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Biomedical subjects

Steffen Weiss

Publications and source records attributed to Steffen Weiss.

7 recordsLinked to original sources

Simultaneous imaging and R2* mapping using a radial multi-gradient-echo (rMGE) sequence.

PURPOSE: To demonstrate a rapid MR technique that combines imaging and R2* mapping based on a single radial multi-gradient-echo (rMGE) data set. The technique provides a fast method for online monitoring of the administration of (super-)paramagnetic contrast agents as well as image-guided drug delivery. MATERIALS AND METHODS: Data are acquired using an rMGE sequence, resulting in interleaved undersampled radial k-spaces representing different echo times (TEs). These data sets are reconstructed separately, yielding a series of images with different TEs used for pixelwise R2* mapping. A fast numerical algorithm implemented on a real-time reconstruction platform provides online estimation of the relaxation rate R2*. Simultaneously the images are summed for the computation of a high-resolution image. RESULTS: Convenient high-resolution R2* maps of phantoms and the liver of a healthy volunteer were obtained. In addition to stable intrinsic baseline maps, the proposed technique provides particularly accurate results for the high relaxation rates observed during the presence of (super-)paramagnetic contrast agents. Assuming that the change in R2* is proportional to the concentration of the agent, the technique offers a rough estimate for dynamic dosage. CONCLUSION: The simultaneous online display of morphological and parametric information permits convenient, quantitative surveillance of contrast-agent administration.

Algorithms↗

Transmission line for improved RF safety of interventional devices.

A new concept is proposed to improve the safety of transmission lines with respect to heating during RF transmission. It is based on the integration of transformers into the transmission line. The concept was applied to an active tracking device. Miniature transformers were designed, and two types of tracking devices were built based on a standard line and a transformer line. Temperature measurements were performed for both devices during high specific absorption rate (SAR) scanning, and the suppression of RF heating to a physiologically non-relevant level was demonstrated for the transformer device. The transmission properties of the transformer line were examined in simulations and RF measurements. Active tracking with the transformer device performed robustly in the phantom. Because of the favorable signal transmission properties of the tested device, it is expected that the concept can be applied to the construction of clinical devices for tracking and intravascular imaging, which are RF-safe under clinical SAR conditions. Since the transformer line has a large bandwidth, the concept may also be applied for RF-safe transmission of non-MR signals.

Catheterization↗

A safe transmission line for MRI.

Magnetic resonance imaging (MRI) has been established as a reliable and safe imaging method for the human body. However, electric conductors, such as cables situated near or in the human body, should be avoided because induced currents in the cables can cause hazardous heating in the surrounding tissue. In this paper, a new principle for the design of a transmission line is introduced and demonstrated, which is capable of avoiding dangerous heating of cables. The principle is based on transformers placed along the line, splitting the long line into several short not resonant and thus safe sections. A transformer design is introduced along with the theoretical aspects for both the avoidance of the undesired induced currents and the reduction of signal attenuation. Furthermore, the design fulfills the geometrical requirements of the side lumen of a standard catheter. Matching networks, whose elements are determined by power matching, are used to reduce signal attenuation by the transformers. A prototype was built to validate both theory and the simulations. As demonstrated in this work, it is possible to build safe transmission lines for MRI, making applications such as active catheter tracking possible. We expect that even new applications, such as safe intravascular imaging will be possible in a safe manner in the future.

Catheterization↗

Catheter visualization with resonant markers at MR imaging-guided deployment of endovascular stents in swine.

