Biomedical subjects

E M Haacke

Publications and source records attributed to E M Haacke.

At least 37 records · Page 2Linked to original sources

PubMed1999

Hemispheric language dominance in children demonstrated by functional magnetic resonance imaging.

The objective of this study was to demonstrate hemispheric language dominance in normal children. Fifteen normal children were evaluated with functional magnetic resonance imaging (MRI) using an age-related silent word spelling paradigm. The data were analyzed with the cross-correlation method, and lateralization indices were calculated in language regions as determined by Talairach coordinates. Activation foci were detected in the left inferior frontal area and were strongly lateralized, with language lateralization indices of 0.74 +/- 0.21 (age 7-12 years, nine subjects), and 0.79 +/- 0.18 (13-18 years, six subjects). The indices were similar to those for adults (0.83 +/- 0.21, four subjects). Our study established that language is strongly lateralized to the left hemisphere in children as young as 7 years of age.

Adolescent↗

PubMed1999

Three-dimensional gadolinium-enhanced coronary magnetic resonance angiography: initial experience.

We present our initial experience on first-pass gadolinium-enhanced coronary artery magnetic resonance angiography (MRA). Three-dimensional segmented gradient-echo sequences were developed to image coronary arteries within a single breathhold during the injection of a double-dose contrast agent. Comparisons were made between a short TR of 2.7-msec (n = 5) and a long TR of 5.0-msec (n = 3) sequences in terms of the signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR). An in-plane resolution of roughly 1 x 1 mm2 was achieved. Dramatic vascular signal enhancement by a factor of 3-5 was obtained in volunteers following the contrast agent injection, allowing for clear visualization of proximal coronary arteries. The longer TR scans generally performed better in terms of SNR and CNR improvement (approximately 50%) but allowed for less coverage. These preliminary results suggest that gadolinium-enhanced MRA is a useful tool to study proximal coronary arteries with breathhold, but for a larger coverage, a multiple dose approach may be necessary.

Adult↗

PubMed1999

Coronary MR angiography.

Coronary MR angiography has developed rapidly over the past several years. Not only is research being performed at academic centers but industry is also investing in dedicated contrast agents and cardiac MR imaging platforms. Although current coronary MR angiography has limited clinical utility, its place within the assessment of ischemic cardiac disease is evolving. The technology currently under investigation holds much promise, especially when one considers that MR has the potential to provide information currently supplied by the performance of a number of screening tests. It would be far more cost-effective to perform a single MR examination than to perform a stress echo, rest-stress nuclear medicine examination and a conventional coronary angiogram. In addition, clinicians need information about coronary flow and myocardial perfusion. Although some of this information can be currently obtained with an intravascular Doppler flow wire or by positron emission tomography, MR angiography offers the advantages of being both noninvasive and more easily accessible in comparison to either method. The combined information promised by a comprehensive cardiac MR examination that includes coronary MR angiography as a component is an exciting prospect.

Contrast Media↗

PubMed1998

In vivo measurement of changes in venous blood-oxygenation with high resolution functional MRI at 0.95 tesla by measuring changes in susceptibility and velocity.

High-resolution functional imaging experiments at 0.95 Tesla have been performed to determine the changes in oxygen saturation in pial veins during motor activation by measuring both flow and susceptibility changes in the blood. Averaging across subjects, mean values for the change of the oxygenation level, deltaY = 0.16 +/- 0.08 (n = 7) and deltaY = 0.13 +/- 0.09 (n = 4), were obtained from the susceptibility sensitive and the flow sensitive acquisitions, respectively. The results suggest that the increase in blood flow is largely uncoupled from the oxygen consumption. The quoted errors reflect mainly the intersubject variability. In addition, low-resolution echo planar imaging (EPI) measurements were performed on the same volunteers to quantify signal intensity changes. Using the measured change in oxygenation, the observed signal changes in the EPI experiments can be attributed to a 5% venous blood volume.

Adolescent↗

PubMed1998

Accurate determination of spin-density and T1 in the presence of RF-field inhomogeneities and flip-angle miscalibration.

A method is presented for the accurate extraction of relative spin-density (rho0) and spin-lattice relaxation time (T1) in the presence of RF-field inhomogeneities and flip-angle miscalibration. The method requires collecting images at several flip-angles with a three-dimensional, spoiled steady-state, gradient-echo imaging sequence. Results show that the predominant effect of an overestimated flip-angle is to shift the T1 estimate to a higher value, whereas reductions in the normalized RF-field from unity cause rho0 and T1 distributions to be skewed toward lower values. Phantom and in vivo results demonstrate that the proposed method overcomes both of these systematic errors. The method was shown to be valid for up to a 50% reduction in RF sensitivity. A self-consistency argument was used to validate the absence of systematic errors in the extracted rho0 and T1 values over a large number of voxels. This made it possible to obtain a very precise estimate of muscle T1 at 1.5 T, yielding a 95% confidence interval of (1077.7 +/- 3.5) ms.

