Toshikazu Kamae

Non-contrast-enhanced hepatic MR angiography with true steady-state free-precession and time spatial labeling inversion pulse: Optimization of the technique and preliminary results

OBJECTIVE To selectively visualize the hepatic arteries using the respiratory-triggered three-dimensional (3D) true steady-state free-precession (SSFP) projection magnetic resonance angiographic sequence with time spatial labeling inversion pulse (T-SLIP), and describe the optimization of this protocol. MATERIALS AND METHODS Twenty healthy volunteers were examined in this study. A respiratory-triggered 3D true SSFP combined with T-SLIP was performed. Among several key factors that affect the image quality, the most important is the inversion time (TI). Therefore, according to the difference in TI, four image groups: group A (TI of 800 ms), group B (TI of 1000 ms), group C (TI of 1200 ms), and group D (TI of 1400 ms), were assigned and compared to detect the optimal TI for hepatic artery visualization. For quantitative assessment, the relative signal intensity, i.e., Cv-l (vessel-to-liver contrast) of the right hepatic artery was measured. For qualitative evaluation, the quality of vessel visualization and the order of identified hepatic artery branches were evaluated by two radiologists. RESULTS Selective and high-contrast visualization of the hepatic arteries was acquired in all cases. Regarding the quantitative assessment, Cv-l decreased in group D due to background signal recovery, but there was no significant difference between groups (p-value >0.05). Regarding the qualitative evaluation, there were significant differences between group A and the other groups (p-value <0.01) and between groups B and C (p-value <0.05). In group C, both the image quality score and mean value for the order of the hepatic artery branches were highest, and a TI of 1200 ms was thought to be optimal regarding the balance between vessel-to-liver contrast and peripheral hepatic artery visualization. CONCLUSION The MR angiographic technique using true SSFP with T-SLIP enabled the selective visualization of hepatic arteries without the need for an exogenous contrast agent or breath-hold.

Non-contrast-enhanced MR portography with time-spatial labeling inversion pulses: comparison of imaging with three-dimensional half-fourier fast spin-echo and true steady-state free-precession sequences.

To compare and evaluate images acquired with two different MR angiography (MRA) sequences, three‐dimensional (3D) half‐Fourier fast spin‐echo (FSE) and 3D true steady‐state free‐precession (SSFP) combined with two time‐spatial labeling inversion pulses (T‐SLIPs), for selective and non‐contrast‐enhanced (non‐CE) visualization of the portal vein.

Non-contrast-enhanced MR angiography for selective visualization of the hepatic vein and inferior vena cava with true steady-state free-precession sequence and time-spatial labeling inversion pulses: preliminary results.

To selectively visualize the hepatic vein and inferior vena cava (IVC) using three‐dimensional (3D) true steady‐state free‐precession (SSFP) MR angiography with time‐spatial labeling inversion pulse (T‐SLIP), and to optimize the acquisition protocol.

Unenhanced MR Portography With a Half-Fourier Fast Spin-Echo Sequence and Time-Space Labeling Inversion Pulses: Preliminary Results

OBJECTIVE For this study, we aimed to selectively visualize the intrahepatic portal veins using 3D half-Fourier fast spin-echo (FSE) MR angiography (MRA) with a time-space labeling inversion pulse (T-SLIP) and to optimize the acquisition protocol. SUBJECTS AND METHODS Respiratory-triggered 3D half-Fourier FSE scans were obtained in 25 healthy adult subjects combined with two different T-SLIPs: one placed on the liver and the thorax to suppress signals of the liver parenchyma, hepatic veins, and abdominal arteries and the other on the lower abdomen to suppress the ascending signal of the inferior vena cava. One of the most important factors was the inversion time (TI) of the inversion pulse for the liver and thorax. Image quality was evaluated in terms of signal-to-noise ratio, contrast-to-noise ratio, and mean visualization scores at four different TIs: 800, 1,200, 1,600, and 2,000 milliseconds. RESULTS Selective visualization of the portal vein was successfully achieved in all volunteers, and anatomic variations were also seen in three subjects. A TI of 1,200 milliseconds was optimal in our protocol because it was sufficient for peripheral portal vein visualization and was most suitable for signal suppression of the hepatic veins and liver parenchyma. CONCLUSION Half-Fourier FSE scanning with T-SLIPs enabled selective visualization of the portal vein without an exogenous contrast agent.

Visualization of external carotid artery and its branches: non-contrast-enhanced MR angiography using balanced steady-state free-precession sequence and a time-spatial labeling inversion pulse.

To evaluate visibility of the external carotid artery (ECA) and its branches using three‐dimensional (3D) balanced steady‐state free‐precession (SSFP) MR angiography with a time‐spatial labeling inversion pulse (Time‐SLIP), and to provide an optimal value of the inversion time (TI).

