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Biomedical subjects

D G Nishimura

Publications and source records attributed to D G Nishimura.

17 recordsLinked to original sources

Fast angiography using selective inversion recovery.

We have developed an enhancement of selective inversion recovery that allows us to obtain high-resolution angiograms in reduced scan time. By applying several read pulses following each tagging inversion pulse, we can obtain several phase encodes in each cardiac cycle, thereby reducing the total scan time required for a complete image. Using this technique, high-resolution angiograms can be obtained in as little as 15 s. Because the phase encodes are collected in short bursts separated by long pauses, care must be taken to maintain uniform signal weighting across phase-encoding views and avoid ghosting. We use an increasing flip-angle sequence to equalize signal level weighting across the readouts. The phase encodes are collected in a special order to minimize ghosting. A postprocessing technique is used to further reduce signal nonuniformity between phase encodes. This fast angiography technique can significantly reduce artifacts due to patient motion during scanning and is especially useful for imaging vasculature in regions of the body where respiratory motion is a problem.

Algorithms

Twisting radial lines with application to robust magnetic resonance imaging of irregular flow.

A problem with magnetic resonance angiograms of vessels containing irregular flow is that flow-induced dephasing can result in voids in the image. These void regions are susceptible to misinterpretation as regions of stenosis or other vessel pathology. Flow-induced dephasing can be minimized by using radial lines to cover k space. However, radial lines provide a very nonuniform, and hence, inefficient, coverage of k space. By twisting the outer portions of the radial trajectories, undistorted images of very rapid and turbulent flow can be obtained with a reasonable number of RF excitations.

Blood Flow Velocity

Deblurring for non-2D Fourier transform magnetic resonance imaging.

For several non-2D Fourier transform imaging methods, off-resonant reconstruction does not just cause geometric distortion, but changes the shape of the point spread function and causes blurring. This effect is well known for projection reconstruction and spiral k-space scanning sequences. We introduce here a method that automatically removes blur introduced by magnetic field inhomogeneity and susceptibility without using a resonant frequency map, making these imaging methods more useful. In this method, the raw data are modulated to several different frequencies and reconstructed to create a series of base images. Determination of degree of blur is done by calculating a focusing measure for each point in each base image and a composite image is then constructed using only the unblurred regions from each base image. This method has been successfully applied to phantom and in vivo images using projection-reconstruction and spiral-scan sequences.

Algorithms

Pulsed saturation transfer contrast.

In vivo 1H conventional NMR image contrast generation usually relies on the macroscopic T1 and T2 relaxation parameters of the tissues of interest. Recently cross-relaxation related image contrast has been reported by Wolff and Balaban in animal models. Due primarily to the broad lineshape of the intended saturation spin pool and the use of off-resonance irradiation, high specific absorption rate and an auxiliary RF amplifier have been necessary to produce these images. The relatively long spin-lattice relaxation property of this spin pool, however, suggests the use of pulse methods to achieve saturation. In this paper, we show that short-T2 spin pools can be selectively saturated with short intense RF pulses. Cross-relaxation time constants can be measured using the technique of saturation recovery. In vivo magnetization-transfer-weighted images can be produced using pulses on commercial whole-body imagers without additional hardware.

Adipose Tissue

Fast spiral coronary artery imaging.

A flow-independent method for imaging the coronary arteries within a breath-hold on a standard whole-body MR imager was developed. The technique is based on interleaved spiral k-space scanning and forms a cardiac-gated image in 20 heartbeats. The spiral readouts have good flow properties and generate minimal flow artifacts. The oblique slices are positioned so that the arteries are in the plane and so that the chamber blood does not obscure the arteries. Fat suppression by a spectral-spatial pulse improves the visualization of the arteries.

Adipose Tissue

Flow-independent magnetic resonance projection angiography.

The performance of current, flow-based sequences for imaging vasculature using MR is severely restricted in regions with inherently slow flow. We address this problem with a flow-independent imaging method. Specifically, we generate projection images of blood in the limbs while suppressing signal from all other tissues (primarily skeletal muscle, bone marrow, and subcutaneous fat) using a flow-compensated, water-selective, short TI inversion recovery sequence with a long echo time. We experimentally evaluate the effectiveness of this sequence and present in vivo results clearly demonstrating the method's potential.

Adipose Tissue

Multiple-readout selective inversion recovery angiography.

We have developed a variation of selective inversion recovery (SIR) angiography that allows us to obtain a collection of several angiograms within the same acquisition time previously required to obtain a single image. In basic SIR, a single readout is performed after the tagging inversion pulse. In multiple-readout SIR, a succession of readout pulses is applied following the inversion pulse. By varying the gradients appropriately during the successive readouts, we can obtain a set of multiple projection-angle angiograms, or, by appropriately spacing the readouts throughout the cardiac cycle, we can obtain a set of time-resolved angiograms. This technique allows us to obtain additional spatial or temporal information without increasing total scan time. A sequence of increasing flip-angle read pulses is used to maintain a constant signal level across the images. A trade-off exists between SNR and the number of images acquired.

Blood Vessels

Coronary angiography using fast selective inversion recovery.

Using a fast version of selective inversion recovery, we have obtained coronary angiograms of normal volunteers showing the proximal portions of the left coronary artery. Blood is tagged in the aortic root at end systole using a 2D inversion pulse. After a wash-in time of 300-600 ms, the coronary vessels are imaged with a 2- to 3-cm-thick slab in either axial or oblique projection. The scan is completed within a breathhold in 24 heartbeats.

Coronary Vessels

On the nature and reduction of the displacement artifact in flow images.

