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Katsuya Takahama

Publications and source records attributed to Katsuya Takahama.

9 recordsLinked to original sources

Reduction in flow artifacts by using interleaved data acquisition in segmented balanced steady-state free precession cardiac MRI.

Balanced steady-state free precession (SSFP) magnetic resonance (MR) imaging is feasible for cine cardiac images because of the high contrast between myocardium and blood pool and robustness to rapid blood flow. Nonetheless, the flow artifacts are often observed because of off-resonance effects and to in-flow effects of the blood flow. Although reshimming the gradients or readjusting the center frequency reduces the artifacts, the technique can be susceptible for respiratory and cardiac motion and operator-dependent. The purpose of this study is to use another MR imaging technique for the reduction in the flow artifacts in the heart: odd-even interleaved data acquisition in segmented balanced SSFP imaging. The flow artifacts in the ventricle, ghost outside the heart, and visualization of the myocardial border were visually compared between sequential and odd-even interleaved k-space data acquisitions in cine balanced SSFP cardiac MR imaging. The odd-even interleaved k-space data acquisition significantly reduced dark flow artifacts in the left ventricle, improved the visualization of the myocardial border, and was easily installed. This imaging technique should be applied to cine segmented balanced SSFP cardiac MR imaging.

Adult↗

Magnetic resonance portography using contrast-enhanced fat-saturated three-dimensional steady-state free precession imaging.

PURPOSE: To assess the feasibility of contrast-enhanced fat-saturated three-dimensional steady-state free precession (FIESTA) imaging for contrast-enhanced magnetic resonance (MR) portography. MATERIALS AND METHODS: Contrast-enhanced fat-saturated three-dimensional fast spoiled gradient-echo (SPGR) and FIESTA were performed as MR portography. In 10 cases, fat-saturated three-dimensional FIESTA was first performed and followed by fast SPGR, and the order of post-contrast imaging was reversed in the other 10 cases. Signal-to-noise ratios (SNRs) and contrast-to-noise ratios (CNRs) were estimated for portal and visceral veins on the source images. The visualization of portal vein was scored on three-dimensional MR portography. Portal venous system disorders were assessed using three-dimensional MR portography. RESULTS: The SNRs, CNRs, and visual assessment of portal and visceral veins were significantly higher in contrast-enhanced fat-saturated three-dimensional FIESTA than contrast-enhanced fat-saturated three-dimensional fast SPGR (P < 0.05). The contrast-enhanced fat-saturated three-dimensional FIESTA provided high venous signals even at 8 minutes after gadolinium injection. The abnormalities of portal venous system were well visualized with MR portography using contrast-enhanced fat-saturated three-dimensional FIESTA. CONCLUSION: Contrast-enhanced fat-saturated three-dimensional FIESTA was valuable for MR portography, with flexible time window and high vascular signals. This imaging may allow for other post-contrast imaging options before portography and release patients from consecutive breath-holds.

Adult↗

Delayed hyper-enhancement of myocardium in hypertrophic cardiomyopathy with asymmetrical septal hypertrophy: comparison with global and regional cardiac MR imaging appearances.

PURPOSE: To evaluate the relationship between delayed hyper-enhancement of the myocardium and global and regional cardiac abnormalities in hypertrophic cardiomyopathy (HCM) with asymmetrical septal hypertrophy using magnetic resonance (MR) imaging. MATERIALS AND METHODS: Twenty-three patients with HCM with asymmetrical septal hypertrophy were examined using a 1.5-T MR unit. Contrast-enhanced inversion-recovery gradient-echo imaging was performed to observe the myocardial damages associated with HCM. Balanced steady-state free precession imaging was performed to assess regional wall abnormalities and ejection fraction, and black-blood fast spin-echo imaging was performed to assess left atrial diameter. RESULTS: Delayed hyper-enhancement of the myocardium was primarily observed in the interventricular septal wall. Septal walls with the higher transmural extent of delayed hyper-enhancement were significantly thicker at end-diastole and end-systole (P < 0.05), and tended to show a decreased percentage systolic wall thickening (P = 0.079). There were no differences in theses values between non-enhancing septal walls and septal walls with the transmural extent < 50%. CONCLUSION: The high transmural extent of delayed hyper-enhancement of the myocardium may reflect the severe myocardial damage associated with the regional hypertrophy and hypokinesia in HCM.

Adolescent↗

Staging of malignant lymphoma with three-station black-blood fast short-inversion time inversion recovery (STIR).

