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Biomedical subjects

Olaf Dietrich

Publications and source records attributed to Olaf Dietrich.

At least 19 recordsLinked to original sources

Multivariate network analysis of fiber tract integrity in Alzheimer's disease.

Axonal and dendritic integrity is affected early in Alzheimer's disease (AD). Studies using region of interest or voxel-based analysis of diffusion tensor imaging data found significant decline of fractional anisotropy, a marker of fiber tract integrity, in selected white matter areas. We applied a multivariate network analysis based on principal component analysis to fractional anisotropy maps derived from diffusion-weighted scans from 15 AD patients, and 14 elderly healthy controls. Fractional anisotropy maps were obtained from an EPI diffusion sequence using parallel imaging to reduce distortion artifacts. We used high-dimensional image warping to control for partial volume effects due to white matter atrophy in AD. We found a significant regional pattern of fiber changes (p < 0.01) indicating that the integrity of intracortical projecting fiber tracts (including corpus callosum, cingulum and fornix, and frontal, temporal and occipital lobe white matter areas) was reduced, whereas extracortical projecting fiber tracts, including the pyramidal and extrapyramidal systems and somatosensory projections, were relatively preserved in AD. Effects of a univariate analysis were almost entirely contained within the multivariate effect. Our findings illustrate the use of a multivariate approach to fractional anisotropy data that takes advantage of the highly organized structure of anisotropy maps, and is independent of multiple comparison correction and partial volume effects. In agreement with post-mortem evidence, our study demonstrates dissociation between intracortical and extracortical projecting fiber systems in AD in the living human brain.

Aged↗

Fiber connections between the cerebral cortex and the corpus callosum in Alzheimer's disease: a diffusion tensor imaging and voxel-based morphometry study.

Regional cortical atrophy in Alzheimer's disease (AD) most likely reflects the loss of cortical neurons. Several diffusion tensor imaging studies reported reduced fractional anisotropy (FA) in the corpus callosum in AD. The aim of this study was to investigate the association between reduced FA in the corpus callosum and gray matter atrophy in AD. Thirteen patients with AD with a mean (+/-standard deviation) age of 68.3 years (+/-11.5) and mean Mini Mental State Examination (MMSE) score of 21.8 (+/-4.8) were recruited. There were 13 control subjects with a mean age of 66.7 years (+/-6.4) and MMSE of 29.1 (+/-0.7). We used voxel-based morphometry of gray matter maps and region of interest-based analysis of FA in the corpus callosum. FA values of the anterior corpus callosum in AD patients were significantly correlated with gray matter volume in the prefrontal cortex and left parietal lobes. FA values of the posterior corpus callosum were significantly correlated with gray matter volume in the bilateral frontal, temporal, right parietal, and occipital lobes. In control subjects, no correlations were detected. Our findings suggest that decline of FA in the corpus callosum may be related to neuronal degeneration in corresponding cortical areas.

Aged↗

Functional renal MR imaging: an overview.

Due to its complementary information to standard morphological imaging, functional renal magnetic resonance imaging is a rapid growing field of radiology. This pictorial essay provides a comprehensive overview of state-of-the-art functional renal imaging techniques including renal magnetic resonance angiography, first pass renal perfusion, assessment of renal function, blood-oxygen level dependent imaging of the kidneys and diffusion-weighted imaging of the kidneys including diffusion-tensor imaging of the kidneys. Basic technical concepts for all sequences are laid out. As renal perfusion imaging becomes a clinical routine examination, particular attention is given to renal perfusion measurements and the potential postprocessing approaches. Advantages and drawbacks of the published methods are illustrated. Future applications of functional renal imaging are presented.

Contrast Media↗

MR imaging of the cervical spine: assessment of image quality with parallel imaging compared to non-accelerated MR measurements.

