Biomedical subjects

R S Hinks

Publications and source records attributed to R S Hinks.

At least 19 recordsLinked to original sources

PubMed1997

Magnetic resonance imaging of temperature changes during interstitial microwave heating: a phantom study.

Changes in magnetic resonance (MR) signals during interstitial microwave heating are reported, and correlated with simultaneously acquired temperature readings from three fiber-optic probes implanted in a polyacrylamide gel phantom. The heating by a MR-compatible microwave antenna did not interfere with simultaneous MR image data acquisition. MR phase-difference images were obtained using a fast two-dimensional-gradient echo sequence. From these images the temperature-sensitive resonant frequency of the 1H nuclei was found to decrease approximately by 0.008 ppm/ degree C. The method and results presented here demonstrate that noninvasive MR-temperature imaging can be performed simultaneously with interstitial microwave thermal treatment.

Biophysical Phenomena↗

PubMed1995

Nontraumatic pediatric musculoskeletal MR imaging: comparison of conventional and fast-spin-echo short inversion time inversion-recovery technique.

PURPOSE: To compare conventional short inversion time inversion-recovery (STIR) with fast spin-echo (FSE) STIR techniques to evaluate suspected nontraumatic musculoskeletal abnormalities. MATERIALS AND METHODS: Thirty STIR and FSE-STIR examinations in 26 pediatric patients with suspected nontraumatic musculoskeletal abnormalities were prospectively evaluated. Qualitative (subjective) and quantitative (five-point rank score) analyses of the images were performed. RESULTS: FSE-STIR was faster than STIR (mean, 2 minutes 25 seconds and 6 minutes 35 seconds, respectively). Fat suppression was slightly better with STIR. Image degradation due to motion was judged similar. Lesion contrast to muscle was slightly better with STIR than FSE-STIR, and lesion contrast to fat was equivalent. Qualitatively, lesion conspicuity was similar: All lesions were seen with both techniques. CONCLUSION: FSE-STIR can replace STIR when an inversion-recovery fat-suppression sequence is desired. Considerable imaging time is saved.

Adolescent↗

PubMed1995

MR evaluation of vertebral metastases: T1-weighted, short-inversion-time inversion recovery, fast spin-echo, and inversion-recovery fast spin-echo sequences.

PURPOSE: To compare the detectability of vertebral metastatic disease on T1-weighted, short-inversion-time inversion recovery (STIR), fast spin-echo (FSE), fat-saturated FSE, and inversion recovery FSE (IRFSE) MR sequences using percent contrast and contrast-to-noise ratios. METHODS: Patients with proved metastatic disease underwent imaging on a 1.5-T MR system with sagittal T1-weighted (800/20/2 [repetition time/echo time/excitations]) (91 patients), STIR (1400/43/2; inversion time, 140) (91 patients), FSE (4000/180/2) (46 patients), fat-saturated FSE (4000/180/2) (16 patients), and IRFSE (29 patients) sequences. Percent contrast and contrast-to-noise ratio were calculated for the lesions. The number of metastatic lesions detected with each of the pulse sequences was also calculated. RESULTS: Mean percent contrast was, for T1-weighted sequence, -42.2 +/- 1%; STIR, 262 +/- 34%; FSE, 121 +/- 21%; fat-saturated FSE, 182 +/- 6%; and IRFSE, 272 +/- 47%. The mean contrast-to-noise ratio for T1-weighted was -4.63 +/- 1.7; STIR, 10.8 +/- .98; FSE, 4.16 +/- .76; fat-saturated FSE, 4.87 +/- .19; and IRFSE, 5.2 +/- .87. STIR and IRFSE showed the highest number of lesions, followed by T1-weighted, fat-saturated FSE, and FSE sequences. T1-weighted sequences showed 94%, FSE 55%, and fat-saturated FSE 78% of the lesions detected. Epidural metastatic lesions were better depicted on T1-weighted, FSE, and fat-saturated FSE sequences. CONCLUSION: STIR was superior to both T1-weighted and FSE (with and without fat saturation) for detection of metastatic lesions, in terms of both percent contrast and contrast-to-noise ratio and visibility. IRFSE was equal to STIR for the detection of metastasis by both subjective and objective criteria. T1-weighted, FSE, and fat-saturated FSE sequences were superior to STIR and IRFSE in the detection of epidural metastatic disease. IRFSE provided faster scanning time, which could be translated into greater resolution.

