In vivo demonstration of magnetic guidewire steerability in a MRI system with additional gradient coils.

PURPOSE: To assess the ability to control the steering of a modified guidewire actuated by the magnetic force of a magnetic resonance imaging system with additional gradient coils for selective arterial catheterization in rabbits. METHODS: Selective catheterizations of the right renal artery, left renal artery, superior mesenteric artery, and iliac artery were performed on two rabbits. A 3D magnetic force was applied onto a magnetic bead placed at the tip of a guidewire. The ability of the guidewire to advance in the aorta without entering the side branches when the magnetic force was not applied was also evaluated. Steering of the guidewire was combined with a dedicated tracking system and its position was registered on the 3D model of a magnetic resonance angiography (MRA). RESULTS: The magnetic catheterization of the renal arteries was successful and showed reproducibility. Superior mesenteric artery and iliac artery showed that the catheterization was feasible. These two arteries were difficult to visualize on MRA, making catheterization and setting the direction of the force more difficult. There was no inadvertent catheterization of side vessels when the guidewire was advanced with magnetic steering despite the hook shape at the tip of the guidewire caused by the alignment of the bead anisotropy with the permanent magnetic field. CONCLUSIONS: This first evaluation of selective catheterization of aortic branches with a magnetic guidewire provided a successful steering in the less angled side branches and this modified guidewire was advanced in the aorta without inadvertent selective catheterization when manipulated without magnetic actuation.

MR imaging of therapeutic magnetic microcarriers guided by magnetic resonance navigation for targeted liver chemoembolization.

PURPOSE: Magnetic resonance navigation (MRN), achieved with an upgraded MRI scanner, aims to guide new therapeutic magnetic microcarriers (TMMC) from their release in the hepatic vascular network to liver tumor. In this technical note, in vitro and in vivo MRI properties of TMMC, loaded with iron-cobalt nanoparticles and doxorubicin, are reported by following three objectives: (1) to evaluate the lengthening of echo-time (TE) on nano/microparticle imaging; (2) to characterize by MRI TMMC distribution in the liver; and (3) to confirm the feasibility of monitoring particle distribution in real time. METHODS: Phantom studies were conducted to analyze nano/microparticle signals on T 2*-weighted gradient-echo (GRE) MR images according to sample weight and TE. Twelve animal experiments were used to determine in vivo MRI parameters. TMMC tracking was evaluated by magnetic resonance imaging (MRI) in four rabbits, which underwent MRN in the hepatic artery, three without steering, two in real-time, and three as blank controls. TMMC distribution in the right and left liver lobes, determined by ex vivo MR image analysis, was compared to the one obtained by cobalt level analysis. RESULTS: TMMC induced a hypointense signal that overran the physical size of the sample on MR images. This signal, due to the nanoparticles embedded into the microparticles, increased significantly with echo-time and sample amount (p < 0.05). In vivo, without steering, contrast-to-noise ratio (CNR) values for the right and left lobes were similar. With MRN, the CNR in the targeted lobe was different from that in the untargeted lobe (p = 0.003). Ex vivo, TMMC distribution, based on MRI signal loss volume measurement, was correlated with that quantified by Co level analysis (r = 0.92). TMMC accumulation was tracked in real time with an 8-s GRE sequence. CONCLUSIONS: MRI signal loss induced by TMMC can serve to track particle accumulation and to assess MRN efficiency.

Breast MR imaging at 3 T with dual-source radiofrequency transmission offers superior B1 homogeneity: an intraindividual comparison with breast MR imaging at 1.5 T.

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.

Sensitivity of multi-parametric MRI to the compressive state of the isolated intervertebral discs.

