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Biomedical subjects

H R Hart

Publications and source records attributed to H R Hart.

At least 19 recordsLinked to original sources

Noninvasive imaging of the normal temporal bone. Comparison of sagittal surface coil magnetic imaging and high-resolution computed tomography.

High-resolution computed tomography (HRCT) is a noninvasive technique for evaluating the middle ear for primary and recurrent cholesteatoma. However, a limitation of HRCT is that it cannot differentiate between cholesteatoma and granulation tissue. Magnetic resonance imaging (MRI) is a noninvasive, nonradiologic technique that has been effective in demonstrating histochemical differences between various soft tissues. We present images from a normal living subject's temporal bone in the sagittal plane obtained with both HRCT and MRI. Anatomic correlates in the same cut planes are presented. The HRCT provided excellent detail of the bony landmarks within the temporal bone and was used as the reference for the MRI. The soft-tissue structures such as cranial nerves, cochlea, vestibule, and semicircular canals were identified.

Humans↗

Rapid scan magnetic resonance angiography.

The change in phase of transverse spin magnetization induced by macroscopic spin motion in the direction of an applied magnetic field gradient is used to generate projection angiograms. The method can provide a quantitative measure of laminar and pulsatile flow. Cardiac synchronization is not required provided that data are acquired at many points in the cardiac cycle. The use of short TR and a large number of excitations provides better suppression of stationary tissue and patient motion artifacts than is possible with cardiac gated studies. In addition to improvements in image quality, a substantial shortening of scan time is obtained.

Angiography↗

3D reconstruction of the brain from magnetic resonance images using a connectivity algorithm.

We present high resolution three dimensional (3D) connectivity, surface construction and display algorithms that detect, extract, and display the surface of a brain from contiguous magnetic resonance (MR) images. The algorithms identify the external brain surface and create a 3D image, showing the fissures and surface convolutions of the cerebral hemispheres, cerebellum, and brain stem. Images produced by these algorithms also show the morphology of other soft tissue boundaries such as the cerebral ventricular system and the skin of the patient. For the purposes of 3D reconstruction, our experiments show that T1 weighted images give better contrast between the surface of the brain and the cerebral spinal fluid than T2 weighted images. 3D reconstruction of MR data provides a non-invasive procedure for examination of the brain surface and other anatomical features.

Adult↗

Normal and abnormal temporomandibular joint: MR imaging with surface coil.

The normal temporomandibular joint (TMJ) was evaluated using magnetic resonance (MR) imaging with a surface coil in five subjects and compared with the abnormal joint in 37 patients (aged 14-59 years; total joints studied, 76). Multisection 3-mm-thick sagittal, coronal, and axial images were obtained with a 1.5-T MR system and 6.5-cm-diameter surface coil using both partial saturation and spin-echo sequences (TR = 1,000 msec, TE = 20 or 25 msec). A comparison with arthrography (n = 13 joints), computed tomography (CT) (n = 11), and surgical (n = 5) findings demonstrated that MR imaging with a surface coil provided an accurate depiction of both normal and abnormal TMJs. MR provided information about meniscal position, morphology, and histology that was not available with either arthrography or CT alone. The imaging potential of MR and its noninvasive characteristics warrant priority for further examination of MR as a useful modality in the diagnosis of TMJ pain and dysfunction.

Adolescent↗

Magnetic resonance angiography.

Pulse sequences that permit selective detection of moving spins in a magnetic resonance image have been developed. Experiments were performed by the authors to produce projected angiographic data without the use of contrast agents, with the intensity of each image pixel determined by the macroscopic velocity of the detected spins. With this method, suppression of nonmoving spins is essentially complete, yielding a high dynamic range in signal intensity for detected vessels. Selective detection of moving spins is not dependent on pulsatile flow. Consequently, not only arterial structures, but also venous structures can easily be visualized. High-resolution angiographic images can be obtained by combining the flow experiment with surface coil techniques.

Angiography↗

Magnetic resonance angiography in the head and neck.

Magnetic resonance angiography (MRA) provides a means to visualize vessel structure without the use of contrast agents and consequently without the risks and discomfort associated with contrast media. We have developed a flow encoding procedure which exploits the spatial dependence in the phase of spin magnetization generated by a gradient pulse. This technique yields image information for only those spins having macroscopic motion (i.e. flowing blood). Excellent suppression of non-moving spins can be obtained despite the overwhelming abundance of stationary spins. Data are presented in a projection format similar to that of traditional subtraction angiography.

Blood Vessels↗

High resolution magnetic resonance imaging using surface coils.

