Riccardo Lattanzi

Comprehensive quantification of signal‐to‐noise ratio and g‐factor for image‐based and k‐space‐based parallel imaging reconstructions

Parallel imaging reconstructions result in spatially varying noise amplification characterized by the g‐factor, precluding conventional measurements of noise from the final image. A simple Monte Carlo based method is proposed for all linear image reconstruction algorithms, which allows measurement of signal‐to‐noise ratio and g‐factor and is demonstrated for SENSE and GRAPPA reconstructions for accelerated acquisitions that have not previously been amenable to such assessment. Only a simple “prescan” measurement of noise amplitude and correlation in the phased‐array receiver, and a single accelerated image acquisition are required, allowing robust assessment of signal‐to‐noise ratio and g‐factor. The “pseudo multiple replica” method has been rigorously validated in phantoms and in vivo, showing excellent agreement with true multiple replica and analytical methods. This method is universally applicable to the parallel imaging reconstruction techniques used in clinical applications and will allow pixel‐by‐pixel image noise measurements for all parallel imaging strategies, allowing quantitative comparison between arbitrary k‐space trajectories, image reconstruction, or noise conditioning techniques. Magn Reson Med 60:895–907, 2008.

CT-based surgical planning software improves the accuracy of total hip replacement preoperative planning

The present study is aimed to compare accuracy and the repeatability in planning total hip replacements with the conventional templates on radiographs to that attainable on the same clinical cases when using CT-based planning software. The sizes of the cementless components planned with new computer aided preoperative planning system called Hip-Op and with standard templates were compared to those effectively implanted. The study group intentionally included only difficult clinical cases. The most common aetiology was congenital dysplasia of hip (65.6%). The Hip-Op planning system allowed the surgeons to obtain a preoperative planning more accurate than with templates, especially for the socket. Assuming correct a size planned one calliper above or below that implanted the accuracy increased from 83% for the stem and 69% for the socket when using templates to 86% for the stem and 93% for the socket when using the Hip-Op system. The repeatability of the Hip-Op system was found comparable to that of the template procedure, which is much more familiar to the surgeons. Furthermore, the repeatability of the preoperative planning with the Hip-Op system was consistent between surgeons, independently from their major or minor experience. The study clearly shows the advantages of a three-dimensional computer-based preoperative planning over the traditional template planning, especially when deformed anatomies are involved. The surgical planning performed with the Hip-Op system is accurate and repeatable, especially for the socket and for less experienced surgeons.

Electrodynamic constraints on homogeneity and radiofrequency power deposition in multiple coil excitations

The promise of increased signal‐to‐noise ratio and spatial/spectral resolution continues to drive MR technology toward higher magnetic field strengths. SAR management and B1 inhomogeneity correction become critical issues at the high frequencies associated with high field MR. In recent years, multiple coil excitation techniques have been recognized as potentially powerful tools for controlling specific absorption rate (SAR) while simultaneously compensating for B1 inhomogeneities. This work explores electrodynamic constraints on transmit homogeneity and SAR, for both fully parallel transmission and its time‐independent special case known as radiofrequency shimming. Ultimate intrinsic SAR—the lowest possible SAR consistent with electrodynamics for a particular excitation profile but independent of transmit coil design—is studied for different field strengths, object sizes, and pulse acceleration factors. The approach to the ultimate intrinsic limit with increasing numbers of finite transmit coils is also studied, and the tradeoff between homogeneity and SAR is explored for various excitation strategies. In the case of fully parallel transmission, ultimate intrinsic SAR shows flattening or slight reduction with increasing field strength, in contradiction to the traditionally cited quadratic dependency, but consistent with established electrodynamic principles. Magn Reson Med 61:315–334, 2009.

Ideal current patterns yielding optimal signal-to-noise ratio and specific absorption rate in magnetic resonance imaging: computational methods and physical insights.

At high and ultra‐high magnetic field strengths, understanding interactions between tissues and the electromagnetic fields generated by radiofrequency coils becomes crucial for safe and effective coil design as well as for insight into limits of performance. In this work, we present a rigorous electrodynamic modeling framework, using dyadic Greens functions, to derive the electromagnetic field in homogeneous spherical and cylindrical samples resulting from arbitrary surface currents in the presence or absence of a surrounding radiofrequency shield. We show how to calculate ideal current patterns that result in the highest possible signal‐to‐noise ratio (ultimate intrinsic signal‐to‐noise ratio) or the lowest possible radiofrequency power deposition (ultimate intrinsic specific absorption rate) compatible with electrodynamic principles. We identify familiar coil designs within optimal current patterns at low to moderate field strength, thereby establishing and explaining graphically the near‐optimality of traditional surface and volume quadrature designs. We also document the emergence of less familiar patterns, e.g., involving substantial electric‐ as well as magnetic‐dipole contributions, at high field strength. Performance comparisons with particular coil array configurations demonstrate that optimal performance may be approached with finite arrays if ideal current patterns are used as a guide for coil design. Magn Reson Med, 2012.

Comparison of fitting methods and b‐value sampling strategies for intravoxel incoherent motion in breast cancer

To compare fitting methods and sampling strategies, including the implementation of an optimized b‐value selection for improved estimation of intravoxel incoherent motion (IVIM) parameters in breast cancer.

