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Abstract: Objective To measure healthy brain \({T}_{1}\) and \({T}_{2}\) relaxation times at 0.064 T. Materials and methods \({T}_{1}\) and \({T}_{2}\) relaxation times were measured in vivo for 10 healthy volunteers using a 0.064 T magnetic resonance imaging (MRI) system and for 10 test samples on both the MRI and a separate 0.064 T nuclear magnetic resonance (NMR) system. In vivo \({T}_{1}\) and \({T}_{2}\) values are reported for white matter (WM), gray matter (GM), and cerebrospinal fluid (CSF) for automatic segmentation regions and manual regions of interest (ROIs). Results \({T}_{1}\) sample measurements on the MRI system were within 10% of the NMR measurement for 9 samples, and one sample was within 11%. Eight \({T}_{2}\) sample MRI measurements were within 25% of the NMR measurement, and the two longest \({T}_{2}\) samples had more than 25% variation. Automatic segmentations generally resulted in larger \({T}_{1}\) and \({T}_{2}\) estimates than manual ROIs. Discussion \({T}_{1}\) and \({T}_{2}\) times for brain tissue were measured at 0.064 T. Test samples demonstrated accuracy in WM and GM ranges of values but underestimated long \({T}_{2}\) in the CSF range. This work contributes to measuring quantitative MRI properties of the human body at a range of field strengths. PubDate: 2023-05-20
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Abstract: Objective Temperature controlled T1 and T2 relaxation times are measured on NiCl2 and MnCl2 solutions from the ISMRM/NIST system phantom at low magnetic field strengths of 6.5 mT, 64 mT and 550 mT. Materials and methods The T1 and T2 were measured of five samples with increasing concentrations of NiCl2 and five samples with increasing concentrations of MnCl2. All samples were scanned at 6.5 mT, 64 mT and 550 mT, at sample temperatures ranging from 10 °C to 37 °C. Results The NiCl2 solutions showed little change in T1 and T2 with magnetic field strength, and both relaxation times decreased with increasing temperature. The MnCl2 solutions showed an increase in T1 and a decrease in T2 with increasing magnetic field strength, and both T1 and T2 increased with increasing temperature. Discussion The low field relaxation rates of the NiCl2 and MnCl2 arrays in the ISMRM/NIST system phantom are investigated and compared to results from clinical field strengths of 1.5 T and 3.0 T. The measurements can be used as a benchmark for MRI system functionality and stability, especially when MRI systems are taken out of the radiology suite or laboratory and into less traditional environments. PubDate: 2023-05-20
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Abstract: Objective Low-cost low-field point-of-care MRI systems are used in many different applications. System design has correspondingly different requirements in terms of imaging field-of-view, spatial resolution and magnetic field strength. In this work an iterative framework has been created to design a cylindrical Halbach-based magnet along with integrated gradient and RF coils that most efficiently fulfil a set of user-specified imaging requirements. Methods For efficient integration, target field methods are used for each of the main hardware components. These have not been used previously in magnet design, and a new mathematical model was derived accordingly. These methods result in a framework which can design an entire low-field MRI system within minutes using standard computing hardware. Results Two distinct point-of-care systems are designed using the described framework, one for neuroimaging and the other for extremity imaging. Input parameters are taken from literature and the resulting systems are discussed in detail. Discussion The framework allows the designer to optimize the different hardware components with respect to the desired imaging parameters taking into account the interdependencies between these components and thus give insight into the influence of the design choices. PubDate: 2023-05-20
