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Biomedical subjects

P Röschmann

Publications and source records attributed to P Röschmann.

14 recordsLinked to original sources
PubMed2002

MR elastography of the breast:preliminary clinical results.

PURPOSE: Imaging of breast tumors and various breast tissues using magnetic resonance (MR) elastography (MRE) to explore the potential of elasticity as a new parameter for the diagnosis of breast lesions. METHODS: Low-frequency mechanical waves are transmitted into breast tissue by means of an oscillator. The local characteristics of the mechanical wave are determined by the underlying elastic properties of the tissue. Theses waves can be displayed by means of a motion-sensitive spin-echo MR sequence within the phase of the MR image. Elasticity reconstruction is performed on the basis of 8 "snapshots" of each wave within the three spatial directions. We performed in-vivo measurements in 15 female patients with malignant tumors of the breast, 5 patients with benign breast tumors, and 15 healthy volunteers. RESULTS: Malignant invasive breast tumors documented the highest values of elasticity with a median of 15.9 kPa and a wide range of stiffnesses between 8 and 28 kPa. In contrast, benign breast lesions represented low values of elasticity, which were significantly different from malignant breast tumors (median elasticity: 7.0 kPa; p = 0.0012). This was comparable to the stiffest tissue areas in healthy volunteers (median elasticity 7.0 kPa), whereas breast parenchyma (median: 2.5 kPa) and fatty breast tissue (median: 1.7 kPa) showed the lowest values of elasticity. Two invasive ductal carcinomas had elasticity values of 8 kPa and two stiff parenchyma areas in healthy volunteers had elasticities of 13 and 15 kPa. These lesions could not be differentiated by their elasticity. CONCLUSION: We conclude that MRE is a promising new imaging modality with the capability to assess the viscoelastic properties of breast tumors and the surrounding tissues. However, from our preliminary results in a small number of patients it is obvious that there is an overlap in the elasticity ranges of soft malignant tumors and stiff benign lesions.

Adult↗
PubMed2001

Specific coil design for SENSE: a six-element cardiac array.

In sensitivity encoding (SENSE), the effects of inhomogeneous spatial sensitivity of surface coils are utilized for signal localization in addition to common Fourier encoding using magnetic field gradients. Unlike standard Fourier MRI, SENSE images exhibit an inhomogeneous noise distribution, which crucially depends on the geometrical sensitivity relations of the coils used. Thus, for optimum signal-to-noise-ratio (SNR) and noise homogeneity, specialized coil configurations are called for. In this article we study the implications of SENSE imaging for coil layout by means of simulations and imaging experiments in a phantom and in vivo. New, specific design principles are identified. For SENSE imaging, the elements of a coil array should be smaller than for common phased-array imaging. Furthermore, adjacent coil elements should not overlap. Based on the findings of initial investigations, a configuration of six coils was designed and built specifically for cardiac applications. The in vivo evaluation of this array showed a considerable SNR increase in SENSE images, as compared with a conventional array. Magn Reson Med 45:495-504, 2001.

Fourier Analysis↗
PubMed2001

[Imaging of breast tumors using MR elastography].

PURPOSE: Imaging of breast tumors using MR-Elastography. MATERIAL AND METHOD: Low-frequency mechanical waves are transmitted into breast-tissue by means of an oscillator. The local characteristics of the mechanical wave are determined by the elastic properties of the tissue. By means of a motion-sensitive spin-echo-sequence these waves can be displayed within the phase of the MR image. Subsequently, these images can be used to reconstruct the local distribution of elasticity. In-vivo measurements were performed in 3 female patients with malignant tumors of the breast. RESULTS: All patients tolerated the measurement set-up without any untoward sensation in the contact area of skin and oszillator. The waves completely penetrated the breast, encompassing the axilla and regions close to the chest wall. All tumors were localized by MRE as structures of markedly stiffer tissue when compared to the surrounding tissue. Furthermore, in one patient, a metastasis in an axillary lymph node was detected. In all patients, local regions of increased elasticity were found in the remaining parenchyma of the breast, which, however, did not reach the high levels of elasticity found in the tumors. CONCLUSION: MRE is an imaging modality enabling adjunct tissue differentiation of mammary tumors.

