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Biomedical subjects

D A Feinberg

Publications and source records attributed to D A Feinberg.

At least 19 recordsLinked to original sources

Single-shot GRASE imaging without fast gradients.

Based on the CPMG sequence, gradient- and spin-echo (GRASE) echo train length is limited by T2 decay rather than the T2* decay and phase error in echo-planar techniques, permitting a longer image acquisition period. An ultrafast GRASE sequence, utilizing a single excitation, generates a 128 x 56 true T2-weighted image in 200 ms on an unmodified commercial scanner without fast gradient switching, extreme field homogeneity, or fat signal suppression.

Abdomen

GRASE (Gradient- and spin-echo) imaging: a novel fast MRI technique.

A fast multi-section MR imaging technique is described. Gradient- and spin-echo (GRASE) imaging utilizes the speed advantages of gradient refocusing while overcoming the image artifacts arising from static field inhomogeneity and chemical shift. Image contrast is determined by the T2 contrast in the Hahn spin echoes. A novel k-space trajectory temporally modulates signals and demodulates artifacts.

Brain

Real-time magnetic resonance imaging of laser heat deposition in tissue.

We applied diffusion-sensitive echo planar (Instascan) imaging to study thermal changes caused by a Nd:YAG laser. Images of phantom materials and normal rabbit brain tissue in vivo, acquired in 150 ms, every 2s, clearly showed the dynamics of temperature-related signal intensity changes in the regions irradiated by the laser.

Animals

GRASE (gradient- and spin-echo) MR imaging: a new fast clinical imaging technique.

A novel technique of magnetic resonance (MR) imaging, which combines gradient-echo and spin-echo (GRASE) technique, accomplishes T2-weighted multisection imaging in drastically reduced imaging time, currently 24 times faster than spin-echo imaging. The GRASE technique maintains contrast mechanisms, high spatial resolution, and image quality of spin-echo imaging and is compatible with clinical whole-body MR systems without modification of gradient hardware. Image acquisition time is 18 seconds for 11 multisection body images (2,000/80 [repetition time msec/echo time msec]) and 36 seconds for 22 brain images (4,000/104). With a combination of multiple Hahn spin echoes and short gradient-echo trains, the GRASE technique overcomes several potential problems of echo-planar imaging, including large chemical shift, image distortions, and signal loss from field inhomogeneity. Advantages of GRASE over the RARE (rapid acquisition with relaxation enhancement) technique include faster acquisition times and lower deposition of radio-frequency power in the body. Breath holding during 18-second GRASE imaging of the upper abdomen eliminates respiratory-motion artifacts in T2-weighted images. A major improvement in T2-weighted abdominal imaging is suggested.

Abdomen

Echo-planar imaging with asymmetric gradient modulation and inner-volume excitation.

Single-shot echo-planar imaging is notoriously vulnerable to image artifacts, arising from the necessity of alternate echo time reversal during image reconstruction and from static field inhomogeneity. A technique for overcoming these problems, which further permits imaging on systems with relatively poor gradient waveforms, when data are collected always with the same gradient polarity, is presented. Subsectional and 3D volume imaging are presented as well as a novel phase-correction method for Hermitian symmetry in "half-Fourier" echo-planar imaging.

Humans

Tissue perfusion in humans studied by Fourier velocity distribution, line scan, and echo-planar imaging.

In tissue perfusion studies, FT velocity distribution imaging (VDI) intrinsically distinguishes signals from moving blood and volume-averaged tissue. Results in human thyroid gland, in vivo, using VDI line scan technique demonstrated separation of moving blood signal from glandular tissue, while VDI inner-volume echo-planar imaging of brain showed only CSF velocity above the image noise level. New alternating polarity gradient sequences which permit separation of diffusion and slow velocity are discussed. A novel method of 3D FT imaging (two spatial and one velocity dimension) combining inner-volume imaging and echo-planar imaging with velocity resolution of 0.15 mm/s per pixel is demonstrated. A novel graphical method of calculation and display of diffusion dependence in pulsed gradient sequences is presented.

Blood Flow Velocity

Changes in size and magnetic resonance signal intensity of the cerebral CSF spaces during the cardiac cycle as studied by gated, high-resolution magnetic resonance imaging.

