Appropriate pancreatic phase image acquisition by free-breathing dynamic contrast-enhanced pancreatic MRI using stack-of-stars radial sampling and Compressed SENSE.

PURPOSE: To evaluate the feasibility of a free-breathing sequence (4D FreeBreathing) combined with Compressed SENSE in dynamic contrast-enhanced pancreatic MRI and compare it with a breath-holding sequence (eTHRIVE). METHOD: Patients who underwent pancreatic MRI, either eTHRIVE or 4D FreeBreathing, from April 2022 to November 2023 were included in this retrospective study. Two radiologists, who were unaware of the scan sequence, independently and randomly reviewed the images at the precontrast, pancreatic, portal venous, and equilibrium phases and assigned confidence scores for motion and streaking artifacts, pancreatic sharpness, and overall image quality using a 5-point scale. Furthermore, the radiologists assessed the appropriateness of the scan timing of the pancreatic phase. Mann-Whitney U and Fisher's exact tests were conducted to compare the confidence scores and adequacy of the pancreatic phase scan timing between eTHRIVE and 4D FreeBreathing. RESULTS: Overall, 48 patients (median age, 71 years; interquartile range, 64-77 years; 24 women) were included. Among them, 20 patients (42%) were scanned using 4D FreeBreathing. The 4D FreeBreathing showed moderate streaking artifact but improved motion artifact (P <.001-.17) at all phases. Pancreatic sharpness and overall image quality were almost comparable between two sequences (P = .17-.96). All 20 examinations in 4D FreeBreathing showed appropriate pancreatic phase images, but only 16 (57%; P <.001 for reviewer 1) and 18 (64%; P = .003 for reviewer 2) examinations showed it in eTHRIVE. CONCLUSION: The use of 4D FreeBreathing combined with Compressed SENSE was feasible in pancreatic MRI and provided appropriate pancreatic phase images in all examinations.

Development of rapid and highly accurate method to measure concentration of fibers in atmosphere using artificial intelligence and scanning electron microscopy.

AIM: We aimed to develop a measurement method that can count fibers rapidly by scanning electron microscopy equipped with an artificial intelligence image recognition system (AI-SEM), detecting thin fibers which cannot be observed by a conventional phase contrast microscopy (PCM) method. METHODS: We created a simulation sampling filter of airborne fibers using water-filtered chrysotile (white asbestos). A total of 108 images was taken of the samples at a 5 kV accelerating voltage with 10 000X magnification scanning electron microscopy (SEM). Each of three expert analysts counted 108 images and created a model answer for fibers. We trained the artificial intelligence (AI) using 25 of the 108 images. After the training, the AI counted fibers in 108 images again. RESULTS: There was a 12.1% difference between the AI counting results and the model answer. At 10 000X magnification, AI-SEM can detect 87.9% of fibers with a diameter of 0.06-3 µm, which is similar to a skilled analyst. Fibers with a diameter of 0.2 µm or less cannot be confirmed by phase-contrast microscopy (PCM). When observing the same area in 300 images with 1500X magnification SEM-as listed in the Asbestos Monitoring Manual (Ministry of the Environment)-with 10 000X SEM, the expected analysis time required for the trained AI is 5 h, whereas the expected time required for observation by an analyst is 251 h. CONCLUSION: The AI-SEM can count thin fibers with higher accuracy and more quickly than conventional methods by PCM and SEM.

Thin-slice Free-breathing Pseudo-golden-angle Radial Stack-of-stars with Gating and Tracking T1-weighted Acquisition: An Efficient Gadoxetic Acid-enhanced Hepatobiliary-phase Imaging Alternative for Patients with Unstable Breath Holding.

PURPOSE: To compare four free-breathing scan techniques for gadoxetic acid-enhanced hepatobiliary phase imaging with conventional breath-hold scans. MATERIALS AND METHODS: Gadoxetic acid-enhanced hepatobiliary phase imaging with six image acquisition sets performed in 50 patients. Image acquisition sets included fat-suppressed 3D T1-weighted turbo field echo with free-breathing pseudo-golden-angle radial stack-of-stars (FBRS) acquisition, FBRS with track (FBRST), FBRS with gate and track (FBRSG&T), thin-slice FBRS with gate and track (thin-slice FBRSG&T), free-breathing Cartesian acquisition (CartesianFB), and breath-hold Cartesian acquisition (CartesianBH). Signal-to-noise ratio (SNR), contrast-to-noise ratio (CNR), and image quality compared to the six-image acquisition sets. RESULTS: Signal-to-noise ratio and CNR were significantly higher in FBRS, FBRST, FBRSG&T, and thin-slice FBRSG&T than in CartesianFB and CartesianBH (P < 0.001). Based on sharpness, motion artifacts, visibility of intrahepatic vessels, and overall image quality, thin-slice FBRSG&T had the highest image quality followed by CartesianBH and FBRSG&T (P < 0.001). Severe motion artifacts were observed in 25 patients in CartesianFB and three patients in CartesianBH, whereas image quality remained above the acceptable range in FBRSG&T, FBRST, FBRS, and thin-slice FBRSG&T in all cases. CONCLUSION: Thin-slice FBRSG&T demonstrated excellent image quality compared with conventional CartesianBH in gadoxetic acid-enhanced hepatobiliary phase imaging. It can be apply to supplemental sequences of patients with unstable breath holding.

