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Biomedical subjects

Michael E Huber

Publications and source records attributed to Michael E Huber.

6 recordsLinked to original sources

Coil setup optimization for 2D-SENSE whole-heart coronary imaging.

Accelerated "whole-heart" coronary imaging with sensitivity encoding applied in both phase encoding directions (2D-SENSE) was investigated. In order to maximize the signal-to-noise ratio (SNR), coil configuration optimization was performed. To this end, 10 practical coil configurations each consisting of six standard coil elements were investigated and the local SNR was assessed by means of phantom experiments. Based on the experimental data, a symmetric configuration was found to yield the highest SNR. In a volunteer study, 2D-SENSE coronary images were obtained with total reduction factors of 3 and 4. Excellent depiction of the right and left coronary systems was possible in all cases.

Adolescent↗

Improved artery delineation in dual-stack coronary magnetic resonance angiography using parallel imaging at 3 T.

PURPOSE: To improve vessel sharpness and T2 preparation (T2Prep) in dual-stack three-dimensional coronary magnetic resonance angiography (MRA) by shortening the time delays between the magnetization preparation pulses and the imaging stacks using sensitivity encoding (SENSE) at 3 T. MATERIALS AND METHODS: By combining dual-stack three-dimensional coronary MRA with the parallel imaging technique SENSE at 3 T, the acquisition duration of each three-dimensional imaging stack was shortened by a factor of 2. The proposed technique was implemented and tested in experiments with a moving phantom and in measurements on six healthy volunteers. RESULTS: The time delay between the navigator, T2Prep, and second imaging stack was reduced by 37%, relative to conventional dual-stack angiography without parallel imaging. This enabled the achievement of comparable high-vessel sharpness values for the left and the right coronary arteries relative to values known from conventional single-stack three-dimensional coronary MRA at 3 T. CONCLUSION: Parallel imaging allows for improved vessel visualization in dual-stack coronary MRA, given shorter temporal delays between navigator, T2Prep, and the actual image acquisitions, and thus considerably facilitates simultaneous acquisition of high-resolution angiograms of the left and right coronary systems.

Adult↗

Improved three-dimensional free-breathing coronary magnetic resonance angiography using gadocoletic acid (B-22956) for intravascular contrast enhancement.

PURPOSE: To evaluate gadocoletic acid (B-22956), a gadolinium-based paramagnetic blood pool agent, for contrast-enhanced coronary magnetic resonance angiography (MRA) in a Phase I clinical trial, and to compare the findings with those obtained using a standard noncontrast T2 preparation sequence. MATERIALS AND METHODS: The left coronary system was imaged in 12 healthy volunteers before B-22956 application and 5 (N = 11) and 45 (N = 7) minutes after application of 0.075 mmol/kg of body weight (BW) of B-22956. Additionally, imaging of the right coronary system was performed 23 minutes after B-22956 application (N = 6). A three-dimensional gradient echo sequence with T2 preparation (precontrast) or inversion recovery (IR) pulse (postcontrast) with real-time navigator correction was used. Assessment of the left and right coronary systems was performed qualitatively (a 4-point visual score for image quality) and quantitatively in terms of signal-to-noise ratio (SNR), contrast-to-noise ratio (CNR), vessel sharpness, visible vessel length, maximal luminal diameter, and the number of visible side branches. RESULTS: Significant (P < 0.01) increases in SNR (+42%) and CNR (+86%) were noted five minutes after B-22956 application, compared to precontrast T2 preparation values. A significant increase in CNR (+40%, P < 0.05) was also noted 45 minutes postcontrast. Vessels (left anterior descending artery (LAD), left coronary circumflex (LCx), and right coronary artery (RCA)) were also significantly (P < 0.05) sharper on postcontrast images. Significant increases in vessel length were noted for the LAD (P < 0.05) and LCx and RCA (both P < 0.01), while significantly more side branches were noted for the LAD and RCA (both P < 0.05) when compared to precontrast T2 preparation values. CONCLUSION: The use of the intravascular contrast agent B-22956 substantially improves both objective and subjective parameters of image quality on high-resolution three-dimensional coronary MRA. The increase in SNR, CNR, and vessel sharpness minimizes current limitations of coronary artery visualization with high-resolution coronary MRA.

Adult↗

Sensitivity-encoded coronary MRA at 3T.

Long scan times are still a main limitation in free-breathing navigator-gated 3D coronary MR angiography (MRA). Unlike other MRI applications, high-resolution coronary MRA has not been amenable to acceleration by parallel imaging techniques due to signal-to-noise ratio (SNR) concerns. In the present work, mitigating SNR limitations by the transition to higher static magnetic field strength is proposed, thus enabling scan time reduction by the parallel sensitivity encoding (SENSE) technique. The study reports the implementation and evaluation of free-breathing navigator-gated 3D coronary MRA with SENSE at 3T. Results from 11 healthy subjects indicate that the approach permits significant scan time reduction in MRA of the left and right coronary systems. Quantitative image analysis and visual grading suggest that two-fold scan acceleration can be accomplished at nearly preserved image quality. The additional experiments appear to demonstrate that parallel MRA equally permits enhancing volume coverage and spatial resolution while maintaining scan time.

Adult↗

Performance of a new gadolinium-based intravascular contrast agent in free-breathing inversion-recovery 3D coronary MRA.

In three-dimensional (3D) coronary magnetic resonance angiography (MRA), the in-flow contrast between the coronary blood and the surrounding myocardium is attenuated as compared to thin-slab two-dimensional (2D) techniques. The application of a gadolinium (Gd)-based intravascular contrast agent may provide an additional source of signal and contrast by reducing T(1blood) and supporting the visualization of more distal or branching segments of the coronary arterial tree. In six healthy adults, the left coronary artery (LCA) system was imaged pre- and postcontrast with a 0.075-mmol/kg bodyweight dose of the intravascular contrast agent B-22956. For imaging, an optimized free-breathing, navigator-gated and -corrected 3D inversion recovery (IR) sequence was used. For comparison, state-of-the-art baseline 3D coronary MRA with T(2) preparation for non-exogenous contrast enhancement was acquired. The combination of IR 3D coronary MRA, sophisticated navigator technology, and B-22956 allowed for an extensive visualization of the LCA system. Postcontrast, a significant increase in both the signal-to-noise ratio (SNR; 46%, P < 0.05) and contrast-to-noise ratio (CNR; 160%, P < 0.01) was observed, while vessel sharpness of the left anterior descending (LAD) artery and the left coronary circumflex (LCX) were improved by 20% (P < 0.05) and 18% (P < 0.05), respectively.

Adult↗

Single breath-hold extended free-breathing navigator-gated three-dimensional coronary MRA.

PURPOSE: To acquire the center of k-space while extending three-dimensional free-breathing navigator-gated coronary magnetic resonance (MR) angiography by an initial single breath-hold. MATERIALS AND METHODS: This approach was successfully applied in eight healthy adult subjects. Resulting images were compared with conventionally acquired free-breathing navigator-gated MR angiograms. RESULTS: The acquisition of k-space center during the single breath-hold resulted in a 26% increase (P < 0.05) of signal-to-noise ratio. Visible length of the right coronary artery, as well as contrast-to-noise ratio between the blood and the myocardial muscle, were identical. CONCLUSION: The breath-hold extension was shown to be a valuable technique that may be combined with first-pass contrast-enhanced MR imaging.

Adult↗