Yongxian Qian

UTE-T2* mapping detects sub-clinical meniscus injury after anterior cruciate ligament tear

OBJECTIVE Meniscus tear is a known risk factor for osteoarthritis (OA). Quantitative assessment of meniscus degeneration, prior to surface break-down, is important to identification of early disease potentially amenable to therapeutic interventions. This work examines the diagnostic potential of ultrashort echo time-enhanced T2∗ (UTE-T2∗) mapping to detect human meniscus degeneration in vitro and in vivo in subjects at risk of developing OA. DESIGN UTE-T2∗ maps of 16 human cadaver menisci were compared to histological evaluations of meniscal structural integrity and clinical magnetic resonance imaging (MRI) assessment by a musculoskeletal radiologist. In vivo UTE-T2∗ maps were compared in 10 asymptomatic subjects and 25 ACL-injured patients with and without concomitant meniscal tear. RESULTS In vitro, UTE-T2∗ values tended to be lower in histologically and clinically normal meniscus tissue and higher in torn or degenerate tissue. UTE-T2∗ map heterogeneity reflected collagen disorganization. In vivo, asymptomatic meniscus UTE-T2∗ values were repeatable within 9% (root-mean-square average coefficient of variation). Posteromedial meniscus UTE-T2∗ values in ACL-injured subjects with clinically diagnosed medial meniscus tear (n=10) were 87% higher than asymptomatics (n=10, P<0.001). Posteromedial menisci UTE-T2∗ values of ACL-injured subjects without concomitant medial meniscal tear (n=15) were 33% higher than asymptomatics (P=0.001). Posterolateral menisci UTE-T2∗ values also varied significantly with degree of joint pathology (P=0.001). CONCLUSION Significant elevations of UTE-T2∗ values in the menisci of ACL-injured subjects without clinical evidence of subsurface meniscal abnormality suggest that UTE-T2∗ mapping is sensitive to sub-clinical meniscus degeneration. Further study is needed to determine whether elevated subsurface meniscus UTE-T2∗ values predict progression of meniscal degeneration and development of OA.

High-resolution sodium imaging of human brain at 7 T.

The feasibility of high‐resolution sodium magnetic resonance imaging on human brain at 7 T was demonstrated in this study. A three‐dimensional anisotropic resolution data acquisition was used to address the challenge of low signal‐to‐noise ratio associated with high resolution. Ultrashort echo‐time sequence was used for the anisotropic data acquisition. Phantoms and healthy human brains were studied on a whole‐body 7‐T magnetic resonance imaging scanner. Sodium images were obtained at two high nominal in‐plane resolutions (1.72 and 0.86 mm) at a slice thickness of 4 mm. Signal‐to‐noise ratio in the brain image (cerebrospinal fluid) was measured as 14.4 and 6.8 at the two high resolutions, respectively. The actual in‐plane resolution was measured as 2.9 and 1.6 mm, 69–86% larger than their nominal values. The quantification of sodium concentration on the phantom and brain images enabled better accuracy at the high nominal resolutions than at the low nominal resolution of 3.44 mm (measured resolution 5.5 mm) due to the improvement of in‐plane resolution. Magn Reson Med, 2012.

High-resolution spiral imaging on a whole-body 7T scanner with minimized image blurring

High‐resolution (∼0.22 mm) images are preferably acquired on whole‐body 7T scanners to visualize minianatomic structures in human brain. They usually need long acquisition time (∼12 min) in three‐dimensional scans, even with both parallel imaging and partial Fourier samplings. The combined use of both fast imaging techniques, however, leads to occasionally visible undersampling artifacts. Spiral imaging has an advantage in acquisition efficiency over rectangular sampling, but its implementations are limited due to image blurring caused by a strong off‐resonance effect at 7T. This study proposes a solution for minimizing image blurring while keeping spiral efficient. Image blurring at 7T was, first, quantitatively investigated using computer simulations and point‐spread functions. A combined use of multishot spirals and ultrashort echo time acquisitions was then employed to minimize off‐resonance‐induced image blurring. Experiments on phantoms and healthy subjects were performed on a whole‐body 7T scanner to show the performance of the proposed method. The three‐dimensional brain images of human subjects were obtained at echo time = 1.18 ms, resolution = 0.22mm (field of view = 220mm, matrix size = 1024), and in‐plane spiral shots = 128, using a home‐developed ultrashort echo time sequence (acquisition‐weighted stack of spirals). The total acquisition time for 60 partitions at pulse repetition time = 100 ms was 12.8 min without use of parallel imaging and partial Fourier sampling. The blurring in these spiral images was minimized to a level comparable to that in gradient‐echo images with rectangular acquisitions, while the spiral acquisition efficiency was maintained at eight. These images showed that spiral imaging at 7T was feasible. Magn Reson Med, 2010.

