Intracranial cerebrospinal fluid spaces imaging using a pulse-triggered three-dimensional turbo spin echo MR sequence with variable flip-angle distribution.

OBJECTIVE: To assess the three-dimensional turbo spin echo with variable flip-angle distribution magnetic resonance sequence (SPACE: Sampling Perfection with Application optimised Contrast using different flip-angle Evolution) for the imaging of intracranial cerebrospinal fluid (CSF) spaces. METHODS: We prospectively investigated 18 healthy volunteers and 25 patients, 20 with communicating hydrocephalus (CH), five with non-communicating hydrocephalus (NCH), using the SPACE sequence at 1.5T. Volume rendering views of both intracranial and ventricular CSF were obtained for all patients and volunteers. The subarachnoid CSF distribution was qualitatively evaluated on volume rendering views using a four-point scale. The CSF volumes within total, ventricular and subarachnoid spaces were calculated as well as the ratio between ventricular and subarachnoid CSF volumes. RESULTS: Three different patterns of subarachnoid CSF distribution were observed. In healthy volunteers we found narrowed CSF spaces within the occipital aera. A diffuse narrowing of the subarachnoid CSF spaces was observed in patients with NCH whereas patients with CH exhibited narrowed CSF spaces within the high midline convexity. The ratios between ventricular and subarachnoid CSF volumes were significantly different among the volunteers, patients with CH and patients with NCH. CONCLUSION: The assessment of CSF spaces volume and distribution may help to characterise hydrocephalus.

An autoregressive model-based method for contrast agent detection in ultrasound radiofrequency images.

This paper presents a spectral autoregressive method dedicated to the detection of ultrasound contrast agents (USCA) from radiofrequency (rf) data. The method is based on second-order autoregressive (AR) modeling of the rf signal. Contrast agents induce a second harmonic, which may be efficiently detected through the AR spectrum using the magnitude of the second AR spectral peak (SM2). In contrast to multipulse methods that process two or more rf frames, our method processes a single rf frame. The method is tested by numerical simulation and on in vitro data for contrast agent concentrations ranging from 10(3) to 50 x 10(3) bubbles/ml (2 x 10(-6) to 10(-4) volumic concentration) and mechanical index (MI) ranging from 0.1 to 0.36. The results show that the proposed parameter SM2 enables one to detect correctly the contrast agent, in particular at low concentration and MI (the minimum difference in SM2 between tissue and USCA is 10 dB). Furthermore, the in-vitro data demonstrates that an adapted smoothing technique reduces the variability of SM2 and provides accurate and stable segmentation of the contrast agent perfusion region.