Noise performance of a precision pulsed electromagnet power supply for magnetic resonance imaging.

Prepolarized magnetic resonance imaging (PMRI) uses two pulsed electromagnets to achieve high-field image quality with the benefits of low-field data acquisition. The principal challenge with all resistive MRI systems is the implementation of a highly precise magnet current supply. The noise current through the magnet is fundamentally limited by the current transducer used to provide feedback and the voltage reference used to generate the demand signal. Field instability in the main field magnet can both corrupt the received data and degrade the robustness of Carr¿Purcell¿Meiboom¿Gill (CPMG) echo trains, which are paramount to efficient imaging in PMRI. In this work, we present the magnet control system that achieved sufficient field stability for PMRI at $0.5/0.13$ T, identify the dominant sources of noise in the control system, examine the imaging artifacts that can occur if the field stability is insufficient, and identify how the design can be improved for better field stability, should it be required for future implementations of PMRI.

Spiral magnetic resonance coronary angiography with rapid real-time localization.

A spiral high-resolution coronary artery imaging sequence (SH) interfaced with real-time localization system (RT) has been developed. A clinical study of 40 patients suspected of coronary artery disease (CAD) was conducted. Segmented k-space acquisition techniques have dominated magnetic resonance coronary angiography (MRCA) over the last decade. Although a recent multicenter trial using this technique demonstrated encouraging results, the technique was hampered by low specificity. Spiral k-space acquisition had demonstrated several advantages for MRCA. Therefore, a first clinical trial implementing spiral high-resolution coronary imaging sequence with real-time localization (SH-RT) was performed.A clinical study of 40 patients suspected of CAD undergoing X-ray angiography was conducted to analyze the clinical reliability of this novel imaging system. The SH-RT had been designed to exploit the unique capability of two imaging sequences. The RT allowed a rapid localization of the coronary arteries. Then SH achieved multislice acquisition during a short breath-hold with submillimeter resolution. The MRCA data were analyzed for scan time, anatomic coverage, image quality, and accuracy in detecting CAD. In 40 subjects, SH achieved 0.7 to 0.9 mm resolution with 14-heartbeat breath-holds. Excellent or good image quality was achieved in 78% (263/337) of the coronary segments. Blinded consensus reading among three observers generated sensitivity of 76% and specificity of 91% in the detection of CAD compared with X-ray angiography. The MRCA imaging sequence implementing a novel spiral k-space acquisition technique enabled rapid and reliable imaging of the CAD in submillimeter resolution with short breath-holds.

Rapid evaluation of left ventricular volume and mass without breath-holding using real-time interactive cardiac magnetic resonance imaging system.

OBJECTIVES: The purpose of this study was to validate cardiac measurements derived from real-time cardiac magnetic resonance imaging (MRI) as compared with well-validated conventional cine MRI. BACKGROUND: Although cardiac MRI provides accurate assessment of left ventricular (LV) volume and mass, most techniques have been relatively slow and required electrocardiogram (ECG) gating over many heart beats. A newly developed real-time MRI system allows continuous real-time dynamic acquisition and display without cardiac gating or breath-holding. METHODS: Fourteen healthy volunteers and nine patients with heart failure underwent real-time and cine MRI in the standard short-axis orientation with a 1.5T MRI scanner. Nonbreath-holding cine MRI was performed with ECG gating and respiratory compensation. Left ventricular end-diastolic volume (LVEDV), left ventricular endsystolic volume (LVESV), ejection fraction (EF) and LV mass calculated from the images obtained by real-time MRI were compared to those obtained by cine MRI. RESULTS: The total study time including localization for real-time MRI was significantly shorter than cine MRI (8.6 +/- 2.3 vs. 24.7 +/- 3.5 min, p < 0.001). Both imaging techniques yielded good quality images allowing cardiac measurements. The measurements of LVEDV, LVESV, EF and LV mass obtained with real-time MRI showed close correlation with those obtained with cine MRI (LVEDV: r = 0.985, p < 0.001; LVESV: r = 0.994, p < 0.001; EF: r = 0.975, p < 0.001; LV mass: r = 0.977, p < 0.001). CONCLUSIONS: Real-time MRI provides accurate measurements of LV volume and mass in a time-efficient manner with respect to image acquisition.

The real-time interactive 3-D-DVA for robust coronary MRA.