Nonoptical Detection of Allergic Response with a Cell-Coupled Gate Field-Effect Transistor.

In this study, we report the label-free and reliable detection of allergic response using a cell-coupled gate field-effect transistor (cell-based FET). Rat basophilic leukemia (RBL-2H3) cells were cultured as a signal transduction interface to induce allergic reaction on the gate oxide surface of the FET, because IgE antibodies, which bind to Fcε receptors at the RBL-2H3 cell membrane, are specifically cross-linked by allergens, resulting in the allergic response of RBL-2H3 cells. In fact, the surface potential at the FET gate decreased owing to secretions such as histamine from the IgE-bound RBL-2H3 cells, which reacted with the allergen. This is because histamine, as one of the candidate secretions, shows basicity, resulting in a change in pH around the cell/gate interface. That is, the RBL-2H3-cell-based FET used in this study was originally from an ion-sensitive FET (ISFET), whose oxide surface (Ta2O5) with hydroxyl groups is fully responsive to pH on the basis of the equilibrium reaction. The allergic response of RBL-2H3 cells on the gate was also confirmed by estimating the amount of ß-hexosaminidase released together with histamine and was analyzed using the electrical properties based on an inflammatory response of secreted histamine with the vascular endothelial cell-based FET. Thus, the allergic responses were monitored in a nonoptical and real-time manner using the cell-based FETs with the cellular layers on the gate, which reproduced the in vivo system and were useful for the reliable detection of the allergic reaction.

Comparison between two types of improved motion-sensitized driven-equilibrium (iMSDE) for intracranial black-blood imaging at 3.0 tesla.

PURPOSE: To investigate the image quality impact of a new implementation of the improved motion-sensitized driven-equilibrium (iMSDE) pulse scheme in the human brain at 3.0 Tesla. MATERIALS AND METHODS: Two iMSDE preparation schemes were compared; (a) iMSDE-1: two refocusing pulses and two pairs of bipolar gradients and (b) iMSDE-2: adding extra bipolar gradients in front of the iMSDE-1 preparation. Computer simulation was used to evaluate the difference of eddy currents effect between these two approaches. Five healthy volunteers were then scanned with both sequences in the intracranial region and signal changes associated with iMSDE-1 and iMSDE-2 were assessed and compared quantitatively and qualitatively. RESULTS: Simulation results demonstrated that eddy currents are better compensated in iMSDE-2 than in the iMSDE-1 design. In vivo comparison showed that the iMSDE-2 sequence significantly reduced the tissue signal loss at all locations compared with iMSDE-1 (5.0% versus 23% in average, P < 0.0002 at paired t-test). The signal in iMSDE-1 showed greater spatial inhomogeneity than that of iMSDE-2. CONCLUSION: Our results show that iMSDE-2 demonstrated smaller loss in signal and less spatial variation compared with iMSDE-1, we conjecture due to the improved eddy current compensation.

Assessment of improved motion-sensitized driven equilibrium (iMSDE) for multi-contrast vessel wall screening.

PURPOSE: We assessed the improved motion-sensitized driven equilibrium (iMSDE) technique for multiple contrast 3-dimensional vessel wall imaging at 3T. METHODS: Carotid images were obtained using iMSDE combined with turbo field echo (iMSDE-TFE) and conventional double inversion-recovery turbo spin-echo (DIR-TSE) in 5 healthy adult subjects. The tissue signal-to-noise efficiency (SNReff), SNR divided by the square root of scan time, lumen-tissue contrast-to-noise efficiency (CNReff), CNR divided by the square root of scan time, and tissue signal intensity ratio (SIR) were measured in both techniques and compared. RESULTS: The iMSDE-TFE had higher SNReff and CNReff (P < 0.01) and strong correlation in SIR (R = 0.92) compared to DIR-TSE. CONCLUSION: The iMSDE-TFE sequence is an efficient technique for vessel wall screening.

[Problem of spectral attenuated with inversion recovery fat suppression method with respiratory-gated].