OBJECTIVE: Magnetic resonance imaging (MRI) offers great potential as a sensitive and noninvasive technique for describing the alterations in mechanical properties, as shown in vitro on intervertebral disc (IVD) or cartilage tissues. However, in vivo, the IVD is submitted to complex loading stimuli. Thus, the present question focuses on the influence of the mechanical loading during an MRI acquisition on the relaxation times, magnetization transfer and diffusion parameters within the IVD. METHODS: An apparatus allowing the compression of isolated IVDs was designed and manufactured in acrylonitrile butadiene styrene. IVDs were dissected from fresh young bovine tail, measured for their thickness and submitted to compression just before the MRI acquisition. Six discs received 0% (platen positioned at the initial disc thickness), 5% (platen positioned at 95% of the initial disc thickness), 10%, 20% and 40% deformation. The MRI parameters were compared between the loading states using mean and standard deviation for T1 and T2, and matrix subtraction for Magnetization Transfer, fractional anisotropy and apparent diffusion coefficient. RESULTS: The compression of the IVD did not lead to any significant change of the MRI parameters, except for the diffusion that decreased in the direction of the compressive stress. DISCUSSION: This experimental in vitro study shows that multi-parametric MRI on isolated discs in vitro is not sensitive to compression or to the partial confined relaxation that followed the compression.

Assessment of mechanical properties of isolated bovine intervertebral discs from multi-parametric magnetic resonance imaging.

BACKGROUND: The treatment planning of spine pathologies requires information on the rigidity and permeability of the intervertebral discs (IVDs). Magnetic resonance imaging (MRI) offers great potential as a sensitive and non-invasive technique for describing the mechanical properties of IVDs. However, the literature reported small correlation coefficients between mechanical properties and MRI parameters. Our hypothesis is that the compressive modulus and the permeability of the IVD can be predicted by a linear combination of MRI parameters. METHODS: Sixty IVDs were harvested from bovine tails, and randomly separated in four groups (in-situ, digested-6h, digested-18h, digested-24h). Multi-parametric MRI acquisitions were used to quantify the relaxation times T1 and T2, the magnetization transfer ratio MTR, the apparent diffusion coefficient ADC and the fractional anisotropy FA. Unconfined compression, confined compression and direct permeability measurements were performed to quantify the compressive moduli and the hydraulic permeabilities. Differences between groups were evaluated from a one way ANOVA. Multi linear regressions were performed between dependent mechanical properties and independent MRI parameters to verify our hypothesis. A principal component analysis was used to convert the set of possibly correlated variables into a set of linearly uncorrelated variables. Agglomerative Hierarchical Clustering was performed on the 3 principal components. RESULTS: Multilinear regressions showed that 45 to 80% of the Young's modulus E, the aggregate modulus in absence of deformation HA0, the radial permeability kr and the axial permeability in absence of deformation k0 can be explained by the MRI parameters within both the nucleus pulposus and the annulus pulposus. The principal component analysis reduced our variables to two principal components with a cumulative variability of 52-65%, which increased to 70-82% when considering the third principal component. The dendograms showed a natural division into four clusters for the nucleus pulposus and into three or four clusters for the annulus fibrosus. CONCLUSIONS: The compressive moduli and the permeabilities of isolated IVDs can be assessed mostly by MT and diffusion sequences. However, the relationships have to be improved with the inclusion of MRI parameters more sensitive to IVD degeneration. Before the use of this technique to quantify the mechanical properties of IVDs in vivo on patients suffering from various diseases, the relationships have to be defined for each degeneration state of the tissue that mimics the pathology. Our MRI protocol associated to principal component analysis and agglomerative hierarchical clustering are promising tools to classify the degenerated intervertebral discs and further find biomarkers and predictive factors of the evolution of the pathologies.

Quantitative comparison between a multiecho sequence and a single-echo sequence for susceptibility-weighted phase imaging.

