Biomedical subjects

Peter Börnert

Publications and source records attributed to Peter Börnert.

13 recordsLinked to original sources

PubMed2003

2D-RF-pulse-encoded curved-slice imaging.

A new approach to curved-slice imaging is described in which spatial resolution is achieved using 2D-RF-pulse- and conventional-frequency encoding. This approach offers the opportunity to image curved anatomical structures directly using curved single-slice MRI. A set of 2D-RF pulses is employed to excite transverse magnetization in an arbitrarily shaped curved-slice profile in three-dimensional space. Spatial resolution along the curved-slice direction is achieved by encoding the different volume elements of the slice using a set of specially designed RF pulses and an appropriate encoding scheme. The remaining spatial direction is measured using conventional-frequency encoding. Phantom and in vivo experiments were carried out to illustrate the basic feasibility and the limitations of this approach.

Anatomy, Cross-Sectional↗

PubMed2003

Spatial excitation using variable-density spiral trajectories.

PURPOSE: To examine the usefulness of variable-density k-space trajectories for the design of multi-dimensional spatially selective RF pulses. MATERIALS AND METHODS: Experimental phantom and in vivo studies were performed and confirmed by simulations. Two-dimensional spatially selective magnetization patterns were excited using variable-density spiral trajectories and analyzed with respect to the signal excitation outside the excitation field of view (FOX). RESULTS: By using variable-density trajectories, signal excitation outside the FOX was drastically reduced compared to trajectories with a uniform density, while maintaining fairly short pulse durations. CONCLUSION: A main advantage of the method is that unwanted signal excitation outside the nominal FOX can be reduced without significantly increasing the duration of the RF excitation pulse. The variable-density approach is useful for all applications that require a well-defined spatial excitation profile, e.g., to perform imaging in a reduced field of view (FOV), for spatial saturation pulses, for curved slice imaging or in MR spectroscopy.

Computer Simulation↗

PubMed2003

Transmit SENSE.

The idea of using parallel imaging to shorten the acquisition time by the simultaneous use of multiple receive coils can be adapted for the parallel transmission of a spatially-selective multidimensional RF pulse. As in data acquisition, a multidimensional RF pulse follows a certain k-space trajectory. Shortening this trajectory shortens the pulse duration. The use of multiple transmit coils, each with its own time-dependent waveform and spatial sensitivity, can compensate for the missing parts of the excitation k-space. This results in a maintained spatial definition of the pulse profile, while its duration is reduced. This work introduces the concept of parallel transmission with arbitrarily shaped transmit coils (termed "Transmit SENSE"). Results of numerical studies demonstrate the theoretical feasibility of the approach. The experimental proof of principle is provided on a commercial MR scanner. The lack of multiple independent transmit channels was addressed by combining the excitation patterns from two separate subexperiments with different transmit setups. Shortening multidimensional RF pulses could be an interesting means of making 3D RF pulses feasible even for fast T(2)(*) relaxing species or strong main field inhomogeneities. Other applications might benefit from the ability of Transmit SENSE to improve the spatial resolution of the pulse profile while maintaining the transmit duration.

Computer Simulation↗

PubMed2003

Novel prospective respiratory motion correction approach for free-breathing coronary MR angiography using a patient-adapted affine motion model.

A novel technique is presented which enables the calibration of a 3D affine respiratory motion model to the individual motion pattern of the patient. The concept of multiple navigators and precursory navigators is introduced to address nonlinear properties and hysteresis effects of the model parameters with respect to the conventional diaphragmatic navigator. The optimal combination and weighting of the navigators is determined on the basis of a principal component analysis (PCA). Thus, based on a given navigator measurement the current motion state of the object can be predicted by means of the calibrated motion model. The 3D motion model is applied in high-resolution coronary MR angiography examinations (CMRA) to prospectively correct for respiration-induced motion. The basic feasibility of the proposed calibration procedure was shown in 16 volunteers. Furthermore, the application of the calibrated motion model for CMRA examinations of the right coronary artery (RCA) was tested in 10 volunteers. The superiority of a calibrated 3D translation model over the conventional 1D translation model with a fixed correction factor and the potential of affine prospective motion correction for CMRA are demonstrated.