Algorithms↗

PubMed1998

High-resolution venography of the brain using magnetic resonance imaging.

The purpose of this study was to evaluate a non-flow related magnetic resonance imaging method to visualize small veins independent of arteries in the human brain. A long TE, high-resolution 3D gradient echo MR acquisition was used to highlight venous information. The method is based on the paramagnetic property of deoxyhemoglobin and the resulting phase difference between veins and brain parenchyma at long echo times. The MR magnitude images were masked with a phase mask filter to enhance small structure visibility. Venous information down to sub-pixel vessel diameters of several hundred microns is visible. Venous data are displayed in an angiographic manner using a minimum intensity projection algorithm. Both superficial veins and deep white matter veins are visible. The method has been successfully applied in volunteers. Preliminary results in patients with cerebral arteriovenous malformations indicate its potential in clinical applications. The proposed method is easy to implement and does not require administration of a contrast agent or application of specially designed rf pulses to highlight the veins. Rather it exploits the intrinsic magnetic properties (BOLD-effect) and the prolonged T2* of venous blood. The method may be of diagnostic potential in the assessment of arteriovenous malformations or other vascular venous lesions.

Adolescent↗

PubMed1998

Functional magnetic resonance imaging of the basal ganglia and cerebellum using a simple motor paradigm.

Activation of cortical and subcortical motor areas of the brain, including primary motor cortex, supplementary motor area, basal ganglia and cerebellum, were successfully investigated in seven right-handed, normal volunteers during a simple, rapid, thumb flexion-extension task using functional magnetic resonance imaging. A multi-slice echo-planar imaging sequence was used to cover the entire brain. A signal increase varying from 2% to 6% was observed for the different regions involved in the motor task. Moving the non-dominant thumb was associated with a more bilateral activation pattern in both putamen and cerebellar regions. This study demonstrates the capability of functional magnetic resonance imaging to delineate simultaneously many activated brain areas that are commonly thought to be involved in the performance of motor tasks.

Adult↗

PubMed1998

Contrast-enhanced magnetic resonance imaging of the coronary arteries. A review.

The advent and continued improvement of T1-shortening contrast media have revolutionized magnetic resonance angiography (MRA) of the entire body in recent years. The technical basis for contrast-enhanced MRA is fast three-dimensional (3D) imaging. A brief historic review of the technical advances in MR coronary artery imaging clearly points to the importance of improved gradient capabilities that led to the development and wide application of fast 3D imaging. The use of contrast agents in coronary artery imaging has been expected for many years, given its success in other parts of the body. Nevertheless, because of the potential difficulties and unique characteristics of fast 3D imaging in the heart, the utility of contrast agents in coronary artery imaging has been systematically investigated only in the last 2 years. Initial experience from our group and others showed that contrast agents have great potential in pushing MR coronary artery imaging to a much higher level in terms of speed and signal-to-noise ratio (SNR), and intravascular agents are more desirable than extracellular agents. Nevertheless, because of the technical challenges and the diversity of methods used for coronary artery imaging, much more effort is needed to continue to improve the imaging techniques and further to define the roles of contrast agents in coronary artery imaging.

Animals↗

PubMed1998

Detection of coronary stenoses on source and projection images using three-dimensional MR angiography with retrospective respiratory gating: preliminary experience.

OBJECTIVE: Our objective was to study the ability of three-dimensional MR angiography with retrospective respiratory gating to reveal stenoses in proximal coronary arteries on source and projection images. CONCLUSION: Proximal coronary artery stenoses can be identified using three-dimensional MR angiography with retrospective respiratory gating, both with projection images and on source images alone. Reasons for missed lesions included collateral vessels and retrograde flow distal to complete occlusion and volume averaging of vessels with adjacent structures. Causes of false-positive interpretations included small foci of decreased signal intensity distal to complete occlusion, partial volume effects on individual partitions, and regions of distal vessels leaving the imaging plane.

Aged↗

PubMed1997

Functional magnetic resonance imaging in schizophrenia: initial methodology and evaluation of the motor cortex.

