Mapping of the prostate in endorectal coil-based MRI/MRSI and CT: a deformable registration and validation study.

The endorectal coil is being increasingly used in magnetic resonance imaging (MRI) and MR spectroscopic imaging (MRSI) to obtain anatomic and metabolic images of the prostate with high signal-to-noise ratio (SNR). In practice, however, the use of endorectal probe inevitably distorts the prostate and other soft tissue organs, making the analysis and the use of the acquired image data in treatment planning difficult. The purpose of this work is to develop a deformable image registration algorithm to map the MRI/MRSI information obtained using an endorectal probe onto CT images and to verify the accuracy of the registration by phantom and patient studies. A mapping procedure involved using a thin plate spline (TPS) transformation was implemented to establish voxel-to-voxel correspondence between a reference image and a floating image with deformation. An elastic phantom with a number of implanted fiducial markers was designed for the validation of the quality of the registration. Radiographic images of the phantom were obtained before and after a series of intentionally introduced distortions. After mapping the distorted phantom to the original one, the displacements of the implanted markers were measured with respect to their ideal positions and the mean error was calculated. In patient studies, CT images of three prostate patients were acquired, followed by 3 Tesla (3 T) MR images with a rigid endorectal coil. Registration quality was estimated by the centroid position displacement and image coincidence index (CI). Phantom and patient studies show that TPS-based registration has achieved significantly higher accuracy than the previously reported method based on a rigid-body transformation and scaling. The technique should be useful to map the MR spectroscopic dataset acquired with ER probe onto the treatment planning CT dataset to guide radiotherapy planning.

An apparatus for MR-guided breast lesion localization and core biopsy: design and preliminary results.

System design and initial results are presented from a new unilateral MR-guided breast lesion localization and core biopsy system. Over 150 imaging studies, an accuracy study on phantoms with 50 localization wire deployments and 33 core biopsy trials, and 19 clinical procedures are reported. The mean spatial accuracy from the lesion center for a 20-gauge (G) needle (N = 13) was within 1.2 +/- 1.4 mm (SD) and for a 14G biopsy (N = 4) 0.8 +/- 1.1 mm. For sampling using a 16G core through a 14G needle, the mean accuracy was 5.6 mm (N = 2). The needle guide geometry imposed a small, calculable targeting error. For phantom measurements using the 20G device, the mean geometry-induced error was 0.73 +/- 0.43 mm. However, this contribution was, on average, 42% of the mean measured 2.35 +/- 1.65 mm offset. The new device design provided an accurate and simple guidance method for localization or core biopsy of MR-visible breast lesions.

A broadband phased-array system for direct phosphorus and sodium metabolic MRI on a clinical scanner.

Despite their proven gains in signal-to-noise ratio and field-of-view for routine clinical MRI, phased-array detection systems are currently unavailable for nuclei other than protons (1H). A broadband phased-array system was designed and built to convert the 1H transmitter signal to the non-1H frequency for excitation and to convert non-1H phased-array MRI signals to the 1H frequency for presentation to the narrowband 1H receivers of a clinical whole-body 1.5 T MRI system. With this system, the scanner operates at the 1H frequency, whereas phased-array MRI occurs at the frequency of the other nucleus. Pulse sequences were developed for direct phased-array sodium (23Na) and phosphorus (31P) MRI of high-energy phosphates using chemical selective imaging, thereby avoiding the complex processing and reconstruction required for phased-array magnetic resonance spectroscopy data. Flexible 4-channel 31P and 23Na phased-arrays were built and the entire system tested in phantom and human studies. The array produced a signal-to-noise ratio improvement of 20% relative to the best-positioned single coil, but gains of 300-400% were realized in many voxels located outside the effective field-of-view of the single coil. Cardiac phosphorus and sodium MRI were obtained in 6-13 min with 16 and 0.5 mL resolution, respectively. Lower resolution human cardiac 23Na MRI were obtained in as little as 4 sec. The system provides a practical approach to realizing the advantages of phased-arrays for nuclei other than 1H, and imaging metabolites directly.

What is the optimum phased array coil design for cardiac and torso magnetic resonance?

To determine the optimum configuration of a phased array MR coil system for human cardiac applications, the sensitivity of 10 flexible array designs operating under ideal conditions was calculated at 13 points circling the myocardium of a model torso whose geometry was determined from healthy volunteers. The array geometries that were evaluated included continuous strips of 2, 4, 6, and 10 circular coils of diameter equal to half the torso thickness wrapped laterally around the torso, 2 pairs of coils located on the left side of the chest and back, clusters of 3 coils in 2 orientations, clusters of 4 and 6 coils, and a hybrid cross of 6 coils. The 4-, 6-, and 10-coil strip arrays out-performed the other designs for a given number of coils, yielding average theoretical sensitivity improvements of 45%, 53%, and 55% relative to a single flexible coil positioned at the point closest to the anterior myocardium, compared with about 30% for 4- and 6-coil clusters and the 2-pair geometry (P < 0.02). A flexible 4-coil strip array was constructed for a clinical 1.5 T scanner with 15-cm diameter circular surface coils on flexible circuit board. The signal-to-noise ratio (SNR) of this coil at the 13 cardiac locations was measured in 15 normal volunteers and compared with the SNR measured in images acquired with standard commercial MR coils: a body coil, a flexible torso array, a general purpose flexible coil, and, in 4 subjects, a dual array coil. In the prone orientation, the average myocardial SNR improvement of the 4-coil strip array was 650% relative to the whole body coil, compared with 310-340% for the other commercial coils (P < 0.00005). The twofold advantage over the commercial coils persisted in supine studies (P < 0.00005, n = 5). Thus, flexible circumferential phased arrays of strips of surface coils of diameter comparable with the depth of the heart generally out-perform many other standard geometries for a given number of coils, and can yield dramatically improved SNR over coils available for general use in the torso.