Ramesh Venkatesan

Evaluation of polymer gels and MRI as a 3-D dosimeter for intensity-modulated radiation therapy.

BANG gel (MGS Research, Inc., Guilford, CT) has been evaluated for measuring intensity-modulated radiation therapy (IMRT) dose distributions. Treatment plans with target doses of 1500 cGy were generated by the Peacock IMRT system (NOMOS Corp., Sewickley, PA) using test target volumes. The gels were enclosed in 13 cm outer diameter cylindrical glass vessels. Dose calibration was conducted using seven smaller (4 cm diameter) cylindrical glass vessels irradiated to 0-1800 cGy in 300 cGy increments. Three-dimensional maps of the proton relaxation rate R2 were obtained using a 1.5 T magnetic resonance imaging (MRI) system (Siemens Medical Systems, Erlangen, Germany) and correlated with dose. A Hahn spin echo sequence was used with TR = 3 s, TE = 20 and 100 ms, NEX = 1, using 1 x 1 x 3 mm3 voxels. The MRI measurements were repeated weekly to identify the gel-aging characteristics. Ionization chamber, thermoluminescent dosimetry (TLD), and film dosimetry measurements of the IMRT dose distributions were obtained to compare against the gel results. The other dosimeters were used in a phantom with the same external cross-section as the gel phantom. The irradiated R2 values of the large vessels did not precisely track the smaller vessels, so the ionization chamber measurements were used to normalize the gel dose distributions. The point-to-point standard deviation of the gel dose measurements was 7.0 cGy. When compared with the ionization chamber measurements averaged over the chamber volume, 1% agreement was obtained. Comparisons against radiographic film dose distribution measurements and the treatment planning dose distribution calculation were used to determine the spatial localization accuracy of the gel and MRI. Spatial localization was better than 2 mm, and the dose was accurately determined by the gel both within and outside the target. The TLD chips were placed throughout the phantom to determine gel measurement precision in high- and low-dose regions. A multidimensional dose comparison tool that simultaneously examines the dose-difference and distance-to-agreement was used to evaluate the gel in both low-and high-dose gradient regions. When 3% and 3 mm criteria were used for the comparisons, more than 90% of the TLD measurements agreed with the gel, with the worst of 309 TLD chip measurements disagreeing by 40% of the criteria. All four MRI measurement session gel-measured dose distributions were compared to evaluate the time behavior of the gel. The low-dose regions were evaluated by comparison with TLD measurements at selected points, while high-dose regions were evaluated by directly comparing measured dose distributions. Tests using the multidimensional comparison tool showed detectable degradation beyond one week postirradiation, but all low-dose measurements passed relative to the test criteria and the dose distributions showed few regions that failed.

High-resolution, multiple gradient-echo functional MRI at 1.5 T

A multiple gradient echo, high resolution imaging method is proposed to better visualize different sources of activation in functional magnetic resonance imaging (fMRI) experiments. Eight echoes are collected from 30 ms to 205 ms with an echo spacing of 25 ms. All echoes show significant activation, but each echo reveals its own pattern of activation. From this variability, it appears that large vessel contributions can be separated from small vessel contributions using a fuzzy cluster analysis across echo times. The results demonstrate the importance of a multiple gradient echo data acquisition approach in localizing various vascular contributions to brain activation in fMRI.

Absolute measurements of water content using magnetic resonance imaging: Preliminary findings in an in vivo focal ischemic rat model

Using a magnetic resonance (MR) imaging method, absolute measurements of in vivo brain water content were obtained in 15 male Long Evans rats that underwent a 90‐min focal cerebral ischemia. A strong linear relationship (r = 0.80) with a slope of 1 was observed when correlating MR‐measured water content to that obtained with the ex vivo wet/dry measurements. This effective spin‐density‐based method is the first‐reported in vivo absolute quantification of brain tissue water content associated with a pathophysiological state and preliminary findings suggest that a noninvasive measurement of brain water content can be obtained with MRI. Magn Reson Med 43:146–150, 2000.