PURPOSE: To evaluate resonant circuits as markers for magnetic resonance (MR) imaging-guided placement of nitinol stents. MATERIALS AND METHODS: The study was approved by the institutional animal research committee and complied with National Institutes of Health guidelines for care and use of laboratory animals. Resonant circuits similar to catheter markers used at conventional angiography were placed proximally and distally to a nitinol stent in a stent delivery system. Resonant circuits were tested in vitro and in vivo for signal intensity levels that would enable visualization during MR imaging-guided stent deployment. Experiments were conducted by using real-time imaging with a 1.5-T unit. Stents (n = 9) were deployed in the vena cava (n = 2), abdominal aorta (n = 2), isthmus of the aorta (n = 2), and carotid (n = 2) and iliac (n = 1) arteries in five pigs. After intervention, the site of the stent was investigated with balanced fast field-echo MR imaging and contrast material-enhanced MR angiography. Blood flow velocities were measured in the stent lumen and next to the stent with velocity-encoded cine MR imaging. Level of agreement was determined with Bland-Altman analysis. RESULTS: During all interventions, resonant circuits provided highly visible MR signal that allowed fast and reliable visualization of the stent delivery system. Borders of loaded stents were clearly marked, which allowed precise stent placement in all experiments. Balanced fast field-echo MR imaging and contrast-enhanced MR angiography provided information about immediate postintervention position. Positions depicted on MR images were found accurate at postmortem examination. Results of Bland-Altman analysis showed good agreement between blood flow velocities measured in and next to the stent lumen, with a mean difference of -9 cm/sec +/- 5 (standard deviation). CONCLUSION: Resonant circuits are well suited for use at deployment of endovascular stents.

Alloys↗

In vivo safe catheter visualization and slice tracking using an optically detunable resonant marker.

The purpose of this study was to test the in vivo feasibility of safe automatic catheter tracking based on an optically detunable resonant marker installed on the catheter tip, and also to test the compatibility of this approach with guidewire materials. The design of the resonant marker and the integration into the real-time MR environment is described. The catheter was used for real-time MR-guided catheterization of the aorta, left ventricle, and carotid in two swine. For in-plane visualization, the marker was repeatedly detuned. For automatic slice tracking, a projection difference measurement including detuning was interleaved with the imaging sequence. In vitro experiments were conducted to investigate the RF-safety of the marker and the effect of the guidewires on the signal intensity. For all orientations the marker provided excellent in vivo contrast using a radial steady-state free-precession sequence. Flashing of the marker by repetitive tuning/detuning further improved the in-plane visualization. Automatic slice tracking during real-time imaging was successfully performed. The plastic guidewires did not interfere with the marker, and detuning by guidewires containing nitinol could be compensated. In conclusion, automatic slice tracking as well as excellent in-plane visualization can be achieved with this approach and it is safe with respect to RF transmission.

Animals↗

Image-based tracking of optically detunable parallel resonant circuits.

In this work strategies for the robust localization of parallel resonant circuits are investigated. These strategies are based on the subtraction of two images, which ideally differ in signal intensity at the positions of the devices only. To modulate their signal amplification, and thereby generate the local variations, the parallel resonant circuits are alternately detuned and retuned during the acquisition. The integration of photodiodes into the devices permits their fast optical switching. Radial and spiral imaging sequences are modified to provide the data for the two images in addition to those for a conventional image in the same acquisition time. The strategies were evaluated by phantom experiments with stationary and moving catheter-borne devices. In particular, rapid detuning and retuning during the sampling of single profiles is shown to lead to a robust localization. Moreover, this strategy eliminates most of the drawbacks usually associated with image-based tracking, such as low temporal resolution. Image-based tracking may thus become a competitive (if not superior) alternative to projection-based tracking of parallel resonant circuits.

Catheterization↗

[An approach for safe visualization and localization of catheter during MR-guided intravascular procedures].

The present paper describes a method for the visualization and localization of a catheter during real-time imaging on a clinical magnetic resonance tomograph (MRT). This method includes the use of an apposite catheter hardware equipped with an optically tunable resonant marker on its tip (OptiMa-Catheter). In the tuned state, the marker produces an intense signal spot in the MR image. The signal is modulated by optical detuning controlled by the MRT system, which results in improved visualization of the catheter tip due to flashing. During real-time imaging, additionally, the localization of the tip is precisely detected and the slice tracking automatically performed. Experiments demonstrate that the OptiMa-Catheter does not generate relevant resonance heating during imaging. Consequently, it combines the visualization and localization known from active techniques with the safety of passive techniques.

Catheters, Indwelling↗