To compare the quality of cervical spine MR images obtained by parallel imaging [generalized autocalibrating partially parallel acquisition (GRAPPA)] with those of non-accelerated imaging, we conducted both phantom studies and examinations of ten volunteers at 1.5Tesla with a dedicated 12-element coil system and a head-spine-neck coil combination. Acquisitions included axial T2-weighted (T2w) images with both methods, and sagittal T2w and T1w images in vivo with the latter coil combination. Non-accelerated MRI with two averages and GRAPPA (acceleration factor 2) with two averages (GRAPPA/2AV, time reduction of approximately 50%) and four averages (GRAPPA/4AV) were compared. In the phantom, the signal-to-noise ratio of the GRAPPA/2AV was lower than that of the other two settings. In vivo, the image inhomogeneity (non-uniformity, NU) was significantly higher in T2w GRAPPA/2AV than in both other settings, and in T1w GRAPPA/2AV compared to GRAPPA/4AV. Subjectively, the delineation of anatomical structures was sufficient in all sequences. Only the spinal cord was considered to be better delineable on the non-accelerated T1w sequence compared to GRAPPA/2AV. In part, GRAPPA/4AV performed better than the other settings. The subjective image noise was lowest with GRAPPA/4AV. In cervical spine MRI, the examination time can be reduced by nearly 42% with GRAPPA, while preserving sufficient image quality.

Cervical Vertebrae↗

Pulmonary abnormalities in immunocompromised patients: comparative detection with parallel acquisition MR imaging and thin-section helical CT.

PURPOSE: To compare parallel acquisition magnetic resonance (MR) imaging with thin-section helical computed tomography (CT) for depiction of pulmonary abnormalities suggestive of pneumonia in immunocompromised patients. MATERIALS AND METHODS: The institutional review board approved this study; prior consent was obtained. Thirty consecutive neutropenic patients (10 women, 20 men; mean age, 51 years +/- 15 [standard deviation]; range, 25-75 years) with fever of unknown origin or clinical signs and symptoms of lung infection were examined with breath-hold single-shot half-Fourier turbo spin-echo MR imaging. To reduce image blurring and increase MR signal in the lungs, the echo time was shortened with generalized autocalibrating partially parallel acquisition (GRAPPA). Patients underwent thoracic CT (four detector rows and 1-mm section thickness [4 x 1 mm]; pitch, 6) as reference standard. Pulmonary abnormalities (ill-defined nodules, ground-glass opacity areas, and consolidation), their location and distribution, and lesion characteristics were analyzed at MR imaging by three readers, blinded to results of CT, in consensus. Frequencies were calculated for each feature; paired Wilcoxon rank sum test was used to examine whether differences between CT and MR imaging features were statistically significant (alpha < .05). Bonferroni adjustments were performed. Overall sensitivity, specificity, and positive and negative predictive values were determined. RESULTS: Twenty-two patients had pulmonary abnormalities at CT. In 21 (95%) patients, pneumonia was correctly diagnosed with MR imaging. One false-negative finding occurred in a patient with ill-defined nodules smaller than 1 cm at CT. One false-positive finding with MR imaging was the result of blurring and respiratory artifacts (sensitivity, 95%; specificity, 88%; positive predictive value, 95%; negative predictive value, 88%). There was no significant difference in lesion location and distribution. CONCLUSION: With parallel imaging (GRAPPA technique) and fast MR imaging, detection of pulmonary abnormalities is almost as good as with CT. MR imaging has a slight disadvantage in its lower capability to assist in characterization of specific internal features, such as cavitations.

Adult↗

High-spatial-resolution multistation MR angiography with parallel imaging and blood pool contrast agent: initial experience.

The purpose of this study was to prospectively evaluate the diagnostic accuracy of reader detection of 75% or greater stenosis at high-spatial-resolution multistation magnetic resonance (MR) angiography performed with matrix coils and a blood pool contrast agent. Ten healthy volunteers and 10 patients were examined. All participants provided informed consent to participate in this institutional review board-approved study. For contrast agent-enhanced multistation MR angiography, an albumin-binding gadolinium chelate, gadofosveset trisodium, was used. Imaging was performed during the first-pass and steady-state phases of the contrast agent. Vessel conspicuity on the first-pass MR angiograms obtained in both volunteers and patients was rated as excellent for 93% of vessels. At steady-state imaging, vessel conspicuity was rated as excellent or good for 89% of vessels. Gadofosveset trisodium-enhanced MR angiography yielded sensitivities of 100% and 97% and specificities of 96% and 97% for detection of significant disease in the carotid and lower extremity arteries, respectively.

Adult↗

MRA of abdominal vessels: technical advances.

Magnetic resonance angiography (MRA) in general and MRA of the abdominal vessels in particular have undergone substantial improvements in the past 5 years triggered by the introduction and application of parallel imaging (PI), new sequence techniques such as centric k-space trajectories and undersampling, dedicated contrast agents and clinical high-field scanners. All of these techniques have the potential to improve image quality and resolution or decrease the image acquisition time. However, each of them has its own specific advantages and drawbacks. This review describes the main technical innovations and focuses on the impact these developments may have on abdominal MRA. Special consideration is given to the interaction of these various technical advances. The clinical value of advanced MRA techniques is discussed and illustrated by characteristic cases.

