Biomedical subjects

Karla L Miller

Publications and source records attributed to Karla L Miller.

4 recordsLinked to original sources

PubMed2004

Steady-state diffusion-weighted imaging of in vivo knee cartilage.

Diffusion-weighted imaging (DWI) has strong potential as a diagnostic for early cartilage damage, with clinical impact for diseases such as osteoarthritis. However, in vivo DWI of cartilage has proven difficult with conventional methods due to the short T2. This work presents a 3D steady-state DWI sequence that is able to image short-T2 species with high SNR. When combined with 2D navigator correction of motion-induced phase artifacts, this method enables high resolution in vivo DWI of cartilage. In vivo knee images in healthy subjects are presented with high SNR (SNR = 110) and submillimeter in-plane resolution (0.5 x 0.7 x 3.0 mm(3)). A method for fitting the diffusion coefficient is presented which produces fits within 10% of literature values. This method should be applicable to other short-T2 tissues, such as muscle, which are difficult to image using traditional DWI methods.

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PubMed2004

Discrepancies between BOLD and flow dynamics in primary and supplementary motor areas: application of the balloon model to the interpretation of BOLD transients.

The blood-oxygen-level-dependent (BOLD) signal measured in the brain with functional magnetic resonance imaging (fMRI) during an activation experiment often exhibits pronounced transients at the beginning and end of the stimulus. Such transients could be a reflection of transients in the underlying neural activity, or they could result from transients in cerebral blood flow (CBF), cerebral metabolic rate of oxygen (CMRO2), or cerebral blood volume (CBV). These transients were investigated using an arterial spin labeling (ASL) method that allows simultaneous measurements of BOLD and CBF responses. Responses to a finger-tapping task (40-s stimulus, 80-s rest) were measured in primary motor area (M1) and supplementary motor area (SMA) in five healthy volunteers. In SMA, the average BOLD response was pronounced near the beginning and end of the stimulus, while in M1, the BOLD response was nearly flat. However, CBF responses in the two regions were rather similar, and did not exhibit the same transient features as the BOLD response in SMA. Because this suggests a hemodynamic rather than a neural origin for the transients of the BOLD response in SMA, we used a generalization of the balloon model to test the degree of hemodynamic transients required to produce the measured curves. Both data sets could be approximated with modest differences in the shapes of the CMRO2 and CBV responses. This study illustrates the utility and the limitations of using theoretical models combined with ASL techniques to understand the dynamics of the BOLD response.

Adult↗

PubMed2003

Nonlinear phase correction for navigated diffusion imaging.

Motion during diffusion-weighted imaging (DWI) introduces phase errors that can cause significant artifacts in brain images. One method of correcting these errors uses additional navigator data to measure the phase corruptions. Standard navigator methods correct for rigid-body motion but cannot correct for nonrigid deformations of the brain related to the cardiac cycle. This work derives a generalized reconstruction that corrects for nonrigid motion based on a least-squares formulation. Since this reconstruction has the disadvantage of being computationally expensive, an approximation is presented, called a refocusing reconstruction. The refocusing reconstruction is both efficient and straightforward. Each readout is multiplied in image space by the phase conjugate of the navigator image, and these rephased readouts are then summed. The conditions under which the refocusing reconstruction is sufficient are considered and methods to improve the quality of refocused images are discussed. In particular, synchronization of the acquisition to the cardiac cycle can provide data that is well-conditioned to the refocusing reconstruction without incurring the large time penalty traditionally associated with cardiac gating. These methods are applied to steady-state DWI, a promising pulse sequence that is particularly sensitive to motion-induced phase artifacts. The refocusing reconstruction is shown to significantly improve SS-DWI over standard rigid-body corrections.

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PubMed2003

Functional brain imaging using a blood oxygenation sensitive steady state.

Blood oxygenation level dependent (BOLD) functional MRI (fMRI) is an important method for functional neuroimaging that is sensitive to changes in blood oxygenation related to brain activation. While BOLD imaging has good spatial coverage and resolution relative to other neuroimaging methods (such as positron emission tomography (PET)), it has significant limitations relative to other MRI techniques, including poor spatial resolution, low signal levels, limited contrast, and image artifacts. These limitations derive from the coupling of BOLD functional contrast to sources of image degradation. This work presents an alternative method for fMRI that may over-come these limitations by establishing a blood oxygenation sensitive steady-state (BOSS) that inverts the signal from deoxygenated blood relative to the water signal. BOSS fMRI allows the imaging parameters to be optimized independently of the functional contrast, resulting in fewer image artifacts and higher signal-to-noise ratio (SNR). In addition, BOSS fMRI has greater functional contrast than BOLD. BOSS fMRI requires careful shimming and multiple acquisitions to obtain a precise alignment of the magnetization to the SSFP frequency response.

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