Adolescent↗

PubMed1994

Gradient moment nulling in fast spin echo.

The fast spin echo sequence combines data from many echo signals in a Carr-Purcell-Meiboom-Gill echo train to form a single image. Much of the signal in the second and later echoes results from the coherent addition of stimulated echo signal components back to the spin echo signal. Because stimulated echoes experience no dephasing effects during the time that they are stored as Mz magnetization, they experience a different gradient first moment than does the spin echo. This leads to flow-related phase differences between different echo components and results in flow voids and ghosting, even when the first moment is nulled for the spin echo signal. A method of gradient moment nulling that correctly compensates both spin echo and stimulated echo components has been developed. The simplest solution involves nulling the first gradient moment at least at the RF pulses and preferably at both the RF pulses and the echoes. Phantom and volunteer studies demonstrate good suppression of flow-related artifacts.

Artifacts↗

PubMed1994

Spin-echo and gradient-echo EPI of human brain activation using BOLD contrast: a comparative study at 1.5 T.

In this study, Blood Oxygenation Level Dependent (BOLD) contrast in the detection of human brain activation was compared between spin-echo and gradient-echo echo-planar sequences at 1.5 T. Time course series of spin-echo and gradient-echo images containing the primary motor cortex were collected during rest (no finger movement) and activation (finger movement). Each time course series was collected using a different TE. Resting and active state signal intensities at each TE were measured in identical regions in the motor cortex. From these data, resting and active state R2 (1/T2) and R2* (1/T2*) values were obtained. Across four subjects, brain activation produced an average R2 change of -0.16 +/- 0.02/s (+/- SE), and an average R2* change of -0.55 +/- 0.08/s. The average delta R2*/delta R2 ratio was 3.52 +/- 0.56. The average gradient-echo/spin-echo ratio of activation-induced signal changes at the TE for maximal BOLD contrast for each sequence (TE approximately T2* and T2) was calculated to be 1.87 +/- 0.40.

Adult↗

PubMed1993

Stabilization of echo amplitudes in FSE sequences.

The classical CPMG sequence and its extension as an imaging sequence, fast spin echo (FSE, based on RARE), suffer from signal magnitude variations in the early echoes when the refocusing pulses are not set exactly to 180 degrees. It has been suggested that by varying the value of the nutation angle of each refocusing pulse the signal magnitude could be made constant. This article describes an algorithm permitting the generation of sequences of nutation angles yielding series of echoes with constant signal magnitudes. This result is then used to design selective pulses for the FSE imaging technique.

Algorithms↗

PubMed1992

Time course EPI of human brain function during task activation.

Using gradient-echo echo-planar MRI, a local signal increase of 4.3 +/- 0.3% is observed in the human brain during task activation, suggesting a local decrease in blood deoxyhemoglobin concentration and an increase in blood oxygenation. Images highlighting areas of signal enhancement temporally correlated to the task are created.

Brain↗

PubMed1990

Cine MR in the evaluation of normal and abnormal CSF flow: intracranial and intraspinal studies.

