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K Butts

Publications and source records attributed to K Butts.

28 records · Page 2Linked to original sources

Diffusion-weighted interleaved echo-planar imaging with a pair of orthogonal navigator echoes.

This work describes a diffusion-weighted (DW) interleaved echo-planar imaging (IEPI) method for use on either conventional whole-body scanners or scanners equipped with high-speed gradient and receiver hardware. In combination with cardiac gating and motion correction with a pair of orthogonal navigator echoes, the presented method is time-efficient, compensates for patient motions, and is less sensitive to image distortions than single-shot methods. The motion-correction scheme consists of correction for constant and linear phase terms found from the orthogonal navigator echoes. The correction for the linear phase term in the phase-encode direction includes gridding the data to the Cartesian grid. The DW IEPI was used to image a phantom rotating about the slice-select direction, and motion correction was performed to eliminate ghost artifacts arising from motion in either the readout- or phase-encoding directions. DW IEPI with motion correction was performed on a normal volunteer and on a patient with a 26-day-old region of ischemia over much of the right hemisphere.

Algorithms↗

The effect of respiration on the contrast and sharpness of liver lesions in MRI.

This work demonstrates the effects of through-plane motion due to respiration on contrast and sharpness of liver lesions in MRI. The effects of slice coverage with and without such respiratory motion is also reported. This work is comprised of two parts: a theoretical prediction of liver-lesion contrast and blur with and without respiration and an experimental validation using gel phantoms of the predicted results. Both theory and experiment show a loss of contrast, increasing with amplitude of the peak-to-peak motion. The loss of contrast for a 5-mm lesion at normal respiration of 15 mm peak-to-peak superior-inferior motion is approximately 10% with a low order sorted respiratory ordered phase encoding acquisition and approximately 50% for an unsorted acquisition. Lesion blur is greatest for the low order sorted acquisition while the unsorted and high sort acquisitions maintain edge definition. Breath-hold imaging is potentially superior to nonbreath-hold imaging in liver lesion contrast and edge definition, but is more sensitive to inadequate slice coverage.

Artifacts↗

Dual-echo interleaved echo-planar imaging of the brain.

An interleaved echo-planar imaging (EPI) technique is described that provides images from 20 sections of the brain at two echo times (27 and 84 ms) in 1:05. Six echoes per image per repetition are collected in 24 repetitions of the pulse sequence. MR images of the brain obtained from five volunteers using the dual-echo EPI sequence, fast spin-echo (FSE), and conventional dual-echo spin-echo were evaluated qualitatively for diagnostic use and quantitatively for relative signal-to-noise ratio (SNR), contrast, and contrast-to-noise ratios (CNR).

Adipose Tissue↗

Interleaved echo planar imaging on a standard MRI system.

This work describes an interleaved echo planar imaging (EPI) method for use on a standard whole body scanner. The data acquisition is divided into two to eight repetitions rather than one to two, as implemented by dedicated EPI systems. Interleaving allows the use of a lower sampling bandwidth with a significant increase in signal-to-noise. The method also has the advantages of relative ease of implementation, no need for postprocessing to remove image distortion, and no need for shimming on a case-by-case basis. The interleaved EPI method was applied to two applications ideally suited to EPI: breathhold T2-weighted abdominal imaging and functional imaging. In vivo liver-lesion contrast as measured in a 35-patient study showed increased contrast for the interleaved EPI by an average factor of 1.21 (+/- 0.34) over conventional spin-echo imaging. CNR measurements showed the EPI to be comparable with conventional spin echo with a relative factor of 1.00 (+/- 0.36). Functional imaging with an eight-shot interleaved EPI sequence provided 128 x 128 images of cerebral activation during bilateral finger tapping.

Abdomen↗

Imaging of cerebral activation at 1.5 T: optimizing a technique for conventional hardware.

PURPOSE: To empirically optimize a two-dimensional magnetic resonance (MR) imaging technique for detecting changes in signal intensity during cerebral activation with a standard clinical imager. MATERIALS AND METHODS: Visual activation experiments were performed while imaging parameters were manipulated in a serial fashion, to test their effect on the percentage change in signal intensity (PCSI). The parameters tested were section thickness, echo time (TE), field of view (FOV), flip angle, radio-frequency (RF) spoiling, number of readout points, and number of signals averaged. RESULTS: The PCSI for visual activation experiments was typically in the 1%-5% range. The best results were achieved with a small section thickness, long TE, and large FOV. Variations in other acquisition parameters had a negligible influence on the PCSI. CONCLUSION: Good results can be obtained at functional MR imaging with standard 1.5-T hardware. Markedly improved results can be obtained by optimizing several key variables, namely, section thickness, TE, and FOV.

Adult↗

Phase velocity mapping with a real time line scan technique.