Abdomen↗

Dual breath-hold magnetic resonance cine evaluation of global and regional cardiac function.

The purpose of our study was to evaluate the accuracy of a multislice cine magnetic resonance imaging (MRI) technique with parallel imaging in regard to global and regional left ventricular function. Forty-two individuals underwent cine MRI on a 1.5-tesla scanner. Cine MRI used a steady-state free precession technique and was performed as a single-slice technique (nonTSENSE cine) and an accelerated multislice technique (TSENSE cine) with five slices per breath-hold. End diastolic volume (EDV), end systolic volume (ESV), and ejection fraction (EF) were evaluated for all data sets and in regard to regional wall motion and regional wall motion analysis, and quantitative regional wall thickness and systolic thickening were also assessed. EDV, ESV, and EF based on TSENSE cine showed excellent correlation to the nonTSENSE cine approach (all r(2)=0.99, P<0.001). While EDV evaluations showed a small underestimation for TSENSE cine, ESV and EF showed accurate results compared with nonTSENSE cine. Both readers showed good agreement (kappa=0.72) in regional wall motion assessment comparing both techniques. Data acquisition for the multislice approach was significantly shorter ( approximately 75%) that in single-slice cine. We conclude that accurate evaluation of regional wall motion and left ventricular EF is possible using accelerated multislice cine MR with high spatial and temporal resolution.

Adolescent↗

Cardiac CINE MR imaging with a 32-channel cardiac coil and parallel imaging: impact of acceleration factors on image quality and volumetric accuracy.

PURPOSE: To assess the impact of parallel imaging algorithms on image quality and volumetric accuracy of CINE magnetic resonance imaging (MRI) with high temporal and spatial resolution using a new 32-channel dedicated cardiac phased array coil. MATERIALS AND METHODS: Fourteen individuals underwent steady-state free precession (SSFP) CINE MRI using a 32-element phased-array coil and parallel imaging acceleration using spatiotemporal sensitivity encoding (TSENSE). Acquisition acceleration ranged from R = 2 to 7. In conjunction with data extracted from phantom measurements, contrast-to-noise ratio (CNR) performance was evaluated for each acceleration factor and subjective image quality was evaluated by two independent readers. In addition, volumetric assessment was performed for each acceleration factor based on a single breath-hold multi-slice data acquisition. Results were compared to nonTSENSE measurements. RESULTS: CNR for non-accelerated CINE (R = 1) was 45.7 +/- 12.8 and showed a constant decrease with increase in acceleration of 51% at R = 4 and 86% at R = 7. CNR losses accompanied reductions in subjective image quality. Volumetric evaluation was accurate for R <or= 4, with significant underestimation of ejection fraction (EF) at higher accelerations. CONCLUSION: This study shows that one-dimensional acceleration factors up to R = 4 allow accurate SSFP CINE MRI even though CNR is significantly reduced. This allows for a marked reduction in scan time and allows for multi-slice CINE imaging with high spatial and temporal resolution.

Adult↗

High-resolution renal MRA: comparison of image quality and vessel depiction with different parallel imaging acceleration factors.

PURPOSE: To investigate the image quality and vessel depiction of renal MRA with integrated parallel imaging techniques (iPAT) using acceleration factors of 2 and 3. MATERIALS AND METHODS: In this prospective study renal MRA was performed on 14 and 12 patients with acceleration factors of 3 and 2, respectively. For the MRA a 3D-GRE sequence with an acquired spatial resolution of 0.9 x 0.8 x 1.0 mm(3) was applied (TR/TE = 3.79 msec/1.39 msec, FOV = 400 mm x 320 mm, acquired matrix = 512 x 384, flip angle = 25 degrees) on a 32-channel 1.5T MR scanner. The acquisition time was 26 seconds with iPAT 2, and 19 seconds with iPAT3. All parameters other than acquisition time and acceleration factor were kept constant. To assess the signal-to-noise ratio (SNR) we performed repetitive phantom measurements using iPAT 2 and 3. The images were rated by two radiologists in terms of noise, artifacts, and the quality of vessel depiction for the proximal, segmental, and subsegmental renal artery. A Mann-Whitney U-test and kappa-test were used for statistical analysis. RESULTS: SNR decreased significantly with iPAT 3 in the phantom measurements. The two readers found no difference in noise, but significantly fewer artifacts with iPAT 3. The depiction of segmental vessels was significantly better for both readers with iPAT 3, and the subsegmental vessels were rated significantly better by one reader. iPAT 3 also resulted in a better interreader agreement. CONCLUSION: The use of iPAT 3 for renal MRA enables a better depiction of the distal parts of the renal artery. The decrease in SNR is not diagnostically impairing.