Adult↗

PubMed2003

Navigator-gated coronary magnetic resonance angiography using steady-state-free-precession: comparison to standard T2-prepared gradient-echo and spiral imaging.

RATIONALE AND OBJECTIVES: Recent developments of magnetic resonance imaging enabled free-breathing coronary MRA (cMRA) using steady-state-free-precession (SSFP) for endogenous contrast. The purpose of this study was a systematic comparison of SSFP cMRA with standard T2-prepared gradient-echo and spiral cMRA. METHODS: Navigator-gated free-breathing T2-prepared SSFP-, T2-prepared gradient-echo- and T2-prepared spiral cMRA was performed in 18 healthy swine (45-68 kg body-weight). Image quality was investigated subjectively and signal-to-noise ratio (SNR), contrast-to-noise ratio (CNR) and vessel sharpness were compared. RESULTS: SSFP cMRA allowed for high quality cMRA during free breathing with substantial improvements in SNR, CNR and vessel sharpness when compared with standard T2-prepared gradient-echo imaging. Spiral imaging demonstrated the highest SNR while image quality score and vessel definition was best for SSFP imaging. CONCLUSION: Navigator-gated free-breathing T2-prepared SSFP cMRA is a promising new imaging approach for high signal and high contrast imaging of the coronary arteries with improved vessel border definition.

Animals↗

PubMed2002

Three-dimensional black-blood cardiac magnetic resonance coronary vessel wall imaging detects positive arterial remodeling in patients with nonsignificant coronary artery disease.

BACKGROUND: Direct noninvasive visualization of the coronary vessel wall may enhance risk stratification by quantifying subclinical coronary atherosclerotic plaque burden. We sought to evaluate high-resolution black-blood 3D cardiovascular magnetic resonance (CMR) imaging for in vivo visualization of the proximal coronary artery vessel wall. METHODS AND RESULTS: Twelve adult subjects, including 6 clinically healthy subjects and 6 patients with nonsignificant coronary artery disease (10% to 50% x-ray angiographic diameter reduction) were studied with the use of a commercial 1.5 Tesla CMR scanner. Free-breathing 3D coronary vessel wall imaging was performed along the major axis of the right coronary artery with isotropic spatial resolution (1.0x1.0x1.0 mm(3)) with the use of a black-blood spiral image acquisition. The proximal vessel wall thickness and luminal diameter were objectively determined with an automated edge detection tool. The 3D CMR vessel wall scans allowed for visualization of the contiguous proximal right coronary artery in all subjects. Both mean vessel wall thickness (1.7+/-0.3 versus 1.0+/-0.2 mm) and wall area (25.4+/-6.9 versus 11.5+/-5.2 mm(2)) were significantly increased in the patients compared with the healthy subjects (both P<0.01). The lumen diameter (3.6+/-0.7 versus 3.4+/-0.5 mm, P=0.47) and lumen area (8.9+/-3.4 versus 7.9+/-3.5 mm(2), P=0.47) were similar in both groups. CONCLUSIONS: Free-breathing 3D black-blood coronary CMR with isotropic resolution identified an increased coronary vessel wall thickness with preservation of lumen size in patients with nonsignificant coronary artery disease, consistent with a "Glagov-type" outward arterial remodeling. This novel approach has the potential to quantify subclinical disease.

Adult↗

PubMed2002

Comparison of fat suppression strategies in 3D spiral coronary magnetic resonance angiography.