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Abstract: Objective To review the major hardware components of low-field point-of-care MRI systems which affect the overall sensitivity. Methods Designs for the following components are reviewed and analyzed: magnet, RF coils, transmit/receive switches, preamplifiers, data acquisition system, and methods for grounding and mitigating electromagnetic interference. Results High homogeneity magnets can be produced in a variety of different designs including C- and H-shaped as well as Halbach arrays. Using Litz wire for RF coil designs enables unloaded Q values of ~ 400 to be reached, with body loss representing about 35% of the total system resistance. There are a number of different schemes to tackle issues arising from the low coil bandwidth with respect to the imaging bandwidth. Finally, the effects of good RF shielding, proper electrical grounding, and effective electromagnetic interference reduction can lead to substantial increases in image signal-to-noise ratio. Discussion There are many different magnet and RF coil designs in the literature, and to enable meaningful comparisons and optimizations to be performed it would be very helpful to determine a standardized set of sensitivity measures, irrespective of design. PubDate: 2023-05-18
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Abstract: Objectives Two-dimensional (2D) through-plane phase-contrast (PC) cine flow imaging assesses shunts and valve regurgitations in paediatric CMR and is considered the reference standard for Clinical quantification of blood Flow (COF). However, longer breath-holds (BH) can reduce compliance with possibly large respiratory manoeuvres altering flow. We hypothesize that reduced BH time by application of CS (Short BH quantification of Flow) (SBOF) retains accuracy while enabling faster, potentially more reliable flows. We investigate the variance between COF and SBOF cine flows. Methods Main pulmonary artery (MPA) and sinotubular junction (STJ) planes were acquired at 1.5 T in paediatric patients by COF and SBOF. Results 21 patients (mean age 13.9, 10–17y) were enrolled. The BH times were COF mean 11.7 s (range 8.4–20.9 s) vs SBOF mean 6.5 s (min 3.6–9.1 s). The differences and 95% CI between the COF and SBOF flows were LVSV -1.43 ± 13.6(ml/beat), LVCO 0.16 ± 1.35(l/min) and RVSV 2.95 ± 12.3(ml/beat), RVCO 0.27 ± 0.96(l/min), QP/QS were SV 0.04 ± 0.19, CO 0.02 ± 0.23. Variability between COF and SBOF did not exceed intrasession variation of COF. Conclusion SBOF reduces breath-hold duration to 56% of COF. RV flow by SBOF was biased compared to COF. The variation (95% CI) between COF and SBOF was similar to the COF intrasession test–retest 95% CI. PubDate: 2023-05-18
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Abstract: Objective To implement magnetic resonance fingerprinting (MRF) on a permanent magnet 50 mT low-field system deployable as a future point-of-care (POC) unit and explore the quality of the parameter maps. Materials and methods 3D MRF was implemented on a custom-built Halbach array using a slab-selective spoiled steady-state free precession sequence with 3D Cartesian readout. Undersampled scans were acquired with different MRF flip angle patterns and reconstructed using matrix completion and matched to the simulated dictionary, taking excitation profile and coil ringing into account. MRF relaxation times were compared to that of inversion recovery (IR) and multi-echo spin echo (MESE) experiments in phantom and in vivo. Furthermore, B0 inhomogeneities were encoded in the MRF sequence using an alternating TE pattern, and the estimated map was used to correct for image distortions in the MRF images using a model-based reconstruction. Results Phantom relaxation times measured with an optimized MRF sequence for low field were in better agreement with reference techniques than for a standard MRF sequence. In vivo muscle relaxation times measured with MRF were longer than those obtained with an IR sequence (T1: 182 ± 21.5 vs 168 ± 9.89 ms) and with an MESE sequence (T2: 69.8 ± 19.7 vs 46.1 ± 9.65 ms). In vivo lipid MRF relaxation times were also longer compared with IR (T1: 165 ± 15.1 ms vs 127 ± 8.28 ms) and with MESE (T2: 160 ± 15.0 ms vs 124 ± 4.27 ms). Integrated ΔB0 estimation and correction resulted in parameter maps with reduced distortions. Discussion It is possible to measure volumetric relaxation times with MRF at 2.5 × 2.5 × 3.0 mm3 resolution in a 13 min scan time on a 50 mT permanent magnet system. The measured MRF relaxation times are longer compared to those measured with reference techniques, especially for T2. This discrepancy can potentially be addressed by hardware, reconstruction and sequence design, but long-term reproducibility needs to be further improved. PubDate: 2023-05-18