Visualization of the lenticulostriate artery with flow-sensitive black-blood acquisition in comparison with time-of-flight MR angiography

To evaluate the capability of flow‐sensitive black blood (FSBB) acquisition to visualize the lenticulostriate artery (LSA) in comparison with time‐of‐flight (TOF) angiography.

Whole-heart coronary magnetic resonance angiography with parallel imaging: comparison of acceleration in one-dimension vs. two-dimensions.

PURPOSE To evaluate visualization of the whole-heart coronary arteries accelerated with parallel imaging (PI) applied in two-dimension (2D) in comparison with one-dimension (1D). MATERIALS AND METHODS Seventeen healthy subjects were studied with a 1.5-T scanner equipped with a whole body phased array coil system and 16-channel receivers. Using 16 coil elements, whole-heart coronary magnetic resonance angiography (CMRA) was acquired in two conditions of 1D-PI and 2D-PI. The former scan was accelerated in phase direction by factor of 2 and the latter in phase and slice directions by factors of 2.5 and 2, respectively. Visualized length of right coronary artery (RCA), left anterior descending artery (LAD), and left circumflex artery (LCX) was measured. Signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) was also measured. The CMRA quality was assessed in segment-wise with a five-point scale. RESULTS The average scan time decreased to 5.3+/-2.2 min in 2D-PI from 11.6+/-3.5 min in 1D-PI, reducing the scan time to 45%. The visualized length, SNR, and CNR in average were smaller for images of 2D-PI compared with those of 1D-PI, however, statistically significant results were observed only in RCA (P<0.05). Score reduction of 2D-PI image quality was limited to 0.34 in average, and only two out of fifteen segments (#2, 6) showed significant score deterioration (P<0.05). CONCLUSIONS Compared with the relatively limited degree of image degradation, 2D-PI offered a large reduction of the acquisition time, which is of large benefit in clinical situations.

Non-contrast-enhanced hepatic MR angiography: do two-dimensional parallel imaging and short tau inversion recovery methods shorten acquisition time without image quality deterioration?

OBJECTIVE To study whether shortening the acquisition time for selective hepatic artery visualization is feasible without image quality deterioration by adopting two-dimensional (2D) parallel imaging (PI) and short tau inversion recovery (STIR) methods. MATERIALS AND METHODS Twenty-four healthy volunteers were enrolled. 3D true steady-state free-precession imaging with a time spatial labeling inversion pulse was conducted using 1D or 2D-PI and fat suppression by chemical shift selective (CHESS) or STIR methods. Three groups of different scan conditions were assigned and compared: group A (1D-PI factor 2 and CHESS), group B (2D-PI factor 2×2 and CHESS), and group C (2D-PI factor 2×2 and STIR). The artery-to-liver contrast was quantified, and the quality of artery visualization and overall image quality were scored. RESULTS The mean scan time was 9.5±1.0 min (mean±standard deviation), 5.9±0.8 min, and 5.8±0.5 min in groups A, B, and C, respectively, and was significantly shorter in groups B and C than in group A (P<0.01). The artery-to-liver contrast was significantly better in group C than in groups A and B (P<0.01). The scores for artery visualization and overall image quality were worse in group B than in groups A and C. The differences were statistically significant (P<0.05) regarding the arterial branches of segments 4 and 8. Between group A and group C, which had similar scores, there were no statistically significant differences. CONCLUSION Shortening the acquisition time for selective hepatic artery visualization was feasible without deterioration of the image quality by the combination of 2D-PI and STIR methods. It will facilitate using non-contrast-enhanced MRA in clinical practice.

Anticholinergic agents result in weaker and shorter suppression of uterine contractility compared with intestinal motion: time course observation with cine MRI

To evaluate the time course effects of anticholinergic agents on uterine contractility and intestinal motion with cine magnetic resonance imaging (MRI).

Whole-heart magnetic resonance coronary angiography with multiple breath-holds and automatic breathing-level tracking

Whole-heart (WH) magnetic resonance coronary angiography (MRCA) studies are usually performed during free breathing while monitoring the position of the diaphragm with real-time motion correction. However, this results in a long scan time and the patient’s breathing pattern may change, causing the study to be aborted. Alternatively, WH MRCA can be performed with multiple breath-holds (mBH). However, one problem in the mBH method is that patients cannot hold their breath at the same position every time, leading to image degradation. We have developed a new WH MRCA imaging method that employs both the mBH method and automatic breathing-level tracking to permit automatic tracking of the changes in breathing or breath-hold levels. Evaluation of its effects on WH MRCA image quality showed that this method can provide high-quality images within a shorter scan time. This proposed method is expected to be very useful in clinical WH MRCA studies.