Adult↗

Methods and applications of diffusion imaging of vertebral bone marrow.

Diffusion-weighted imaging (DWI) is an MRI technique that is sensitive to random water movements at spatial scales far below typical MRI voxel dimensions. DWI is a valuable tool for the diagnoses of diseases that involve alterations in water mobility. In the spine, DWI has proven to be a highly useful method for the differential diagnosis of benign and malignant compression fractures. In these pathologies, the microscopic structure of bone marrow is altered in a very different ways, leading to different water mobility, which can be depicted by DWI. Most of the pulse sequences developed for MRI can be adapted for DWI. However, these DWI-adapted sequences are frequently affected by artifacts, mostly caused by physiological motion. Therefore, the introduction of additional correction techniques, or even the development of new sequences is necessary. The first part of this article describes the principles of DWI and the sequences used for DWI of the spine: spin echo (SE), turbo spin echo (TSE), single-shot echo planar imaging (EPI), and steady-state free precession (SSFP) sequences. In the second part, clinical applications of DWI of the spinal bone marrow are extensively discussed.

Bone Diseases↗

Cardiac steady-state free precession CINE magnetic resonance imaging at 3.0 tesla: impact of parallel imaging acceleration on volumetric accuracy and signal parameters.

OBJECTIVES: We sought to evaluate the impact of 3.0 T on accelerated CINE steady-state free precession (SSFP) regarding signal parameters and its volumetric accuracy. MATERIAL AND METHODS: Ten individuals underwent cardiac CINE imaging at 1.5 T and 3.0 T using standard single-slice CINE and multislice TSENSE-accelerated CINE (5 slices/breath-hold) with 4-fold acceleration. Data were evaluated for left ventricular volumetric parameters (EDV, ESV, and EF) as well as for SNR and CNR. Phantom based data allowed for g-factor evaluation for estimation of noise levels for accelerated data sets. Volumetric results and signal parameters were compared with results of single-slice CINE SSFP at 1.5 T as standard of reference (SOR). RESULTS: Single-slice CINE at 3.0 T showed a approximately 90% increase in CNR compared with the SOR (P < 0.001). At 3.0 T, TSENSE CINE showed a less pronounced estimated loss in CNR (-58 +/- 6%) compared with single-slice CINE than at 1.5 T (-71 +/- 2%). 3.0 T TSENSE CINE showed a 21 +/- 18% lower CNR than the nonaccelerated 1.5 T CINE (P < 0.05). EF results for all data sets did not show any significant error while for EDV some errors have been encountered. CONCLUSION: 3.0 T permits compensation for the high CNR loss, which accompanies the 4-fold TSENSE acceleration at 1.5 T and shows volumetric accuracy. The use of parallel imaging may help to alleviate SAR limitations at higher field strength.

Adult↗

Measurement of basal forebrain atrophy in Alzheimer's disease using MRI.

Alzheimer's disease is characterized by the degeneration and loss of cholinergic neurones in the nucleus basalis Meynert, located within the substantia innominata at the ventral surface of the basal forebrain. An in vivo measure of morphological changes in the nucleus basalis Meynert would be of high relevance to better understand the structural correlate of cholinergic dysfunction in Alzheimer's disease. In this study, we applied a newly developed automated technique of image regression analysis, implemented through code written in Matlab 5.3 (MathWorks, Natick, MA), to the analysis of proton density weighted structural MRI of the basal forebrain from 13 patients with Alzheimer's disease (mean age = 77.5 years, SD = 4.4 years, 8 women) and 12 healthy elderly subjects (mean age = 62.3 years, SD = 5.6 years, 6 women). This technique allows searching a large portion of the substantia innominata for signal changes. We used corresponding MRI and histological sections of a post mortem brain to map the locations of basal forebrain cholinergic nuclei into the MRI standard space. Additionally, we used voxel-based morphometry, implemented in SPM2 (Wellcome Department of Imaging Neuroscience, London, UK) to determine correlations between signal changes in the substantia innominata and cortical grey matter atrophy in the patients with Alzheimer's disease. When matching the locations of signal reductions in the in vivo MRI to the template of basal nuclei based on the postmortem brain, signal intensity was decreased in areas corresponding to anterior lateral and anterior medial nucleus basalis Meynert and increased in the third ventricle, the transverse fissure and the optic tract in patients with Alzheimer's disease compared with controls. The reduction of the signal intensity in an area corresponding to the anterior lateral nucleus basalis Meynert was significantly correlated with reduced grey matter concentration in the bilateral prefrontal cortex, inferior parietal lobule and cingulate gyrus. Our findings suggest that signal changes occur in patients with Alzheimer's disease in the substantia innominata which may be related to the loss or degeneration of cholinergic neurones and correspond to regional cortical grey matter atrophy. If replicated in an independent sample, our technique may be useful to detect degeneration of basal forebrain cholinergic neurones in vivo.