In flow-imaging experiments with 2-D Fourier transform sequences, the time difference between phase encoding and readout leads to a potentially misleading displacement artifact. This artifact arises in regions of rapid flow and high shear, and manifests as an intensity distortion in addition to a bulk shift. We have studied methods of mitigating the artifact, including offset-echo acquisition, backward-evolving phase encoding, moment-compensated phase encoding, and projection-reconstruction imaging. Experiments on flow phantoms verified the nature and reduction of this displacement artifact. Of the four methods studied, the projection-reconstruction sequence proved to be the most effective, completely eliminating the artifact.

Artifacts

Time-of-flight MR angiography.

Time-of-flight effects depend on the displacement of blood with respect to a region of excitation. When combined with static material suppression and projection imaging, time-of-flight effects provide a flexible means of flow sensitization for magnetic resonance (MR) angiography. Bolus tracking, flow enhancement by spin replacement, and selective tagging are three classes of methods being pursued for MR angiography.

Blood Circulation

Simultaneous spatial and spectral selective excitation.

Using a k-space interpretation of small-tip excitation, a single excitation pulse has been designed that is simultaneously selective in space and resonant frequency. An analytic expression for the response of this pulse has been derived. The pulse has been implemented on a 1.5-T imaging system. The pulse has been applied to a rapid gradient-echo imaging sequence that forms both water and fat images within a breath-holding interval. These rapid images are free of the chemical shift artifacts at organ boundaries that typically afflict conventional rapid images. The pulse can be applied to a variety of other sequences, such as multislice water/fat sequences and rapid k-space scanning sequences.

Adipose Tissue

Computing material-selective projection images in MR.

We detail a robust, general method for computing projection images of individual materials in a volume as linear combinations of MR projection images with different material-dependent weightings. Signal per unit volume for each material in each raw image is acquired directly for accurate cancellation of undesired, overlapping materials. The weighted sum of the input images is determined to maximize the signal-to-noise ratio (SNR) and minimize inhomogeneity effects in the material-selective images. We tested the implementation experimentally in both phantom and human studies, producing selective images with reasonable SNRs and material isolation. With further development of sequences to rapidly acquire input images having greater material differentiability, we envision the application of the selective projection imaging format to screening studies searching over large volumes for diseased tissues.

Humans

Considerations of magnetic resonance angiography by selective inversion recovery.

In the selective inversion recovery method for projection angiography, upstream blood is tagged by an inversion excitation and then allowed to flow into the imaged region. The subtraction of this first image from a second image acquired without the tagging leaves a signal from only the selectively tagged blood. Pulse sequence design involves consideration of the duration of the blood transit interval, excitation timing and cardiac gating, static material suppression, inversion excitation pulses, and flow compensation. Each of these considerations must be viewed with respect to the particular application. The method has demonstrated potential application to areas such as the carotid arteries, aortic arch, and peripheral vessels.

Arteries

MR angiography by selective inversion recovery.

A modified inversion-recovery sequence is introduced which performs subtraction angiography by varying time-of-flight effects of blood flowing into an imaged slab. The selective 180 degrees excitation inverts different regions between measurements to isolate arterial and/or venous blood. On normal human subjects, high-resolution carotid artery angiograms have been obtained.

Carotid Arteries

Dual-energy x-ray projection imaging: two sampling schemes for the correction of scattered radiation.

In addition to the familiar problems of reduced contrast and signal-to-noise ratio (SNR) in the single energy case, dual-energy subtractions in the presence of scattered radiation suffer further degradations from: (1) artifacts due to nonuniform subtraction of scatter, and (2) a serious deterioration of the signal of interest. To determine the expected performance of scatter correcting schemes, we simulated energy subtractions performed in the presence of scatter. We discuss scatter's detrimental effects on contrast and SNR in these simulations and the expected improvements from scatter corrections to within 5% to 10%. We introduce two sampling schemes for the correction of scatter. Each scheme requires two measurements, and each involves placing an x-ray opaque sampling grid between the source and the object. In the first method, the grid is an array of lead disks present only during one measurement. Using these samples we generate an estimate of the scatter field and then subtract it from the second measurement yielding a scatter corrected image. In the second method, the grid is an array of lead strips present during both measurements but displaced between measurements by one-half of a strip spacing to completely sample the image. From the two measurements we generate an image to be corrected, an estimate of the scatter field, and a scatter corrected image. In phantom studies implemented on a digital fluoroscopy system, we observed for single energy images of blood vessel phantoms improved contrast and field uniformity. For scatter corrected selective material cancellations in human phantoms we observed improved contrast and significant reduction in artifacts. In both cases we observed no significant loss in SNR. These results facilitate the implementation of efficient large area detectors for dual-energy imaging.

Algorithms

Two interpolating filters for scatter estimation.

We have previously reported on a dual-measurement sample-and-estimate technique for scatter correction. In this paper, we present a scatter-correction technique that uses the previous sampling scheme but a different method of estimation. To provide samples of the scatter directly, an array of small, uniformly spaced lead disks is placed immediately before the object during only the first measurement. Interpolating from these samples we form an estimate of the scatter. We subtract this estimate from the second measurement to form a scatter-corrected image. Previously, we used least-squares interpolation to estimate the scatter. Because the samples are uniformly spaced, classical sampling theory motivated the investigation of interpolating filters for scatter estimation. To form the scatter image, we convolved the sample set with two different interpolating filters--a sinc function from classical sampling theory and a jinc function because the scatter function is radially symmetric. Using phantoms as objects, we applied both filters for scatter correction in vessel imaging and energy-subtraction imaging. Initial corrected images contained an artifact attributed to aliasing. We modified the filter widths to reduce the aliasing. Although improvements in image quality were measured and the artifact was less pronounced, the artifact was still present. We present the phantom results obtained with this class of filters and discuss methods for its improved performance.

Algorithms