Physiological assessment of in vivo human knee articular cartilage using sodium MR imaging at 1.5 T

Osteoarthritis is a common joint disorder that is most prevalent in the knee joint. Knee osteoarthritis (OA) can be characterized by the gradual loss of articular cartilage (AC). Formation of lesion, fissures and cracks on the cartilage surface has been associated with degenerative AC and can be measured by morphological assessment. In addition, loss of proteoglycan from extracellular matrix of the AC can be measured at early stage of cartilage degradation by physiological assessment. In this case, a biochemical phenomenon of cartilage is used to assess the changes at early degeneration of AC. In this paper, a method to measure local sodium concentration in AC due to proteoglycan has been investigated. A clinical 1.5-T magnetic resonance imaging (MRI) with multinuclear spectroscopic facility is used to acquire sodium images and quantify local sodium content of AC. An optimised 3D gradient-echo sequence with low echo time has been used for MR scan. The estimated sodium concentration in AC region from four different data sets is found to be ~ 225 ± 19 mmol/l, which matches the values that has been reported for the normal AC. This study shows that sodium images acquired at clinical 1.5-T MRI system can generate an adequate quantitative data that enable the estimation of sodium concentration in AC. We conclude that this method is potentially suitable for non-invasive physiological (sodium content) measurement of articular cartilage.     

Multichannel transceiver dual-tuned RF coil for proton/sodium MR imaging of knee cartilage at 3 T

Sodium magnetic resonance (MR) imaging is a promising technique for detecting changes of proteoglycan (PG) content in cartilage associated with knee osteoarthritis. Despite its potential clinical benefit, sodium MR imaging in vivo is challenging because of intrinsically low sodium concentration and low MR signal sensitivity. Some of the challenges in sodium MR imaging may be eliminated by the use of a high-sensitivity radiofrequency (RF) coil, specifically, a dual-tuned (DT) proton/sodium RF coil which facilitates the co-registration of sodium and proton MR images and the evaluation of both physiochemical and structural properties of knee cartilage. Nevertheless, implementation of a DT proton/sodium RF coil is technically difficult because of the coupling effect between the coil elements (particularly at high field) and the required compact design with improved coil sensitivity. In this study, we applied a multitransceiver RF coil design to develop a DT proton/sodium coil for knee cartilage imaging at 3 T. With the new design, the size of the coil was minimized, and a high signal-to-noise ratio (SNR) was achieved. DT coil exhibited high levels of reflection S11 (～-21 dB) and transmission coefficient S12 (～-19 dB) for both the proton and sodium coils. High SNR (range 27-38) and contrast-to-noise ratio (CNR) (range 15-21) were achieved in sodium MR imaging of knee cartilage in vivo at 3-mm(3) isotropic resolution. This DT coil performance was comparable to that measured using a sodium-only birdcage coil (SNR of 28 and CNR of 20). Clinical evaluation of the DT coil on four normal subjects demonstrated a consistent acquisition of high-resolution proton images and measurement of relative sodium concentrations of knee cartilages without repositioning of the subjects during the same MR scanning session.     

A high spatial resolution 1H magnetic resonance spectroscopic imaging technique for breast cancer with a short echo time

The high sensitivity but low specificity of breast MRI has prompted exploration of breast (1)H MRS for breast cancer detection. However, several obstacles still prevent the routine application of in vivo breast (1)H MRS, including poor spatial resolution, long acquisition time associated with conventional multi-voxel MRS imaging (MRSI) techniques, and the difficulty of "extra" lipid suppression in a magnetic field with relatively poor achievable homogeneity compared to the brain. Using a combination of a recently developed echo-filter (EF) suppression technique and an elliptical sampling scheme, we demonstrate the feasibility of overcoming these difficulties. It is robust (the suppression technique is insensitive to magnetic field inhomogeneity), fast (acquisition time of about 12 min) and offers high spatial resolution (up to 0.6 cm(3) per voxel at 1.5 T with a TE of only 60 ms). This approach should be even better at 3 T with higher resolution and/or shorter TE.     

