J.J. Bluemink

High-resolution MRI of the carotid arteries using a leaky waveguide transmitter and a high-density receive array at 7 T

A setup for 7T MRI of the carotid arteries in the neck was designed and constructed. Separate dedicated arrays were used for transmit and receive. For the transmit array, single‐side adapted dipole antennas were mounted on a dielectric pillow, which was shown to serve as a leaky waveguide, efficiently distributing B1 into the neck. Risk assessment was performed by simulations. Phantom measurements were performed to establish optimal positions of the antennas on the pillow. Using two antennas, a dual transmit setup was created. In vivo B1+ maps with different shim configurations were acquired to assess transmit performance. This effective transmit array was used in combination with a dedicated 30 channel small element receive coil. High‐resolution in vivo turbo spin echo images were acquired to demonstrate the excellent performance of the setup. Magn Reson Med 69:1186–1193, 2013.

MRI of the carotid artery at 7 Tesla: quantitative comparison with 3 Tesla.

To evaluate the 7 Tesla (T) MRI of the carotid arteries, as quantitatively compared with 3T.

Improved RF performance of travelling wave MR with a high permittivity dielectric lining of the bore

Application of travelling wave MR to human body imaging is restricted by the limited peak power of the available RF amplifiers. Nevertheless, travelling wave MR advantages like a large field of view excitation and distant location of transmit elements would be desirable for whole body MRI. In this work, improvement of the B1+ efficiency of travelling wave MR is demonstrated. High permittivity dielectric lining placed next to the scanner bore wall effectively reduces attenuation of the travelling wave in the longitudinal direction and at the same time directs the radial power flow toward the load. First, this is shown with an analytical model of a metallic cylindrical waveguide with the dielectric lining next to the wall and loaded with a cylindrical phantom. Simulations and experiments also reveal an increase of B1+ efficiency in the center of the bore for travelling wave MR with a dielectric lining. Phantom experiments show up to a 2‐fold gain in B1+ with the dielectric lining. This corresponds to a 4‐fold increase in power efficiency of travelling wave MR. In vivo experiments demonstrate an 8‐fold signal‐to‐noise ratio gain with the dielectric lining. Overall, it is shown that dielectric lining is a constructive method to improve efficacy of travelling wave MR. Magn Reson Med 70:885–894, 2013.

Dielectric waveguides for ultrahigh field magnetic resonance imaging.

The design of RF coils for MRI transmit becomes increasingly challenging at high frequencies required for MRI at 7T and above. Our goal is to show a proof of principle of a new type of transmit coil for higher field strengths.

(1) H MRS in the human spinal cord at 7 T using a dielectric waveguide transmitter, RF shimming and a high density receive array

Multimodal MRI is the state of the art method for clinical diagnostics and therapy monitoring of the spinal cord, with MRS being an emerging modality that has the potential to detect relevant changes of the spinal cord tissue at an earlier stage and to enhance specificity. Methodological challenges related to the small dimensions and deep location of the human spinal cord inside the human body, field fluctuations due to respiratory motion, susceptibility differences to adjacent tissue such as vertebras and pulsatile flow of the cerebrospinal fluid hinder the clinical application of 1H MRS to the human spinal cord. Complementary to previous studies that partly addressed these problems, this work aims at enhancing the signal‐to‐noise ratio (SNR) of 1H MRS in the human spinal cord. To this end a flexible tight fit high density receiver array and ultra‐high field strength (7 T) were combined. A dielectric waveguide and dipole antenna transmission coil allowed for dual channel RF shimming, focusing the RF field in the spinal cord, and an inner‐volume saturated semi‐LASER sequence was used for robust localization in the presence of B1+ inhomogeneity. Herein we report the first 7 T spinal cord 1H MR spectra, which were obtained in seven independent measurements of 128 averages each in three healthy volunteers. The spectra exhibit high quality (full width at half maximum 0.09 ppm, SNR 7.6) and absence of artifacts and allow for reliable quantification of N‐acetyl aspartate (NAA) (NAA/Cr (creatine) 1.31 ± 0.20; Cramér–Rao lower bound (CRLB) 5), total choline containing compounds (Cho) (Cho/Cr 0.32 ± 0.07; CRLB 7), Cr (CRLB 5) and myo‐inositol (mI) (mI/Cr 1.08 ± 0.22; CRLB 6) in 7.5 min in the human cervical spinal cord. Thus metabolic information from the spinal cord can be obtained in clinically feasible scan times at 7 T, and its benefit for clinical decision making in spinal cord disorders will be investigated in the future using the presented methodology. Copyright

Systematic review of the diagnostic value of magnetic resonance imaging for early glottic carcinoma

In early glottic cancer, accurate assessment of tumor extension, including depth infiltration, is of great importance for both staging, therapeutic approach and systematic comparison of data. Our goal was to assess the diagnostic value of MRI in pre‐therapeutic staging of primary early stage (T1 and T2) glottic carcinoma.