PURPOSE: In the present study, the impact of the two different fat suppression techniques was investigated for free breathing 3D spiral coronary magnetic resonance angiography (MRA). As the coronary arteries are embedded in epicardial fat and are adjacent to myocardial tissue, magnetization preparation such as T(2)-preparation and fat suppression is essential for coronary discrimination. MATERIALS AND METHODS: Fat-signal suppression in three-dimensional (3D) thin- slab coronary MRA based on a spiral k-space data acquisition can either be achieved by signal pre-saturation using a spectrally selective inversion recovery pre-pulse or by spectral-spatial excitation. In the present study, the performance of the two different approaches was studied in healthy subjects. RESULTS: No significant objective or subjective difference was found between the two fat suppression approaches. CONCLUSION: Spectral pre-saturation seems preferred for coronary MRA applications due to the ease of implementation and the shorter cardiac acquisition window.

Adult↗

PubMed2002

Respiratory motion in coronary magnetic resonance angiography: a comparison of different motion models.

PURPOSE: To assess respiratory motion models for coronary magnetic resonance angiography (CMRA). In this study various motion models that describe the respiration-induced 3D displacements and deformations of the main coronary arteries were compared. MATERIALS AND METHODS: Multiple high-resolution 3D coronary MR images were acquired in healthy volunteers using navigator-based respiratory gating, each depicting the coronary vessels at different respiratory motion states. In the images representing the different inspiratory states the displacements and deformations of the main coronary vessels with respect to the end-expiratory state were determined, by means of elastic registration. Several correction models (superior-inferior (SI) translation, 3D translation, and 3D affine transformation) were tested and compared with respect to their ability to map a selected inspiratory to the end-expiratory motion state. RESULTS: 3D translation was found to be superior over SI translation, which is commonly used for prospective motion correction in CMRA. The 3D affine transformation was found to be the best correction model considered in this study. Furthermore, a large intersubject variability of the model parameters was observed. CONCLUSION: The results of this study indicate that a patient-adapted 3D correction model (3D translation or better 3D affine) will considerably improve prospective motion correction in CMRA.

Adult↗

PubMed2002

Selective three-dimensional visualization of the coronary arterial lumen using arterial spin tagging.

Conventional coronary magnetic resonance angiography (MRA) techniques display the coronary blood-pool along with the surrounding structures, including the myocardium, the ventricular and atrial blood-pool, and the great vessels. This representation of the coronary lumen is not directly analogous to the information provided by x-ray coronary angiography, in which the coronary lumen displayed by iodinated contrast agent is seen. Analogous "luminographic" data may be obtained using MR arterial spin tagging (projection coronary MRA) techniques. Such an approach was implemented using a 2D selective "pencil" excitation for aortic spin tagging in concert with a 3D interleaved segmented spiral imaging sequence with free-breathing, and real-time navigator technology. This technique allows for selective 3D visualization of the coronary lumen blood-pool, while signal from the surrounding structures is suppressed.

Adult↗

PubMed2002

Sensitivity-encoded single-shot spiral imaging for reduced susceptibility artifacts in BOLD fMRI.

Sensitivity encoding (SENSE) with iterative image reconstruction was used to shorten the readout duration in single-shot spiral imaging by a factor of 2. This enabled susceptibility-related blurring and signal loss artifacts to be reduced and spatial resolution to be improved. As a beneficial side effect, the gradient duty cycle was also reduced. The spiral SENSE technique was applied to functional MRI (fMRI) with blood oxygen level-dependent (BOLD) contrast and compared to a conventional spiral acquisition. Stimulation experiments were performed in seven volunteers using motor, visual, and taste paradigms. The signal-to-noise ratio (SNR) and signal-to-fluctuation-noise ratio (SFNR) of the SENSE acquisitions were reduced by 20% and 13%, respectively, with respect to the longer readout. The overall activation detected was comparable to that of the conventional spiral acquisition, even though difficulties in reproducing the stimulation response hampered the evaluation. In some cases, the application of SENSE enabled recovery of activation in regions affected by signal loss due to field inhomogeneity.

Artifacts↗

PubMed2002

Model evaluation and calibration for prospective respiratory motion correction in coronary MR angiography based on 3-D image registration.