Adult↗
PubMed1997

Catheter tracking using continuous radial MRI.

The guidance of minimally invasive procedures may become a very important future application of MRI. The guidance of interventions requires images of the anatomy as well as the information of the position of invasive devices used. This paper introduces continuous radial MRI for the simultaneous acquisition of the anatomic MR image and the position of one or more small RF-coils (mu-coils), which can be mounted on invasive devices such as catheters or biopsy needles. This approach allows the in-plane tracking of an invasive device without any prolongation of the overall acquisition time. The extension to three-dimensional position tracking is described. Phantom studies are presented demonstrating the capability of this technique for real-time automatic adjustment of the slice position to the current catheter position with a temporal resolution of 100 ms. Simultaneously the in-plane catheter position is depicted in the actually acquired MR image during continuous scanning.

Catheterization↗
PubMed1991

Human auditory system response to pulsed radiofrequency energy in RF coils for magnetic resonance at 2.4 to 170 MHz.

The threshold conditions for an auditory perception of pulsed radiofrequency (RF) energy absorption in the human head have been studied on six volunteers with RF coils for magnetic resonance (MR) imaging. For homogeneous RF exposure with MR head coils in the 2.4- to 170-MHz range and pulse widths 3 microseconds less than or equal to Tp less than 100 microseconds, the auditory thresholds were observed at 16 +/- 4 mJ pulse energy. Localized RF exposure with optimized surface coils positioned flush with the ear lowers the auditory threshold to only 3 +/- 0.6 mJ. The hearing threshold of RF pulses with Tp greater than 200 microseconds occurs at more or less constant peak power levels of typically 150 +/- 50 W for head coils and as low as 20 W for surface coils. The results from this study confirm theoretical predictions from a thermoelastic expansion model and compare well with reported thresholds from near field antenna measurements at 425 to 3000 MHz. Details of the threshold dependence on RF pulse length reveal primary sites of RF to acoustic energy conversion at the mastoid and temporal bone region and the outer layer of the brain from where thermoelastically generated pressure transients excite audible pressure waves at the resonance modes of the skull around 1.7 kHz and of the brain around 11 kHz. If not masked by usually dominating noise from switched gradients, the conditions for hearing RF pulses, as applied to head coils in MR studies with flip angle alpha at main field B0, is given by Tp/ms less than or equal to 0.4 (alpha/pi)B0/[T]. At peak power levels up to 15 kW presently available in clinical MR systems, there is no evidence known for detrimental health effects arising from the RF auditory phenomenon which is a secondary cause associated with primary RF to thermal energy conversion in body tissues. To avoid the RF-evoked sound pressure levels in the head rising above the discomfort threshold at 110 dB SPL, an upper limit of 30 kW applied peak pulse power is suggested for head coils and 6 kW for surface coils.

Auditory Perception↗
PubMed1991

Sensitivity enhancement in whole-body natural abundance 13C spectroscopy using 13C/1H double-resonance techniques at 4 tesla.

In vivo 13C spectroscopy experiments were performed using a whole-body MR system at a static field of 4 T. The main goal of the investigations was to evaluate the sensitivity increase achievable by means of 13C/1H double-resonance techniques at 4 T. Spectra from subcutaneous fat as well as muscle glycogen from the lower leg were acquired using frequency selective proton decoupling and the polarization transfer method SINEPT. With respect to measurements on subcutaneous fat, polarization transfer turned out to be more efficient than selective decoupling. About a fourfold enhancement in spectral peak intensity for the C = C line doublet of the unsaturated fatty acid chain was obtained. Combining polarization transfer with decoupling yielded a factor of 6 in signal amplitude. In contrast to that, the signal enhancement observed in measurements on the glycogen C-1 resonance was only around twofold. The lower efficiency is explained by fast T2 relaxation of the proton transition. A T2 value of about 3 ms was derived from the experimental data. Acquisition times as low as 3 min were realized for normal level glycogen in human calf muscle, enabling a time resolution adequate for dynamic studies on muscle glycogen depletion. Aspects of RF power absorption in tissue and the generally higher efficiency make polarization transfer methods preferable to selective decoupling in whole-body 13C spectroscopy at 4 T.