The aim of this study was to investigate the benefits arising from the use of a multiecho sequence for susceptibility-weighted phase imaging using a quantitative comparison with a standard single-echo acquisition. Four healthy adult volunteers were imaged on a clinical 3-T system using a protocol comprising two different three-dimensional susceptibility-weighted gradient-echo sequences: a standard single-echo sequence and a multiecho sequence. Both sequences were repeated twice in order to evaluate the local noise contribution by a subtraction of the two acquisitions. For the multiecho sequence, the phase information from each echo was independently unwrapped, and the background field contribution was removed using either homodyne filtering or the projection onto dipole fields method. The phase information from all echoes was then combined using a weighted linear regression. R2 maps were also calculated from the multiecho acquisitions. The noise standard deviation in the reconstructed phase images was evaluated for six manually segmented regions of interest (frontal white matter, posterior white matter, globus pallidus, putamen, caudate nucleus and lateral ventricle). The use of the multiecho sequence for susceptibility-weighted phase imaging led to a reduction of the noise standard deviation for all subjects and all regions of interest investigated in comparison to the reference single-echo acquisition. On average, the noise reduction ranged from 18.4% for the globus pallidus to 47.9% for the lateral ventricle. In addition, the amount of noise reduction was found to be strongly inversely correlated to the estimated R2 value (R=-0.92). In conclusion, the use of a multiecho sequence is an effective way to decrease the noise contribution in susceptibility-weighted phase images, while preserving both contrast and acquisition time. The proposed approach additionally permits the calculation of R2 maps.

Towards dose reduction in CT: patient radiation dose assessment for CT examinations at university health center in Canada and comparison with national diagnostic reference levels.

Dose indicators such as the computed tomography dose index (CTDI) and dose-length product (DLP) were gathered for all routine abdomen-pelvis, chest and head examinations performed on all computed tomography (CT) scanners at a University Health Center (UHC) in Canada. These indicators were analysed and compared with the range of diagnostic reference levels (DRLs) suggested by Health Canada and with DRLs in other countries. Mean DLP values varied from one scanner to another, but mean values at the UHC (750 mGy cm(-1) for abdomen-pelvis CT, 349 mGy cm(-1) for chest CT and 1181 mGy cm(-1) for head CT) were all below the upper limit of the range of DRLs suggested by Health Canada. Local DRLs at the UHC were set to 810 mGy cm(-1) for abdomen-pelvis CT, 345 mGy cm(-1) for chest CT and 1205 mGy cm(-1) for head CT. Results, however, show the need for protocols revisions, since some scanners exhibit mean DLP values slightly below or above the upper limit of the range of DRLs suggested by Health Canada.

Design of iterative ROI transmission tomography reconstruction procedures and image quality analysis.

PURPOSE: An iterative edge-preserving CT reconstruction algorithm for high-resolution imaging of small regions of the field of view is investigated. It belongs to a family of region-of-interest reconstruction techniques in which a low-cost pilot reconstruction of the whole field of view is first performed and then used to deduce the contribution of the region of interest to the projection data. These projections are used for a high-resolution reconstruction of the region of interest (ROI) using a regularized iterative algorithm, resulting in significant computational savings. This paper examines how the technique by which the pilot reconstruction of the full field of view is obtained affects the total runtime and the image quality in the region of interest. METHODS: Previous contributions to the literature have each focused on a single approach for the pilot reconstruction. In this paper, two such approaches are compared: the filtered backprojection and a low-resolution regularized iterative reconstruction method. ROI reconstructions are compared in terms of image quality and computational cost over simulated and physical phantom (Catphan600) studies, in order to assess the compromises that most impact the quality of the ROI reconstruction. RESULTS: With the simulated phantom, new artifacts that appear in the ROI images are caused by significant errors in the pilot reconstruction. These errors include excessive coarseness of the pilot image grid and beam-hardening artifacts. With the Catphan600 phantom, differences in the imaging model of the scanner and that of the iterative reconstruction algorithm cause dark border artifacts in the ROI images. CONCLUSIONS: Inexpensive pilot reconstruction techniques (analytical algorithms, very-coarse-grid penalized likelihood) are practical choices in many common cases. However, they may yield background images altered by edge degradation or beam hardening, inducing projection inconsistency in the data used for ROI reconstruction. The ROI images thus have significant streak and speckle artifacts, which adversely affect the resolution-to-noise compromise. In these cases, edge-preserving penalized-likelihood methods on not-too-coarse image grids prove to be more robust and provide the best ROI image quality.

Value of 3.0 T MR imaging in refractory partial epilepsy and negative 1.5 T MRI.