The purpose of this study was to investigate the effect of fat suppression when we use respiratory-gated spectral attenuated with inversion recovery (SPAIR) method with respiratory-gated. We experimented on phantom and in-vivo study using simulated wave of respiratory-gated SPAIR at 1.5 tesla and 3.0 tesla. As a result, the effect of fat suppression becomes wrong with longer intervals of inspiration and expiration by wave of respiratory-gated. The signal intensity also varies with each slice. This result had the same trend on phantom and in-vivo study. The longitudinal magnetization of fat becomes a stable state when SPAIR pulse is shot more than once. However, the SPAIR method with respiratory-gated collect signal before the longitudinal magnetization of fat to be stable state, and fat suppression effect becomes bad, because the inversion time does not match the null point of the fat. Therefore, when we use SPAIR method with respiratory-gated it always causes bad fat suppression.

Temperature dependence of relaxation times in proton components of fatty acids.

We examined the temperature dependence of relaxation times in proton components of fatty acids in various samples in vitro at 11 tesla as a standard calibration data for quantitative temperature imaging of fat. The spin-lattice relaxation time, T(1), of both the methylene (CH(2)) chain and terminal methyl (CH(3)) was linearly related to temperature (r>0.98, P<0.001) in samples of animal fat. The temperature coefficients for the 2 primary proton components differed significantly; in 5 bovine fat samples, the coefficient at 30 °C was 1.79±0.07 (%/°C) for methylene and 2.98±0.38 (%/°C) for methyl. Numerical simulations based on such a difference demonstrated the possibility of considerable error from inconsistent ratios in fatty acid components when calibrating and estimating temperature. The error reached 3.3 °C per 15 °C in temperature elevation when we used a pure CH(2) signal for calibration and observed the signal with 18% of CH(3) to estimate temperature. These findings suggested that separating the fatty acid components would significantly improve accuracy in quantitative thermometry for fat. Use of the T(1) of CH(2) seems promising in terms of reliability and reproducibility in measuring temperature of fat.

[Improved visualization of long-axis black-blood imaging of the carotid arteries using phase sensitive inversion recovery combined with 3D IR-T1TFE].

The purpose of this study was to improve the visualization of long-axis black-blood imaging of the carotid arteries. We experimented on phantom and in-vivo study of 3 dimension (3D) inversion recovery T(1) turbo field echo combined with phase sensitive inversion recovery (PSIR-3D IR-T(1)TFE) at 3.0 Tesla. As a result, the contrast has been improved by calculated images of PSIR-3D IR-T(1)TFE set to inversion time (TI) 350 ms that is shorter than null point of blood. This displays that the contrast between blood and tissues can be improved when the longitudinal magnetization of blood is a negative. Therefore, the visualization of long-axis black-blood imaging of the carotid arteries has been improved by the calculated images of PSIR-3D IR-T(1)TFE set to TI that is shorter than null point of blood.

[Trial of artifact reduction in body diffusion weighted imaging development and basic examination of "TRacking Only Navigator"(TRON method)].

In recent years, the utility of body diffusion weighted imaging as represented by diffusion weighted whole body imaging with background body signal suppression (DWIBS), the DWIBS method, is very high. However, there was a problem in the DWIBS method involving the artifact corresponding to the distance of the diaphragm. To provide a solution, the respiratory trigger (RT) method and the navigator echo method were used together. A problem was that scan time extended to the compensation and did not predict the extension rate, although both artifacts were reduced. If we used only navigator real time slice tracking (NRST) from the findings obtained by the DWIBS method, we presumed the artifacts would be ameliorable without the extension of scan time. Thus, the TRacking Only Navigator (TRON) method was developed, and a basic examination was carried out for the liver. An important feature of the TRON method is the lack of the navigator gating window (NGW) and addition of the method of linear interpolation prior to NRST. The method required the passing speed and the distance from the volunteer's diaphragm. The estimated error from the 2D-selective RF pulse (2DSRP) of the TRON method to slice excitation was calculated. The condition of 2D SRP, which did not influence the accuracy of NRST, was required by the movement phantom. The volunteer was scanned, and the evaluation and actual scan time of the image quality were compared with the RT and DWIBS methods. Diaphragm displacement speed and the quantity of displacement were determined in the head and foot directions, and the result was 9 mm/sec, and 15 mm. The estimated error was within 2.5 mm in b-factor 1000 sec/mm(2). The FA of 2DSRP was 15 degrees, and the navigator echo length was 120 mm, which was excellent. In the TRON method, the accuracy of NRST was steady because of line interpolation. The TRON method obtained image quality equal to that of the RT method with the b-factor in the volunteer scanning at short actual scan time. The TRON method can obtain image quality equal to that of the RT method in body diffusion weighted imaging within a short time. Moreover, because scan time during planning becomes actual scan time, inspection can be efficiently executed.

