposure, iodizing contrast agents, or catheterization itself.


Asunto(s)
Angiografía Cerebral , Cabeza , Angiografía por Resonancia Magnética/métodos , Cuello , Enfermedades Vasculares/diagnóstico por imagen , Enfermedades Vasculares/diagnóstico , Gadolinio DTPA , Humanos , Aumento de la Imagen/métodos , Procesamiento de Imagen Asistido por Computador , Angiografía por Resonancia Magnética/instrumentación , Ultrasonografía
15.
Magn Reson Imaging Clin N Am ; 17(1): 1-11, 2009 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-19364596

RESUMEN

Magnetic resonance provides a wide variety of possibilities for arterial and venous blood vessel imaging in all vascular territories. This article provides a brief review of the technical principles of MR angiography. The first section is dedicated to non-contrast-enhanced angiography techniques and includes several distinct approaches: time-of-flight, phase contrast, triggered angiography non-contrast-enhanced, and balanced steady-state free precession. The second section relates to the contrast-enhanced and time-resolved contrast-enhanced MR angiography methods. The latest technical developments in MR imaging hardware, sequences and software, coil technology, and reconstruction capability allow dynamic MR angiography performance similar to CT angiography, without risks of iodine contrast agent and ionizing radiation exposure.


Asunto(s)
Angiografía por Resonancia Magnética/métodos , Medios de Contraste/administración & dosificación , Gadolinio/administración & dosificación , Humanos , Imagenología Tridimensional , Física
16.
Magn Reson Imaging Clin N Am ; 17(1): 63-75, 2009 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-19364600

RESUMEN

Four-dimensional time-resolved MR angiography (4D-MRA) using keyhole imaging techniques is a new method of performing contrastenhanced vascular imaging. Combining parallel imaging and keyhole imaging techniques, it is possible to obtain dynamic MRA scans up to 60 times faster, thereby achieving subsecond sampling of the contrast hemodynamics. Furthermore, imaging at 3 T gives higher signal, thus affording higher spatial resolution and allowing dynamic 3D MRA to approach the diagnostic performance of conventional digital subtraction angiography. This article presents the authors' clinical experience using 4D-MRA to evaluate various vascular abnormalities in the brain, spine, orbits, and neck at 3 T, demonstrates the imaging findings of this novel technique, and discusses its advantages and use in current neuroradiology practice.


Asunto(s)
Trastornos Cerebrovasculares/diagnóstico , Aumento de la Imagen/métodos , Angiografía por Resonancia Magnética/métodos , Adulto , Fístula Arteriovenosa/diagnóstico , Enfermedades de las Arterias Carótidas/diagnóstico , Angiografía Cerebral/métodos , Medios de Contraste , Femenino , Humanos , Interpretación de Imagen Asistida por Computador/métodos , Malformaciones Arteriovenosas Intracraneales/diagnóstico , Masculino , Meglumina/análogos & derivados , Persona de Mediana Edad , Compuestos Organometálicos , Trombosis de la Vena/diagnóstico
17.
Invest Radiol ; 42(3): 204-10, 2007 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-17287651

RESUMEN

The purpose of this study was to assess the feasibility of cardiac magnetic resonance (MR) tagging in rats on a standard clinical 1.5T MR system. Small animal models have been largely used as an experimental model in cardiovascular disease studies but mainly on high field systems (>4T) dedicated to research. Given the larger availability of routine clinical MR systems in centers with active cardiac research programs, it is of great interest to perform small animal imaging on whole-body MR systems of moderate field strength. The feasibility study was performed on 7 rats within 6 to 8 hours after myocardial infarction and 3 normal control rats. Myocardial strain was measured successfully in normal rats using the harmonic phase (ie, HARP) method, and a transmural gradient was demonstrated. In a rat model of acute occlusion/reperfusion, the myocardial circumferential strains were decreased, but the transmural strain gradient was preserved. This study demonstrated the feasibility of cardiac MR tagging in rats with a subendocardial resolution using a clinical 1.5T system.


Asunto(s)
Procesamiento de Imagen Asistido por Computador , Imagen por Resonancia Cinemagnética/instrumentación , Imagen por Resonancia Magnética/instrumentación , Infarto del Miocardio/diagnóstico , Miocardio/patología , Animales , Estudios de Factibilidad , Imagen por Resonancia Cinemagnética/métodos , Infarto del Miocardio/patología , Fantasmas de Imagen , Ratas , Ratas Sprague-Dawley
18.
Invest Radiol ; 40(4): 187-94, 2005 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-15770136