In 1966, du Boulay demonstrated the pulsatile nature of CSF flow in the cerebral aqueduct by using air cineventriculography, which disturbs normal CSF dynamics by replacing part of the incompressible CSF with air. To investigate this phenomenon noninvasively, 35 normal volunteers were studied using high-resolution, cardiac-gated MR imaging. Specifically, we wished to document changes in size and configuration of the CSF spaces and the incidence and magnitude of signal loss (an indication of CSF motion) in these spaces as they related to time in the cardiac cycle. Changes in size and configuration were measurable in the third ventricle only (size increased during systole in seven of the 35 volunteers). Except for the lateral ventricles, some loss in signal intensity was seen in all CSF spaces at least during systole in all 35 volunteers--findings consistent with those of du Boulay. However, contrary to du Boulay's observations, asymmetric loss of signal, consistent with pulsatile CSF flow, was demonstrated at the level of the foramen of Monro in 15 of the 35 volunteers. Based on the pattern of flow void at the level of the foramen of Monro and on the expansion of the third ventricle during systole, we propose a theory of synchronous CSF flow at the foramen of Monro and aqueduct, which unifies our MR findings with du Boulay's cineventriculographic observations.

Adult

Human brain motion and cerebrospinal fluid circulation demonstrated with MR velocity imaging.

Present theory holds that pulsatile pressure of cerebrospinal fluid (CSF) is driven by the force of expansion of the choroid plexus. Alternate theories postulating that a possible movement of the brain is involved in pumping CSF have not, to the authors' knowledge, been substantiated heretofore. In this study, in vivo, quantitative magnetic resonance (MR) imaging methods were developed to show reproducible magnitudes and directions of CSF flow. Measurements were obtained with a new MR velocity imaging technique at high resolution (0.4 mm/sec), requiring 64 cardiac cycles per image. Twenty-five healthy volunteers and five patients were studied. Observations of pulsatile brain motion, ejection of CSF out of the cerebral ventricles, and simultaneous reversal of CSF flow direction in the basal cisterns toward the spinal canal, taken together, suggest that a vascular-driven movement of the entire brain may be directly pumping the CSF circulation. The authors describe what they believe to be the first observations and measurements of human brain motion, which occurs in extensive internal regions (particularly the diencephalon and brain stem) and is synchronous with cardiac systole.

Adolescent

Contiguous thin multisection MR imaging by two-dimensional Fourier transform techniques.

Section thickness in two-dimensional Fourier transform (FT) imaging is dependent on gradient strength and the shape of the radio-frequency pulses used to excite the nuclei. By manipulation of these parameters, it is possible to obtain 2.5-mm-thick sections in contiguous, multisection imaging. Because this method is efficient in imaging with long repetition times (TR), it effectively complements three-dimensional FT thin-section imaging techniques, which require imaging with short TRs. Fifteen double-echo, contiguous images of 0.9 X 0.9 X 2.5-mm resolution were obtained in 17.1 minutes for a TR of 2 seconds.

Fourier Analysis

Halving MR imaging time by conjugation: demonstration at 3.5 kG.

Conjugation can be used to synthesize half of the data acquired during a conventional two-dimensional Fourier transform imaging procedure, thus reducing imaging time by nearly half. The images acquired by this process have the same object contrast and spatial resolution as conventional images do, but with a 40% reduction in the signal-to-noise ratio (S/N). Conjugation can be used to advantage in magnetic resonance imaging units in which S/N levels are higher than needed to permit imaging with a single acquisition of each projection.

Fourier Analysis

Gated magnetic resonance imaging of the intracranial cerebrospinal fluid spaces.

The pulsatile nature CSF flow in the cerebral aqueduct has been demonstrated by du Boulay using air cineventriculography, a technique which disturbs normal CSF dynamics. To investigate this phenomenon non-invasively, we studied 35 normal volunteers using high-resolution, cardiac-gated magnetic resonance imaging (MRI). Specifically, we wished to document changes in size, configuration and signal intensity of the CSF spaces as they related to time in the cardiac cycle. Results show that changes in size and configuration were measurable in the third ventricle only (size increased during systole in 7 of the 35 volunteers). Except for the lateral ventricles, some loss in signal intensity was seen in all CSF spaces at least during systole, in all 35 volunteers-findings consistent with du Boulay's. However, contrary to du Boulay's observations, asymmetric loss of signal, consistent with pulsatile CSF flow, was demonstrated in the foramen of Monro in 15 of the 35 volunteers. Based on the pattern of signal void at the level of the foramen of Monro and on the expansion of the third ventricle during systole we propose a theory of synchronous CSF flow at the foramen of Monro and aqueduct, which unifies our MRI findings with du Boulay's cineventriculographic observations.

Adult

Magnetic resonance imaging the velocity vector components of fluid flow.

