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G W Lenz

Publications and source records attributed to G W Lenz.

9 recordsLinked to original sources
PubMed1989

Intracranial circulation: preliminary clinical results with three-dimensional (volume) MR angiography.

The authors assessed the clinical utility of a magnetic resonance angiography technique in the evaluation of intracranial circulation. Eighteen patients with a low likelihood of cerebrovascular disease (control group) and 40 patients with suspected cerebrovascular disease were imaged with a FISP (fast imaging with steady precession) sequence (repetition time of 50 msec, echo time of 15 msec, velocity compensation in the read and section-select directions with acceleration compensation in the read direction, 15 degrees anisotropic volume, and a 1.25-mm partition thickness). Ninety-four percent of images in the control group and 72% of images in the group with cerebrovascular disease were considered useful for diagnosis. This technique can provide accurate images of intracranial circulation and can be performed in conjunction with two-dimensional spin-echo or gradient-echo imaging. It was most useful in the evaluation of patent intracranial aneurysms, vessel displacement, and large-vessel occlusive disease. Disadvantages included limited field of view, persistent signal voids, limited spatial resolution, and inadequate depiction of lesions with slow flow.

Adolescent↗
PubMed1989

Three-dimensional (volume) gradient-echo imaging of the carotid bifurcation: preliminary clinical experience.

This study was designed to test the accuracy of magnetic resonance (MR) imaging with a FLASH (fast low-angle shot) 40 degrees volume pulse sequence by comparing it with intraarterial digital subtraction angiography (DSA) in patients with suspected carotid artery stenoses. Fifteen patients referred for evaluation of anterior circulation in cerebrovascular disease composed the pilot group. Twelve patients underwent correlative intraarterial DSA examinations. The FLASH volume sequence, with an echo time of 7.7 seconds, produced high-signal-intensity vascular images for 28 of 30 bifurcations. Of the 24 carotid bifurcations studied with DSA, 22 were depicted with MR angiography. Among the depicted bifurcations, 21 showed good correlation with the DSA images. These included four of four normal bifurcations, three of three with mild stenosis, four of four with moderate stenosis, eight of nine with severe stenosis, and two of two with occlusions. With respect to ulceration, three of four MR angiographic studies showed good correlation with DSA images. This preliminary experience indicates that the method is reproducible and capable of delineating carotid lesions in patients and that it can be performed in conjunction with conventional spin-echo imaging of the brain with only a small increase in patient examination time.

Adult↗
PubMed1988

Carotid bifurcation: MR imaging. Work in progress.

To devise and implement an in-plane magnetic resonance angiography examination of the carotid bifurcation capable of producing high-resolution images, the authors examined 19 normal carotid arteries and 14 patients with angiographically documented disease with two flow-correction techniques: a three-gradient, velocity-refocused technique with spin-echo (SE) and gradient-echo sequences, and a four-gradient velocity- and acceleration-corrected SE technique. With use of three equal gradients in the read direction, velocity-related phase changes were minimized by placing the dephasing gradient after the 180 degree pulse and near the read gradient. Acceleration effects were minimized through the use of short echo times and cardiac gating. Both velocity- and acceleration-produced phase changes were corrected with the four-gradient scheme but at the expense of some limitations in spatial resolution. Both techniques consistently produced satisfactory images of the carotid bifurcation in healthy individuals. However, the results indicate that the present gradient-phase modulation techniques have several drawbacks, including susceptibility to patient motion, overlapping with the jugular vein, and inability to image carotid stenosis accurately due to turbulence.

Blood Flow Velocity↗
PubMed1988

In-plane vascular imaging: pulse sequence design and strategy.