Segmentation techniques for tissue differentiation in MRI of ophthalmology using fuzzy clustering algorithms

This paper presents MRI segmentation techniques to differentiate abnormal and normal tissues in Ophthalmology using fuzzy clustering algorithms. Applying the best-known fuzzy c-means (FCM) clustering algorithm, a newly proposed algorithm, called an alternative fuzzy c-mean (AFCM), was used for MRI segmentation in Ophthalmology. These unsupervised segmentation algorithms can help Ophthalmologists to reduce the medical imaging noise effects originating from low resolution sensors and/or the structures that move during the data acquisition. They may be particularly helpful in the clinical oncological field as an aid to the diagnosis of Retinoblastoma, an inborn oncological disease in which symptoms usually show in early childhood. For the purpose of early treatment with radiotherapy and surgery, the newly proposed AFCM is preferred to provide more information for medical images used by Ophthalmologists. Comparisons between FCM and AFCM segmentations are made. Both fuzzy clustering segmentation techniques provide useful information and good results. However, the AFCM method has better detection of abnormal tissues than FCM according to a window selection. Overall, the newly proposed AFCM segmentation technique is recommended in MRI segmentation.     

Quiet imaging with interleaved spiral read-out

The acoustic noise generated during an MRI sequence can be effectively reduced with the help of soft gradient pulses using sinusoidal ramps. The long slope duration, however, leads to long acquisition times. The use of interleaved spiral trajectories, calculated with long gradient slopes, is proposed to reduce the acquisition time while maintaining low acoustic noise levels. The practibility of this approach is demonstrated on phantom and volunteer images.     

MR signal change in venous thrombus relates organizing process and thrombolytic response in rabbit

Venous thrombus is subsequently organized and replaced by fibrous connective tissue. However, the sequential changes in venous thrombi are not reliably detected by current noninvasive diagnostic techniques. The purpose of this study is to reveal whether magnetic resonance (MR) can detect venous thrombus, define thrombus age and predict thrombolytic responses. Thrombus in the rabbit jugular vein was imaged with a 1.5-T MR system at 4 h and at 1, 2 and 4 weeks using three-dimensional (3D) fast asymmetric spin echo T2-weighted (T2W) and 3D-gradient echo T1-weighted (T1W) sequences. The jugular veins were histologically assessed at each time point. Magnetic resonance imaging (MRI) was also performed in vivo before and 30 min after tissue plasminogen activator (t-PA) administration. The thrombi in MRI were comparable in size to histological sections. The signal intensity (SI) of thrombi at 4 h was heterogeneously high or low on T2W or T1W images, respectively. The SI of thrombi on T2W images decreased time-dependently, but increased on T1W images at 1 and 2 weeks. Morphological analysis showed time-dependent decreases in erythrocyte, platelet and fibrin areas and time-dependent increases in smooth muscle cell, macrophage, collagen and iron areas. The t-PA administration significantly decreased thrombus volume at 4 h but not at 1, 2 and 4 weeks. Venous thrombosis can be reliably and noninvasively detected by MRI. Measurement of SI might support assessments of thrombus age and thrombolytic response.     

Fast 3D T(2)-weighted MRI with Hadamard encoding in the slice select direction

A fast method to obtain 3-dimensional (3D) magnetic resonance imaging with long repetition times is presented. It can be used to obtain fast 3D MRI with for example T(2) or diffusion weighted imaging. The method uses a 3D multiple thin slab sequence with radio frequency encoding, preferably Hadamard encoding, in the slice select direction. The point-spread function of the Hadamard-encoded slices is close to ideal even at low encoding numbers. This allows the acquisition of 3D data volumes with tolerable image quality up to four times faster than is possible using Fourier phase encoding. The scope of the method includes both longitudinal and transverse encoding. Longitudinal encoding provides a better point spread function than transverse encoding, at the expense of having to discard one slice per slab. The method is demonstrated experimentally for 4th order longitudinal Hadamard encoding to obtain 3D T(2)-weighted images.     