Sodium MRI and the Assessment of Irreversible Tissue Damage During Hyper-Acute Stroke

Sodium MRI (sMRI) has undergone a tremendous amount of technical development during the last two decades that makes it a suitable tool for the study of human pathology in the acute setting within the constraints of a clinical environment. The salient role of the sodium ion during impaired ATP production during the course of brain ischemia makes sMRI an ideal tool for the study of ischemic tissue viability during stroke. In this paper, the current limitations of conventional MRI for the determination of tissue viability during evolving brain ischemia are discussed. This discussion is followed by a summary of the known findings about the dynamics of tissue sodium changes during brain ischemia. A mechanistic model for the explanation of these findings is presented together with the technical requirements for its investigation using clinical MRI scanners. An illustration of the salient features of the technique is also presented using a nonhuman primate model of reversible middle cerebral artery occlusion.

Improved large tip angle parallel transmission pulse design through a perturbation analysis of the Bloch equation.

Parallel transmission has emerged as an efficient means for implementing multidimensional spatially selective radiofrequency excitation pulses. To date, most theoretical and experimental work on parallel transmission radiofrequency (RF) pulse design is based on the small‐tip‐angle approximation to the Bloch equation. The small‐tip‐angle, while mathematically compact, is not an exact solution and leads to significant errors when large‐tip‐angle pulses are designed. Methods have been proposed to overcome the limitations of the small‐tip‐angle using regularized least‐square optimization or optimal control algorithms. These methods, however, are based on further approximations to the Bloch equation or require the use of general purpose algorithms that do not capitalize fully on the dynamics of the physical model at hand. In this article, a novel algorithm for large‐tip‐angle parallel transmission pulse design is proposed. The algorithm relies on a perturbation analysis of the Bloch equation and it depicts the relationship between the excited magnetization, its deviation from the target pattern and the desired pulses. Simulations and experiments are used to validate the proposed method on a 7T 8‐channel transmit array. The results demonstrate that the perturbation analysis algorithm provides a fast and accurate approach for multidimensional large‐tip‐angle pulse design, especially when large acceleration factors and/or echo‐planar trajectories are used. Magn Reson Med, 2011.

Repeatability of UTE-Based Two-Component T2* Measurements on Cartilages in Human Knee at 3T

Repeatability of in vivo measurement of multicomponent T2* relaxation in articular cartialges in human knee is important to clinical use. This study evaluated the repeatability of two‐component T2* relaxation on seven healthy human subjects. The left knee was scanned once a day in three consecutive days, on a clinical 3T MRI scanner with eight‐channel knee coil and ultrashort echo time pulse sequence at 11 echo times = 0.6–40 ms. The intrasubject and intersubject repeatability was evaluated via coefficient of variation (CV = standard deviation/mean) in four typical cartilage regions: patellar, anterior articular, femoral, and tibial regions. It was found that the intrasubject repeatability was good, with CV < 10% for the short‐ and long‐T2* relaxation time in the layered regions in the four cartilages (with one exception) and CV < 13% for the component intensity fraction (with two exceptions). The intersubject repeatability was also good, with CV ∼8% (range 1–15%) for the short‐ and long‐T2* relaxation time and CV ∼10% (range 2–20%) for the component intensity fraction. The long‐T2* component showed significantly better repeatability (CV ∼8%) than the short‐T2* component (CV∼12%) (P < 0.005). These CV values suggest that in vivo measurement of two‐component T2* relaxation in the knee cartilages is repeatable on clinical scanner at 3 T, with a signal‐to‐noise ratio of 90. Magn Reson Med, 2013.