A graphical user interface (GUI) has been developed which enables interactive feedback and control to the real-time diminishing variance algorithm (DVA). This interactivity allows the user to set scan parameters, view scan statistics, and view image updates during the course of the scan. In addition, the DVA has been extended to simultaneously reduce motion artifacts in three dimensions using three orthogonal navigators. Preliminary in vivo studies indicate that these improvements to the standard DVA allow for significantly improved consistency and robustness in eliminating respiratory motion artifacts from MR images, particularly when imaging the coronary arteries.

Nonsubtractive spiral phase contrast velocity imaging.

Phase contrast velocity imaging is a standard method for accurate in vivo flow measurement. One drawback, however, is that it lengthens the scan time (or reduces the achievable temporal resolution) because one has to acquire two or more images with different flow sensitivities and subtract their phases to produce the final velocity image. Without this step, non-flow-related phase variations will give rise to an erroneous, spatially varying background velocity. In this paper, we introduce a novel phase contrast velocity imaging technique that requires the acquisition of only a single image. The idea is to estimate the background phase variation from the flow-encoded image itself and then have it removed, leaving only the flow-related phase to generate a corrected flow image. This technique is sensitive to flow in one direction and requires 50% less scan time than conventional phase contrast velocity imaging. Phantom and in vivo results were obtained and compared with those of the conventional method, demonstrating the new method's effectiveness in measuring flow in various vessels of the body. Magn Reson Med 42:704-713, 1999.

Resistive homogeneous MRI magnet design by matrix subset selection.

A new technique for designing resistive homogeneous multicoil magnets for magnetic resonance imaging (MRI) is presented. A linearly independent subset of coils is chosen from a user-defined feasible set using an efficient numerical algorithm. The coil currents are calculated using a linear least squares algorithm to minimize the deviation of the actual magnetic field from the target field. The solutions are converted to practical coils by rounding the currents to integer ratios, selecting the wire gauge, and optimizing the coil cross-sections. To illustrate the technique, a new design of a short, homogeneous MRI magnet suitable for low-field human torso imaging is presented. Magnets that satisfy other constraints on access and field uniformity can also be designed. Compared with conventional techniques that employ harmonic expansions, this technique is flexible, simple to implement, and numerically efficient.

New real-time interactive cardiac magnetic resonance imaging system complements echocardiography.

OBJECTIVES: We conducted an initial clinical trial of a newly developed cardiac magnetic resonance imaging (CMRI) system. We evaluated left ventricular (LV) function in 85 patients to compare the clinical utility of the CMRI system with echocardiography, the current noninvasive gold standard. BACKGROUND: Conventional CMRI systems require cardiac-gating and respiratory compensation to synthesize a single image from data acquired over multiple cardiac cycles. In contrast, the new CMRI system allows continuous real-time dynamic acquisition and display of any scan plane at 16 images/s without the need for cardiac gating or breath-holding. METHODS: A conventional 1.5T Signa MRI Scanner (GE, Milwaukee, Wisconsin) was modified by the addition of an interactive workstation and a bus adapter. The new CMRI system underwent clinical trial by testing its ability to evaluate global and regional LV function. The first group (A) consisted of 31 patients with acceptable echocardiography image quality. The second group (B) consisted of 31 patients with suboptimal echocardiography image quality. The third group (C) consisted of 29 patients with severe lung disease or congenital cardiac malformation who frequently have suboptimal echo study. Two independent observers scored wall motion and image quality using the standard 16-segment model and rank-order analysis. RESULTS: CMRI evaluation was complete in less than 15 min. In group A, no significant difference was found between ECHO and CMRI studies (p = NS). In group B, adequate visualization of wall segments was obtained 38% of the time using ECHO and 97% of the time using CMRI (p < 0.0001). When grouped into coronary segments, adequate visualization of at least one segment occurred in 18 of 30 patients (60%) with ECHO and in all 30 patients (100%) with CMRI (p < 0.0001). In group C, adequate visualization of the wall segments was obtained in 58% (CI 0.53-0.62) of the time using echocardiography and 99.7% (CI 0.99-1.0) of the time using CMRI (p < 0.0001). CONCLUSIONS: The new CMRI system provides clinically reliable evaluation of LV function and complements suboptimal echocardiography. In comparison with the conventional CMRI, the new CMRI system significantly reduces scan time, patient discomfort and associated cost.

Feasibility study of lactate imaging of head and neck tumors.