BACKGROUND: High-field 3.0 T MR scanners provide an improved signal-to-noise ratio which can be translated in higher image resolution, possibly allowing critical detection of subtle epileptogenic lesions missed on standard-field 1.0-1.5 T MRIs. In this study, the authors explore the potential value of re-imaging at 3.0 T patients with refractory partial epilepsy and negative 1.5 T MRI. METHODS: We retrospectively identified all patients with refractory partial epilepsy candidate for surgery who had undergone a 3.0 T MR study after a negative 1.5 T MR study. High-field 3.0 T MRIs were reviewed qualitatively by neuroradiologists experienced in interpreting epilepsy studies with access to clinical information. Relevance and impact on clinical management were assessed by an epileptologist. RESULTS: Between November 2006 and August 2009, 36 patients with refractory partial epilepsy candidate for surgery underwent 3.0 T MR study after a 1.5 T MR study failed to disclose a relevant epileptogenic lesion. A potential lesion was found only in two patients (5.6%, 95% CI: 1.5-18.1%). Both were found to have hippocampal atrophy congruent with other presurgical localization techniques which resulted in omission of an invasive EEG study and direct passage to surgery. CONCLUSIONS: The frequency of detection of a new lesion by re-imaging at 3.0 T patients with refractory partial epilepsy candidate for surgery was found to be low, but seems to offer the potential of a significant clinical impact for selected patients. This finding needs to be validated in a prospective controlled study.

Diagnostic imaging of spinal deformities: reducing patients radiation dose with a new slot-scanning X-ray imager.

STUDY DESIGN: Clinical trial comparing image quality and entrance dose between Biospace EOS system, a new slot-scanning radiographic device, and a Fuji FCR 7501S computed radiography (CR) system for 50 patients followed for spinal deformities. OBJECTIVE: Based on their physical properties, slot-scanners show the potential to produce image quality comparable to CR systems using less radiation. This article validates this assertion by comparing a new slot-scanner to a CR system through a wide-ranging evaluation of dose and image quality for scoliosis examinations. SUMMARY OF BACKGROUND DATA: For each patient included in this study, lateral and posteroanterior images were acquired with both systems. For each system, entrance dose was measured for different anatomic locations. METHODS: Dose and image quality being directly related, comparable images were obtained using the same radiograph tube voltage on both systems while tube currents were selected to match signal-to-noise ratios on a phantom. Different techniques were defined with respect to patient's thickness about the iliac crests. Given dose amplitudes expected for scoliosis examinations, optically stimulated luminescence dosimeters were chosen as optimal sensors. Two radiologists and 2 orthopedists evaluated the images in a randomized order using a questionnaire targeting anatomic landmarks. Visibility of the structures was rated on a 4 level scale. Image quality assessment was analyzed using a Wilcoxon signed-rank tests. RESULTS: Average skin dose was reduced from 6 to 9 times in the thoracoabdominal region when using the slot-scanner instead of CR. Moreover, image quality was significantly better with EOS for all structures in the frontal view (P < 0.006) and lateral view (P < 0.04), except for lumbar spinous processes, better seen on the CR (P < 0.003). CONCLUSION: We established that the EOS system offers overall enhanced image quality while reducing drastically the entrance dose for the patient.

Global motion stimuli and form-from-motion stimuli: common characteristics and differential activation patterns.

We used functional Magnetic Resonance Imaging (fMRI) to explore the areas underlying the processing of two similar motion stimuli that evoke different types of processing. The results indicated that while form-from-motion (FFM) stimuli activated both lateral occipital complex (LOC) and MT complex (MT+), only the LOC remained significantly activated when contrasted with a global motion stimulus (GMS) with different coherence levels. Because of the large number of common characteristics shared between the stimuli, this contrast enabled us to isolate the regions implicated in form processing. The GMS on the other hand only activated MT+, reaching maximal intensity for low coherence. Overall, these data illustrate how two similar motion stimuli can elicit the participation of different cortical visual regions.

Improved in-stent lumen visualization using intravascular MRI and a balanced steady-state free-precession sequence.