A real-time, 20-Hz, one-dimensional MR velocity imaging technique is described. A two-dimensional RF pulse excites a 3-cm diameter column. Velocity maps are formed from the phase difference between successive flow encoded and compensated acquisitions. A three-point subtraction variation provides reduced sensitivity to static spins.

Magnetic Resonance Imaging↗

Echo-planar imaging of the liver with a standard MR imaging system.

PURPOSE: A multisection, whole-body echo-planar imaging (EPI) sequence was developed to obtain T2-weighted images of the liver in one 18-second breath hold with a standard magnetic resonance (MR) imaging system. MATERIALS AND METHODS: This capability was achieved by dividing the data acquisition period into eight interleaved segments rather than one or two as implemented previously with EPI systems having high-power gradient subsystems. RESULTS: The interleaved echo-planar images had excellent depiction of anatomy and no identifiable respiratory artifact. In 26 lesions in 12 patients, the eight-shot echo-planar images (2,000/66 [repetition time msec/echo time msec]) had superior contrast compared with conventional T2-weighted spin-echo (SE) images (2,500/60) by an average factor of 1.22 +/- 0.31 (standard deviation) and an average contrast-to-noise ratio relative to conventional T2-weighted SE images of 0.85 +/- 0.22. CONCLUSION: With a conventional MR imaging system, breath-hold T2-weighted echo-planar images of the liver are comparable in diagnostic quality to conventional T2-weighted SE images.

Adenoma, Islet Cell↗

Analysis of flow effects in echo-planar imaging.

The effects on the phase of spins moving during echo-planar imaging (EPI) acquisition were studied. Standard single-shot and interleaved multishot blipped EPI acquisitions were considered, assuming either high gradient strength and slew rates or standard gradient strength and slew rates. A spiral k-space trajectory was also considered. Flow components in the section-select and phase- and frequency-encoding directions were analyzed separately. While the effect of flow in the section-select direction is identical to that in a standard two-dimensional Fourier transform (2DFT) acquisition, flow in the phase- or frequency-encoding directions can have substantial effects on the image, different from that in 2DFT imaging. The magnitude of these effects, which include displacement, distortion, and/or ghosting of vascular structures, is analyzed and predicted for a given velocity and direction of flow, the specific acquisition sequence, and the strength and slew rate of the gradients. For example, 50-cm/sec flow along the phase-encoding direction can cause a blurring of 1.25 cm full width at half maximum for blipped EPI with high-strength gradients, assuming a 40-cm field of view and 64 x 64 matrix.

Magnetic Resonance Imaging↗

Clinical aspects of DWI.

Diffusion-weighted MR imaging (DWI) is capable of imaging ischemia-induced changes in water protons in either animal or man. Technical developments are described that allow the routine clinical utility of DWI in a stroke setting to provide objective criteria beyond the neurological exam by which the pathophysiology of stroke can be evaluated. To date, DWI has provided unique information concerning detection and evaluation of acute, symptomatic lesions from older, chronic strokes, detection and localization of small deep infarcts and reversible ischemic neurologic deficits and transient ischemia. Clinical DWI studies suggest that the temporal behaviour of ADC can critically improve the evaluation of clinical ischemia.

Aged↗

Changes in posterior disc bulging and intervertebral foraminal size associated with flexion-extension movement: a comparison between L4-5 and L5-S1 levels in normal subjects.

BACKGROUND CONTEXT: No previous study has used magnetic resonance imaging (MRI) to evaluate changes of posterior disc bulging and intervertebral foraminal size in the normal spine with flexion-extension movement, comparing L4-5 versus L5-S1 intervertebral levels. PURPOSE: To determine changes in posterior disc bulging and intervertebral foraminal size with flexion-extension movement, comparing L4-5 versus L5-S1 intervertebral levels. STUDY DESIGN: An in vivo study of magnetic resonance kinematics with spine flexion extension. METHODS: Spines of three volunteers with no history of low back pain were scanned in neutral, flexion, and extension positions in a vertically open MRI system. MRI was repeated after 6 hours of normal activity and an additional 4 hours of heavy activity with a weighted vest. Posterior bulging of the intervertebral disc and the size of intervertebral foramen were measured at the L4-5 and L5-S1 levels. RESULTS: With spine flexion, posterior bulging of the discs increased at L4-5 in eight of nine measurements (three different spine-loading states for each of three subjects) and L5-S1 discs in six of nine measurements. In most cases, posterior bulging decreased with extension. No significant difference was noted in the degree of disc bulge between levels. Foraminal size at L4-5 increased with flexion and decreased with extension, and the extent of these changes was greater at the L4-5 level than at L5-S1. CONCLUSIONS: This pilot study demonstrates two distinct behavior characteristics of the normal spine with flexion-extension movement.

Adult↗