Parallel imaging with 3D TPI trajectory: SNR and acceleration benefits

Three-dimensional (3D) twisted projection imaging (TPI) trajectory has a unique advantage in sodium ((23)Na) imaging on clinical MRI scanners at 1.5 or 3 T, generating a high signal-to-noise ratio (SNR) with a short acquisition time (approximately 10 min). Parallel imaging with an array of coil elements transits SNR benefits from small coil elements to acquisition efficiency by sampling partial k-space. This study investigates the feasibility of parallel sodium imaging with emphases on SNR and acceleration benefits provided by the 3D TPI trajectory. Computer simulations were used to find available acceleration factors and noise amplification. Human head studies were performed on clinical 1.5/3-T scanners with four-element coil arrays to verify simulation outcomes. In in vivo studies, proton ((1)H) data, however, were acquired for concept-proof purpose. The sensitivity encoding (SENSE) method with the conjugate gradient algorithm was used to reconstruct images from accelerated TPI-SENSE data sets. Self-calibration was employed to estimate coil sensitivities. Noise amplification in TPI-SENSE was evaluated using multiple noise trials. It was found that the acceleration factor was as high as 5.53 (corresponding to acceleration number 2 x 3, ring-by-rotation), with a small image error of 6.9% when TPI projections were reduced in both polar (ring) and azimuthal (rotation) directions. The average noise amplification was as low as 98.7%, or 27% lower than Cartesian SENSE at that acceleration factor. The 3D nature of both TPI trajectory and coil sensitivities might be responsible for the high acceleration and low noise amplification. Consequently, TPI-SENSE may have potential advantages for parallel sodium imaging.

Short‐T2 imaging for quantifying concentration of sodium (23Na) of bi‐exponential T2 relaxation

This work intends to demonstrate a new method for quantifying concentration of sodium (23Na) of bi‐exponential T2 relaxation in patients on MRI scanners at 3.0 Tesla.

Multi-slice parallel transmission three-dimensional tailored RF (PTX 3DTRF) pulse design for signal recovery in ultra high field functional MRI

T(2)(∗) weighted fMRI at high and ultra high field (UHF) is often hampered by susceptibility-induced, through-plane, signal loss. Three-dimensional tailored RF (3DTRF) pulses have been shown to be an effective approach for mitigating through-plane signal loss at UHF. However, the required RF pulse lengths are too long for practical applications. Recently, parallel transmission (PTX) has emerged as a very effective means for shortening the RF pulse duration for 3DTRF without sacrificing the excitation performance. In this article, we demonstrate a RF pulse design strategy for 3DTRF based on the use of multi-slice PTX 3DTRF to simultaneously and precisely recover signal with whole-brain coverage. Phantom and human experiments are used to demonstrate the effectiveness and robustness of the proposed method on three subjects using an eight-channel whole body parallel transmission system.

Parallel transmission RF pulse design for eddy current correction at ultra high field

Multidimensional spatially selective RF pulses have been used in MRI applications such as B₁ and B₀ inhomogeneities mitigation. However, the long pulse duration has limited their practical applications. Recently, theoretical and experimental studies have shown that parallel transmission can effectively shorten pulse duration without sacrificing the quality of the excitation pattern. Nonetheless, parallel transmission with accelerated pulses can be severely impeded by hardware and/or system imperfections. One of such imperfections is the effect of the eddy current field. In this paper, we first show the effects of the eddy current field on the excitation pattern and then report an RF pulse the design method to correct eddy current fields caused by the RF coil and the gradient system. Experimental results on a 7 T human eight-channel parallel transmit system show substantial improvements on excitation patterns with the use of eddy current correction. Moreover, the proposed model-based correction method not only demonstrates comparable excitation patterns as the trajectory measurement method, but also significantly improves time efficiency.