T2-weighted thin-section imaging with the multislab three-dimensional RARE technique

A novel three-dimensional (3D) RARE (rapid acquisition with relaxation enhancement) sequence was implemented on a clinical imager. In this technique, multiple slabs are excited in the same way as in the multisection spin-echo sequence, and each slab is further phase encoded into eight sections along the section-slab direction. With a 16-echo RARE sequence, 128 excitations cover the 256 X 256 X 8 3D k space. With a TR of 2,500 msec, 10 slabs can be excited sequentially at each TR, yielding 80 sections in 5 minutes. Slabs were overlapped to give contiguous sections after discarding of the aliased sections at slab edges. This relatively fast sequence makes contiguous thin-section T2-weighted imaging possible, an impractical achievement with the much longer spin-echo method. Compared with 3D Fourier transform gradient-echo imaging, the sensitivity of 3D RARE sequences to magnetic susceptibility is reduced. The clinical potential of T2-weighted 3D imaging is illustrated with high-resolution brain, spine, and temporomandibular joint images.

Application of automated MRI volumetric measurement techniques to the ventricular system in schizophrenics and normal controls

As an initial approach to computer-automated segmentation of cerebral spinal fluid (CSF) vs. brain parenchyma in MR scans, and the transformation of these data sets into volumetric information and 3D display, we examined the ventricular system in a sample of ten chronic schizophrenics with primarily positive symptoms and 12 normal subjects. While no significant differences were noted between groups on volumetric measures of ventricular brain ratio or lateral ventricle size, normals showed a pattern of left greater than right lateral ventricular volume asymmetry not present in the schizophrenics. Within the schizophrenic group, departure from the normal left greater than right pattern was highly correlated with thought disorder.

Acoustic pressure wave generation within an MR imaging system: potential medical applications

The static magnetic field of a magnetic resonance (MR) imaging system was used as a component of an electromagnetic transducer for generating acoustic pressure waves. To permit limited focusing, the transducer was constructed from a conductive thin plate shaped like a section of a sphere. The plate was placed within the static field of the MR unit (B0 = 1.5 T), and current pulses with a rise time of 73 nsec and amplitude of 1.0 kA were applied to it. Hydrophonic recording demonstrated a shock wave with a peak pressure of 4.8 MPa at the approximated focal point. MR guidance of lithotripsy would be particularly useful to limit undesirable soft-tissue damage. It is also suggested that the integration of an acoustic pressure wave generator with MR imaging and control provides a novel technology for the treatment of solid soft-tissue tumors.

Real-time magnetic resonance imaging of laser heat deposition in tissue

We applied diffusion-sensitive echo planar (Instascan) imaging to study thermal changes caused by a Nd:YAG laser. Images of phantom materials and normal rabbit brain tissue in vivo, acquired in 150 ms, every 2s, clearly showed the dynamics of temperature-related signal intensity changes in the regions irradiated by the laser.

Phase-encode order and its effect on contrast and artifact in single-shot RARE sequences

Substantial manipulation of tissue contrast can be achieved by varying the order in which phase-encode values are applied to individual echoes within a 128-echo single-shot rapid acquisition relaxation enhanced (RARE) sequence. Appropriate ordering can then permit imaging of short T2 species like muscle and white matter with single-shot RARE. For sequential phase encoding with an arbitrary initial phase-encode value, the timing of the zero phase (ZP) encoded echo is found to be analogous to the echo time (TE) of standard spin-echo sequences. This is demonstrated qualitatively with human brain images and is verified quantitatively with NiCl2 phantoms by correlating the time constant for signal decay with ZP echo time, with transverse relaxation times T2, as obtained with a 128-echo Carr-Purcell-Meiboom-Gill (CPMG) imaging sequence. Banding artifacts accompanying the discontinuous traverse through K space are experimentally demonstrated in a rectangular phantom and expressions are developed for determining the dependence of this artifact on the phase-encode gradient increments and durations, the ZP echo number, echo spacing, and T2. Simulations based on the expressions are shown to be useful for characterizing the observed "banding" artifacts perpendicular to the phase-encode direction and for predicting the extent of tissue-tissue overlap to be expected with the use of this ultrafast rf echo planar imaging method.