PURPOSE: The purpose of this study was to assess the usefulness of three-station black-blood fast short-inversion time inversion recovery (STIR) imaging in detecting and staging malignant lymphoma. METHODS: Seventeen patients with malignant lymphoma were examined with a 1.5T imager. The findings and stagings determined with three-station black-blood fast STIR imaging were compared with reference standards (e.g., computed tomography [CT] findings and clinical stagings). RESULTS: Three-station black-blood fast STIR imaging provided a fat-suppressed T2-weighted imaging contrast with fewer flow artifacts and revealed nodal involvement as well as bone marrow and spleen involvement to an extent comparable with CT. Especially notable was the excellent specificity (94%) of this imaging technique. Regarding disease staging, significant agreement was observed between clinical staging (k=0.60) and staging as evaluated by three-station black-blood fast STIR, although the detection of lymphadenopathy in the thorax was relatively poor. The average time required for this imaging was approximately 30 min. CONCLUSION: Three-station black-blood fast STIR MR imaging may be useful as a staging tool for malignant lymphoma because this imaging technique reveals lymphoma lesions, which determine the staging, without radiation exposure or the use of contrast agents.

Adult↗

Centrally fat-saturated three-dimensional magnetic resonance angiography of the abdomen using selective central fat-saturation of k-space.

PURPOSE: To assess the usefulness of centrally fat-saturated three-dimensional magnetic resonance (MR) angiography of the abdomen using an elliptical centric view order and selective placement of fat-saturation pulses in the central 30% portion of the k-space in terms of fat signal reduction, image contrast of post-contrast images, and breath-holding time. METHODS: Fat signal in abdomen and breath-holding time were compared between centrally fat-saturated three-dimensional sequence and partially fat-saturated three-dimensional sequence or conventional fat-saturated three-dimensional sequence. Abdominal contrast-enhanced centrally fat-saturated three-dimensional MR angiography was obtained at arterial and equilibrium phases, and image quality was quantitatively and visually evaluated. RESULTS: Centrally fat-saturated three-dimensional sequence suppressed fat signal, as did the conventional fat-saturated three-dimensional sequence, and the breath-hold was prolonged only by 1.5 seconds compared to the partially fat-saturated three-dimensional sequence. Contrast-enhanced centrally fat-saturated three-dimensional MR angiography provided abdominal MR arteriography with large signal difference between vessels and fat, while venous signal was insufficient at equilibrium phase. CONCLUSION: Abdominal contrast-enhanced centrally fat-saturated three-dimensional MR angiography using an elliptical centric view order and selective central fat-saturation of k-space reduced fat signal comparable to conventional fat-saturated three-dimensional sequence, and provided contrast-enhanced MR arteriography with high vascular contrast and minimum prolongation of breath-hold.

Abdomen↗

Fat-suppressed three-dimensional MR angiography technique with elliptical centric view order and no prolonged breath-holding time.

PURPOSE: To determine the appropriate rate of fat-suppression pulses (using spec IR-spectral selective inversion recovery) for fat-suppressed 3D magnetic resonance angiography (MRA) with an elliptical centric view order. MATERIALS AND METHODS: In abdominal 3D fast spoiled gradient echo (fast SPGR) with an elliptical centric view order, the spec IR pulse rate was changed from zero to one every 15 repetitions (in nine steps) in eight volunteers. In the equilibrium phase, abdominal contrast-enhanced 3D MRA was obtained by 3D fast SPGR using an elliptical centric view order without fat-suppression and with two spec IR, and by fat-suppressed 3D fast SPGR with a sequential-centric view order (efgre3D) in 18 cases. Fat and vascular signals were estimated. RESULTS: Although 3D fast SPGR using an elliptical centric view order with spec IR placed every 15 TR and efgre3D effectively decreased fat signals, these sequences lengthened the breath-hold by 4-6 seconds compared with non-fat-suppressed sequence. 3D fast SPGR using an elliptical centric view order and two spec IR reduced the fat signal by 30% and provided good 3D MR angiography without substantial prolongation of breath-hold. CONCLUSION: Two spec IR can be used for generation of partially fat-suppressed abdominal 3D MRA without prolongation of the breath-hold when performing 3D fast SPGR using an elliptical centric view order.

Abdomen↗

T1-weighted magnetic resonance imaging sequence appropriate for the evaluation of the longitudinal relaxation effect of superparamagnetic iron oxide: a phantom study.

The goal of this study was to determine a T1-weighted magnetic resonance (MR) imaging sequence appropriate for evaluating the longitudinal relaxation effect of superparamagnetic iron oxide (ferumoxides) in a phantom study. An agarose phantom that included various concentrations of ferumoxides (0 - 0.5 mmol/l in 0.05 mmol/l increments) was examined for six types of T1-weighted imaging sequences using a 1.5-T MR unit. Three-dimensional (3D) fast spoiled gradient-echo (SPGR) imaging with a short echo time showed a strong linear correlation between the concentration of ferumoxides and the enhancement ratio. Two-dimensional (2D) fast SPGR imaging showed a high signal-to-noise ratio of the phantom even at low ferumoxides concentrations. These results suggest that 3D fast SPGR imaging is an appropriate technique for the evaluation of the longitudinal relaxation effect of ferumoxides, and that 2D fast SPGR imaging can be useful for evaluating the longitudinal relaxation effect at lower ferumoxides concentrations.

Dextrans↗