Evaluation of intracranial and intraspinal CSF flow was accomplished by the use of cardiac gated gradient echo magnetic resonance (MR) technique. Normal patterns of pulsatile flow within the ventricles, cisterns and cervical subarachnoid space were established by this technique and these observations were compared to prior description of CSF flow. With systole there is downward (caudal) flow of CSF in the aqueduct of Sylvius, the foramen of Magendie, the basal cisterns and the dorsal and ventral subarachnoid spaces while during diastole, upward (cranial) flow of CSF in these same structures is seen. The relationships between the cardiac cycle and the CSF pulsations are demonstrated on both magnitude reconstruction and phase reconstruction MR images. Calculations of actual fluid velocity within CSF containing spaces can be obtained from the phase reconstruction images and holds promise for a more accurate analysis of CSF flow. In conditions which result in alterations of flow, cine MR dramatically shows either obstruction or excessively turbulent flow within the CSF pathways. The site of obstructed flow whether in the third ventricle, aqueduct, fourth ventricle, or subarachnoid space can be appreciated by changes in or absence of the normal hypointense signal. Cystic cord lesions such as congenital syringohydromyelia and posttraumatic spinal cord cysts may show pulsatile flow of CSF, a fact which can relate to progressive enlargement of these cysts. The distinction between myelomalacia and cyst formation in the cord is facilitated by the technique. Although the use of cine MR for the analysis of CSF flow is in its infancy, our experience indicates that this technique is useful in a wide range of pathological conditions including, but not limited to, conditions resulting in hydrocephalus or cystic cord lesions.

Brain↗

PubMed1989

MR technique for localization and verification procedures in episcleral brachytherapy.

Spatial definition of an intraocular tumor and subsequent determination of the actual position of an implanted eye plaque are essential for adequate ocular brachytherapy treatment planning. However, a method for verification of the plaque placement which would provide required 3-dimensional information is not available at present. In addition, tumor localization procedures, including ultrasonography and CT techniques, cannot always offer the precision needed for 3-dimensional definition of an intraocular target. This communication describes a magnetic resonance imaging technique specifically developed for both localization and verification procedures. A 1.5 Tesla magnetic resonance scanner, spin-echo pulse sequence (echo time 30 msec, repetition time 700 msec), and commercially available surface coil were used to obtain a series of transverse, coronal, and sagittal images of a slice thickness of 3 mm. Usually, eight scans in each of the three planes were needed for adequate coverage of the orbit. The required patient set-up and data acquisition time did not exceed 40 minutes. With a data matrix size of 256 X 256 pixels and 13 cm field of view, localization and verification were accomplished with a precision of 0.5 mm. Our results suggest that the magnetic resonance imaging technique permits precise integration of diagnostic and therapeutic procedures, and in addition provides adequate data for accurate treatment planning. We conclude that magnetic resonance imaging is the preferred diagnostic technique for episcleral brachytherapy.

Brachytherapy↗

PubMed1989

MR imaging of intracranial carotid occlusion.

The MR scans of seven patients with intracranial carotid occlusion (five proved, two presumed) were reviewed to evaluate the MR signal characteristics seen in this disorder. Five patients had clinical signs of cerebral infarction. Of the remaining two patients, one was asymptomatic and the other had a long-standing occlusion and headaches. We correlated the MR findings with cerebral angiography in five patients and with CT scans in six patients. All occluded vessels demonstrated MR signal predominantly isointense to brain on proton-density- T1- and T2-weighted images. Since there is an absence of flow, the MR signal is based on the intrinsic properties of the arterial thrombus and possibly on the chronicity of the occlusion. The pathogenesis and histopathology of intravascular thrombus differ significantly from extravascular hematoma, which accounts for the differences in their MR signal characteristics. The demonstration of occluded intracranial vessels may solidify the diagnosis of stroke in cases in which clinical and/or CT findings are equivocal. In patients presenting with infarction, an occluded carotid artery by MR may obviate the need for angiography; however, the demonstration of a patent carotid in conjunction with infarction suggests the possibility of an embolus, which may require angiography. We believe that MR is a valuable adjunct to CT in evaluating patients with cerebrovascular infarction.

Adult↗

PubMed1988

Magnetic resonance imaging for monitoring relapse of acute myeloid leukemia.

