Biomedical subjects

M B Scheidegger

Publications and source records attributed to M B Scheidegger.

28 records · Page 2Linked to original sources

PubMed1996

Comparison of magnetic resonance imaging and Laser Doppler Anemometry velocity measurements downstream of replacement heart valves: implications for in vivo assessment of prosthetic valve function.

BACKGROUND AND AIM OF THE STUDY: The non-invasive, in-vivo assessment of prosthetic valve function is compromised by the lack of accurate measurements of the transvalvular flow fields or hemodynamics by current techniques. Short echo time magnetic resonance imaging (MRI) may provide a method for the non-invasive, in vivo assessment of prosthetic valve function by accurately measuring changes in the transvalvular flow fields associated with normal and dysfunctional prosthetic valves. The objectives of these in vitro experiments were to investigate the potential for using MRI as a tool to measure the complex flow fields distal to replacement heart valves, and to assess the accuracy of MRI velocity measurements by comparison with Laser Doppler Anemometry (LDA), a gold standard. METHODS: The velocity fields downstream of tilting disc, bileaflet, ball and cage, and pericardial tissue valves were measured using both three-component LDA and MRI phase velocity encoding under a steady flow rate of 22.8 l/min, simulating peak systolic flow. The valves were tested under normal and stenotic conditions to assess the MRI capabilities under a wide range of local flow conditions, velocities and turbulence levels. A new short echo time MRI technique (FAcE), which allowed velocity measurements in stenotic jets with high turbulence, was tested. RESULTS: Good overall agreement was obtained between the MRI velocity measurements and the LDA data. The MRI velocity measurements adequately reproduced the spatial structure of the flow fields. In most cases peak velocities were accurately measured to within 15%. CONCLUSIONS: The results indicate that the FAcE MRI method has the potential to be used as a diagnostic tool to assess prosthetic valve function.

Aortic Valve↗

PubMed1995

Limitations of stimulated echo acquisition mode (STEAM) techniques in cardiac applications.

Stimulated echoes are widely used for imaging functional tissue parameters such as diffusion coefficient, perfusion, and flow rates. They are potentially interesting for the assessment of various cardiac functions. However, severe limitations of the stimulated echo acquisition mode occur, which are related to the special dynamic properties of the beating heart and flowing blood. To the well-known signal decay due to longitudinal relaxation and through-plane motion between the preparation and the read-out period of the stimulated echoes, additional signal loss is often observed. As the prepared magnetization is fixed with respect to the tissue, this signal loss is caused by the tissue deformation during the cardiac cycle, which leads to a modification of the modulation frequency of the magnetization. These effects are theoretically derived and corroborated by phantom and in vivo experiments.

Blood Flow Velocity↗

PubMed1994

True myocardial motion tracking.

Myocardial tagging is a powerful tool for the assessment of in-plane cardiac motion. However, for previous myocardial tagging techniques, the imaged slice is fixed with respect to the magnet coordinate system. Thus, images acquired at different heart phases do not always represent the same slice of the myocardium. A new myocardial tagging technique is presented, which takes the through-plane motion into consideration. It involves tagging of the desired myocardial slice and applying a subtraction imaging technique to image just that part of the myocardium. The examination time can be reduced considerably by the acquisition of two one-dimensionally tagged images. To increase the signal-to-noise ratio especially at later heart phases, variable imaging RF excitation flip angles are applied. To reduce motion artifacts a repetitive breathhold scheme was applied. In vivo results demonstrate that the tags can be accurately tracked within the entire heart period with a temporal resolution of 35 ms, even at a top basal level of the heart and right ventricle.

Algorithms↗

PubMed1994

Magnetic resonance angiography: methods and its applications to the coronary arteries.

The non-invasive visualisation of the coronary arteries with magnetic resonance imaging would be a highly useful tool for the diagnosis of coronary artery disease, with a potential to partly replace current invasive imaging modalities, and would be a step towards more patient comfort. While magnetic resonance (MR) angiography of most larger blood vessels can nowadays be performed routinely, current techniques are inadequate to image the coronary arteries. This paper provides a short overview of the principal techniques for MR angiography. The combination of a multiple-slice MR angiography technique with a simple and easily performed breathhold scheme is described, which allows to image the main branches of the coronary artery tree within one scan of 9 to 12 min duration. For display the coronary vessels are segmented semi-automatically and reconstructed as 3D-objects. Results of volunteer scans and examinations of patients with known coronary artery disease show the feasibility of the approach. However, due to the need for a breathhold scheme, patient cooperation is required.

Coronary Angiography↗

PubMed1993

Coronary artery imaging in multiple 1-sec breath holds.