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Abstract: Objective Low-field MRI systems are expected to cause less RF heating in conventional interventional devices due to lower Larmor frequency. We systematically evaluate RF-induced heating of commonly used intravascular devices at the Larmor frequency of a 0.55 T system (23.66 MHz) with a focus on the effect of patient size, target organ, and device position on maximum temperature rise. Materials and methods To assess RF-induced heating, high-resolution measurements of the electric field, temperature, and transfer function were combined. Realistic device trajectories were derived from vascular models to evaluate the variation of the temperature increase as a function of the device trajectory. At a low-field RF test bench, the effects of patient size and positioning, target organ (liver and heart) and body coil type were measured for six commonly used interventional devices (two guidewires, two catheters, an applicator and a biopsy needle). Results Electric field mapping shows that the hotspots are not necessarily localized at the device tip. Of all procedures, the liver catheterizations showed the lowest heating, and a modification of the transmit body coil could further reduce the temperature increase. For common commercial needles no significant heating was measured at the needle tip. Comparable local SAR values were found in the temperature measurements and the TF-based calculations. Conclusion At low fields, interventions with shorter insertion lengths such as hepatic catheterizations result in less RF-induced heating than coronary interventions. The maximum temperature increase depends on body coil design. PubDate: 2023-05-17
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Abstract: Although there has been a resurgence of interest in low field magnetic resonance imaging (MRI) systems in recent years, low field MRI is not a new concept. FDA has a long history of evaluating the safety and effectiveness of MRI systems encompassing a wide range of field strengths. Many systems seeking marketing authorization today include new technological features (such as artificial intelligence), but this does not fundamentally change the regulatory paradigm for MR systems. In this review, we discuss some of the US regulatory considerations for low field magnetic resonance imaging (MRI) systems, including applicability of existing laws and regulations and how the U.S. Food and Drug Administration (FDA) evaluates low field MRI systems for market authorization. We also discuss regulatory considerations in the review of low field MRI systems incorporating novel AI technology. We foresee that MRI systems of all field strengths intended for general diagnostic use will continue to be evaluated for marketing clearance by the metric of substantial equivalence set forth in the premarket notification pathway. PubDate: 2023-05-16
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Abstract: Objective A volume coil with squared slots-end ring was developed to attain improved sensitivity for imaging of rat’s brain at 7 T. Material and Methods The principles of the high cavity resonator for the low-pass case and the law of Biot-Savart were used to derive a theoretical expression of \(B_1/i\) . The slotted-end ring resonator showed a theoretical 2.22-fold sensitivity improvement over the standard birdcage coil with similar dimensions. Numerical studies were carried out for the electromagnetic fields and specific absorption rates for our coil and a birdcage coil loaded with a saline-filled spherical phantom and a digital brain of a rat. Results An improvement of the signal-to-noise ratio (SNR) can be observed for the slotted volume coil over the birdcage regardless of the load used in the electromagnetic simulations. The specific absorption rate simulations show a decrement for the digital brain and quite similar values with the saline solution phantom. Phantom and rat’s brain images were acquired at 7 T to prove the viability of the coil design. The experimental noise figure of our coil design was four times less than the standard birdcage with similar dimensions, which showed a 44.5% increase in experimental SNR. Discussion There is remarkable agreement among the theoretical, numerical and experimental sensitivity values, which all demonstrate that the coil performance for MR imaging of small rodents can be improved using slotted end-rings. PubDate: 2023-05-15