The purpose of the present study was to evaluate the differential activation of the motor cortex during finger tapping in patients with schizophrenia using the newly available imaging method of functional magnetic resonance imaging (fMRI). Nine patients with DSMIII-R schizophrenia and 9 well-matched healthy volunteer subjects underwent fMRI examination on a conventional MR unit; activation of the primary motor cortex was evaluated during performance of a finger motion task. Localized activation of the motor cortex was observed in 17 of 18 subjects during fMRI. Patients and controls were, however, indistinguishable with respect to signal intensity or area thereof within the motor cortex. fMRI did not reveal motor cortical dysfunction in schizophrenia. Despite its infancy, fMRI holds considerable promise to advance understanding of the neurodynamics of psychiatric disorders, particularly schizophrenia.

Adult↗

PubMed1997

Quantitation of T2' anisotropic effects on magnetic resonance bone mineral density measurement.

In this paper, the authors quantitate the anisotropy of susceptibility effects in an uniaxial trabecular bone model and show its relevance to clinical MR bone mineral density measurements. A physical model is described that quantitates the anisotropic MR behavior of uniaxial trabecular bone. To test the model; a phantom of parallel polyethylene filaments was scanned every 15 degrees between 0 degrees and 90 degrees with respect to the system's main magnetic field (B0). The distal radial metaphysis of a healthy female volunteer was scanned in orthogonal projections. The signal from each phantom image and each radial image was separated in a pixel-wise fashion into R2 and R2' maps. As predicted, R2' relaxation showed anisotropic behavior and changed according to sin2 (theta), confirming that columnar structures parallel with B0 will cause no MR susceptibility effects. Scans of the distal radius showed that R2' relaxation was twice as great with the forearm perpendicular to B0 as when it was parallel to it, demonstrating different contributions from struts and columns. For both phantom and radial bone scans, R2 relaxation was isotropic and did not change with object orientation.

Adult↗

PubMed1997

An MRI method for measuring T2 in the presence of static and RF magnetic field inhomogeneities.

A magnetic resonance imaging method for measuring the T2 relaxation time constant is proposed. It is based on the assumption that, under very general conditions, the MR signal near a spin echo has a special symmetry arising from the refocusing nature of the 180 degrees RF pulse. A gradient echo sampling of the spin echo (GESSE) sequence is implemented to evaluate T2 by collecting multiple gradient echoes before and after the spin echo. This approach is a modification of the GESFIDE sequence proposed by Ma and Wehrli. However, our approach compares images that are not separated by any RF pulses and, as a result, is insensitive to slice profile imperfections. In addition, the calculated T2 value does not rely on any special assumptions about the MRI signal behavior in the presence of an inhomogeneous static magnetic field and, hence, is insensitive to the presence of static magnetic field inhomogeneities.

Female↗

PubMed1997

Quantitative regional brain water measurement with magnetic resonance imaging in a focal ischemia model.

Therapeutic approaches to cerebral edema require an understanding of both the magnitude and location of changes in brain water content. It is desirable to have a sensitive, accurate means of measuring brain water noninvasively so that effective therapies for cerebral edema in stroke, head trauma, and other conditions can be investigated. In this work, a three-dimensional magnetic resonance imaging technique that is able to provide both spin density and T1 simultaneously is described. This method was used to quantitate regional changes in brain water content in a rat model of focal cerebral ischemia. Brain water contents estimated from both relative spin density and relative T1 measurements made in vivo were compared with ex vivo measurements of relative tissue water content based on the wet-dry technique. Correlation coefficients of 0.95 and 0.98 were obtained between the wet-dry measurements and magnetic resonance measurements of T1 and spin density, respectively. Notably, the slope of the relationship between T1 and tissue water content changed dramatically after the injection of a paramagnetic contrast agent while precontrast and postcontrast spin density measurements remained essentially invariant. In addition, a plot of absolute spin density (obtained by normalizing spin density from agar gelatin phantoms of different water contents to the spin density of a sample of 100% water) was linearly related to wet-dry measurements with a slope of 0.99 (R2 = 0.99).

Animals↗

PubMed1997

Quantitative measurements of regional cerebral blood volume using MRI in rats: effects of arterial carbon dioxide tension and mannitol.

A three-dimensional (3D) T1-weighted sequence was used to acquire high spatial resolution whole brain images in rats before and after the injection of an intravascular contrast agent. These T1-weighted images were used to estimate regional cerebral blood volume (rCBV) as a percentage of blood volume in each voxel. Ventilation was manipulated to investigate the effects of altered arterial carbon dioxide tension (PaCO2) on rCBV. In addition, different doses of a hypertonic mannitol solution were used to investigate the sensitivity of the proposed method in a serial monitoring paradigm. An rCBV of 2.40% +/- 0.34% was obtained before any physiological manipulation, in good agreement with literature values using alternative techniques. Using this method, it was found that there exists a linear relationship between PaCO2 and rCBV (R2 = 0.77) and that rCBV increased in a dose and time dependent fashion in mannitol-treated rats. High signal-to-noise was available due to the substantial increase in blood signal from the intravascular contrast agent.