Aged↗

Pulmonary arterial hypertension: diagnosis with fast perfusion MR imaging and high-spatial-resolution MR angiography--preliminary experience.

PURPOSE: To determine prospectively the accuracy of a magnetic resonance (MR) perfusion imaging and MR angiography protocol for differentiation of chronic thromboembolic pulmonary arterial hypertension (CTEPH) and primary pulmonary hypertension (PPH) by using parallel acquisition techniques. MATERIALS AND METHODS: The study was approved by the institution's internal review board, and all patients gave written consent prior to participation. A total of 29 patients (16 women; mean age, 54 years +/- 17 [+/- standard deviation]; 13 men; mean age, 57 years +/- 15) with known pulmonary hypertension were examined with a 1.5-T MR imager. MR perfusion imaging (temporal resolution, 1.1 seconds per phase) and MR angiography (matrix, 512; voxel size, 1.0 x 0.7 x 1.6 mm) were performed with parallel acquisition techniques. Dynamic perfusion images and reformatted three-dimensional MR angiograms were analyzed for occlusive and nonocclusive changes of the pulmonary arteries, including perfusion defects, caliber irregularities, and intravascular thrombi. MR perfusion imaging results were compared with those of radionuclide perfusion scintigraphy, and MR angiography results were compared with those of digital subtraction angiography (DSA) and/or contrast material-enhanced multi-detector row computed tomography (CT). Sensitivity, specificity, and diagnostic accuracy of MR perfusion imaging and MR angiography were calculated. Receiver operator characteristic analyses were performed to compare the diagnostic value of MR angiography, MR perfusion imaging, and both modalities combined. For MR angiography and MR perfusion imaging, kappa values were used to assess interobserver agreement. RESULTS: A correct diagnosis was made in 26 (90%) of 29 patients by using this comprehensive MR imaging protocol. Results of MR perfusion imaging demonstrated 79% agreement (ie, identical diagnosis on a per-patient basis) with those of perfusion scintigraphy, and results of MR angiography demonstrated 86% agreement with those of DSA and/or CT angiography. Interobserver agreement was good for both MR perfusion imaging and MR angiography (kappa = 0.63 and 0.70, respectively). CONCLUSION: The combination of fast MR perfusion imaging and high-spatial-resolution MR angiography with parallel acquisition techniques enables the differentiation of PPH from CTEPH with high accuracy.

Diagnosis, Differential↗

High-spatial-resolution MR angiography of renal arteries with integrated parallel acquisitions: comparison with digital subtraction angiography and US.

