Christopher J. Wiggins

Comparison of physiological noise at 1.5 T, 3 T and 7 T and optimization of fMRI acquisition parameters

Previous studies have shown that under some conditions, noise fluctuations in an fMRI time-course are dominated by physiological modulations of the image intensity with secondary contributions from thermal image noise and that these two sources scale differently with signal intensity, susceptibility weighting (TE) and field strength. The SNR of the fMRI time-course was found to be near its asymptotic limit for moderate spatial resolution measurements at 3 T with only marginal gains expected from acquisition at higher field strengths. In this study, we investigate the amplitude of image intensity fluctuations in the fMRI time-course at magnetic field strengths of 1.5 T, 3 T, and 7 T as a function of image resolution, flip angle and TE. The time-course SNR was a similar function of the image SNR regardless of whether the image SNR was modulated by flip angle, image resolution, or field strength. For spatial resolutions typical of those currently used in fMRI (e.g., 3 x 3 x 3 mm(3)), increases in image SNR obtained from 7 T acquisition produced only modest increases in time-course SNR. At this spatial resolution, the ratio of physiological noise to thermal image noise was 0.61, 0.89, and 2.23 for 1.5 T, 3 T, and 7 T. At a resolution of 1 x 1 x 3 mm(3), however, the physiological to thermal noise ratio was 0.34, 0.57, and 0.91 for 1.5 T, 3 T and 7 T for TE near T2*. Thus, by reducing the signal strength using higher image resolution, the ratio of physiologic to image noise could be reduced to a regime where increased sensitivity afforded by higher field strength still translated to improved SNR in the fMRI time-series.

Detection of Entorhinal Layer II Using Tesla Magnetic Resonance Imaging

The entorhinal cortex lies in the mediotemporal lobe and has major functional, structural, and clinical significance. The entorhinal cortex has a unique cytoarchitecture with large stellate neurons in layer II that form clusters. The entorhinal cortex receives vast sensory association input, and its major output arises from the layer II and III neurons that form the perforant pathway. Clinically, the neurons in layer II are affected with neurofibrillary tangles, one of the two pathological hallmarks of Alzheimers disease. We describe detection of the entorhinal layer II islands using magnetic resonance imaging. We scanned human autopsied temporal lobe blocks in a 7T human scanner using a solenoid coil. In 70 and 100μm isotropic data, the entorhinal islands were clearly visible throughout the anterior–posterior extent of entorhinal cortex. Layer II islands were prominent in both the magnetic resonance imaging and corresponding histological sections, showing similar size and shape in two types of data. Area borders and island location based on cytoarchitectural features in the mediotemporal lobe were robustly detected using the magnetic resonance images. Our ex vivo results could break ground for high‐resolution in vivo scanning that could ultimately benefit early diagnosis and treatment of neurodegenerative disease. Ann Neurol 2005;57:489–494

Eight-channel phased array coil and detunable TEM volume coil for 7 T brain imaging

An eight‐channel receive‐only brain coil and table‐top detunable volume transmit coil were developed and tested at 7 T for human imaging. Optimization of this device required attention to sources of interaction between the array elements, between the transmit and receive coils and minimization of common mode currents on the coaxial cables. Circular receive coils (85 mm dia.) were designed on a flexible former to fit tightly around the head and within a 270‐mm diameter TEM transmit volume coil. In the near cortex, the array provided a fivefold increase in SNR compared to a TEM transmit‐receive coil, a gain larger than that seen in comparable coils at 3 T. The higher SNR gain is likely due to strong dielectric effects, which cause the volume coil to perform poorly in the cortex compared to centrally. The sensitivity and coverage of the array is demonstrated with high‐resolution images of the brain cortex. Magn Reson Med 54:235–240, 2005.

Design considerations and coil comparisons for 7 T brain imaging

The development of 300 MHz radio-frequency (RF) head coils analogous to those used at field strengths of 1.5 and 3 T is complicated by increased dissipative losses in conductive tissue, effects arising from the short RF wavelength in biological tissue (about 13 cm at 300 MHz), and the constraints imposed by the use of head gradient sets desirable for mitigating increased static field susceptibility effects. In this study, five RF head coils were constructed and tested on a 7 T scanner including 2 TEM designs, 2 birdcage designs and a local receive-only array. Signal-to-noise ratio, coil reception profiles and interactions between the coil and dielectric head were examined. Particular attention was placed on the coil’s reception in the neck and shoulders, where the head gradient is unable to spatially encode the image. With the use of conductive shields and distributed capacitance, all of the coil designs could be made to image effectively at high field, but each design was found to have subtle differences in field distribution, interaction with the dielectric boundary conditions of the head and fringe fields in the neck and shoulders. In particular, the birdcage and array coils were found to have reducedB1 reception field profiles in the neck and shoulders which helped reduce signal detection outside the linear region of the head gradient coil. Although the TEM coils exhibited higher signal detection in the neck and shoulders, all the coils picked up enough signal from these regions to produce artifacts in the brain. These artifacts could be mitigated through use of a conductive shield or by small local dephasing shims sewn into the shoulders of a jacket worn by the subject. Although homogeneous in low-dielectric-constant phantoms, the volume coil’sB1 profile was strongly peaked in the center of the head, rendering them spatially complementary to that observed in the surface coil array. The image profile of the surface coil was found to be less dramatically changed from patterns observed at lower field strength. Its dielectric brightening pattern was found to depend on the orientation of the coil with respect to the head.