Magnetic resonance provides a non-invasive tool for monitoring normal and leukemic bone marrow. Measurements of the T1 relaxation times are elevated in acute myelogenous leukemia. However, interpatient variability diminishes the usefulness of MR measurements for diagnosing leukemia. In following the time course of individual patients, T1 relaxation time measurements appear to give an early and sensitive indication of leukemic relapse after remission and this may serve a clinical role in the management of leukemia by reducing the regularity of necessary marrow aspirates and biopsies.

Bone Marrow↗

PubMed1988

Improved MR imaging of the brain by using compensating gradients to suppress motion-induced artifacts.

Sixty patients were examined with and without extra gradient pulses, which compensate for motion-induced phase errors, in order to determine the effect those gradients had in suppressing the motion artifacts frequently present in the brainstem, temporal lobes, and basal ganglionic regions on routine T2-weighted brain MR imaging. Two comparative studies were performed: (1) in 50 patients the motion-artifact suppression technique (MAST) was compared with a single-echo MR examination, and (2) in 10 patients the MAST technique was compared with the second echo of a symmetric dual-echo sequence. In the first study 39 patients were examined at 1.5 T and 11 patients were examined at 0.5 T with the same pulse sequences. We found that MAST resulted in a significant improvement of image quality in 24 of 39 patients on the high-field-strength system and in two of 11 patients on the mid-field-strength system. In the second study, we found that in four of the 10 patients, MAST resulted in a suppression of artifacts greater than that achieved by even-echo rephasing alone. With MAST, artifacts were eliminated that not only obscured normal structures but that could have left doubt about the presence of a true signal abnormality. There was, however, marked suppression of the CSF flow-void phenomenon and increased signal from flowing blood, particularly in the cortical veins and dural sinuses. Because of this, the use of additional pulse sequences in which these motion-compensating gradients were not used was necessary under certain clinical circumstances. We conclude that, with these motion-compensating gradients, artifacts are reduced or eliminated, and a marked improvement in image quality can be obtained without the need for cardiac gating.

Adolescent↗

PubMed1988

Motion artifacts in brain and spine MR.

As a result of the effects of cerebrospinal fluid and blood motion, motion artifacts are common in brain and spine MR imaging. These artifacts, which are most common on T2-weighted spin-echo sequences, show up as streaking and ghosting in the phase-encoding (PE) direction (PE artifacts) and as loss of signal from flowing material (flow void). A review of the physical and physiologic causes of these artifacts and a review and explanation of several techniques that are useful in reducing or eliminating them are presented in this article.

Blood Circulation↗

PubMed1987

Kinetic studies of modifier effects on the carboxypeptidase A catalyzed hydrolyses of peptides.

A variety of modifiers of carboxypeptidase A (CPA) have been investigated in an effort to understand the structural requirements of inhibitors and activators of peptidase activity. It is proposed that an understanding of the mechanism of action of reversible activators of the enzyme may bear on the long standing question of whether the detailed mechanism of peptidase activity is different from that of esterase activity. An analog of the activator 2,2-dimethyl-2-silapentane-5-sulfonate, 5,5-dimethylhexanoate, was found to be a competitive inhibitor of the CPA-catalyzed hydrolysis of benzoylglycyl-L-phenylalanine. The modifier 4-phenyl-3-butenoate (styrylacetic acid) was determined to be an activator. The sulfonates benzene-sulfonate, p-toluenesulfonate, phenylmethanesulfonate, 2-phenylethanesulfonate, and 3-phenylpropanesulfonate were all found to be activators.

Carboxypeptidases↗

PubMedDate not supplied

Ghost phase cancellation with phase-encoding gradient modulation.