The cost of parallel imaging in functional MRI of the human brain

While the advantages of parallel acquisition techniques for echo-planar imaging (EPI) are well documented for studies affected by magnetic field inhomogeneities, this work focuses on the costs in functional MRI of brain regions without artifacts due to susceptibility effects. For a visual stimulation paradigm and relative to conventional EPI (2.9 T; TR/TE=2000/36 ms), the use of parallel acquisition at a reduction factor of 2 decreased the mean number of activated voxels by 21% at 2 x 2 x 2-mm(3) resolution (n=6) and by 15% at 3 x 3 x 3-mm(3) resolution (n=6). The loss of sensitivity reflects both a decreased signal-to-noise ratio of the native images due to a lower number of contributing gradient echoes and a decreased BOLD MRI sensitivity due to the coverage of a smaller range of TEs.     

An assessment of the sharpness of carotid artery tissue boundaries with acquisition voxel size and field strength

A measure of the sharpness of vessel wall interfaces in carotid artery MRI may be useful for assessing the conspicuity of the wall's features. An edge detection technique was used to measure the signal intensity gradients in 2D time-of-flight (2D-TOF) and double-inversion recovery black-blood (DIR-BB) carotid artery images of normal subjects that were acquired at 1.5 T with 0.55 x 0.55 x 2.0-mm (0.6 mm3) acquisition voxels and zero filled to reduce the in-plane reconstructed voxel size by one half in each dimension as well as with 0.27 x 0.27 x 2.0-mm (0.15 mm3) acquisition voxels and at 3.0 T with 0.27 x 0.27 x 2.0-mm (0.15 mm3) acquisition voxels using surface coils. The gradient intensities of the lumen-to-background interface varied closely with the contrast-to-noise ratio of the 2D-TOF imaging. For the DIR-BB imaging, in which higher spatial frequency artery structures are visible, the gradient intensities at the interfaces were higher than theoretically predicted at both field strengths with smaller acquisition voxels. The use of acquisition voxels smaller than those previously used at 1.5 T can improve the visualization of carotid artery structures at 1.5 and 3.0 T with surface coil reception.     

Improvements to the quality of MRI cluster analysis

Cluster analysis techniques are gaining widespread use for segmentation of MRI data, especially for volume measurement and 3-D display purposes. This paper describes four improvements to such techniques: (1) The use of intensity simulations to model cluster plots; (2) Correction of image nonuniformity; (3) Anisotropic smoothing of data; and (4) Automatic isolation of tissues of interest. Simulation of cluster plots allows an informed choice of pulse sequence(s) and acquisition parameters to be made. Correction of image nonuniformity and anisotropic smoothing reduce the spread of signal intensity from a single tissue thus producing significantly more compact clusters, whilst the isolation of tissues of interest prevents overlap of clusters from the tissues of interest with those not under consideration. These techniques may be used to improve the results of cluster analysis or traded off, for example to allow lower signal-to-noise images, shorter repetition time images, or fewer images to be used for segmentation.     

Dependencies of multi-component T2 and T1ρ relaxation on the anisotropy of collagen fibrils in bovine nasal cartilage

Both NMR spectroscopy and MRI were used to investigate the dependencies of multi-component T2 and T1ρ relaxation on the anisotropy of bovine nasal cartilage (BNC). The non-negative least square (NNLS) method and the multi-exponential fitting method were used to analyze all experimental data. When the collagen fibrils in nasal cartilage were oriented at the magic angle (55°) to the magnetic field B0, both T2 and T1ρ were single component, regardless of the spin-lock field strength or the echo spacing time in the pulse sequences. When the collagen fibrils in nasal cartilage were oriented at 0° to B0, both T2 and T1ρ at a spin-lock field of 500 Hz had two components. When the spin-lock field was increased to 1000 Hz or higher, T1ρ relaxation in nasal cartilage became a single component, even when the specimen orientation was 0°. These results demonstrate that the specimen orientation must be considered for any multi-component analysis, even for nasal cartilage that is commonly considered homogenously structured. Since the rapidly and slowly relaxing components can be attributed to different portions of the water population in tissue, the ability to resolve different relaxation components could be used to quantitatively examine individual molecular components in connective tissues.     