RATIONALE AND OBJECTIVES: To investigate the ability of an intravascular magnetic resonance (MR) loopless antenna to reduce the radiofrequency shielding of a vascular stent during signal reception as a way to improve the visualization of the in-stent lumen. METHODS AND MATERIALS: Using a balanced steady-state free-precession (bSSFP) sequence and a dedicated vascular phantom, the signal-to-noise ratio (SNR) inside the lumen of a stent is evaluated as a function of the nominal flip angle and compared with the results obtained for a reference vessel without a stent. All experiments are performed using successively an intravascular loopless antenna and surface arrays coils. Using an optimized protocol, in vitro in-stent restenosis visualization and quantification experiments are performed to evaluate the validity of an approach using an intravascular antenna and cross-sectional images to depict a vascular lesion inside a stent. RESULTS: The use of a loopless antenna effectively eliminates the radiofrequency shielding effect of the stent during signal reception. Furthermore, using a bSSFP sequence with a carefully chosen nominal flip angle, an equally good blood SNR can be obtained inside and outside the stent. Results of in vitro in-stent restenosis quantification measurements using the proposed method illustrate the benefits arising from the use of the intravascular antenna. CONCLUSION: In the perspective of MR-guided vascular interventions, the presented results illustrate that the use of an intravascular antenna can significantly facilitate imaging inside a vascular stent. Potential applications include the monitoring of stent deployment as well as visualization and quantification of in-stent restenosis during an intervention.

On the characterization and uncertainty analysis of radiochromic film dosimetry.

Radiochromic film is a dosimeter of choice in applications requiring high spatial resolution, two dimensional measurements, or minimum perturbation of the beam fluence. Since the measurement uncertainty in Gafchromic film dosimetry is thought to be significant compared to that of ionization chambers, a rigorous method to evaluate measurement uncertainties is desired. This article provides a method that takes into account the correlation between fit parameters as well as single dose values in order to obtain accurate uncertainties in absolute and relative measurements. A complete portrait of all sources of uncertainty in Gafchromic film dosimetry is given. The parametrization of variance as a function of the number of averaged pixels is obtained in order to accurately predict the uncertainty as a function of the size of the region of interest. The choice of functional form for the sensitometric curve is based on four criteria and a convergence of global net optical density uncertainty to 0.0013 is demonstrated. A minimum number of 12 points is recommended to characterize the sensitometric curve to a sufficient precision on the uncertainty estimation. Uncertainty levels of 0.9% on absolute dose measurements and 0.45% on relative measurements are achieved using a 12-point calibration curve with 220 cGy and repeating measurements five times. Uncertainties of 0.8% and 0.4% are achievable when using 35 points during film characterization. Ignoring covariance terms is shown to lead to errors in the estimation of uncertainty.

Comparative evaluation of the geometrical accuracy of intravascular magnetic resonance imaging: a phantom study.

RATIONALE AND OBJECTIVES: To evaluate and compare the accuracy of cross-sectional imaging using an intravascular antenna in the context of vascular morphological measurements performed during a magnetic resonance imaging (MRI)-guided vascular intervention. MATERIALS AND METHODS: Cross-sectional imaging of a multimodality vascular phantom was performed using intravascular and surface MRI, multidetector computed tomography, and intravascular ultrasound (IVUS). Using a balanced steady-state free-precession sequence, 18 sequences parameters sets were investigated (12 for intravascular MRI and 6 for surface MRI). Vessel diameters for all images and modalities were computed using an automated vessel segmentation algorithm. RESULTS: Using IVUS as a gold standard, imaging using an intravascular antenna leads to an increase in geometrical accuracy in comparison to traditional surface MRI. This level of accuracy appears to follow a significant inverse proportionality relation in respect to vessel wall signal-to-noise ratio (SNR). Taking into account the rapid decrease in SNR as a function of the distance to the intravascular antenna, these results imply that, for a given level of geometrical accuracy, faster sequences can be used for the imaging of smaller vessels. CONCLUSION: Imaging using an intravascular antenna appears as a valuable assistance to increase the accuracy of vascular morphological measurements. This increase in geometrical accuracy would be beneficial during the realization of an MRI-guided intervention, either to perform pretreatment measurements or to assess the outcome of the procedure. Acquisition parameters should be tailored to vessel size and procedural time constraints.