Magnetic resonance (MR) angiography is a noninvasive method of obtaining images without contrast agents. Recent developments in sequence design have allowed images of moving spins to be obtained without a loss of signal by rephasing the spins with three or four gradient pulses to compensate for constant velocity or acceleration, respectively. At longer echo times (TE), this approach allowed for low readout gradients and high signal-to-noise ratios. Angiograms with a resolution of 300 micron were obtained. With additional sequences that allow some dephasing but minimal signal loss, separate images of arteries and veins were obtained. Phase information was used to estimate flow velocity. Application of the rephasing scheme to gradient-echo sequences allowed for ungated, fast MR angiograms. Acceleration correction was important for long TE sequences, but velocity-corrected, gradient-echo sequences with a very short TE were comparable to velocity- and acceleration-corrected, gradient-echo sequences with slightly longer TEs. With ungated three-dimensional, gradient-echo sequences, susceptibility artifacts were minimized and excellent contrast-to-noise ratios were obtained.

Angiography↗
PubMed1987

Pseudo-gating: elimination of periodic motion artifacts in magnetic resonance imaging without gating.

This note explains and illustrates a technique of reducing artifacts produced by periodic motion without using physiologic gating. The method is simple and can be applied on any standard MRI unit. For periodic motion, effective gating can be attained by setting the product of the number of acquisitions (at each phase-encoding step), N, times the repeat time, TR, equal to the period of the motion, T. This pseudo-gating can be used with any TR but, if changes in the period occur, is most robust with short TR values. The method is also applicable to multislice and volume imaging. For fast field echo methods, the above rule can be used if the period of the motion is smaller than the total scan time. Otherwise, the scan need only be repeated N times to avoid artifacts and improve signal-to-noise. The method has been implemented to remove both respiratory and/or cardiac motion artifacts.

Heart↗
PubMed1987

Improving MR image quality in the presence of motion by using rephasing gradients.

Numerous techniques exist for suppressing ghosting artifacts due to respiratory motion on MR images. Although such methods can remove coherent ghosting artifacts, motion during gradient pulses also leads to poor image quality. This is due to phase variations at the echo caused by changes in velocity from one phase-encoding view to the next. The effect becomes severe for long sampling times and long TE values and can lead to low estimates of T2. We discuss general, robust modifications of the standard gradient or spin-echo sequences by using rephasing gradients that force the phase of constant-velocity moving spins to be zero at the echo. These sequences lead to a significant reduction in motion artifacts and hence improvement in image quality. They can be applied to multislice, multiecho, water/fat, and gating schemes as well. Since motion problems are universal, it would appear that these modified sequences should come into common usage for MR imaging.

Humans↗
PubMedDate not supplied

Electrocardiograph-independent, "wireless" cardiovascular cine MR imaging.

A new electrocardiograph (ECG)-independent, "wireless" gating technique for cine magnetic resonance (MR) imaging was evaluated in 23 cases of cardiovascular disease; in each case, standard ECG-dependent image loops were available for comparison. The ECG-independent strategy references cine MR imaging data retrospectively to inherent periodic changes in MR signal related to the cardiac cycle. With a "double-section" method, both timing data reflecting such changes and imaging data can be acquired simultaneously. "Artificial R waves" are extracted from the timing data acquired with a projection approach. The ECG-independent image loops were diagnostic in 91% of cases. Their overall image quality was at least equal to that of available ECG-dependent versions in only 39% of cases, but this proportion increased to 53% if cases with suboptimal imaging orientations for monitoring of the motion-dependent signal changes were excluded. Orientation appeared to be the primary technical limitation associated with this ECG-independent technique; however, poor ventricular function also significantly impaired performance. Improvement in the performance of the ECG-independent strategy is anticipated with technical advances.

Adolescent↗
PubMedDate not supplied

Retrospective cardiac gating: a review of technical aspects and future directions.

The advent of short TR gradient-echo imaging has made it possible to acquire cine images of the heart with conventional whole body MRI scanners. In this paper, technical details of the data collection and image reconstruction process for cine MRI using retrospective cardiac gating are presented. Specifically, the following issues are discussed: data sorting and interpolation; time resolution; motion compensation and phase information; the type of steady state sequence including optimal flip angle; respiratory motion and correction; and the potential of 3D imaging.

Electrocardiography↗