PURPOSE: To retrospectively compare three-dimensional gadolinium-enhanced magnetic resonance (MR) angiography, performed with an integrated parallel acquisition technique for high isotropic spatial resolution, with selective digital subtraction angiography (DSA) and intravascular ultrasonography (US) for accuracy of diameter and area measurements in renal artery stenosis. MATERIALS AND METHODS: The study was approved by the institutional review board, and consent was obtained from all patients. Forty-five patients (17 women, 28 men; mean age, 62.2 years) were evaluated for suspected renal artery stenosis. Three-dimensional gadolinium-enhanced MR angiograms were acquired with isotropic spatial resolution of 0.8 x 0.8 x 0.9 mm in 23-second breath-hold with an integrated parallel acquisition technique. In-plane diameter of stenosis was measured along vessel axis, and perpendicular diameter and area of stenosis were assessed in cross sections orthogonal to vessel axis, on multiplanar reformations. Interobserver agreement between two radiologists in measurements of in-plane and perpendicular diameters of stenosis and perpendicular area of stenosis was assessed with mean percentage of difference. In a subset of patients, degree of stenosis at MR angiography was compared with that at DSA (n = 20) and intravascular US (n = 11) by using Bland-Altman plots and correlation analyses. RESULTS: Mean percentage of difference in stenosis measurement was reduced from 39.3% +/- 78.4 (standard deviation) with use of in-plane views to 12.6% +/- 9.5 with use of cross-sectional views (P < .05). Interobserver agreement for stenosis grading based on perpendicular area of stenosis was significantly better than that for stenosis grading based on in-plane diameter of stenosis (mean percentage of difference, 15.2% +/- 24.2 vs 54.9% +/- 186.9; P < .001). Measurements of perpendicular area of stenosis on MR angiograms correlated well with those on intravascular US images (r(2) = 0.90). CONCLUSION: Evaluation of cross-sectional images reconstructed from high-spatial-resolution three-dimensional gadolinium-enhanced MR renal angiographic data increases the accuracy of the technique and decreases interobserver variability.

Adult↗

Fast oxygen-enhanced multislice imaging of the lung using parallel acquisition techniques.

The purpose of this study was to evaluate an optimized multislice acquisition technique for oxygen-enhanced MRI of the lung using slice-selective inversion and refocusing pulses in combination with parallel imaging. An inversion recovery HASTE sequence was implemented with respiratory triggering to perform imaging in end-expiration and with ECG triggering to avoid image acquisition during the systolic phase. Inversion pulses and the readout of echo trains could be interleaved to decrease acquisition time. The sequence was evaluated in 15 healthy volunteers, comparing three acquisition schemes: (1) acquisition of four slices without parallel imaging; (2) acquisition of four slices with parallel imaging; (3) acquisition of six slices with parallel imaging. These multislice acquisitions were repeated 80 times with alternating inhalation of room air and oxygen. The oxygen-induced signal increase showed no significant difference with and without parallel imaging. However, only with parallel imaging did the interleaved acquisition of six or more slices become possible, thus enabling a more complete anatomic coverage of the lung. The average required end-expiration time per repetition to acquire six slices could be significantly reduced from 4112 ms without to 2727 ms with parallel imaging. Total acquisition time varied between 8 and 13 min depending on the respiratory frequency.

Adult↗

Practical approaches to the evaluation of signal-to-noise ratio performance with parallel imaging: application with cardiac imaging and a 32-channel cardiac coil.

In this work, two practical methods for the measurement of signal-to-noise-ratio (SNR) performance in parallel imaging are described. Phantoms and human studies were performed with a 32-channel cardiac coil in the context of ultrafast cardiac CINE imaging at 1.5 T using steady-state free precession (SSFP) and TSENSE. SNR and g-factor phantom measurements using a "multiple acquisition" method were compared to measurements from a "difference method". Excellent agreement was seen between the two methods, and the g-factor shows qualitative agreement with theoretical predictions from the literature. Examples of high temporal (42.6 ms) and spatial (2.1x2.1x8 mm3) resolution cardiac CINE SSFP images acquired from human volunteers using TSENSE are shown for acceleration factors up to 7. Image quality agrees qualitatively with phantom SNR measurements, suggesting an optimum acceleration of 4. With this acceleration, a cardiac function study consisting of 6 image planes (3 short-axis views, 3 long-axis views) was obtained in an 18-heartbeat breath-hold.

Female↗

Cardiovascular screening with parallel imaging techniques and a whole-body MR imager.

The purpose of this study was to integrate parallel acquisition techniques into a comprehensive whole-body cardiovascular screening protocol to image all relevant organ systems without compromising spatial or temporal resolution. The study was approved by the institutional review board, and oral and written informed consent was obtained from each subject. Fifty subjects underwent whole-body magnetic resonance imaging that included imaging of heart, blood vessels, brain, lungs, and abdominal organs with a standard eight-channel imager. Image quality and pathologic findings were evaluated by two readers. The same protocol was then implemented with a new 32-channel whole-body imager. Depiction of 1476 (73.2%) of 2016 vessel segments was rated as good to excellent, and that of 1744 (86.5%), as without venous overlay. Interobserver agreement was good in evaluation of image quality and excellent in evaluation of pathologic findings. Acquisition time was reduced significantly (P < .05) with use of the whole-body imager and parallel acquisition techniques, which provided high-quality fast cardiovascular imaging.

Adult↗