Characterization of cardiac-related noise in fMRI of the cervical spinal cord.

Magnetic resonance imaging (MRI) has recently been applied to study spinal cord function in humans. However, spinal functional MRI (fMRI) encounters major technical challenges with cardiac noise being considered a major source of noise. The present study relied on echo-planar imaging of the cervical cord at short TR (TR=250 ms; TE=40 ms; flip=45 degrees), combined with plethysmographic recordings to characterize the spatiotemporal properties of cardiac-induced signal changes in spinal fMRI. Frequency-based analyses examining signal change at the cardiac frequency confirmed mean fluctuations of about 10% (relative to the mean signal) in the spinal cord and surrounding cerebrospinal fluid (CSF), with maximal responses reaching up to 66% in some voxels. A spatial independent component analysis (sICA) confirmed that cardiac noise is an important source of variance in spinal fMRI with several components showing a response coherent with the cardiac frequency spectrum. The time course of the main cardiac components approximated a sinusoidal function tightly coupled to the cardiac systole with at least one component showing a comparable temporal profile across runs and subjects. Spatially, both the frequency-domain analysis and the sICA demonstrated cardiac noise distributed irregularly along the full rostrocaudal extent of the segments scanned with peaks concentrated in the ventral part of the lateral slices in all scans and subjects, consistent with the major channels of CSF flow. These results confirm that cardiac-induced changes are a significant source of noise likely to affect the detection of spinal Blood Oxygen Level Dependent (BOLD) responses. Most importantly, the complex spatiotemporal structure of cardiac noise is unlikely to be accounted for adequately by ad hoc linear methods, especially in data acquired using long TR (i.e. aliasing the cardiac frequency). However, the reliable spatiotemporal distribution of cardiac noise across scanning runs and within subjects may provide a valid means to identify and extract cardiac noise based on sICA methods.

A computer-assisted protocol for endovascular target interventions using a clinical MRI system for controlling untethered microdevices and future nanorobots.

The possibility of automatically navigating untethered microdevices or future nanorobots to conduct target endovascular interventions has been demonstrated by our group with the computer-controlled displacement of a magnetic sphere along a pre-planned path inside the carotid artery of a living swine. However, although the feasibility of propelling, tracking and performing real-time closed-loop control of an untethered ferromagnetic object inside a living animal model with a relatively close similarity to human anatomical conditions has been validated using a standard clinical Magnetic Resonance Imaging (MRI) system, little information has been published so far concerning the medical and technical protocol used. In fact, such a protocol developed within technological and physiological constraints was a key element in the success of the experiment. More precisely, special software modules were developed within the MRI software environment to offer an effective tool for experimenters interested in conducting such novel interventions. These additional software modules were also designed to assist an interventional radiologist in all critical real-time aspects that are executed at a speed beyond human capability, and include tracking, propulsion, event timing and closed-loop position control. These real-time tasks were necessary to avoid a loss of navigation control that could result in serious injury to the patient. Here, additional simulation and experimental results for microdevices designed to be targeted more towards the microvasculature have also been considered in the identification, validation and description of a specific sequence of events defining a new computer-assisted interventional protocol that provides the framework for future target interventions conducted in humans.

Adapting the clinical MRI software environment for real-time navigation of an endovascular untethered ferromagnetic bead for future endovascular interventions.