Accelerating MRI Using GROG Gridding Followed by ESPIRiT for Non-Cartesian Trajectories

Parallel imaging plays an important role to reduce data acquisition time in magnetic resonance imaging (MRI). Under-sampled non-Cartesian trajectories accelerate the MRI scan time, but the resulting images may have aliasing artifacts. To remove these artifacts, a variety of methods have been developed within the scope of parallel imaging in the recent past. In this paper, the use of Eigen-vector-based iterative Self-consistent Parallel Imaging Reconstruction Technique (ESPIRiT) along with self-calibrated GRAPPA operator gridding (self-calibrated GROG) on radial k-space data for accelerated MR image reconstruction is presented. The proposed method reconstructs the solution image from non-Cartesian k-space data in two steps: First, the acquired radial data is gridded using self-calibrated GROG and then ESPIRIT is applied on this gridded data to get the un-aliased image. The proposed method is tested on human head data and the short-axis cardiac radial data. The quality of the reconstructed images is evaluated using artifact power (AP), root-mean-square error (RMSE) and peak signal-to-noise ratio (PSNR) at different acceleration factors (AF). The results of the proposed method (GROG followed by ESPIRiT) are compared with GROG followed by pseudo-Cartesian GRAPPA reconstruction approach (conventionally used). The results show that the proposed method provides considerable improvement in the reconstructed images as compared to conventionally used pseudo-Cartesian GRAPPA with GROG, e.g., 87, 67 and 82% improvement in terms of AP for 1.5T, 3T human head and short-axis cardiac radial data, 63, 45 and 57% improvement in terms of RMSE for 1.5T, 3T human head and short-axis cardiac radial data, 11, 7 and 9% improvement in terms of PSNR for 1.5T, 3T human head and short-axis cardiac radial data, respectively, at AF = 4.     

Field strength influences on gradient recalled echo MRI signal compartment frequency shifts

Different trends of echo time dependent gradient recalled echo MRI signals in different brain regions have been attributed to signal compartments in image voxels. It remains unclear how variations in gradient recalled echo MRI signals change as a function of MRI field strength, and how data processing may impact signal compartment parameters. We used two popular quantitative susceptibility mapping methods of processing raw phase images (Laplacian and path-based unwrapping with V-SHARP) and expressed values in the form of induced frequency shifts (in Hz) in six specific brain regions at 3T and 7T. We found the frequency shift curves to vary with echo time, and a good overlap between 3T and 7T mean frequency shift curves was present. However, the amount of variation across participants was greater at 3T, and we were able to obtain better compartment model fits of the signal at 7T. We also found the temporal trends in the signal and compartment frequency shifts to change with the method used to process images. The inter-participant averaged trends were consistent between 3T and 7T for each quantitative susceptibility pipeline. However, signal compartment frequency shifts generated using different pipelines may not be comparable.     