Encoding the precession phase angle of proton nuclei for Fourier analysis has produced accurate measurement of fluid velocity vector components by MRI. A pair of identical gradient pulses separated in time by exactly 1/2 TE, are used to linearly encode the phase of flow velocity vector components without changing the phase of stationary nuclei. Two-dimensional Fourier transformation of signals gave velocity density images of laminar flow in angled tubes which were in agreement with the laws of vector addition. These velocity profile images provide a quantitative method for the investigation of fluid dynamics and hemodynamics.

Fourier Analysis

Multiple spin-echo magnetic resonance imaging.

Spin-echo magnetic resonance (MR) imaging detects a variety of pathologic states with great sensitivity. A technique for producing multiple spin-echo images in multisection operation is presented. This method of intensity-image acquisition is compared with retrospective intensity-image synthesis from routine data sets. Both yield long echo time (TE) images with similar image contrast and comparable and often increased diagnostic utility. Technical and clinical considerations are addressed, including signal-to-noise levels, flow effects, and patient throughput.

Brain Diseases

Magnetic resonance imaging performance: a comparison of sodium and hydrogen.

Although many nuclei can be used to produce magnetic resonance (MR) images, technical considerations dictate the choice of certain of these. Hydrogen is the most favorable, followed by sodium. We present an evaluation of the imaging performance of sodium MR imaging based on imager performance and biologic factors. Because it is hampered by high operating fields, low signal-to-noise levels, and radiofrequency power deposition constraints, careful clinical comparisons will be needed to identify a diagnostic niche that could take advantage of the large sodium differences known to exist within biologic systems.

Brain Neoplasms

Inner volume MR imaging: technical concepts and their application.

Although cross-sectional magnetic resonance examination of the head and body is useful for screening large regions of tissue, subsectional regions of the head and body often need to be examined. Orthogonally directed, selectively irradiated planes with different flip angles produce a spatially limited signal region from which two- or three-dimensional volume images can be reconstructed. Images with limited fields-of-view can be acquired in reduced imaging time. We present a general description of this technique. These subsectional or "inner volume" images eliminate respiratory motion artifacts by excluding moving tissues from the imaged volume. A result of this technique is a high signal from rapid pulsatile blood flow, produced without cardiac gating the pulse sequence.

Blood Flow Velocity

MR technology: effect of even-echo rephasing on calculated T2 values and T2 images.

In multiple spin-echo image sequences of blood flow, the "even-echo" phenomenon produces an absolute increase in signal magnitude from first- to second-echo images of normal vessels harboring slow flow. Distinguishing this from the apparent relatively high signal intensity seen on second-echo images in pathologic foci of stationary tissue is important to the diagnostician. Selected case material containing two tissue types was reviewed retrospectively: tissues known to harbor slow flow, such as normal veins and venous sinuses and vascular malformations, and tissues that have long transverse (T2) relaxation times and appear as intense structures on second-echo images, such as neoplasms, infarcts, and regions of demyelination. Calculations of T2 parameters were made by computer for defined regions of interest. T2 images were also generated. Visual inspection of the acquired images did not reliably distinguish increased intensity due to even-echo rephasing from the relative changes between adjacent tissues seen on second-echo images. More definitive differentiation of the even-echo phenomenon was provided by calculated values of T2 and computer-synthesized T2 images representing acquired intensity data of two-echo sequences. The synthesized images were especially useful when stationary tissue with lengthened T2 values was adjacent to or in proximity to vessels or vascular lesions. A five spin-echo image sequence was valuable for separating slow flow from stationary tissue by a technique of synthesizing T2-difference images using three consecutive echoes.

Brain Diseases

Hydrogen MR imaging of the head at 0.35 T and 0.7 T: effects of magnetic field strength.

To determine whether hydrogen magnetic resonance imaging at 0.7 T provides added clinical value over imaging at 0.35 T, images of the heads of patients with various intracranial disorders were obtained at these field strengths. Measurements of tissue contrast (C), signal-to-noise (S/N) ratio, and T1 and T2 relaxation times were determined. For a given spin-echo sequence with equal imaging time, resolution, and data sampling window, the product C X S/N was somewhat lower for the lower field strength. Under conditions of imaging with equal chemical shift artifact, C X S/N at 0.35 T was equal to or greater than that measured at 0.7 T. With an increase in field strength, T1 of pathologic areas and surrounding normal tissues increased, resulting in a corresponding loss of absolute signal level and decrease in contrast. Lesions were equally well seen at both 0.35 T and 0.7 T. The increased T1 and decreased C X S/N for higher magnetic fields--when measured with a fixed imaging time, resolution, chemical shift, and sequence--suggest that such field strengths may not improve tissue contrast, diagnostic ability, or clinical throughput when compared with lower field strength systems.

Brain