Douglas A.C. Kelley

Compressed Sensing for Resolution Enhancement of Hyperpolarized 13C Flyback 3D-MRSI

High polarization of nuclear spins in liquid state through dynamic nuclear polarization has enabled the direct monitoring of 13C metabolites in vivo at very high signal-to-noise, allowing for rapid assessment of tissue metabolism. The abundant SNR afforded by this hyperpolarization technique makes high-resolution 13C 3D-MRSI feasible. However, the number of phase encodes that can be fit into the short acquisition time for hyperpolarized imaging limits spatial coverage and resolution. To take advantage of the high SNR available from hyperpolarization, we have applied compressed sensing to achieve a factor of 2 enhancement in spatial resolution without increasing acquisition time or decreasing coverage. In this paper, the design and testing of compressed sensing suited for a flyback 13C 3D-MRSI sequence are presented. The key to this design was the undersampling of spectral k-space using a novel blipped scheme, thus taking advantage of the considerable sparsity in typical hyperpolarized 13C spectra. Phantom tests validated the accuracy of the compressed sensing approach and initial mouse experiments demonstrated in vivo feasibility.

Development of a robust method for generating 7.0 T multichannel phase images of the brain with application to normal volunteers and patients with neurological diseases.

The increased susceptibility effects and high signal-to-noise ratio at 7.0 T enable imaging of the brain using the phase of the magnetic resonance signal. This study describes and evaluates a robust method for calculating phase images from gradient-recalled echo (GRE) scans. The GRE scans were acquired at 7.0 T using an eight-channel receive coil at spatial resolutions up to 0.195 x 0.260 x 2.00 mm. The entire 7.0 T protocol took less than 10 min. Data were acquired from forty-seven subjects including clinical patients with multiple sclerosis (MS) or brain tumors. The phase images were post-processed using a fully automated phase unwrapping algorithm that combined the data from the different channels. The technique was used to create the first phase images of MS patients at any field strength and the first phase images of brain tumor patients above 1.5 T. The clinical images showed novel contrast in MS plaques and depicted microhemorrhages and abnormal vasculature in brain tumors with unsurpassed resolution and contrast.

Hippocampal CA1 apical neuropil atrophy in mild Alzheimer disease visualized with 7-T MRI

Objectives: In Alzheimer disease (AD), mounting evidence points to a greater role for synaptic loss than neuronal loss. Supporting this notion, multiple postmortem studies have demonstrated that the hippocampal CA1 apical neuropil is one of the earliest sites of pathology, exhibiting tau aggregates and then atrophy before there is substantial loss of the CA1 pyramidal neurons themselves. In this cross-sectional study, we tested whether tissue loss in the CA1 apical neuropil layer can be observed in vivo in patients with mild AD. Methods: We performed ultra-high-field 7-T MRI on subjects with mild AD (n = 14) and age-matched normal controls (n = 16). With a 2-dimensional T2*-weighted gradient-recalled echo sequence that was easily tolerated by subjects, we obtained cross-sectional slices of the hippocampus at an in-plane resolution of 195 μm. Results: On images revealing the anatomic landmarks of hippocampal subfields and strata, we observed thinning of the CA1 apical neuropil in subjects with mild AD compared to controls. By contrast, the 2 groups exhibited no difference in the thickness of the CA1 cell body layer or of the entire CA1 subfield. Hippocampal volume, measured on a conventional T1-weighted sequence obtained at 3T, also did not differentiate these patients with mild AD from controls. Conclusions: CA1 apical neuropil atrophy is apparent in patients with mild AD. With its superior spatial resolution, 7-T MRI permits in vivo analysis of a very focal, early site of AD pathology.

Design of flyback echo-planar readout gradients for magnetic resonance spectroscopic imaging

The spatial resolution of conventional magnetic resonance spectroscopic imaging‐(MRSI) is typically coarse, mainly due to SNR limitations. The increased signal available with higher field scanners and new array coils now permits higher spatial resolution, but conventional chemical shift imaging (phase encoding) limits the spatial coverage possible in a patient‐acceptable acquisition time. The “flyback” echo‐planar trajectory is particularly insensitive to errors and provides data that are simple to process. In this study, high‐efficiency gradient waveforms for flyback echo‐planar MRSI were designed and implemented. Normal volunteer studies at 3 T showed the feasibility of acquiring high spatial resolution with large coverage in a short scan time (2048 voxels in 2.3 min and 4096 voxels in 8.5 min). The trajectories were insensitive to errors in timing and require only a modest (10 to 30%) penalty in SNR relative to conventional phase encoding using the same acquisition time. Magn Reson Med, 2005.

Intracranial time-of-flight MR angiography at 7T with comparison to 3T.

To establish the feasibility of intracranial time‐of‐flight (TOF) MR angiography (MRA) at 7T using phased array coils and to compare its performance to 3T.

