[MR angiography of intra- and extracranial vessels using gradient echo sequence; optimal pulse sequences and parameters].
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A pulse sequence is presented for obtaining a single image with combined T1/T2 weighting. T2 relaxation is made to increase intensity, in cooperation with the effect of T1 relaxation, by providing T2 weighting with a 90 degrees-180 degrees-90 degrees driven inversion pulse triplet in an inversion recovery method. Unlike the inversion spin-echo method having a short inversion time (TI), signals in the new driven inversion spin-echo (DISE) method need not be negative and the most T1-sensitive region of the recovery curve can be used. Selecting sensitivity to one relaxation time does not degrade the sensitivity to the other relaxation time. T1 sensitivity is thus extended to longer echo times (TE intervals). T2 sensitivity is extended to longer TI intervals, and the combined T1/T2-weighted technique with intermediate TE and TI has highly cooperative and near-maximal T1 and T2 effects on contrast. Intensity is not multiplicatively degraded by T1 and T2 weighting so that the signal-to-noise of the combined T1/T2-weighted method is high. High intensity and T1 and T2 cooperatively occur for a much wider range of relaxation times, and especially for images heavily weighted to the pathologic intermediate and long T1 and T2 regime.
Tuning of nuclear magnetic resonance pulse sequences with pulsed "crusher" gradients or phase cycling serves to remove unwanted spin populations from the data acquisition window. Verification that unwanted spin population are not detected is often determined by the absence of obvious artifacts in an image. This approach is unsatisfactory in some instances because signal contamination with unwanted spin populations may not be obvious. This is a particular concern with multiple-spin echo, volume-selective, and other multiple-pulse sequences. A solution to this problem is the separation of spin populations using gradient echoes, allowing the existence of unwanted populations to be easily observed separately. Tuning of a pulse sequence is straightforward when spin populations can be independently observed.
We introduce a selective adiabatic pulse sequence suitable for generating selective spin-echoes for both MR imaging and spectroscopy. The technique is simple; one uses the echo generated by any pair of identical selective adiabatic inversion pulses. The nonlinear phase across the slice is compensated perfectly by the second pi pulse. This compensation is immune to RF inhomogeneity and nonlinearity. For imaging applications, we concentrate on a reduced-power version of the pulse sequence in which time is traded off variably for RF amplitude in the presence of a time-varying gradient. This technique, known as variable-rate excitation, mildly degrades the off-resonant slice profile when applied to amplitude-modulated pulses. We present theoretical explanations and experimental results that show that the variable-rate adiabatic pulses are immune to off-resonant degradation of the magnitude normally encountered in MR imaging.
Magnetic resonance imaging (MRI) is accurate in evaluating meniscal tears using spin echo pulse sequences. The purpose of this study was to systematically compare T1-weighted pulse sequences to two echo proton density/T2 (2eT2)-weighted sequences. Menisci were separated into four grades based on signal characteristics. In addition, all menisci were graded as positive or negative for tear. Twenty-three patients (46 menisci) were studied with both pulse sequences and the results were compared with arthroscopic findings. Using T1 sequences, 14 of 18 torn menisci and 26 of 28 untorn menisci were identified. Using 2eT2 sequences, 13 of 18 torn menisci and 26 of 28 untorn menisci were correctly identified. There was high correlation between T1 and 2eT2 sequences for torn versus untorn menisci and for grade of injury (P = .99). There is very little difference between T1- and 2eT2-weighted pulse sequences in evaluation of meniscal tears.
In order to predict the most sensitive MR imaging sequence for detecting liver metastases at 1.5 T, in vivo measurements of T1 and T2 relaxation times and proton density were obtained using multipoint techniques. Based on these measurements, two-dimensional contrast contour plots were constructed demonstrating signal intensity contrast between hepatic lesions and surrounding liver parenchyma for different pulse sequences and pulse timing parameters. The data predict that inversion recovery spin echo (IRSE) imaging should yield the greatest contrast between liver metastases and liver parenchyma at 1.5 T, followed by short tau inversion recovery (STIR) and spin-echo (SE) pulse sequences. T2-weighted SE images provided greater liver/lesion contrast than T1-weighted SE pulse sequences. Calculated T1, T2, and proton density values of the spleen were similar to those of hepatic metastatic lesions, indicating that the signal intensity of the spleen may be used as an internal standard to predict the signal intensity of hepatic metastases on T1- and T2-weighted images at 1.5 T.