A proton spectroscopic imaging sequence was used to investigate the feasibility of lactate imaging in head and neck tumors. The sequence employs a two-shot lactate editing method with inversion recovery for additional lipid suppression, and a restricted field of view to suppress motion artifacts. Variations in acquisition parameters and two different receive coils were investigated on twelve patients. Elevated lactate was detected in three patients, no lactate was observed in seven patients, and two studies were inconclusive because of severe motion or inhomogeneity artifacts. Best results were obtained with an anterior/posterior neck coil at a 288 ms echo time (TE).

Volumetric spectroscopic imaging with spiral-based k-space trajectories.

Spiral-based k-space trajectories were applied in a spectroscopic imaging sequence with time-varying readout gradients to collect volumetric chemical shift information. In addition to spectroscopic imaging of low signal-to-noise ratio (SNR) brain metabolites, the spiral trajectories were used to rapidly collect reference signals from the high SNR water signal to automatically phase the spectra and to aid the reconstruction of metabolite maps. Spectral-spatial pulses were used for excitation and water suppression. The pulses were designed to achieve stable phase profiles in the presence of up to 20% variation in the radiofrequency field. A gridding algorithm was used to resample the data onto a rectilinear grid before fast Fourier transforms. This method was demonstrated by in vivo imaging of brain metabolites at 1.5 T with 10 slices of 18 x 18 pixels each. Nominal voxel size was 1.1 cc, spectral bandwidth was 400 Hz, scan time was 18 min for the metabolite scan and 3 min for the reference scan.

Magnetic resonance imaging of knee cartilage repair.

Cartilage injury resulting in osteoarthritis is a frequent cause of disability in young people. Osteoarthritis, based on either cartilage injury or degeneration, is a leading cause of disability in the United States. Over the last several decades, much progress has been made in understanding cartilage injury and repair. Magnetic resonance (MR) imaging, with its unique ability to noninvasively image and characterize soft tissue, has shown promise in assessment of cartilage integrity. In addition to standard MR imaging methods, MR imaging contrast mechanisms under development may reveal detailed information regarding the physiology and morphology of cartilage. MR imaging will play a crucial role in assessing the success or failure of therapies for cartilage injury and degeneration.

Real-time interactive MRI on a conventional scanner.

A real-time interactive MRI system capable of localizing coronary arteries and imaging arrhythmic hearts in real-time is described. Non-2DFT acquisition strategies such as spiral-interleaf, spiral-ring, and circular echo-planar imaging provide short scan times on a conventional scanner. Real-time gridding reconstruction at 8-20 images/s is achieved by distributing the reconstruction on general-purpose UNIX workstations. An X-windows application provides interactive control. A six-interleaf spiral sequence is used for cardiac imaging and can acquire six images/s. A sliding window reconstruction achieves display rates of 16-20 images/s. This allows cardiac images to be acquired in real-time, with minimal motion and flow artifacts, and without breath holding or cardiac gating. Abdominal images are acquired at over 2.5 images/s with spiral-ring or circular echo-planar sequences. Reconstruction rates are 8-10 images/s. Rapid localization in the abdomen is demonstrated with the spiral-ring acquisition, whereas peristaltic motion in the small bowel is well visualized using the circular echo-planar sequence.

Lesion contrast enhancement in medical ultrasound imaging.

Methods for improving the contrast-to-noise ratio (CNR) of low-contrast lesions in medical ultrasound imaging are described. Differences in the frequency spectra and amplitude distributions of the lesion and its surroundings can be used to increase the CNR of the lesion relative to the background. Automated graylevel mapping is used in combination with a contrast-weighted form of frequency-diversity speckle reduction. In clinical studies, the techniques have yielded mean CNR improvements of 3.2 dB above ordinary frequency-diversity imaging and 5.6 dB over sharper conventional images, with no post-processing graylevel mapping.

Improved automatic off-resonance correction without a field map in spiral imaging.

Non-2DFT k-space readout strategies are useful in fast imaging but prone to blurring when reconstructed off resonance. Field inhomogeneities or susceptibility variations, coupled with a long readout time, are the major sources of this artifact. Correction methods based on a priori off-resonance information such as an acquired field map have been proposed in the literature. An alternative approach estimates the spatially varying off-resonance frequency from the data itself before applying a correction. In this latter approach there is a trade-off between the extent of correction and the chance of increased artifact due to estimation error. This paper introduces an improved algorithm for field map estimation which is both faster and more robust than the existing method. It uses a multi-stage estimation of the field map, starting from a coarse estimate both in frequency and space and proceeds towards higher resolution. The new algorithm is applied to phantom and in vivo images acquired with radial and spiral sequences to give sharper images.