Image processing was used as a fundamental tool to derive motion information from magnetic resonance (MR) images, which was fed back into prospective respiratory motion correction during subsequent data acquisition to improve image quality in coronary MR angiography (CMRA) scans. This reduces motion artifacts in the images and, in addition, enables the usage of a broader gating window than commonly used today to increase the scan efficiency. The aim of the study reported in this paper was to find a suitable motion model to be used for respiratory motion correction in cardiac imaging and to develop a calibration procedure to adapt the motion model to the individual patient. At first, the performance of three motion models [one-dimensional translation in feet-head (FH) direction, three-dimensional (3-D) translation, and 3-D affine transformation] was tested in a small volunteer study. An elastic image registration algorithm was applied to 3-D MR images of the coronary vessels obtained at different respiratory levels. A strong intersubject variability was observed. The 3-D translation and affine transformation model were found to be superior over the conventional FH translation model used today. Furthermore, a new approach is presented, which utilizes a fast model-based image registration to extract motion information from time series of low-resolution 3-D MR images, which reflects the respiratory motion of the heart. The registration is based on a selectable global 3-D motion model (translation, rigid, or affine transformation). All 3-D MR images were registered with respect to end expiration. The resulting time series of model parameters were analyzed in combination with additionally acquired motion information from a diaphragmatic MR pencil-beam navigator to calibrate the respiratory motion model. To demonstrate the potential of a calibrated motion model for prospective motion correction in coronary imaging, the approach was tested in CMRA examinations in five volunteers.

Adult↗

PubMed2002

Renal arteries: navigator-gated balanced fast field-echo projection MR angiography with aortic spin labeling: initial experience.

A cardiac-triggered free-breathing three-dimensional balanced fast field-echo projection magnetic resonance (MR) angiographic sequence with a two-dimensional pencil-beam aortic labeling pulse was developed for the renal arteries. For data acquisition during free breathing in eight healthy adults and seven consecutive patients with renal artery disease, real-time navigator technology was implemented. This technique allows high-spatial-resolution and high-contrast renal MR angiography and visualization of renal artery stenosis without exogenous contrast agent or breath hold. Initial promising results warrant larger clinical studies.

Adult↗

PubMed2001

Correlation of 3D MR coronary angiography with selective coronary angiography: feasibility of the motion-adapted gating technique.

The aim of this study was to verify the feasibility of a respiratory motion compensation technique (motion-adapted gating, MAG) for visualization of coronary arteries (CA) by correlation with selective coronary angiography (SCA). Fifteen subjects (11 patients, mean age 61.3 years, age range 41-73 years; and 4 healthy volunteers, mean age 32.3 years, age range 31-35 years) were investigated. A Philips Gyroscan ACS-NT was used, operating at 1.5 T, was combined with the PowerTrak 6000 gradient system. An ECG-triggered, respiratory motion-gated 3D turbo field echo sequence was used. The real-time algorithm utilized the concept of k-space weighting in combination with automatic analysis of respiratory motion. The main CA were investigated. Qualitative analysis was performed by three blinded investigators. Visibility was graded on a five-point scale (0=not visualized, 1=insufficient, 2=sufficient, 3=good, 4=excellent). Segments graded 2-4 were defined as adequately visualized. Sixty-two of 88 assessable CA segments in patient, and 22 of 32 in volunteer group were adequately visualized. Visibility of CA was classified as excellent for proximal RCA (avg. 3.6+/-0.5), good for LM, proximal LAD, proximal LCX, middle RCA and sufficient for middle LAD. Sensitivity, specificity, positive and negative predictive values for coronary MRA in detection of CA stenoses with luminal narrowing >/=50% were 88, 94, 83, and 96%, respectively. Magnetic resonance imaging in combination with MAG has proven to be a promising technique for noninvasive imaging of CA due to good image quality and a patient convenient free-breathing technique.

Adult↗