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Abstract: Object Lower-field MR is reemerging as a viable, potentially cost-effective alternative to high-field MR, thanks to advances in hardware, sequence design, and reconstruction over the past decades. Evaluation of lower field strengths, however, is limited by the availability of lower-field systems on the market and their considerable procurement costs. In this work, we demonstrate a low-cost, temporary alternative to purchasing a dedicated lower-field MR system. Materials and Methods By ramping down an existing clinical 3 T MRI system to 0.75 T, proton signals can be acquired using repurposed 13C transmit/receive hardware and the multi-nuclei spectrometer interface. We describe the ramp-down procedure and necessary software and hardware changes to the system. Results Apart from presenting system characterization results, we show in vivo examples of cardiac cine imaging, abdominal two- and three-point Dixon-type water/fat separation, water/fat-separated MR Fingerprinting, and point-resolved spectroscopy. In addition, the ramp-down approach allows unique comparisons of, e.g., gradient fidelity of the same MR system operated at different field strengths using the same receive chain, gradient coils, and amplifiers. Discussion Ramping down an existing MR system may be seen as a viable alternative for lower-field MR research in groups that already own multi-nuclei hardware and can also serve as a testing platform for custom-made multi-nuclei transmit/receive coils. PubDate: 2023-05-12
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Abstract: Purpose \(T_2\) mapping is a powerful tool for studying osteoarthritis (OA) changes and bilateral imaging may be useful in investigating the role of between-knee asymmetry in OA onset and progression. The quantitative double-echo in steady-state (qDESS) can provide fast simultaneous bilateral knee \(T_2\) and high-resolution morphometry for cartilage and meniscus. The qDESS uses an analytical signal model to compute \(T_2\) relaxometry maps, which require knowledge of the flip angle (FA). In the presence of \(B_1\) inhomogeneities, inconsistencies between the nominal and actual FA can affect the accuracy of \(T_2\) measurements. We propose a pixel-wise \(B_1\) correction method for qDESS \(T_2\) mapping exploiting an auxiliary \(B_1\) map to compute the actual FA used in the model. Methods The technique was validated in a phantom and in vivo with simultaneous bilateral knee imaging. \(T_2\) measurements of femoral cartilage (FC) of both knees of six healthy participants were repeated longitudinally to investigate the association between \(T_2\) variation and \(B_1\) . Results The results showed that applying the \(B_1\) correction mitigated \(T_2\) variations that were driven by \(B_1\) inhomogeneities. Specifically, \(T_2\) left–right symmetry increased following the \(B_1\) correction ( \(\rho _c\) = 0.74 > \(\rho _c\) = 0.69). Without the \(B_1\) correction, \(T_2\) values showed a linear dependence with \(B_1\) . The linear coefficient decreased using the \(B_1\) correction (from 24.3 ± 1.6 ms to 4.1 ± 1.8) and the correlation was not statistically significant after the application of the Bonferroni correction (p value > 0.01). Conclusion The study showed that \(B_1\) correction could mitigate variations driven by the sensitivity of the qDESS \(T_2\) mapping method to PubDate: 2023-05-04
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Abstract: The 9.4 T scanner in Maastricht is a whole-body magnet with head gradients and parallel RF transmit capability. At the time of the design, it was conceptualized to be one of the best fMRI scanners in the world, but it has also been used for anatomical and diffusion imaging. 9.4 T offers increases in sensitivity and contrast, but the technical ultra-high field (UHF) challenges, such as field inhomogeneities and constraints set by RF power deposition, are exacerbated compared to 7 T. This article reviews some of the 9.4 T work done in Maastricht. Functional imaging experiments included blood oxygenation level-dependent (BOLD) and blood-volume weighted (VASO) fMRI using different readouts. BOLD benefits from shorter T2* at 9.4 T while VASO from longer T1. We show examples of both ex vivo and in vivo anatomical imaging. For many applications, pTx and optimized coils are essential to harness the full potential of 9.4 T. Our experience shows that, while considerable effort was required compared to our 7 T scanner, we could obtain high-quality anatomical and functional data, which illustrates the potential of MR acquisitions at even higher field strengths. The practical challenges of working with a relatively unique system are also discussed. PubDate: 2023-04-20