Parallel imaging with 3D TPI trajectory: SNR and acceleration benefits

Three-dimensional (3D) twisted projection imaging (TPI) trajectory has a unique advantage in sodium (²³Na) imaging on clinical MRI scanners at 1.5 or 3 T, generating a high signal-to-noise ratio (SNR) with a short acquisition time (∼10 min). Parallel imaging with an array of coil elements transits SNR benefits from small coil elements to acquisition efficiency by sampling partial k-space. This study investigates the feasibility of parallel sodium imaging with emphases on SNR and acceleration benefits provided by the 3D TPI trajectory. Computer simulations were used to find available acceleration factors and noise amplification. Human head studies were performed on clinical 1.5/3-T scanners with four-element coil arrays to verify simulation outcomes. In in vivo studies, proton (¹H) data, however, were acquired for concept–proof purpose. The sensitivity encoding (SENSE) method with the conjugate gradient algorithm was used to reconstruct images from accelerated TPI-SENSE data sets. Self-calibration was employed to estimate coil sensitivities. Noise amplification in TPI-SENSE was evaluated using multiple noise trials. It was found that the acceleration factor was as high as 5.53 (corresponding to acceleration number 2×3, ring-by-rotation), with a small image error of 6.9% when TPI projections were reduced in both polar (ring) and azimuthal (rotation) directions. The average noise amplification was as low as 98.7%, or 27% lower than Cartesian SENSE at that acceleration factor. The 3D nature of both TPI trajectory and coil sensitivities might be responsible for the high acceleration and low noise amplification. Consequently, TPI-SENSE may have potential advantages for parallel sodium imaging.     

The development of a three-dimensional T1 image calculation program in proportion to the DICOM data of any marketing clinical MRI systems

Contrast media such as gadolinium-diethlene-triamine pentaacetic acid (Gd-DTPA) is used for MRI. Recently there have been some reports about diagnosis using contrast media for the MRI T(1) image for the quantitative evaluation of articular cartilage degeneration. This may be a useful method to evaluate the lesion of the articular cartilage or to confirm therapeutic progress. Whether or not contrast is used, the use of the calculated T(1) image is effective for the quantitative evaluation of the degeneration of knee joint cartilage. However, our system copes with the format of every MRI image even if software of the calculated T(1) image isn't often prepared in the commercial MRI device. So, we developed general purpose image data processing software that can be processed on the preexisting three-dimensional image data processing system.     

Omega-space adaptive acquisition technique for magnetic resonance imaging from projections

An omega-space adaptive acquisition technique for MRI from projections is presented. It is based on the evaluation of the information content of a set composed of four initial projections, measured at angles 0 degrees, 45 degrees, 90 degrees, and 135 degrees, followed by the selection of new angles where the information content is maximum. An entropy function is defined on the power spectrum of the projections that is useful for evaluating the information content of each projection. The method makes it possible to reduce the total acquisition time with little degradation of the reconstructed image and it adapts to the arbitrary shape of the sample. For this reason, it can be particularly useful in those applications where acquisition from projections is strongly recommended to save acquisition time, such as functional MRI, imaging of species having very short T(2), or angiography. The method has been tested both on simulated data and on experimental data collected by a commercial MRI apparatus. The method has also been compared to the regular acquisition method, that is, the standard acquisition method in MRI from projections.     

Application of phase consistency to improve time efficiency and image quality in dual echo black-blood carotid angiography

There is a considerable similarity between proton density-weighted (PDw) and T2-weighted (T2w) images acquired by dual echo fast spin-echo (FSE) sequences. The similarity manifests itself not only in image space as correspondence between intensities of PDw and T2w images, but also in phase space as consistency between phases of PDw and T2w images. Methods for improving the imaging efficiency and image quality of dual echo FSE sequences based on this feature have been developed. The total scan time of dual echo FSE acquisition may be reduced by as much as 25% by incorporating an estimate of the image phase from a fully sampled PDw image when reconstructing partially sampled T2w images. The quality of T2w images acquired using phased array coils may be significantly improved by using the developed noise reduction reconstruction scheme, which is based on the correspondence between the PDw and T2w image intensities and the consistency between the PDw and T2w image phases. Studies of phantom and human subject MRI data were performed to evaluate the effectiveness of the techniques.     