RESUMEN

OBJECTIVE: During biliary cirrhosis in rats, organic anion-transporting peptides (Oatps) and ATP-dependent multidrug resistance-associated protein 2 (Mrp2) that are likely to transport the contrast agent Gd-BOPTA through hepatocytes are down-regulated. However, the consequences of such down-regulation on the signal intensity (SI) enhancement are unknown. Consequently, the aim of our study was to measure the hepatic SI enhancement during Gd-BOPTA perfusion as well as the Oatp and Mrp2 expression in normal and cirrhotic livers. MATERIALS AND METHODS: The hepatic SI enhancement during Gd-BOPTA perfusion was measured in livers isolated from normal rats and rats that had a bile duct ligation (BDL) 15, 30, and 60 days before the perfusion. Hepatic injury and transporter expression were measured in control and cirrhotic rats. RESULTS: BDL induced a severe hepatic injury that increased over time with a down-regulation of the transporter expression. The extracellular space (assessed by Gd-DTPA perfusion) increased with the severity of the disease. Gd-BOPTA-induced SI enhancement remained similar in BDL-15 and BDL-30 rats than in control rats but significantly decreased in severe cirrhosis (BDL-60 rats). In comparison, the Mn-DPDP-induced SI enhancement decreases proportionally to the severity of the disease. CONCLUSION: During biliary cirrhosis, Gd-BOPTA-induced SI enhancement could not be related to the hepatic expression of transporters.


Asunto(s)
Medios de Contraste , Cirrosis Hepática Experimental/diagnóstico , Meglumina/análogos & derivados , Compuestos Organometálicos , Transportadoras de Casetes de Unión a ATP/análisis , Albúminas/análisis , Animales , Conductos Biliares/fisiología , Western Blotting , Queratinas/análisis , Imagen por Resonancia Magnética , Transportadores de Anión Orgánico/análisis , Perfusión , Ratas , Ratas Sprague-Dawley
19.
J Magn Reson Imaging ; 20(6): 1030-8, 2004 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-15558562

RESUMEN

PURPOSE: To investigate a balanced steady state free precession sequence (b-SSFP) under a large range of conditions and to compare its performance with other types of gradient echo sequences for dynamic imaging. MATERIALS AND METHODS: Balanced turbo field echo (b-TFE; Philips Medical Systems, Best, The Netherlands) was investigated in vitro at a range of T2/T1 along with T1-contrast enhanced turbo field echo (T1-TFE) and turbo field echo (TFE) so that a comparison could be made. Performance was quantified in terms of the initial slope of the signal-to-noise ratio (SNR) vs. 1/T1 curve (sensitivity) and the range of 1/T1 before signal saturation (contrast dynamic range [CDR]). RESULTS: The b-TFE sequence was found to best perform, in terms of an optimal CDR, with a 90 degrees flip angle (FA), saturation preparation, and short inversion time. Using these parameters, the sensitivity was also higher than that of the TFE sequence and T1-TFE sequence under their respective optimal conditions. For detection of small changes in contrast agent concentration (0.0-0.1 mM), b-TFE was also found to be the sequence of choice, with optimized parameters as follows, 90 degrees FA, shortest TR/TE, and no magnetization preparation. The smallest matrices gave the highest signal sensitivity for all three sequences. CONCLUSION: The CDR of b-TFE was much narrower than that of T1-TFE but could be widened under optimized conditions. The sensitivity of the b-TFE technique was the highest of the three sequences under all conditions tested.


Asunto(s)
Imagen por Resonancia Magnética/métodos , Medios de Contraste/administración & dosificación , Gadolinio DTPA/administración & dosificación , Fantasmas de Imagen , Sensibilidad y Especificidad
20.
Invest Radiol ; 39(8): 506-15, 2004 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-15257212

RESUMEN

RATIONALE AND OBJECTIVES: To investigate the transport of the hepatobiliary magnetic resonance (MR) imaging contrast agent Gd-BOPTA into rat hepatocytes. MATERIALS AND METHODS: In a MR-compatible hollow-fiber bioreactor containing hepatocytes, MR signal intensity was measured over time during the perfusion of Gd-BOPTA. For comparison, the perfusion of an extracellular contrast agent (Gd-DTPA) was also studied. A compartmental pharmacokinetic model was developed to describe dynamic signal intensity-time curves. RESULTS: The dynamic signal intensity-time curves of the hepatocyte hollow-fiber bioreactor during Gd-BOPTA perfusion were adequately fitted by 2 compartmental models. Modeling permitted to discriminate between the behaviors of the extracellular contrast agent (Gd-DTPA) and the hepatobiliary contrast agent (Gd-BOPTA). It allowed the successfully quantification of the parameters involved in such differences. Gd-BOPTA uptake was saturable at high substrate concentrations. CONCLUSIONS: The transport of Gd-BOPTA into rat hepatocytes was successfully described by compartmental analysis of the signal intensity recorded over time and supported the hypothesis of a transporter-mediated uptake.


Asunto(s)
Medios de Contraste/farmacocinética , Hepatocitos/metabolismo , Imagen por Resonancia Magnética , Meglumina/análogos & derivados , Meglumina/farmacocinética , Compuestos Organometálicos/farmacocinética , Animales , Transporte Biológico , Reactores Biológicos , Gadolinio/farmacocinética , Gadolinio DTPA/farmacocinética , Técnicas In Vitro , Masculino , Proteínas de Transporte de Membrana/metabolismo , Proteína 2 Asociada a Resistencia a Múltiples Medicamentos , Proteínas Asociadas a Resistencia a Múltiples Medicamentos/metabolismo , Transportadores de Anión Orgánico/metabolismo , Ratas , Ratas Sprague-Dawley
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