Motion artifacts are a dominant cause of magnetic resonance image quality degradation. Periodic or nearly periodic motion results in image replicates of the moving structures in spin-warp Fourier imaging. The replicates, or ghosts, propagate in the image in the phase-encoding, or y, direction. These ghosted images can be considered to consist of the time-averaged spin density I0 and a ghost mask g. A set of j ghosted images Ij may be acquired in which the ghost mask is intentionally phase shifted by varying amounts relative to I0 with interleaved acquisitions that have shifted phase-encoding orders or by acquiring multiple images during a single readout period in the presence of an oscillating phase-encoding gradient. The resulting complex images Ij have the same time-averaged spin density I0 but have ghost contributions gj that, on a pixel-by-pixel basis, trace part of a circle around I0. The source images Ij can then be used to estimate I0. Simulations and experiments with the phase-encoding gradient modulation method show good general ghost suppression for a variety of quasi-periodic motion sources including both respiratory-type artifacts and flow artifacts. The primary limitation of the method is the need for rapid gradient switching.

Artifacts↗

PubMedDate not supplied

Fast spin-echo MR imaging of the abdomen: contrast optimization and artifact reduction.

The effects of various fast spin-echo (FSE) magnetic resonance (MR) imaging parameters and artifact reduction techniques on FSE image contrast and quality were studied. The authors performed 139 abdominal MR examinations, comparing standard FSE images (echo train length [ETL] = 8, echo space [E-space] = 17 msec, bandwidth = +/- 16-kHz) with FSE images with an ETL of 16 (n = 22) or FSE images with a +/- 32-kHz bandwidth and an E-space of 11-14 msec (n = 22). FSE artifact reduction techniques were evaluated with spectral fat saturation (n = 40) or with a new flow compensation FSE sequence (n = 55). Images of liver lesions were reviewed qualitatively and with contrast-to-noise ratio (C/N) measurements. Decreasing the time of echo train sampling produced superior image quality, with increased anatomic sharpness, less image artifact, and improved liver-lesion C/N. Images obtained with an ETL of 16 showed more image blurring and a 23% decrease in relative contrast and 28% decrease in relative C/N for liver tumors. Increasing the bandwidth reduced E-space, producing a 12% decrease in background noise. Artifact reduction with fat saturation or flow compensation produced images with less ghosting artifact and superior overall image quality, with 39% and 20% increases in liver-tumor C/N, respectively. FSE image quality and contrast in the depiction of hepatic disease can be optimized with careful selection of imaging parameters and the use of artifact reduction techniques.

Abdomen↗

PubMedDate not supplied

Separation of fat and water in fast spin-echo MR imaging with the three-point Dixon technique.

A method for suppressing fat in fast spin-echo imaging with the three-point Dixon technique is described. The method differs from the three-point Dixon method used in conventional spin-echo imaging in that the readout gradient instead of a radio-frequency pulse is shifted. This method preserves the Carr-Purcell-Meiboom-Gill nature of the fast spin-echo sequence and hence is less sensitive to magnetic field inhomogeneities and resonance frequency mistuning. As in the original three-point Dixon technique used in conventional spin-echo imaging, three acquisitions are required to estimate the field inhomogeneity and completely separate fat and water. The extra time required is not excessive considering that the fast spin-echo method is frequently applied with multiple signal acquisition. Also, this technique achieves an expected signal-to-noise ratio comparable to 2.67 signal acquisitions, which is approximately 94% of the signal-to-noise ratio obtained with three signal acquisitions. The method is demonstrated with applications to phantoms and a human volunteer.

Adipose Tissue↗

PubMedDate not supplied

Problems with organic materials for magnetic resonance imaging phantoms.

Organic liquids are frequently used as magnetic resonance (MR) phantom materials. It is often not appreciated that indirect spin-spin coupling can dramatically affect signal amplitudes in spin-echo experiments. These effects are evidenced in three ways: (1) modulation of spin-echo amplitudes; (2) decrease in measured T2 relaxation times; and (3) dependence of spin-echo modulation and measured T2 values on the echo time (TE) in multiecho Carr-Purcell-Meibroom-Gill experiments. This paper illustrates these effects and warns against the inappropriate use of organic liquids as MR phantoms.

Copper↗