Multifrequency interpolation for fast off-resonance correction.

Field inhomogeneities or susceptibility variations produce blurring in images acquired using non-2DFT k-space readout trajectories. This problem is more pronounced for sequences with long readout times such as spiral imaging. Theoretical and practical correction methods based on an acquired field map have been reported in the past. This paper introduces a new correction method based on the existing concept of frequency segmented correction but which is faster and theoretically more accurate. It consists of reconstructing the data at several frequencies to form a set of base images that are then added together with spatially varying linear coefficients derived from the field map. The new algorithm is applied to phantom and in vivo images acquired with projection reconstruction and spiral sequences, yielding sharply focused images.

Three-dimensional spectral-spatial excitation.

A method of three-dimensional spectral-spatial excitation is presented which is selective simultaneously in two spatial dimensions and in the spectral or chemical shift dimension. This method can be used to create spectral passbands whose center frequency varies as a function of spatial location within an imaging plane. This variation of passband center frequency may be specified by an acquired main field (B0) map; the resulting excitations compensate for inhomogeneity of the B0 field. In vivo images are presented in which three-dimensional spectral-spatial excitation allows selective water-only imaging in the presence of large B0 inhomogeneity where conventional spectrally selective imaging falls. Phantom studies give a detailed profile of the performance of three-dimensional spectral-spatial pulses suitable for water-only or fat-saturation imaging. These pulses may also be useful for fat and water suppression in spectroscopic imaging. Performance constraints imposed by limited gradient slew rates are analyzed and quantified.

A readout magnet for prepolarized MRI.

Conventional MRI systems rely on large magnets to generate a field that is both strong and extremely uniform. This field is usually produced by a heavy permanent magnet or a cryogenically cooled superconductor. An alternative approach, called prepolarized MRI (PMRI), employs two separate fields produced by two different magnets. A strong and inhomogeneous magnetic field is used to polarize the sample. After polarization, a weak magnetic field is used for readout. These fields can be produced by two separate resistive electromagnets that cost significantly less than a single permanent or superconducting magnet. At Stanford, the authors are constructing a PMRI prototype scanner suitable for imaging human extremities roughly 20 cm in diameter. With this system the authors hope to demonstrate comparable image quality to MRI with reduced system cost. The authors' initial work on low-frequency reception indicates that it will be possible to obtain comparable image signal-to-noise ratio to an MRI scanner operating at the same polarizing field strength. To reduce the capital cost of the system, the authors use resistive electromagnets. Here the authors discuss the full development of the readout magnet including important design considerations, shimming, and field plots. These encouraging results are an important step toward evaluating the cost effectiveness of PMRI.

Noise in MRI.

This study analyzes the signal-to-noise ratio (SNR) in magnetic resonance imaging. The factors that determine the SNR are derived starting from basic principles. The SNR, for a given object, is shown to be proportional to the voxel volume and the square root of the acquisition time. The noise generated by the body is derived using a cylindrical model and is shown to be proportional to the square of the radius and the square root of the length.

Inhomogeneity correction using an estimated linear field map.

A fast and robust method for correcting magnetic resonance image distortion due to field inhomogeneity is proposed and applied to spiral k-space scanning. The method consists of acquiring a local field map, finding the best fit to a linear map, and using it to deblur the image distortions due to local frequency variations. The linear field map is determined using a maximum likelihood estimator with weights proportional to the pixel intensity. The method requires little additional computation and is robust in low signal regions and near abrupt field changes. Additionally, it can be used in combination with other deblurring methods. The application of this method is illustrated in conjunction with a multislice, T2-weighted, breath-held spiral scan of the liver.

MR spectroscopic imaging of collagen: tendons and knee menisci.

Water molecules associated with collagen have short transverse (T2) relaxation times. Projection-reconstruction techniques are able to achieve an echo time (TE) much shorter than conventional techniques, allowing imaging of tissues with T2 < 5 ms. Using these techniques, a conventional 1.5-T MRI human imaging system can directly image collagen-associated water from knee menisci and tendons in normal volunteers and patients. Long-T2 suppression improves the contrast between these structures and the surrounding tissue with long-T2 relaxation times. Spectroscopic imaging provides improved lipid/water registration and information about chemical composition and relaxation times. Direct imaging of tendons and menisci may provide more information about these structures and provide a new way to assess both injury and repair.