Role of high resolution in magnetic resonance (MR) imaging: Applications to MR angiography, intracranial T1-weighted imaging, and image interpolation

The role of high‐resolution imaging has generally been limited because of the associated loss of signal‐to‐noise ratio (SNR) as voxel size decreases and imaging time increases. Despite these truths, we show that high‐resolution imaging methods can be used to perform better magnetic resonance angiography (MRA), enhance visibility of small structures, and allow better image interpolation. Specifically, we show that very small vessels can be seen with conventional MRA methods, and small lesions on the order of a few cubic millimeters can be seen with a single dose of gadolinium diethyltriaminepentaacetic acid, and structures such as the hippocampal formation are best depicted when a high‐resolution three‐dimensional (3D) imaging method is used. We also show that image interpolation for the 3D visualization of structures with complicated geometry is best accomplished with a fractional voxel evaluation using the Fourier transform shift theorem on high‐resolution images. We demonstrate that the expression for visibility, CNR √p, can be used to establish the optimal resolution to see a given structure. CNR refers to the contrast‐to‐noise ratio and p is the number of voxels occupied by the object in the image. The optimal resolution is determined from theoretical curves of visibility as a function of voxel size relative to object size. We also demonstrate the enhancement of small vessel visibility on individual images and maximum‐intensity projection images with voxel sizes as small as 0.29 mm using 1024 sampled points in the readout direction. Using 3D visibility arguments, it is predicted that under the right conditions, objects of interest much smaller than the voxel size can be seen on conventional MR images.

Accuracy of T1 measurements at high temporal resolution: feasibility of dynamic measurement of blood T1 after contrast administration.

The purpose of this work was to optimize a technique to measure blood T1 dynamically after contrast agent administration with a high temporal resolution. This technique uses a 90° prepared gradient‐echo sequence and has a temporal resolution of one T1 measurement per cardiac cycle. The non‐ideal excitation slice profiles on the estimation of T1 were evaluated by theoretical simulations and used to obtain corrected blood T1 values. The technique was validated on phantom and in vivo pig studies, which demonstrated significant improvement on the accuracy of the dynamic T1 measurement method after slice profile correction. This technique may find important applications in studying the dynamic blood T1 after injection of various contrast agents. J. Magn. Reson. Imaging 1999;10:576–581.

Noise in polymer gel measurements using MRI.

With the development of conformal radiotherapy, particularly intensity modulated radiation therapy (IMRT), there is a clear need for multidimensional dosimeters. A commercial polymerizing gel, BANG-2 gel (MGS Research, Inc., Guilford, CT), has recently been developed that shows potential as a multi-dimensional dosimeter. This study investigates and characterizes the noise and magnetic resonance (MR) artifacts from imaging BANG-2 gels. Seven cylindrical vials (4 cm diam, 20 cm length) were irradiated end on in a water bath and read using MRI (B0=1.5 T, TE=20 ms/100 ms, TR=3000 ms). The gel calibration compared the measured depth-dose distributions in water against the change in solvent-proton R2 relaxivity of the gel. A larger vial (13 cm diam, 14 cm length) was also irradiated to test the calibration accuracy in a vial of sufficient volume for dose distribution measurements. The calibration curve proved accurate to within 1.3% in determining the depth dose measured by the larger vial. An investigation of the voxel-to-voxel (IXIX 3 mm3) noise and sensitivity response curve showed that the voxel-to-voxel variation dominated the dose measurement uncertainty. The voxel-to-voxel standard deviation ranged from 0.2 Gy for the unirradiated gel to 0.7 Gy at 20 Gy. Slice-to-slice R2 magnitude deviations were also observed corresponding to 0.2 Gy. These variations limited the overall accuracy of the gel dose measurements and warrant an investigation of more accurate MR readout sequences.

Correlation of phase values with CT hounsfield and R2* values in calcified neurocysticercosis

To correlate phase and R2* derived from susceptibility‐weighted magnetic resonance imaging (MRI) with computed tomography‐Hounsfield (CT‐HU) values in calcified neurocysticercosis and to evaluate phase imaging in the assessment of calcified neurocysticercosis.