There is, of course, an intense activity directed at the improvement of MR imaging capabilities. Surface-coil techniques offer the possibility of improving the SNR sufficiently to permit the reduction of pixel sizes to values that would not be possible with conventional head and body coils. The successful application of surface-coil techniques to MR imaging suggests that this technique will be widely used in future MR imaging systems. This provides a fertile field for new research. This includes opportunities for mathematical and physical research into optimizing coil design. It also includes many opportunities for clinical research into the utilization of surface coils and high resolution MR imaging.

Equipment Design↗

Orbital magnetic resonance imaging.

Magnetic resonance images of the eye and orbit performed with surface coils at 1.5 tesla showed anatomic details superior to those of conventional third- and fourth-generation computed tomography.

Anterior Chamber↗

Ocular and orbital lesions: surface coil MR imaging.

Nine lesions, four ocular (three melanomas, one hemangioma) and five orbital (two perioptic meningiomas, one hemangioma, one pseudotumor, one mucocele), were evaluated by magnetic resonance surface coil imaging at 1.5 T. Small ocular lesions with 3.9-4.5-mm-elevation were demonstrated. The use of two different pulse sequences resulted in separation of melanoma from adjacent retinal detachment. Contrast obtained between orbital lesions and the adjacent normal structures was better than that demonstrated with high-resolution computed tomography.

Adolescent↗

Improved MR imaging of the orbit at 1.5 T with surface coils.

A method for obtaining localized high-resolution magnetic resonance (MR) images of the eye and orbit is demonstrated. The method uses modified surface receiver coils placed immediately adjacent to the anatomy to detect the MR signal. Surface coils provide enhanced sensitivity for imaging voxels close to the surface of the body while limiting the received patient-generated noise. The resulting improvement in signal-to-noise ratio allows for a reduction in the imaging voxel size to about 0.5 X 0.5 X 5 mm in scan times of 3.4-5 min. At this level of resolution, anatomic detail in the orbital region previously unobservable in MR images is seen.

Eye↗

Anatomy and metabolism of the normal human brain studied by magnetic resonance at 1.5 Tesla.

Proton magnetic resonance (MR) images were obtained of the human head in magnetic fields as high as 1.5 Tesla (T) using slotted resonator high radio-frequency (RF) detection coils. The images showed no RF field penetration problems and exhibited an 11 (+/- 1)-fold improvement in signal-to-noise ratio over a .12-T imaging system. The first localized phosphorus 31, carbon 13, and proton MR chemical shift spectra recorded with surface coils from the head and body in the same instrument showed relative concentrations of phosphorus metabolites, triglycerides, and, when correlated with proton images, negligible lipid (-CH2-) signal from brain tissue on the time scale of the imaging experiment. Sugar phosphate and phosphodiester concentrations were significantly elevated in the head compared with muscle. This method should allow the combined assessment of anatomy, metabolism, and biochemistry in both the normal and diseased brain.

Brain↗

Signal, noise, and contrast in nuclear magnetic resonance (NMR) imaging.

Calculations of the sensitivity of the saturation recovery and inversion recovery pulse sequences used in nuclear magnetic resonance imaging show the former to be superior in discriminating between tissues with the same proton density but different T1's. Two other pulse sequences, which are combinations of the above, have also been analyzed. These have lower T1 discrimination sensitivity, but other considerations, such as self-normalization, may still make them attractive. The calculations are only valid for selective excitation pulse sequences in which the selected slice profiles are approximately rectangular, and thus a sin(bt)/t radiofrequency excitation is desirable. In order to ensure that the saturation recovery sequence gives valid results for pulse repetition times comparable to or shorter than T2, it is necessary to destroy the coherence between pulse applications. For this purpose we use a series of "spoiler" gradient pulses between pulse trains. The saturation recovery pulse sequence also has the advantage that, by the correct choice of interpulse spacing, sensitivity close to the optimum T1 discrimination can be achieved over a wide range of T1 values. This has the potential advantage to the clinician of simplifying his choice of parameters for imaging.

Humans↗

Nuclear magnetic resonance imaging: contrast-to-noise ratio as a function of strength of magnetic field.

The choice of the strength of the magnetic field for an imaging system based on the nuclear magnetic resonance of hydrogen is considered. It is shown by an analysis based on in vitro data that the quality, or contrast-to-noise ratio, of images based on T1 or T2 discrimination increases with field up to 1.5-2 T. After a brief discussion of potential high-field limitations, results are presented which show that images of the human head with excellent anatomic detail can be produced at 1.5 T or 64 MHz.

Magnetic Resonance Spectroscopy↗