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Biomedical subjects

A Kangarlu

Publications and source records attributed to A Kangarlu.

At least 19 recordsLinked to original sources

Magnetic resonance imaging characterization of osteochondral defect repair in a goat model at 8 T.

OBJECTIVE: This study was performed to non-invasively visualize and characterize osteochondral (OC) repair in ex vivo goat stifles using an 8 T magnetic resonance imaging (MRI) scanner and to compare the MR morphology with images obtained from 1.5 T, gross morphology and histology. METHODS: Mature, neutered male goats were assigned to an 8-week (n = 4) or 16-week (n = 4) study period. Two cylindrical OC defects (7 mm diameter, full cartilage thickness and 1mm into subchondral bone) were surgically created in the right stifle: one in the medial femoral condyle (MFC) and the other in the trochlear groove (TG). The implant matrices (non-woven or foam) were secured in the defect using a bottom anchored fixation device (FD). The contralateral left stifles served as time zero controls. At the day of necropsy, implants were placed at both defect sites (MFC and TG) on the normal left stifles. Following necropsy, the ex vivo goat stifles (intact and encapsulated) were disarticulated. Within 24 h postnecropsy, MR scans of the stifles along the mid-sagittal plane of the OC defect were acquired at 8 T and 1.5 T. MR relaxation times, T1 and T2, were measured at the region of repair tissue (RT) and adjacent native cartilage. Immediately after MR imaging, the stifles were dissected, grossly examined, and a sagittal OC block corresponding to the MR region of interest was prepared for formalin fixation. RESULTS: The high-resolution MR images enabled visualization of cartilage and bone integrity surrounding the implant as well as delineating the margins of RT/implant matrix and the FD. On spin echo sequence, the RT variably appeared as high, intermediate or low MR signal intensity; whereas, the FD always appeared as low signal intensity. In general, the MR signal intensity of 8-week RT was slightly higher compared to 16-week RT; however, there was no difference in RT morphology of stifles implanted with the non-woven matrix or foam matrix. Subchondral sclerosis appeared as low signal intensity. The 8 T MR images showed better delineation of the stifle tissues compared to the images acquired at 1.5 T. The T2 relaxation time of the RT appears to indicate (inconclusive due to small number of samples) a slight variation in the RT type between 8 weeks and 16 weeks. At both study times, the defects grossly appeared whitish to reddish but did not have the characteristic hyaline appearance typical of articular cartilage (AC). The gross appearance of the MFC and TG RT differed, which was predominantly mottled and recessed with fissuring of adjacent native AC in the MFC. Histologically, the RT of both 8-week and 16-week postsurgical defects predominantly comprised fibrovascular connective tissue with only few samples showing the presence of fibrocartilaginous and/or hypertrophic chondrocytes within the defect RT at 8 weeks. Also, compared to 8-week, the 16-week RT appeared to be more fibrotic. CONCLUSION: Using 8 T scanner, high-resolution MR images of ex vivo encapsulated goat stifles confirmed the capability of high-field MR imaging to distinguish the defect RT from the FD and adjacent joint tissues. The extent of OC repair and adjacent bone lesions (at 8 weeks and 16 weeks) observed in the MR images compared well with those observed on the corresponding histological sections.

Animals↗

[Clinical high- and ultrahigh-field MR and its interaction with biological systems].

The field strength of the static field in MRI has increased from 0.015 to 12 Tesla (T) during the last 25 years, which is about an 800 fold increase. In addition to low- and high field systems (1.5-4 T), ultra-high field systems with field strengths above 4 T are now available for human MRI. The extension of non-significant risk status for clinical fields up to 8 T by the FDA in July 2003 facilitates the further growth of this technology. The increase in field strength creates the need for a better understanding of the safety challenges to ensure safety for human imaging applications. This encompasses understanding the effects of the strong magnetic field at the atomic and molecular level and from biological tissue to organ systems. Moreover, in addition to the effects of a static magnetic field, the effects of radio-frequency- and gradient-fields have to be considered. This paper reviews the safety relevant issues for high- and ultrahigh field MR.

Equipment Safety↗

Water diffusion in biomedical systems as related to magnetic resonance imaging.