Animals↗

PubMed1997

Statistical assessment of crosscorrelation and variance methods and the importance of electrocardiogram gating in functional magnetic resonance imaging.

Processing of functional magnetic resonance imaging (fMRI) data is a critical step in evaluating experimental results. We address the question of choosing between a Student t-test method, crosscorrelation method, or a weighted z-score method in analyzing functional MR images. We present an analytic analysis that makes it possible to make a statistical decision in setting the threshold for the crosscorrelation coefficient. Specifically, the theory for an receiver operating characteristic (ROC) analysis (description of type I and type II error) has been applied to the crosscorrelation method. Both theoretical predictions as well as model simulations are presented to prove that the crosscorrelation and weighted z-score method have the same statistical power. We introduce the concept of a variance image and use it to not only choose between the correlation image and a simple t-test image but also to obtain a final image that combines the efficient aspects of both the correlation and the simple t-test images. The variance image itself is shown to be an indicator of both patient motion and/or internal physiological motion in the brain. Furthermore, we delineate the importance of electrocardiogram (ECG) gating in reducing the variance in fMRI of human motor cortex.

Electrocardiography↗

PubMed1997

Small vessels in the human brain: MR venography with deoxyhemoglobin as an intrinsic contrast agent.

To assess a magnetic resonance (MR) imaging method for depicting small veins in the brain, a three-dimensional, long echo time, gradient-echo sequence that depended on the paramagnetic property of deoxyhemoglobin was used. Veins with diameters smaller than a pixel were depicted. This MR imaging method is easy to implement and may prove helpful in the evaluation of venous diseases.

Brain↗

PubMed1996

Improving the temporal resolution of functional MR imaging using keyhole techniques.

Using a keyhole technique, it is shown that the data acquisition rate of gradient-echo imaging for functional MRI (fMRI) studies can be increased substantially. The resulting enhancement of the temporal resolution of fMRIs was accomplished without modifying the hardware of a conventional MRI system. High spatial resolution fMRI images were first collected with conventional full k-space acquisition and image reconstruction. Using the same data set, simulation reconstruction using the keyhole principle and zero-padding were performed for comparison with the full k-space reconstruction. No significant changes were found for fMRI images generated from the keyhole technique with a data sharing profile of 50% of the k-space. As k-space data sharing profiles increased to 75 and 87.5%, the keyhole fMRI images began to show only modest changes in activation intensity and area compared with the standard images. In contrast, zero-padding fMRI images produced a significant disparity both in activation intensity and area relative to the truly high-resolution fMRI images. The keyhole technique's ability to retain the intensity and area of fMRI information, while substantially reducing acquisition time, makes it a promising method for fMRI studies.

Adult↗

PubMed1996

Myocardial signal response to dipyridamole and dobutamine: demonstration of the BOLD effect using a double-echo gradient-echo sequence.

The purpose of this study was to examine the differential myocardial signal responses due to the blood oxygen level dependent (BOLD) effect in magnetic resonance imaging (MRI) under differing conditions of myocardial oxygen supply and demand. The signal response was measured when myocardial blood flow was increased in excess of oxygen demand or when flow was increased in response to increased myocardial oxygen demand. Normal volunteers were studied using a segmented, interleaved, double-echo, gradient-echo sequence at baseline conditions and during pharmacological stress with either dipyridamole (n = 5) or dobutamine (n = 6). Changes in T2* in the myocardium during stress were calculated. Peak coronary flow velocity was measured at rest and during stress using a breath-hold phase contrast technique. Administration of dipyridamole induced a 124 +/- 27% increase in coronary blood flow which resulted in a 46 +/- 22% increase in T2*, consistent with a decrease in myocardial venous deoxyhemoglobin concentration as myocardial oxygen supply exceeds demand. In contrast, the administration of dobutamine resulted in a 41 +/- 25% increase in coronary blood flow but no significant change in T2* (-5 +/- 19%), consistent with a lack of change in myocardial venous deoxyhemoglobin concentration and balanced oxygen supply and demand. Thus, alterations in the relationship between myocardial oxygen supply and demand appear to be detectable using BOLD MRI.

Adrenergic beta-Agonists↗