Signal and noise characteristics of SSFP FMRI: a comparison with GRE at multiple field strengths.

Recent work has proposed the use of steady-state free precession (SSFP) as an alternative to the conventional methods for obtaining functional MRI (FMRI) data. The contrast mechanism in SSFP is likely to be related to conventional FMRI signals, but the details of the signal changes may differ in important ways. Functional contrast in SSFP has been proposed to result from several different mechanisms, which are likely to contribute in varying degrees depending on the specific parameters used in the experiment. In particular, the signal dynamics are likely to differ depending on whether the sequence is configured to scan in the SSFP transition band or passband. This work describes experiments that explore the source of SSFP FMRI signal changes by comparing SSFP data to conventional gradient-recalled echo (GRE) data. Data were acquired at a range of magnetic field strengths and repetition times, for both transition band and passband methods. The signal properties of SSFP and GRE differ significantly, confirming a different source of functional contrast in SSFP. In addition, the temporal noise properties are significantly different, with important implications for SSFP FMRI sequence optimisation.

Seven-Tesla Proton Magnetic Resonance Spectroscopic Imaging in Adult X-Linked Adrenoleukodystrophy

BACKGROUND Adults with X-linked adrenoleukodystrophy (X-ALD) remain at risk for progressive neurological deterioration. Phenotypes vary in their pathology, ranging from axonal degeneration to inflammatory demyelination. The severity of symptoms is poorly explained by conventional imaging. OBJECTIVE To test the hypothesis that neurochemistry in normal-appearing brains differs in adult phenotypes of X-ALD and that neurochemical changes correlate with the severity of symptoms. PATIENTS AND METHODS Using a 7-Tesla scanner, we performed structural and proton magnetic resonance spectroscopic imaging in 13 adult patients with X-ALD: 4 patients with adult cerebral ALD, 5 patients with adrenomyeloneuropathy (AMN), and 4 female heterozygotes. Nine healthy controls were included. RESULTS Among adult X-ALD phenotypes, the myo-inositol to creatine ratio was 46% higher and the choline to creatine ratio was 21% higher in normal-appearing white matter of those with adult cerebral ALD compared with those with AMN (P < .05). Both N-acetylaspartate to creatine (P = .03) and glutamate to creatine (P = .04) ratios were lower in AMN patients than in controls. There were no significant differences between patients with AMN and female heterozygotes. In the cortex, patients with adult cerebral ALD had lower N-acetylaspartate to creatine ratios compared with female heterozygotes and controls (P = .02). The global myo-inositol to creatine ratio demonstrated a significant association with Expanded Disability Status Scale score (Spearman rho = 0.66, P = .04). CONCLUSIONS Seven-Tesla proton magnetic resonance spectroscopic imaging reveals differences in the neurochemistry of adult cerebral ALD but cannot distinguish AMN patients from female heterozygotes. Myo-inositol to creatine ratio correlates with the severity of the symptoms and may be a meaningful biomarker in adult X-ALD.

Strategies for improving the detection of fMRI activation in trigeminal pathways with cardiac gating

Functional magnetic resonance imaging (fMRI) has become a powerful tool for studying the normal and diseased human brain. The application of fMRI in detecting neuronal signals in the trigeminal system, however, has been hindered by low detection sensitivity due to activation artifacts caused by cardiac pulse-induced brain and brainstem movement. A variety of cardiac gating techniques have been proposed to overcome this issue, typically by phase locking the sampling to a particular time point during each cardiac cycle. We sought to compare different cardiac gating strategies for trigeminal system fMRI. In the present study, we used tactile stimuli to elicit brainstem and thalamus activation and compared the fMRI results obtained without cardiac gating and with three different cardiac gating strategies: single-echo with TR of 3 or 9 heartbeats (HBs) and dual-echo T2*-mapping EPI (TR = 2 HBs, TE = 21/55 ms). The dual-echo T2* mapping and the single-echo with TR of 2 and 3 HBs cardiac-gated fMRI techniques both increased detection rate of fMRI activation in brainstem. Activation in the brainstem and the thalamus was best detected by cardiac-gated dual-echo EPI.

Aspects of Clinical Imaging at 7 T

The intrinsic improvements in signal-to-noise ratio, spectral dispersion, and susceptibility contrast with increasing static magnetic field strength, B 0, has spurred the development of MR technology from its very first application to clinical imaging. With maturing magnet, RF, and gradient technology, the clinical community has seen the static magnetic field of clinical systems increase from 0.2 to 1.5 to 3.0 T. Today, the “high field” label for human MR research describes initial experiences with 7, 8, and 9.4T systems. While currently primarily research instruments, this technology is bound to cross the boundary into the clinical diagnostic arena as key technical issues are solved and the methodology proves itself for addressing clinical issues. In this chapter we discuss the particular advantages and disadvantages of ultra high field systems for clinical imaging as well as some of the immediate technological challenges that must be solved to derive the full benefit of the extraordinary sensitivity of these systems, which has been glimpsed from their research use.