We used an animal model to investigate the hepatic enhancement characteristics of manganese dipyridoxyl diphosphate (MnDPDP) related to time, dose, and pulse sequence. The contrast doses selected were in the human tolerance range. Using an SE 300/15 pulse sequence, maximum mean hepatic enhancement of 45% (8 mumols/kg) and 58% (12 mumols/kg) over baseline was seen during a plateau maintained between 5 and 50 minutes postinjection in the 8 mumols/kg group, and between 10 and 90 minutes in the 12 mumols/kg group. This plateau was followed by a very gradual decline in hepatic enhancement. Using either 4 or 8 mumols/kg, there was a significant increase in postcontrast hepatic intensity on all relatively T1-weighted pulse sequences (spin echo [SE] 300/15, inversion recovery [IR] 1400/20/400, gradient echo [GE] 47/13/80 degrees, and GE 60/20/30 degrees) except GE 47/13/80 degrees at 4 mumols/kg. At 8 mumols/kg there was superior enhancement, with IR 1400/20/400 and SE 300/15, but at 4 mumols/kg there was no consistently superior sequence. None of the relatively T2-weighted pulse sequences (SE 2000/50, SE 2000/100, or GE 100/30/20 degrees) demonstrated a significant change in hepatic intensity using either dose of contrast. The data suggest that the best combination of dose, pulse sequence, and time for hepatic imaging with MnDPDP is 8 mumols/kg using heavily T1-weighted sequences 5 to 60 minutes following contrast administration.
A new procedure and algorithm are presented to allow the synthesis of a pulse sequence which will generate an arbitrary frequency-dependent spin excitation. This procedure is a generalization of our previous paper, where this was done subject to the restriction that the spin excitation was symmetric about zero offset frequency, and pulses were restricted to being about a fixed axis. The required final z-magnetization vector (Mz) is expressed as a function of the off-resonance frequency as an Nth order complex Fourier series. We then form a consistent Fourier series for (Mxy). As many as 2(2)N different pulse sequences may be directly generated all of which produce a different Mxy(f), but the same Mz(f). A pulse sequence is then generated which will yield the desired Mz(f) and Mxy(f). This is done by an analytic inversion of the Bloch equation, not by the classical Fourier approximation. This technique enables us to generate any Mz which is potentially realizable by a pulse sequence.
To determine the most sensitive pulse sequence and to clarify the role of each pulse sequence in the MR diagnosis of uveal malignant melanoma, noncontrast T1- and T2-weighted, and postcontrast T1-weighted, spin-echo images were compared blindly and independently by two experienced observers. Thirty uveal malignant melanomas, preselected by ophthalmoscopy and sonography for size greater than 2 mm, were examined with a 1.5-T superconducting MR unit with an orbital surface coil. Fifteen tumor studies were done after the patient was injected with gadopentetate dimeglumine. Postcontrast T1-weighted images were the most sensitive in detecting melanomas, demonstrating tumors 2 mm in height accurately on axial planes and 1.6 mm in height on combined orthogonal planes. The contrast-to-noise ratio between melanoma and vitreous fluid was greatest on postcontrast T1-weighted images (average, 72.1), followed by noncontrast T1-weighted images (average, 32.9), and then by T2-weighted images (average, -21.2). Postcontrast T1-weighted images also proved useful in differentiating melanomas from subretinal fluid collections when combined with noncontrast images. We conclude that postcontrast T1-weighted images are most helpful in detecting small uveal melanomas and in differentiating melanomas from subretinal fluid collections.
The purpose of this paper is to introduce a method for characterizing the nonlinear behavior of the auditory system. The method uses an m-pulse sequence as the stimulus and employs a general nonlinear framework for the auditory system. Like Sutter's binary m-sequence approach, the m-pulse sequence approach is computationally efficient since calculation of the first-order input-output cross-correlation function is all that is necessary for obtaining the nonlinear characteristics of the system. The nonlinear system characteristics are reflected in pulse kernels in contrast to binary kernels associated with the binary m-sequence approach. By assuming the system under study is a third-order nonlinear system, binary and pulse kernels are shown to be related to Volterra kernels. The results suggest that the m-pulse sequence can be used to study the system nonlinear effects of varying the stimulus repetition rate more effectively than conventional methods. Preliminary physiological data obtained by applying m-pulse sequences to the brainstem auditory evoked response (BAER) clearly illustrates the feasibility of obtaining replicable evoked responses using this method.
The use of binomial pulse sequences for fat suppression in MRI at low field strength (0.15 T) was investigated. Both spin-echo and inversion-recovery sequences were used and images obtained of the limbs, head and neck, and pelvis of volunteers and patients. Good fat suppression was seen particularly in small fields of view. Despite technical problems, chemical shift selective techniques can be applied at low field strength.
A flexible, personal computer (PC) based, screen-graphics oriented pulse sequence editor called PULSE has been developed for nuclear magnetic resonance (NMR) spectroscopy and magnetic resonance imaging (MRI). PULSE is used to set such NMR spectroscopic parameters as the delay and duration of rf transmit and receive gates, rf phase, sampling times, and such imaging parameters as rf pulse shape and gradient waveforms. The output of PULSE is a set of programs that can be loaded into a hardware pulse programmer. With PULSE, any desired NMR or MRI pulse sequence can be programmed quickly and easily.