In vivo bone and cartilage MRI using fully-balanced steady-state free-precession at 7 tesla

The purpose of this work was to investigated the feasibility of fully‐balanced steady‐state free‐precession (bSSFP) pulse sequence for trabecular bone and knee cartilage imaging in vivo using ultra‐high‐field (UHF) MRI at 7T in comparison with pulse sequences previously used at 3T. We showed that bSSFP and spin‐echo imaging is possible at higher field strengths within 3.2 W/kg specific absorption rate (SAR) constraints. All pulse sequences were numerically optimized based on measured tissue relaxation parameters from six healthy volunteers (T1 = 820 ± 128 ms, T2 = 43.5 ± 3 ms for bone marrow and T1 = 1745 ± 104 ms and T2 = 30 ± 4 ms for cartilage). From simulations of the Bloch equation, a signal‐to‐noise ratio (SNR) increase of more than 1.9 was predicted. Cartilage SNR of bSSFP was 2.4 times higher at 7T (51.3 ± 4.3) compared with 3T (21.3 ± 3.3). Bone SNR increased from 11.8 ± 2.0 to 13.2 ± 2.5 at the higher field strength. We concluded that there is SNR benefit and great potential for bone and cartilage imaging at higher field strength. Magn Reson Med, 2007.

A serial in vivo 7T magnetic resonance phase imaging study of white matter lesions in multiple sclerosis

Background: Magnetic resonance (MR) phase imaging using high field MR scanners has demonstrated excellent contrast in multiple sclerosis (MS) lesions that is thought to be closely correlated to the local iron content. This pilot study acquired serial in vivo MR scans at 7T to track the evolution of phase contrast as MS lesions progress. Methods: Five MS patients with relapsing–remitting MS were serially scanned for about 2.5 years at 7T using a high resolution T2*-weighted gradient-echo sequence. Magnitude and phase images were reconstructed for each scan and co-registered to their baseline study. Results: Five non-enhancing ring and 70 nodular phase lesions were found in the five patients at baseline. None of the baseline phase lesions (including all five ring phase lesions) showed obvious qualitative variation on phase images during the study. Of note, we observed that three magnitude lesions, not initially read as abnormal signal, were either better appreciated using phase contrast imaging (two lesions) or preceded (one lesion) by phase changes. Conclusion: The observation that ring phase lesions remained unchanged over 2.5 years of follow-up challenges the notion that such lesions reveal the presence of acute activated iron-rich macrophages. It suggests that either different phenotypes of macrophages persist longer than previously expected or other mechanisms related to tissue injury contribute to the phase contrast.

Rapid in vivo musculoskeletal MR with parallel imaging at 7T

The purpose of this work was to implement autocalibrating GRAPPA‐based parallel imaging (PI) for in vivo high‐resolution (HR) MRI of cartilage and trabecular bone micro‐architecture at 7T and to evaluate its performance based on comparison of MR‐derived morphology metrics between accelerated and conventional images and comparison of geometry factor measures between 3T and 7T. Using an eight channel coil array for trabecular MRI at the ankle, a higher maximum feasible acceleration (R) = 6 and lower geometry factor values than that at 3T were observed. The advantages of two‐dimensional acceleration were also demonstrated. In knee cartilage and bone acquisitions, feasibility of PI with a dual‐channel quadrature coil was investigated. Robust quantification of bone and cartilage metrics could be derived from accelerated ankle and knee acquisitions. PI can enhance the clinical feasibility of in vivo bone and cartilage HR‐MRI for osteoporosis and osteoarthritis at 7T. Magn Reson Med, 2008.

High-Speed 3T MR Spectroscopic Imaging of Prostate With Flyback Echo-Planar Encoding

Prostate MR spectroscopic imaging (MRSI) at 3T may provide two‐fold higher spatial resolution over 1.5T, but this can result in longer acquisition times to cover the entire gland using conventional phase‐encoding. In this study, flyback echo‐planar readout trajectories were incorporated into a Malcolm Levitts composite‐pulse decoupling sequence (MLEV)–point‐resolved spectroscopy sequence (PRESS) to accelerate the acquisition of large array (16 × 16 × 8), high spatial (0.154 cm3) resolution MRSI data by eight‐fold to just 8.5 minutes. Artifact free, high‐quality MRSI data was obtained in nine prostate cancer patients. Easy data reconstruction and the robustness of the flyback echo‐planar encoding make this technique particularly suitable for the clinical setting. The short acquisition time provided by this method reduces the 3T prostate MRI/MRSI exam time, allows longer repetition times, and/or allows the acquisition of additional MR acquisitions within the same exam. J. Magn. Reson. Imaging 2007;25:1288–1292.

Shielded Microstrip Array for 7T Human MR Imaging

The high-frequency transceiver array based on the microstrip transmission line design is a promising technique for ultrahigh field magnetic resonance imaging (MRI) signal excitation and reception. However, with the increase of radio-frequency (RF) channels, the size of the ground plane in each microstrip coil element is usually not sufficient to provide a perfect ground. Consequently, the transceiver array may suffer from cable resonance, lower Q-factors, and imaging quality degradations. In this paper, we present an approach to improving the performance of microstrip transceiver arrays by introducing RF shielding outside the microstrip array and the feeding coaxial cables. This improvement reduced interactions among cables, increased resonance stability, and Q-factors, and thus improved imaging quality. An experimental method was also introduced and utilized for quantitative measurement and evaluation of RF coil resonance stability or ¿cable resonance¿ behavior.