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Abstract: Objective To design a lightweight permanent magnet for a lowfield movable head imaging MRI system. Materials and methods To reduce the weight of the magnet, the pole pieces, anti-eddy current plates, and shimming rings were removed, and the distance between the two vertical yokes was shortened as much as possible. To compensate for the magnetic field deformation caused by the shortened distance between two vertical iron yokes, two side magnetic poles were added to the vertical yokes. The magnetic field distributions in magnetic poles, the iron yoke, and the spherical imaging region were simulated. Phantom and in vivo head imaging were conducted with a lowfield movable MRI prototype scanner equipped with the proposed permanent magnet. Results A permanent magnet with a center field of 0.19815 T, a homogeneity of 46 ppm over the 20 cm spherical imaging region, and a weight of 654 kg have been achieved. Acceptable images of a phantom and a human brain have been acquired with the prototype MRI scanner. Discussion The proposed permanent magnet design significantly reduces the magnet’s weight compared with the conventional magnet structure and shows promise in promoting the development of lowfield compact MRI systems. PubDate: 2023-04-20
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Abstract: Purpose The malignancy grades of parotid gland cancer (PGC) have been assessed for a decision of treatment policies. Therefore, we have investigated the feasibility of topology-based radiomic features for the prediction of parotid gland cancer (PGC) malignancy grade in magnetic resonance (MR) images. Materials and methods Two-dimensional T1- and T2-weighted MR images of 39 patients with PGC were selected for this study. Imaging properties of PGC can be quantified using the topology, which could be useful for assessing the number of the k-dimensional holes or heterogeneity in PGC regions using invariants of the Betti numbers. Radiomic signatures were constructed from 41,472 features obtained after a harmonization using an elastic net model. PGC patients were stratified using a logistic classification into low/intermediate- and high-grade malignancy groups. The training data were increased by four times to avoid the overfitting problem using a synthetic minority oversampling technique. The proposed approach was assessed using a 4-fold cross-validation test. Results The highest accuracy of the proposed approach was 0.975 for the validation cases, whereas that of the conventional approach was 0.694. Conclusion This study indicated that topology-based radiomic features could be feasible for the noninvasive prediction of the malignancy grade of PGCs. PubDate: 2023-04-20
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Abstract: Objective A novel efficient pH-sensitive targeted magnetic resonance imaging (MRI) contrast agent and innovative radio-sensitizing system were synthesized based on MnO2 NPs coated with biocompatible poly-dimethyl-amino-ethyl methacrylate-Co-itaconic acid, (DMAEMA-Co-IA) and targeted with methotrexate (MTX). Materials and methods The as-established NPs were fully characterized and evaluated for MRI signal enhancement, relaxivity, in vitro cell targeting, cell toxicity, blood compatibility, and radiotherapy (RT) efficacy. Results The targeted NPs MnO2@Poly(DMAEMA-Co-IA) and MTX-loaded NPs inhibited MCF-7 cell viability more effectively than free MTX after 24 and 48 h, respectively, with no noticeable toxicity. Additionally, the insignificant hemolytic activity demonstrated their proper hemo-compatibility. T1-weighted magnetic resonance imaging was used to distinguish the differential uptake of the produced MnO2@Poly(DMAEMA-Co-IA)-MTX NPs in malignant cells compared to normal ones in the presence of high and low MTX receptor cells (MCF-7 and MCF-10A, respectively). In MRI, the produced theranostic NPs displayed pH-responsive contrast enhancement. As shown by in vitro assays, treatment of cells with MnO2@Poly(DMAEMA-Co-IA)-MTX NPs prior to radiotherapy in hypoxic conditions significantly enhanced therapeutic efficacy. Conclusion We draw the conclusion that using MnO2@Poly(DMAEMA-Co-IA)-MTX NPs in MR imaging and combination radiotherapy may be a successful method for imaging and radiation therapy of hypoxia cells. PubDate: 2023-04-19
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Abstract: Objective This study combines a deep image prior with low-rank subspace modeling to enable real-time (free-breathing and ungated) functional cardiac imaging on a commercial 0.55 T scanner. Materials and methods The proposed low-rank deep image prior (LR-DIP) uses two u-nets to generate spatial and temporal basis functions that are combined to yield dynamic images, with no need for additional training data. Simulations and scans in 13 healthy subjects were performed at 0.55 T and 1.5 T using a golden angle spiral bSSFP sequence with images reconstructed using \({l}_{1}\) -ESPIRiT, low-rank plus sparse (L + S) matrix completion, and LR-DIP. Cartesian