Water diffusion within the brain is studied numerically for various clinical conditions. The numerical procedure used in this work is based on the Galerkin weighted residual method of finite-element formulation. A wide range of pertinent parameters such as Lewis number, cell volume, and the buoyancy ratio are considered in the present study. Comparisons with previously published work show excellent agreement. The results show that the diffusion coefficient, cell volume, and the buoyancy ratio play significant roles on the characterization of the mass and heat transfer mechanisms within the cell. Concentration maps are developed for various clinical conditions. Pertinent results for the streamlines, isotherms and the mass and heat transfer rates in terms of the average Sherwood and Nusselt numbers are presented and discussed for different parametric values. Experimental tests are also conducted to produce an 8 Tesla image which is compared with our numerical simulation. The present study provides essential maps for brain disorders classified based on several pertinent clinical attributes.

Body Water↗

Computational modeling of cerebral diffusion-application to stroke imaging.

Water diffusion within the structure of a brain extracellular space is analyzed numerically for various diffusion parameters of brain tissue namely extracellular space porosity and tortuosity. An algorithm for predicting diffusion pattern of water molecules within human brain considering the mechanics of water diffusion within porous media is developed. The extracellular space is modeled as a homogeneous porous medium with uniform porosity and permeability. Discretization of the fluid flow, heat transfer and mass transport equations is achieved using a finite element scheme based on the Galerkin method of weighted residuals. Concentration maps are developed in this study for various clinical conditions. The effect of the space porosity and the turtousity on the heat and mass transport within the extracellular space are found to be significant. The results presented in this work play an important role in producing more effective imaging techniques for brain injury based on the apparent diffusion coefficient.

Algorithms↗

Intracranial ossifications and microangiopathy at 8 Tesla MRI.

UNLABELLED: Clinical evaluation and MR imaging of microangiopathy associated with hypertension is limited. We describe a case that illustrates sensitivity of MRI at 8 Tesla for imaging of microvasculature, iron, calcium deposits and silent white matter lesions (WML). A 60-year-old black hypertensive woman was evaluated for numbness in the face and extremities. MRI at 1.5 Tesla was unrevealing.MRI at 8 Tesla: Axial and sagittal Gradient Echo images were obtained with an 8T/80 cm human scanner and showed: 1) Large areas of signal voids due to ossifications and fat deposits within the falx. 2) Obstructed small vessels in the periventricular regions and distended cortical veins. 3) Numerous small WML, suggestive of mini-infarcts (<1 cm) and microhemorrhages. 4) Intracranial calcifications in the falx, tentorium, basal ganglia and chorioid plexus that were confirmed by CT scan. Atherosclerotic plaque in right carotid artery and reduced vasomotor reserve in middle cerebral arteries, documented by ultrasound, indicated large and small vessel disease. CONCLUSIONS: MRI at 8 Tesla improves visualization of microangiopathy, ossifications and iron deposits due to enhanced magnetic susceptibility at ultra high magnetic field.

Blood Pressure Determination↗

Aneurysm clips: evaluation of magnetic field interactions with an 8.0 T MR system.

This study was conducted to evaluate magnetic field interactions for aneurysm clips exposed to an 8.0 T magnetic resonance (MR) system. Twenty-six different aneurysm clips were tested for magnetic field translational attraction (deflection angle test) and torque (qualitative assessment method) using previously described techniques. Six of the specific aneurysm clips (i.e. type, model, blade length) made from stainless steel alloy (Perneczky) and Phynox (Yasargil, models FE 748 and FE 750) displayed deflection angles above 45 degrees and torque measurements of +4, indicating that these aneurysm clips maybe unsafe for patients or individuals in an 8.0 T MR environment. The specific aneurysm clips (i.e. type, model, blade length) made from commercially pure titanium (Spetzler), Elgiloy (Sugita), titanium alloy (Yasargil, model FE 750T), and MP35N (Sundt) displayed deflection angles less than 45 degrees and torque that ranged from + 1 to +4. Accordingly, these aneurysm clips are likely to be safe for patients or individuals exposed to an 8.0 T MR system. Depending on the actual dimensions and mass, an aneurysm clip made from Elgiloy may or may not be acceptable for a patient or individual in the 8.0 T MR environment.

Electromagnetic Fields↗

Application of finite difference time domain method for the design of birdcage RF head coils using multi-port excitations.

A three-dimensional finite difference time domain model was developed where the high pass birdcage coil and the imaged object are analysed as a single unit. A study was performed comparing linear, conventional quadrature, and four-port excitation at 64 MHz and 200 MHz for different coil loadings, namely muscle phantoms and an anatomically detailed human head model. A phase array concept was utilized to excite the birdcage coil in four ports. Two phase conditions were analyzed, the simple fixed phase and the variable phase. At 200 MHz, compared to the conventional quadrature drive, the four-port drive reduces the effects of the tissue-coil interactions leading to more uniform currents on the coil legs and consequently to a better B(1) field homogeneity. Also at 200 MHz, driving the coil in four ports provides an SAR distribution with peak values that are significantly less than those with linear or quadrature excitations.