Volumetric fat-water separated T2-weighted MRI

BackgroundPediatric body MRI exams often cover multiple body parts, making the development of broadly applicable protocols and obtaining uniform fat suppression a challenge. Volumetric T2 imaging with Dixon-type fat-water separation might address this challenge, but it is a lengthy process.ObjectiveWe develop and evaluate a faster two-echo approach to volumetric T2 imaging with fat-water separation.Materials and methodsA volumetric spin-echo sequence was modified to include a second shifted echo so two image sets are acquired. A region-growing reconstruction approach was developed to decompose separate water and fat images. Twenty-six children were recruited with IRB approval and informed consent. Fat-suppression quality was graded by two pediatric radiologists and compared against conventional fat-suppressed fast spin-echo T2-W images. Additionally, the value of in- and opposed-phase images was evaluated.ResultsFat suppression on volumetric images had high quality in 96% of cases (95% confidence interval of 80–100%) and were preferred over or considered equivalent to conventional two-dimensional fat-suppressed FSE T2 imaging in 96% of cases (95% confidence interval of 78–100%). In- and opposed-phase images had definite value in 12% of cases.ConclusionVolumetric fat-water separated T2-weighted MRI is feasible and is likely to yield improved fat suppression over conventional fat-suppressed T2-weighted imaging.

Multiband fMRI as a plausible, time-saving technique for resting-state data acquisition: Study on functional connectivity mapping using graph theoretical measures

BACKGROUND AND OBJECTIVES Ensuring patient comfort and compliance by emphasizing reduced time frame for image acquisition, without compromising image quality is the key aspect with functional MRI examination. Multiband resting state fMRI (MB-rsfMRI) is a fairly new technique that potentially shortens MR image acquisition time by providing increased number of time points. The study aims to compare signal characteristics as well as the functional connectivity using conventional resting-state fMRI (rsfMRI) with that of MB-rsfMRI technique. MATERIALS AND METHODS 9 healthy volunteers have prospectively undergone conventional resting-state fMRI and Multiband rsfMRI scanning technique in a 3T GE scanner (Discovery MR750w™). We compared the temporal SNR (tSNR) of conventional rs-fMRI with that of MB-rsfMRI. We looked at the language network connectivity and small world network characteristics from graph theoretical measures to compare the two techniques. RESULTS We computed the tSNR of conventional resting-state fMRI (rsfMRI) and MB-rsfMRI technique. A strong positive correlation was seen between graph theoretical measures from MB-rsfMRI and conventional rsfMRI (Pearson Correlation, r = 0.99). Both techniques showed similar small world network characteristics in healthy controls. CONCLUSION The present study demonstrates negligible differences between the conventional-rsfMRI and MB-rsfMRI acquisitions on the computed graph theoretic measures. Accordingly current analysis proves that MB-rs-fMRI may be used as a time reducing acquisition technique that enables mapping of functional connectivity with similar outcome as conventional rs-fMRI in healthy subjects.

Magnetic resonance scan‐time reduction using echo prediction

A linear prediction (LP) filter derived from a complete echo with zero‐phase encoding amplitude is used for recovering anatomical details from a partially acquired echo sequence. The LP filter is shown to reconstruct missing k‐space phase and amplitude information, with errors sufficiently low so as to provide image reconstruction with a contrast‐to‐noise ratio (CNR) ≥ 3. For volume imaging using multislice acquisition, the partial‐echo sequence enables more number of slices to be acquired for a given repetition time period TR. For such sequences, separate predictors are used for reconstruction of missing k‐space data corresponding to each individual slice in the volume. The proposed filtering scheme is shown to achieve results comparable to other partial k‐space approaches such as singularity function analysis (SFA), when the noise content is less than about 0.4%. For higher noise levels, this technique is recommended as a preprocessing step for SFA to track the singularity locations more accurately.