[Study of aliasing ERROR with SENSE in body diffusion image using single-shot EPI at 3T].

Magnetic field inhomogeneity causes artifacts in MRI. For example, in single-shot echo-planar imaging (EPI), they often appear as severe geometric distortions along the phase-encoding direction. Sensitivity encoding (SENSE) is useful in reducing the distortion in EPI since it only acquires partial k-space data using multiple receiver channels. In SENSE, a reference scan usually needs to be performed to create a sensitivity profile of each receiver channel. Gradient echo (GRE) sequences are often used in the reference scan. In diffusion-weighted imaging (DWI) using single-shot EPI with SENSE, non-negligible aliasing artifacts often remain in the reconstructed images. We suppose that these artifacts result from misregistration between the reference images acquired using GRE sequences and the DWI acquired using EPI. In this study, we used two types of acquisition methods to create sensitivity profiles, GRE sequences and EPI, and have compared the residual artifacts in the reconstructed images. The sensitivity profiles were created from the data acquired using the GRE and EPI sequences. Artifacts were reduced when EPI sensitivity profiles were used. This resulted from the fact that off-resonance effects, e.g., magnetic field inhomogeneity, susceptibility, and chemical shift, often cause severe image distortion in EPI, and, therefore, there is misregistration between images reconstructed from the data acquired using GRE and EPI sequences. Our study suggests that EPI sensitivity profiles be used when imaging data are acquired using a single-shot EPI with SENSE, although GRE sensitivity profiles have often been used in practice.

[Basic examination of CEMRA with 4D time-resolved angiography using keyhole (4D-TRAK) in 3T pelvic region].

Time-resolved MRA has recently been reported, and high-resolution MRA that does not miss timing is possible. In this examination, CEMRA that used 4D time-resolved angiography using keyhole (4D-TRAK) at 3T for the pelvic region was studied. 4D-TRAK is a method of using keyhole imaging together with sensitivity encoding (SENSE) and contrast-enhanced timing robust angio (CENTRA). The method changed flip angle (FA) and examined relative signal intensity, TR, TE, dynamic keyhole scan duration (DKSD) of the dilution contrast media, and keyhole% (KP). Image quality was examined with a blood vessel phantom. The presence of the partial echo method (PE) was examined in all cases. Relative signal intensity rose when FA increased. It has decreased in the PE method. TR did not show a difference by the PE method in FA15 degrees or more. DKSD was extended by the PE method. In the blood vessel Phantom, the PE method made the ringing artifacts remarkable. The artifacts that originated in keyhole imaging were observed. Shortening TR is difficult because of peculiar SAR to 3T. The PE method is not effective and becomes useless. It is necessary to note a point different from the parameter setting by 1.5T.

[Examination of imaging parameter influence on image distortion in EPI].

Echo planar imaging (EPI) is highly sensitive to static magnetic field inhomogeneities. The degree of local image compression and stretching is a function of the static field gradient in the phase-encoding direction. This is caused by the accumulation of a phase shift. Any static field shift will lead to a position shift in the image, and it is the regions with large static fields that are the most difficult to correct. We reduce image distortion by SENSE with an array coil. However, we often use a surface coil because we cannot use an array coil in clinical studies. In this case, image distortion becomes greater, and reduction of distortion is very important. For the purpose of this study, we examined the relation between imaging parameters and image distortion. Image distortion of EPI is unrelated to the following parameters: number of phase encodings, half scan, echo time, and diffusion b-value. However, the following parameters influenced image distortion: FOV, number of frequency encodings, rectangle FOV, and multi-shot imaging. Image distortion of EPI is decided by the area of the phase-encoding gradient and the interval of readout gradients. We hope that many institutions will find these data useful.

[Influence of respiratory motion in body diffusion weighted imaging under free breathing (examination of a moving phantom)].

Diffusion weighted imaging (DWI) theoretically aims to detect random motion over small distances, such as Brownian motion. Therefore, breath-hold scanning has been considered the only way to acquire DWI in the body without artifacts from bulk motion. Recent reports suggest that non-breath-hold scanning is feasible. The purpose of this study was to evaluate the influence of respiratory motion on DWI using a moving phantom model. Our results showed that the difference in apparent diffusion coefficient (ADC) was less than 10% between a static phantom and a moving phantom. There was no relation between the speed and stroke of the moving phantom and the calculated ADC. The results indicate that stable motion such as calm respiration does not cause signal loss on DWI, in contrast to intra-voxel incoherent motion (IVIM). The images obtained using this method showed high resolution and signal-to-noise ratio (SNR), suitable for three-dimensional display of the lesion.