Head↗

Theoretical model for an MRI radio frequency resonator.

A theoretical model is described for a magnetic resonance imaging (MRI) radio-frequency resonator (an MRI "coil") that is useful at ultrahigh frequencies. The device is a "TEM resonator," which is based on a concept originally proposed by Röschmann (1988). The coil comprises a circular cavity-like structure containing several coaxial transmission lines operating in a transverse electromagnetic (TEM) mode. The model developed herein treats the empty coil and is based on multiconductor transmission line theory. This work generalizes and extends similar analyses of the device by Röschmann (1995) and Chingas and Zhang (1996). The model employs explicit calculation of per-unit-length parameters for TEM lines having arbitrary geometries. Calculations of the resonator's frequency response are found to compare well with measurements. Fields produced by linear (single-point) and quadrature drive are also computed and compared to images of low-permittivity phantoms.

Electromagnetic Fields↗

Human rapid acquisition with relaxation enhancement imaging at 8 T without specific absorption rate violation.

A standard fast imaging sequence, rapid acquisition with relaxation enhancement (RARE), has been applied to human magnetic resonance at 8 T. RARE is known for its speed, good contrast and high RF power content. Highly T2 weighted images, the hallmark of RARE imaging, were acquired from the human brain. It is demonstrated that while T2 values may be reduced at 8 T, high quality RARE images could still be acquired at this field strength. Most importantly however, it is demonstrated that RARE images could be acquired without violating specific absorption rate (SAR) guidelines. Since it is well known that T2 weighted images are of significant value in clinical diagnosis, the implementation of RARE at this field strength will provide ultra high field MRI (UHFMRI) with a valuable imaging protocol at this field strength without exceeding SAR limitations.

Brain↗

MDEFT imaging of the human brain at 8 T.

T1-weighted images of the human brain obtained with the MDEFT sequence at 8 T are presented. These images are characterized by an excellent contrast and good signal to noise ratio. Importantly, results were obtained with adiabatic spin inversion and demonstrate that such pulses can be used even in the ultra high frequency (> 300 MHz) range. It is thus possible to obtain high quality results at this field strength without violating SAR guidelines.

Brain↗

High signal-to-noise FLASH imaging at 8 Tesla.

A radio frequency (RF) and gradient spoiled fast low angle shot technique was used to acquire images from the human brain at 8 Tesla. The resulting FLASH images, obtained with a 17 degrees nutation, a 70 ms repetition time, and a 17 ms echo time, displayed an average signal-to-noise ratio (SNR) of 220:1 (slice thickness 2.2 mm, field-of-view 24 cm, matrix 256 x 128). These images were compared with images obtained at 1.5 Tesla using identical parameters yielding a signal-to-noise of less than 10:1. As such, the 8 Tesla images display a remarkable improvement in SNR with increasing field strength. The images also show little evidence of susceptibility distortion, chemical shift, or RF penetration limitations.

Brain↗

Cognitive, cardiac, and physiological safety studies in ultra high field magnetic resonance imaging.

A systematic analysis of the effect of an 8.0 tesla static magnetic field on physiological and/or cognitive function is presented in the normal volunteer and in the swine. A study of ten human subjects revealed no evidence of detectable changes in body temperature, heart rate, respiratory rate, systolic pressure, and diastolic blood pressure after 1 hour of exposure. In addition, no cognitive changes were detected. Important ECG changes were noted which were related both to the position of the subject in the magnet and to the absolute strength of the magnetic field. As such, the ECG tracing at 8 tesla was not diagnostically useful. Nonetheless, all subjects exhibited normal ECG readings both before and following exposure to the 8 tesla field. Cardiac function was also examined in detail in the swine. No significant changes in body temperature, heart rate, left ventricular pressure, left ventricular end diastollic pressure, time rate of change of left ventricular pressure, myocardial stiffness index, cardiac output, systolic volume, troponin, and potassium levels could be detected following 3 h of exposure to a field strength of 8.0 tesla. It is concluded that no short term cardiac or cognitive effects are observed following significant exposure to a magnetic field of up to 8.0 tesla.

Animals↗

Human magnetic resonance imaging at 8 T.