Early MRI findings of rapidly destructive coxopathy

To diagnose rapidly destructive coxopathy (RDC) in its early stages and understand the pathomechanism of associated joint destruction, ten cases of RDC were followed by periodic MRI from onset of the disease. In the initial stage (stage 1) of RDC, when radiographs revealed slight narrowing of the joint space, a small subchondral area of low signal intensity was observed on T(1)-weighted images (T1WI) and inhomogeneous high intensity was observed on T(2)-weighted images (T2WI) in the antero-lateral portion of the femoral head. When radiographs showed obliteration of the joint space (stage 2), MRI revealed a diffuse area of low intensity on TIWI and high intensity on T2WI in the proximal femur, including the femoral neck and head, suggesting extensive bone marrow edema. The femoral head and acetabulum were aggressively destroyed (stage 3) in all cases 3 to 6 months after the diffuse abnormal pattern was observed on MRI. MRI in stage 3 cases showed low intensity areas on both T1WI and T2WI. RDC did not show the band-like pattern of low intensity on T1WI and high intensity on T2WI that typify MRI findings in cases of osteonecrosis. When joint space narrowing is observed radiographically, the diffuse abnormal pattern of low intensity on T1WI and high intensity on T2WI induced by a subchondral small lesion might be an early sign of RDC.     

High-resolution intracranial MRA at 7T using autocalibrating parallel imaging: initial experience in vascular disease patients

Purpose

Greater spatial resolution in intracranial three-dimensional time-of-flight (TOF) magnetic resonance angiography (MRA) is possible at higher field strengths, due to the increased contrast-to-noise ratio (CNR) from the higher signal-to-noise ratio and the improved background suppression. However, at very high fields, spatial resolution is limited in practice by the acquisition time required for sequential phase encoding. In this study, we applied parallel imaging to 7T TOF MRA studies of normal volunteers and patients with vascular disease, in order to obtain very high resolution (0.12 mm³) images within a reasonable scan time.

Materials and Methods

Custom parallel imaging acquisition and reconstruction methods were developed for 7T MRA, based on generalized autocalibrating partially parallel acquisition (GRAPPA). The techniques were compared and applied to studies of seven normal volunteers and three patients with cerebrovascular disease.

Results

The technique produced high resolution studies free from discernible reconstruction artifacts in all subjects and provided excellent depiction of vascular pathology in patients.

Conclusions

7T TOF MRA with parallel imaging is a valuable noninvasive angiographic technique that can attain very high spatial resolution.     

Magnetic resonance imaging in hemophilic children: value of gradient echo and contrast-enhanced imaging

The purpose of this study was to determine the value of Gradient Echo imaging for the evaluation of cartilage (3D fatsat) and blood products (2D Hemoflash), and the use of contrast enhanced SE imaging for the evaluation of synovial changes, in comparison to the clinical evaluation of children with hemophilia A. We investigated 21 joints in 16 patients with evidence of hemophilia A (mean age 11.3+/-2.1 years). In all patients, clinical examination, plain film radiographs, and MR evaluation were performed magnetic resonance imaging (MRI) was performed by using sagittal T1 SE and T2 SE images, as well as 3D fatsat GE and 2D GE images. Axial and sagittal T1 weighted SE images were obtained before and after contrast application. Findings from the clinical examination and MR imaging, regarding the evaluation of blood, synovia, and cartilage were compared. Clinical examination revealed evidence of a bleeding episode in 12 joints (57.1%), whereas MRI revealed evidence of blood or blood products in 15 joints (71.4%). Clinical investigations, including bleeding scores, pain scores, and physical examination scores did not correlate with MR findings. Due to the MR findings in 6 of 16 patients, therapeutic management was changed from on demand to prophylactic therapy. MR imaging with gradient echo and contrast-enhanced sequences is more sensitive than clinical examination for the detection of blood products in children with hemophilia. Its ability to demonstrate potentially early stages of cartilage or synovial alterations might assist in therapy planning. Clinical scores might underestimate effects of hemophilia.