A new method to analyze dGEMRIC measurements in femoroacetabular impingement: preliminary validation against arthroscopic findings

OBJECTIVE To validate a new method to analyze delayed gadolinium-enhanced magnetic resonance imaging of cartilage (dGEMRIC) measurements in the hip for early assessment of cartilage defects in femoroacetabular impingement (FAI). METHODS We performed a retrospective review of 10 hips in 10 FAI patients, who underwent hip arthroscopy. T1-weighted images and dGEMRIC T(1) maps were acquired at 1.5 T on coronal planes, including the anterior-superior, superior, posterior-superior hip cartilage. For all slices, a region of interest (ROI) was defined over the central portion of the femoral cartilage, assumed to be healthy, and T1 values (x) were transformed to standard scores (z) using z = (x -μ)/σ, where μ and σ are the average and standard deviation of T1 in the femoral ROI. Diagnostic performance of the resulting standardized dGEMRIC maps was evaluated against intraoperative findings and compared with that of a previously proposed dGEMRIC analysis as well as morphologic assessment. RESULTS Assuming z = -2 or z = -3 as the threshold between normal and degenerated cartilage, sensitivity, specificity and accuracy were 88%, 51% and 62%, and 71%, 63% and 65%, respectively. By using T1 = 500 ms as single threshold for all dGEMRIC T1 maps, these values became 47%, 58% and 55%, whereas they were 47%, 79% and 70% for morphologic evaluation. CONCLUSIONS Standardized dGEMRIC can increase the sensitivity in detecting abnormal cartilage in FAI and has the potential to improve the clinical interpretation of dGEMRIC measurements in FAI, by removing the effect of inter- and intra-patient T1 variability.

Performance evaluation of a 32-element head array with respect to the ultimate intrinsic SNR.

The quality of an RF detector coil design is commonly judged on how it compares with other coil configurations. The aim of this article is to develop a tool for evaluating the absolute performance of RF coil arrays. An algorithm to calculate the ultimate intrinsic signal‐to‐noise ratio (SNR) was implemented for a spherical geometry. The same imaging tasks modeled in the calculations were reproduced experimentally using a 32‐element head array. Coil performance maps were then generated based on the ratio of experimentally measured SNR to the ultimate intrinsic SNR, for different acceleration factors associated with different degrees of parallel imaging. The relative performance in all cases was highest near the center of the samples (where the absolute SNR was lowest). The highest performance was found in the unaccelerated case and a maximum of 85% was observed with a phantom whose electrical properties are consistent with values in the human brain. The performance remained almost constant for 2‐fold acceleration, but deteriorated at higher acceleration factors, suggesting that larger arrays are needed for effective highly‐accelerated parallel imaging. The method proposed here can serve as a tool for the evaluation of coil designs, as well as a tool to guide the development of original designs which may begin to approach the optimal performance. Copyright

Detection of cartilage damage in femoroacetabular impingement with standardized dGEMRIC at 3 T

OBJECTIVE This study aimed at identifying the optimal threshold value to detect cartilage lesions with Standardized delayed Gadolinium-Enhanced MRI of Cartilage (dGEMRIC) at 3 T and evaluate intra- and inter-observer repeatability. DESIGN We retrospectively reviewed 20 hips in 20 patients. dGEMRIC maps were acquired at 3 T along radial imaging planes of the hip and standardized to remove the effects of patients age, sex and diffusion of gadolinium contrast. Two observers separately evaluated 84 Standardized dGEMRIC maps, both by visual inspection and using an average index for a region of interest (ROI) in the acetabular cartilage. A radiologist evaluated the acetabular cartilage on morphologic MR images at exactly the same locations. Using intra-operative findings as reference, the optimal threshold to detect cartilage lesions with Standardized dGEMRIC was assessed and results were compared with the diagnostic performance of morphologic magnetic resonance imaging (MRI). RESULTS Using z < -2 as threshold and visual inspection of the color-adjusted maps, sensitivity, specificity and accuracy for Observer 1 and Observer 2, were 83%, 60% and 75%, and 69%, 70% and 69%, respectively. Overall performance was 52%, 67% and 58%, when using an average z for the acetabular cartilage, compared to 37%, 90% and 56% for morphologic assessment. The kappa coefficient was 0.76 and 0.68 for intra- and inter-observer repeatability, respectively, indicating substantial agreement. CONCLUSIONS Standardized dGEMRIC at 3 T is accurate in detecting cartilage damage and could improve preoperative assessment in femoroacetabular impingement (FAI). As cartilage lesions in FAI are localized, visual inspection of the Standardized dGEMRIC maps is more accurate than an average z for the acetabular cartilage.

Design of a nested eight-channel sodium and four-channel proton coil for 7T knee imaging

The critical design aim for a sodium/proton coil is to maximize sodium sensitivity and transmit field homogeneity while simultaneously providing adequate proton sensitivity and homogeneity. While most dual‐frequency coils use lossy high‐impedance trap circuits or PIN diodes to allow dual‐resonance, we explored a nested‐coil design for sodium/proton knee imaging at 7 T. A stand‐alone eight‐channel sodium receive array was implemented without standard dual‐resonance circuitry to provide improved sodium signal‐to‐noise ratio. A detunable sodium birdcage was added for homogeneous sodium excitation and a four‐channel proton transmit‐receive array was added to provide anatomical reference imaging and B0 shimming capabilities. Both additional modules were implemented with minimal disturbance to the eight‐channel sodium array by managing their respective resonances and geometrical arrangement. In vivo sodium signal‐to‐noise ratio was 1.2–1.7 times greater in the developed eight‐channel array than in a mononuclear sodium birdcage coil, whereas the developed four‐channel proton array provided signal‐to‐noise ratio similar to that of a commercial mononuclear proton birdcage coil. Magn Reson Med, 2013.

Comparison of a 28-channel receive array coil and quadrature volume coil for morphologic imaging and T2 mapping of knee cartilage at 7T

To compare a new birdcage‐transmit, 28‐channel receive array (28‐Ch) coil and a quadrature volume coil for 7T morphologic MRI and T2 mapping of knee cartilage.