The act of breathing results in considerable bulk cardiac motion, thus breath holding is usually required to image the coronary arteries. Normally, breath hold periods of about 15 sec are required, which can be difficult to sustain over several minutes. We introduce a breath holding strategy that only requires a 1-sec breath hold in every 4 sec. A set of cross-sectional images is acquired in approximately 10 min, and 3-dimensional renderings of the coronary tree are produced from these.

Artifacts↗

PubMed1992

Visualization and quantification of the human blood flow by magnetic resonance imaging.

Magnetic Resonance Imaging (MRI) offers new possibilities for the visualization and the noninvasive quantification of the blood flow in human vessels. By the application of conventional gradient echo sequences with electrocardiographic gating on a 1.5 Tesla whole body MRI system the flow induced phase shifts in the ascending and the abdominal aorta are analyzed. The instantaneous two-dimensional velocity profiles and the instantaneous flow rates are determined in a series of subsequent images with high temporal resolution throughout the cardiac cycle. For the flow analysis in further vessels and for the analysis of more complex flow patterns, as they occur in bifurcations or stenoses, a new MR flow imaging technique called FAcE with extremely short echo times is introduced and the first results of flow examinations in a bifurcation phantom and in the carotid artery are presented.

Aorta, Abdominal↗

PubMed1991

FID-acquired-echos (FAcE): a short echo time imaging method for flow artefact suppression.

The FID-Acquired-Echo sequence (FAcE) is a magnetic resonance imaging technique using fractional-echo acquisitions, with sequential separate sampling of the right and left k-space half planes. It reduces the minimal echo times by about a factor of two, compared to conventional full-(gradient)-echo sampling schemes. With this sequence, implemented on a commercial 1.5 Tesla whole body system, high resolution images are acquired with typical echo times between 3 and 4.5 msec. Using short echo times the signal dephasing caused by velocity and higher order spin motion is reduced. Further, due to the modified sampling scheme, the sequence exhibits, for triggered studies, partially a compensation of motion-induced phase shifts in the frequency-encoding direction. Thus, the sequence offers an alternative means for the reduction of motion-induced image artefacts to the use of flow compensating gradients, which usually makes a sequence more sensitive to higher order motion and introduces further eddy currents. Besides potential application for imaging of nuclei and tissues with short T2 relaxation times, and non-ECG-triggered in-flow angiography, the main application seems to be triggered-phase contrast imaging with focus on quantitation of blood flow. Its usefulness is largest in cases with irregular flow patterns, where considerable in-plane flow occurs.

Algorithms↗

PubMedDate not supplied

Semiautomated method for noise reduction and background phase error correction in MR phase velocity data.

Background phase distortion and random noise can adversely affect the quality of magnetic resonance (MR) phase velocity measurements. A semiautomated method has been developed that substantially reduces both effects. To remove the background phase distortion, the following steps were taken: The time standard deviations of the phase velocity images over a cardiac cycle were calculated. Static regions were identified as those in which the standard deviation was low. A flat surface representing an approximation to the background distortion was fitted to the static regions and subtracted from the phase velocity images to give corrected phase images. Random noise was removed by setting to zero those regions in which the standard deviation was high. The technique is demonstrated with a sample set of data in which the in-plane velocities have been measured in an imaging section showing the left ventricular outflow tract of a human left ventricle. The results are presented in vector and contour form, superimposed on the conventional MR angiographic images.

Blood Flow Velocity↗

PubMedDate not supplied

Renal artery velocity mapping with MR imaging.

An MR phase imaging sequence with a very short echo time was used to assess blood velocity and flow at the renal artery bifurcation. Cardiac-gated MR imaging data were obtained in six healthy subjects in sagittal planes adjacent to the abdominal aorta and transverse planes above and below the renal artery bifurcation. Average renal artery flow rate was 23.8 +/- 9 mL/sec. A strong individual variability was found for the velocity profiles in the abdominal aorta during end-systolic regurgitation. Flow rate was also determined in three patients with reduced renal artery blood flow. Two patients received therapy with percutaneous transluminal angioplasty. The successful outcome was documented with MR imaging. A reliable assessment of renal artery flow with MR phase imaging is feasible. Measurement of the velocity profiles yields valuable insights in the complicated flow regime at the renal artery bifurcation.

Adult↗

PubMedDate not supplied

Quantification of the local heartwall motion by magnetic resonance myocardial tagging.

Sophisticated magnetic resonance tagging techniques provide powerful tools for the non-invasive assessment of the local heartwall motion towards a deeper fundamental understanding of local heart function. For the extraction of motion data from the time series of magnetic resonance tagged images and for the visualization of the local heartwall motion a new image analysis procedure has been developed. New parameters have been derived which allows quantification of the motion patterns and are highly sensitive to any changes in these patterns. The new procedure has been applied for heart motion analysis in healthy volunteers and in patient collectives with different heart diseases. The achieved results are summarized and discussed.

Algorithms↗