Adipose Tissue↗
PubMed1988

Spectroscopy and imaging with a 4 tesla whole-body MR system.

Magnetic resonance (MR) spectroscopy and imaging experiments on humans were performed with a whole-body MR system at a static field of 4 tesla. Spectroscopic studies focussed on 1H, 13C, and 31P. Imaging of humans turned out to be possible, although below the optimum at this field. This holds especially for body imaging, since RF penetration effects and dielectric resonances influence the RF field homogeneity. Excellent volume selective proton spectra of the human cerebrum and cerebellum were obtained using the stimulated echo method. Natural abundance carbon spectra of the human calf were acquired both undecoupled and with narrowband decoupling, resolving the various triglyceride resonances. Broadband decoupling, however, would have violated SAR guidelines. Liver glycogen was detected on natural abundance 13C spectra.

Female↗
PubMed1986

Surface coil proton MR imaging at 2 T.

We describe the design and application of surface coils for magnetic resonance (MR) imaging at high resonance frequencies (85 MHz). Circular, rectangular-frame, and reflector-type surface coils were used in the transmit-and-receive mode. With these coils, the required radio frequency power is reduced by factors of two up to 100 with respect to head and body coils. With the small, circular coils, high-resolution images of a small region of interest can be obtained that are free of foldback and motion artifacts originating outside the field of interest. With the rectangular-frame and reflector coils, large fields of view are also accessible. As examples of applications, single- and multiple-section images of the eye, knee, head and shoulder, and spinal cord are provided.

Magnetic Resonance Spectroscopy↗
PubMedDate not supplied

The rf coil as a sensitive motion detector for magnetic resonance imaging.

A new sensor principle for detection of patient movement in magnetic resonance imaging has been successfully applied for the reduction of motion artifacts. It uses a device that is already present in every MRI system, namely the rf coil. Patient movement within the coil causes changes in the rf impedance match of the coil, which can be measured as variations in the reflected rf power. The principle used for the detection of respiratory and cardiac motion is described, and experimental results measured with several coil arrangements are given. Images are presented which were acquired with respiratory gating derived from the rf body coil of a 2 Tesla whole body MRI system.

Humans↗
PubMedDate not supplied

Radiofrequency penetration and absorption in the human body: limitations to high-field whole-body nuclear magnetic resonance imaging.

This study presents experimental results about the effective depth of penetration and about the radiofrequency (rf) power absorption in humans as a function of frequency. The frequency range investigated covers 10 up to 220 MHz. For the main part, the results were derived from bench measurements of the quality factor Q, and of the resonance frequency shift due to the loading of the coil. Different types of head-, body-, and surface coils were investigated loaded with volunteers or metallic phantoms. For spin-echo imaging at 2 T (85 MHz), the local specific absorption rate (SAR) was found to be approximately equal to 0.05 W/kg using a pi pulse of 1-ms duration and pulse repetition time TR = 1 s. Measurements of the quality factor Q as a function of frequency show that the SAR depends upon the frequency f according to approximately f2.15. The effective depth of rf penetration as derived drops from 17 cm at 85 MHz to 7 cm at 220 MHz. Head imaging with B1 penetrating from practically all sides into the object should be possible up to 220 MHz (5 T) with SAR values staying within the local limit of 2 W/kg as set by the FDA. Whole-body imaging of large subjects as well as surface coil imaging is depth limited above 100-MHz frequency. Perturbation methods are applied in order to separate the total rf power deposition in the patient into dielectric and magnetic contributions. The observed effects due to interactions of rf magnetic fields with biological tissue contradict predictions based on homogeneous tissue models. A refined tissue model with regions of high electrical conductivity, subdivided by quasi-insulating adipose layers, provides a rationale for a better understanding of the underlying processes. At frequencies below 100 MHz, the rf power deposition in patients is apparently more evenly distributed over the exposed body volume than currently assumed.

Absorption↗