A dedicated software architecture for a novel interventional method allowing the navigation of ferromagnetic endovascular devices using a standard real-time clinical MRI system is shown. Through a specially developed software environment integrating a tracking method and a real-time controller algorithm, a clinical 1.5T Siemens Avanto MRI system is adapted to provide new functionality for potential automated interventional applications. The proposed software architecture was successfully validated through in vivo controlled navigation inside the carotid artery of a swine. Here we present how this MRI-upgraded software environment could also be used in more complex vasculature models through the real-time navigation of a 1.5 mm diameter chrome steel bead in two different MR-compatible phantoms with flowless and quiescent flow conditions. The developed platform and software modules needed for such navigation are also presented. Real-time tracking achieved through a dedicated positioning method based on an off-resonance excitation technique has also been successfully integrated in the software platform while maintaining adequate real-time performance. These preliminary feasibility experiments suggest that navigation of such devices can be achieved using a similar software architecture on other conventional clinical MRI systems at an operational closed-loop control frequency of 32 Hz.

Evaluation of quantitative magnetic resonance imaging, biochemical and mechanical properties of trypsin-treated intervertebral discs under physiological compression loading.

PURPOSE: To investigate the influence of targeted trypsin digestion and 16 hours compression loading on MR parameters and the mechanical and biochemical properties of bovine disc segments. MATERIALS AND METHODS: Twenty-two 3-disc bovine coccygeal segments underwent compression loading for 16 hours after the nucleus pulposus (NP) of each disc was injected with a solution of trypsin or buffer. The properties of the NP and annulus fibrosus (AF) tissues of each disc were analyzed by quantitative MRI, biochemical tests, and confined compression tests. RESULTS: Loading had a significant effect on the MR properties (T(1), T(2), T(1rho), MTR, ADC) of both the NP and AF tissues. Loading had a greater effect on the MR parameters and biochemical composition of the NP than trypsin. In contrast, trypsin had a larger effect on the mechanical properties. Our data also indicated that localized trypsin injection predominantly affected the NP. T(1rho) was sensitive to loading and correlated with the water content of the NP and AF but not with their proteoglycan content. CONCLUSION: Our studies indicate that physiological loading is an important parameter to consider and that T(1rho) contributes new information in efforts to develop quantitative MRI as a noninvasive diagnostic tool to detect changes in early disc degeneration.

Human hip joint cartilage: MRI quantitative thickness and volume measurements discriminating acetabulum and femoral head.

This paper aims at developing a quantitative system for measuring human hip cartilage thickness and volume using magnetic resonance imaging (MRI). A new MRI-acquisition technique, named axial rotation, where the acquisition planes are organized around a virtual axis, was used. The MRI protocol consists of a 2-D multiple-echo data image combination (MEDIC) using water excitation. Inner and outer interface contours of acetabulum and femoral head cartilage are obtained using a semiautomated 3-D segmentation method and combined to form 3-D surfaces. A local spherical coordinate system computed from the original contours enables cartilage thickness and volume computation. An anatomical labeling is performed automatically for thickness and volume measurements in predefined subregions: inferior, anterior, superior, and posterior. A registration module is introduced allowing the assessment of cartilage changes over time. Validation of the system was conducted with three protocols each involving data obtained from nine subjects: 1) registration process accuracy; 2) intrareader reproducibility; and 3) intervisit coefficient of variation. Data showed excellent correlation coefficients for either the intrareader (r>or=0.0942, p<0.0001 ) or intervisit (r>or=0.0837, p<0.005) protocols. This noninvasive system, which enables the quantification of cartilage thickness and volume in the human hip joint using MRI, is the first to discriminate the acetabular and femoral head cartilage throughout the entire hip without the use of an external device, and to implement hip registration for follow-up studies on the same subject.

Reconstruction of real tomographic data using algebraic methods.

We propose an algebraic image reconstruction method that can cope with the size and features of datasets produced by actual scanners, such as angular flying focal spot and detector offset. Image reconstruction is performed by minimizing a penalized least squares objective function by means of a preconditioned conjugate gradient (PCG) algorithm. Efficient implementation of the matrix-vector products that represent projection and backprojection operations is crucial to reconstruction speed, as such operations are performed at least once per iteration. For this purpose, we developed an efficient storage scheme for the projection matrix that allowed fast matrix-vector products. These features, along with an appropriate choice of the preconditioning matrix, yielded a numerically efficient method which produces results with better quality than those provided by usual filtered backprojection techniques.