The transfer of magnetization between a free and a bound pool of spins is described in terms of the respective longitudinal relaxation times and the life times of spins in each pool. The effect of an off resonance radiofrequency (RF) pulse in producing saturation in the bound pool and a consequent decrease in both the available longitudinal magnetization and the T1 of spins in the free pool is described. The effects of increasing duration of the saturating RF pulse on image pixel signal intensity were used to determine values for the decrease in both T1 and the available magnetization in gray and white matter of the brain as well as in muscle, fat, and CSF. At 0.15 T the available magnetization of muscle was reduced by approximately 60% and its T1 was decreased from 350 to 150 ms. The available magnetization of white and gray matter was reduced by 40% and their values of T1 were reduced by 80-110 ms. The reduction in available magnetization was used to increase contrast on proton density weighted or T2-weighted SE pulse sequences. These changes were also used to design inversion recovery (IR) pulse sequences with particular contrast properties. A short inversion time (TI) magnetization transfer (MT) IR (MT-STIR) pulse sequence was used to reduce the signal from normal muscle to zero to produce an angiographic effect in the leg. Increased tissue contrast was observed with a T2-weighted (MT-SE) sequence in a patient with bilateral cerebral infarction and with an MT-IR pulse sequence in a patient who had an intracranial hematoma. Three patients with cerebral tumors showed high lesion contrast with MT-STIR sequences. Components within two tumors were changed to different degrees by MT and in one case change in the brain attributable to recent radiotherapy treatment was only identified with an MT-STIR sequence. Magnetization transfer can be used to manipulate both the available longitudinal magnetization and the T1 of normal and abnormal tissues. The changes in tissue contrast produced by this can be very substantial and are likely to be of importance in clinical imaging.
The accuracy of relaxation time measurements of spectroscopic inversion recovery and CPMG multi-echo pulse sequences together with ISIS and stimulated echo-pulse methods have been tested on a reference phantom (test object no. 5, of the EEC Concerted Research Project). For the measurements a Siemens Magnetom wholebody magnetic resonance scanner operating at 1.5 Tesla was used. For comparison six imaging pulse sequences for relaxation time measurements were tested on the same phantom. The spectroscopic pulse sequences all had an accuracy better than 10% of the reference values.
Use of intraacquisition modification of pulse-sequence parameters to reduce acquisition time for conventional T2-weighted spin-echo images was evaluated. With this technique (variable-rate spin-echo pulse sequence), the repetition time and echo time (TR msec/TE msec) were reduced during imaging as a function of the phase-encoding view. To maintain T2-based contrast, TR and TE for the low-spatial-frequency views were left at their prescribed values (eg, 2,000/80). TR and TE for the high-spatial-frequency views were progressively reduced during imaging (eg, to 1,000/20). Acquisition time was reduced by as much as 25%. In one pulse sequence, the duration of multisection imaging nominally performed at TR 2,000 and with 256 phase-encoding views was reduced from 9 minutes 30 seconds to 6 minutes 30 seconds. In all sequences, edges and small structures were enhanced, and T2 contrast was somewhat decreased in high spatial frequencies. Filtering of the raw data before reconstruction can suppress these effects and provide a net increase in contrast-to-noise ratio.
The purpose of this study was to compare the sensitivity of T1-weighted and T2-weighted spin-echo (SE) pulse sequences with T2-weighted phase-contrast (PC) imaging techniques for the detection of hepatic metastases. Pulse-sequences performance was evaluated in 52 consecutive patients with 88 hepatic metastases who underwent MR imaging at 0.6 T. Lesion-liver contrast-to-noise ratios (CNR) on SE 260/14 (-12.4 +/- 6.7) and PC 2350/60 (+10.8 +/- 4.2) images were significantly (p less than .05) greater than on SE 2350/60 (+ 7.8 +/- 3.9), SE 2350/120 (+8.1 +/- 4.8), SE 2350/180 (+7.9 +/- 4.5), and PC 2350/30 (+4.6 +/- 2.9) images. Sensitivity for detection of 88 individual metastases was comparable on SE 260/14 (78 of 88 patients) and PC 2350/60 (81 of 88 patients) images and was significantly (p less than .05) greater than on in-phase T2-weighted SE images (TE = 60, 70 of 88 patients; TE = 120, 69 of 88 patients; TE = 180, 65 of 88 patients). Histologic analysis of tumor-free liver showed fatty change in 11 of 13 specimens available for pathologic evaluation. In all 11 of those patients, PC images increased tumor-liver contrast in comparison with the in-phase SE images. This analysis suggests that for detection of hepatic metastases at midfield strengths, the T1-weighted, short TR/short TE (SE 260/14) and the T2-weighted, phase-contrast (PC 2350/60) pulse sequences offer comparable performance.
A new pulse sequence which edits proton spectra of lactate with full signal return and gives good suppression of water and fat signals is described. This sequence exploits longitudinal spin-order from lactate to edit lactate from fat. Experimental results from phantoms and excised pig heart are presented.
The choice of appropriate MR pulse sequences to highlight a particular pathology to best advantage is not always straightforward. In this study of intracranial haemorrhage, tissue relaxation times measured in vitro were entered into a computer program which calculated the signal intensity of each tissue (brain, blood, CSF, and bloody CSF) for all possible echo (TE) and repeat (TR) times. Analysis of graph plots of the results enabled the selection of pulse sequences which gave optimal separation of the signal intensities of intracranial haemorrhage from those of normal intracranial contents. The sequences thus chosen were used successfully in the imaging of patients with intracranial haemorrhage.