In this work, we present the first human magnetic resonance image (MRI) obtained at ultrahigh field strengths (8 T). We demonstrate that clinical imaging will be possible at 8 T and that reasonable quality head images can be obtained at this field strength. Most importantly, we emphasize that the power required to excite the spins at 8 T is much lower than had previously been predicted by the nuclear magnetic resonance theory. A 90 degree pulse in the head at 8 T requires only approximately 0.085 J of energy (90 W for a 2-lobe 4 ms sinc pulse). Based on measurements at 4 T, 1-2 J of energy should have been utilized to achieve a 90 degree excitation at 8 T. The fact that the energy required for spin excitation at 8 T is much lower than predicted by the NMR theory, will be extremely important to the viability of ultrahigh field imaging, since concerns related to power absorption and specific absorption rate (SAR) violations at ultrahigh field are alleviated. As such, it will be possible to utilize RF intensive pulse sequences and adiabatic spin excitation at 8 T without significant risk to the subject.

Brain↗

Acquisition of human multislice MR images at 8 Tesla.

PURPOSE: The purpose of this work was to acquire high quality multislice MR images from the human brain at 8 Tesla (T). METHOD: Initial images were acquired with an 8 T/80 cm magnet designed and manufactured by Magnex Scientific (Abingdon, England). Images were acquired using volume RF coils operating at 340 MHz. A torque-free head gradient insert was utilized to spatially encode the spins. Images were acquired from the human head using gradient-recalled echo pulse sequences. RESULTS: Ultra high frequency (UHF) MR images have been obtained from the human head that display both excellent signal/noise ratio and image quality. The power required to obtain the 8 T images was much less than expected based on the trend obtained at lower fields. CONCLUSION: In this work, we have demonstrated that it is possible to obtain high quality multislice images from the human brain at 8 T. These images display the phenomenal potential for imaging at UHF and reveal that none of the stumbling blocks advanced by the MR community for an 8 T project (RF penetration, dielectric effects, specific absorption rate problems, RF power requirements) proved to be a limitation.

Brain↗

Design and assembly of an 8 tesla whole-body MR scanner.

PURPOSE: The purpose of this report is to describe the design and construction of an 8 T/80 cm whole-body MRI system operating at 340 MHz. METHOD: The 8 T/80 cm magnet was constructed from 414 km of niobium titanium superconducting wire. The winding of this wire on four aluminum formers resulted in a total inductance of 4,155 H. Gradient subsystems included either a body gradient or a head gradient along with a removable shim insert. The magnet and gradient subsystems were interfaced to two spectrometers. These provided the control of the gradient amplifiers and the two sets of four RF power amplifiers. The latter provide in excess of 8 kW of RF power from 10 to 140 MHz and 10 kW of RF power from 245 to 345 MHz. A dedicated computer-controlled patient table was designed and assembled. The entire system is located in a clinical setting, facilitating patient-based studies. RESULTS: The 8 T/80 cm magnet was energized without complication and achieved persistent operation using 198.9 A of current, thereby storing 81.5 MJ of magnetic energy. Exceptional performance was observed for nearly all components both in isolation and when combined within the complete system. CONCLUSION: An 8 T/80 cm MRI system has been assembled. The magnet subsystem is extremely stable and is characterized by good homogeneity and acceptable boil-off rates.

Aluminum↗

Dielectric resonance phenomena in ultra high field MRI.

PURPOSE: Dielectric resonances have previously been advanced as a significant cause of image degradation at higher fields. In this work, a study of dielectric resonances in ultra high field MRI is presented to explore the real importance of dielectric resonances in the human brain in this setting. METHOD: Gradient-recalled echo images were acquired using a transverse electromagnetic resonator at 1.5, 4.7, and 8 T. Images were obtained from the human head and from phantoms filled with pure water, saline, and mineral oil. In addition, an exact theoretical analysis of dielectric resonances is presented for a spherical phantom and for a model of the human head. RESULTS: Theoretical results demonstrate that distilled water can sustain dielectric resonances in head-sized spheres near 200 and 360 MHz, but the presence of significant conductivity suppresses these resonances. These findings are confirmed experimentally with proton images of water and saline (0.05 and 0.125 M NaCl). For lossy phantoms, coupling between the source and phantom overwhelms the dielectric resonance. Because of their low relative permittivity, mineral oil phantoms with 20 cm diameter do not exhibit dielectric resonances below approximately 900 MHz. Significant dielectric resonances were not observed in human head images obtained at 1.5, 4.7, and 8 T.

Algorithms↗