breath-held ECG-gated cine images were acquired for reference at 1.5 T. Two cardiothoracic radiologists rated images on a 1–5 scale for various categories, and LV function measurements were compared. Results LR-DIP yielded the lowest errors in simulations, especially at high acceleration factors (R \(\ge\) 8). LR-DIP ejection fraction measurements agreed with 1.5 T reference values (mean bias − 0.3% at 0.55 T and − 0.2% at 1.5 T). Compared to reference images, LR-DIP images received similar ratings at 1.5 T (all categories above 3.9) and slightly lower at 0.55 T (above 3.4). Conclusion Feasibility of real-time functional cardiac imaging using a low-rank deep image prior reconstruction was demonstrated in healthy subjects on a commercial 0.55 T scanner. PubDate: 2023-04-12
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Abstract: Multiple sites within Germany operate human MRI systems with magnetic fields either at 7 Tesla or 9.4 Tesla. In 2013, these sites formed a network to facilitate and harmonize the research being conducted at the different sites and make this technology available to a larger community of researchers and clinicians not only within Germany, but also worldwide. The German Ultrahigh Field Imaging (GUFI) network has defined a strategic goal to establish a 14 Tesla whole-body human MRI system as a national research resource in Germany as the next progression in magnetic field strength. This paper summarizes the history of this initiative, the current status, the motivation for pursuing MR imaging and spectroscopy at such a high magnetic field strength, and the technical and funding challenges involved. It focuses on the scientific and science policy process from the perspective in Germany, and is not intended to be a comprehensive systematic review of the benefits and technical challenges of higher field strengths. PubDate: 2023-04-08
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Abstract: Objective To determine whether a multi-feed, loop-dipole combined approach can be used to improve performance of rectangular dielectric resonator antenna (DRA) arrays human brain for MRI at 7 T. Materials and methods Electromagnetic field simulations in a spherical phantom and human voxel model “Duke” were conducted for different rectangular DRA geometries and dielectric constants εr. Three types of RF feed were investigated: loop-only, dipole-only and loop-dipole. Additionally, multi-channel array configurations up to 24-channels were simulated. Results The loop-only coupling scheme provided the highest B1+ and SAR efficiency, while the loop-dipole showed the highest SNR in the center of a spherical phantom for both single- and multi-channel configurations. For Duke, 16-channel arrays outperformed an 8-channel bow-tie array with greater B1+ efficiency (1.48- to 1.54-fold), SAR efficiency (1.03- to 1.23-fold) and SNR (1.63- to 1.78). The multi-feed, loop-dipole combined approach enabled the number of channels increase to 24 with 3 channels per block. Discussion This work provides novel insights into the rectangular DRA design for high field MRI and shows that the loop-only feed should be used instead of the dipole-only in transmit mode to achieve the highest B1+ and SAR efficiency, while the loop-dipole should be the best suited in receive mode to obtain the highest SNR in spherical samples of similar size and electrical properties as the human head. PubDate: 2023-04-05
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Abstract: Objective Neurons cluster into sub-millimeter spatial structures and neural activity occurs at millisecond resolutions; hence, ultimately, high spatial and high temporal resolutions are required for functional MRI. In this work, we implemented a spin-echo line-scanning (SELINE) sequence to use in high spatial and temporal resolution fMRI. Materials and methods A line is formed by simply rotating the spin-echo refocusing gradient to a plane perpendicular to the excited slice and by removing the phase-encoding gradient. This technique promises a combination of high spatial and temporal resolution (250 μm, 500 ms) and microvascular specificity of functional responses. We compared SELINE data to a corresponding gradient-echo version (GELINE). Results We demonstrate that SELINE showed much-improved line selection (i.e. a sharper line profile) compared to GELINE, albeit at the cost of a significant drop in functional sensitivity. Discussion This low functional sensitivity needs to be addressed before SELINE can be applied for neuroscientific purposes. PubDate: 2023-04-01
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