Regional 1H transverse magnetization studies in perfused rabbit kidney

A Carr-Purcell-Meiboom-Gill imaging sequence consisting of 128 echoes is used to extract transverse magnetization decay curves (TDCs) at 1.9 T from 1.7 x 1.7 x 5-mm3 voxels within the cortex, outer medulla, and inner medulla of perfused rabbit kidneys. The spatially localized TDCs within each tissue type are found to be better approximated by biexponential, as opposed to monoexponential, functions. The biexponential parameters characterizing the TDCs demonstrate an improved degree of tissue specificity over that available from monoexponential analyses. The fraction of the quickly relaxing TDC component and the relaxation rate of this component are observed to decrease from cortex to inner medulla. A two-site exchange analysis is used to convert biexponential TDC parameters into water volume fractions and exchange rates. The exchange rates between the fast and slowly relaxing pools increased from cortex to inner medulla. All exchange rates were less than 1.5 Hz, indicating a relatively slow water exchange process. The imaging methods and subsequent analyses offer the potential to generate unconventional MR images with tissue contrast dependent upon water compartmentation and exchange.

Comparing the FAISE method with conventional dual-echo sequences

The FAISE (fast-acquisition interleaved spin-echo) technique consists of a hybrid rapid-acquisition relaxation-enhanced (RARE) sequence combined with a specific phase-encode reordering method. Implemented on a 1.5-T unit, this multisection, high-resolution technique permits convenient contrast manipulation similar to that of spin-echo imaging, with selection of a pseudo-echo-time parameter and a TR interval. With a TR of 2 seconds, eight 256 x 256 images are obtained in 34 seconds with either T2 or proton-density weighting. A direct comparison between FAISE and spin echo for obtaining T2-weighted head images in healthy subjects indicates that FAISE and spin-echo images are qualitatively and quantitatively similar. Image artifacts are more pronounced on "proton-density" FAISE images than on the T2-weighted FAISE images. T1 contrast can be obtained with inversion recovery and short TR FAISE images. Preliminary temperature measurements in saline phantoms do not indicate excessive temperature increases with extended FAISE acquisitions. However, extensive studies of radio-frequency power deposition effects should be performed if the FAISE technique is to be fully exploited.

Differentiation of experimental white matter lesions using multiparametric magnetic resonance measurements

The potential of multiparametric proton magnetic resonance (MR) measurements for characterizing white matter lesions was investigated. The authors compared acute experimental allergic encephalomyelitis (EAE), which is distinguished by inflammatory lesions, with an immunologically potentiated hyperacute form of the disease in which demyelinating lesions (DEM) also are present. Tissue samples containing cervical spinal cord and brain stem were excised and in vitro measurements of T1, T2, and two components of T2 were performed. Discriminant analysis was applied using MR parameters singly and in various combinations. When the disease was clearly manifested, discrimination between treated and normal animals was satisfactory with single parameters. The use of biexponential T2 components improved the distinction of normal from treated but asymptomatic animals, and differentiated between EAE and DEM. These results suggest that improved characterization of white matter lesions is possible with multiparametric MR in vivo, especially if sampling is performed with imaging and the T2 decay curves are obtained with a sufficient number of echoes to perform biexponential analysis.

CPMG imaging sequences for high field in vivo transverse relaxation studies

Two-dimensional Fourier transform Carr-Purcell-Meiboom-Gill (CPMG) imaging sequences were implemented on 1.9-T and 1.5-T imaging systems in order to test their ability to characterize in vivo transverse decay curves (TDCs). Both hard- and soft-pulse CPMG imaging sequences, consisting of up to 128 echoes with echo spacings of approximately 10 ms were developed, implemented, and tested. These sequences provide one of the most detailed samplings of TDCs from image data sets reported to date. Good agreement between image-extracted T2 values and spectroscopically obtained T2 values of NiCl2-doped saline solutions was found with both hard- and soft-pulse sequences. In vivo TDCs were extracted from rabbit and human image data sets. For several tissues, biexponential TDC fits provided considerable improvement over monoexponential fits and the sensitivity of the fitting parameters to positive baseline offsets was examined. With the time coverage of the relaxation decay curves available from these sequences, the TDCs from white matter in humans appear largely monoexponential while those from cortical grey matter demonstrate biexponential behavior.

Intracranial epidermoid tumors. A continuing diagnostic challenge

Epidermoid tumors are benign, slowly growing intracranial masses that still present difficulty in preoperative diagnosis. This article reviews six cases of histologically proven epidermoid tumors. Computed tomography and magnetic resonance imaging were complementary in their evaluation. Computed tomography demonstrated a hypodense, smoothly contoured extra-axial paramedian mass with lower density than cerebrospinal fluid. Magnetic resonance imaging usually demonstrated an irregularly but sharply marginated mass with inhomogeneous density, variable enhancement with gadolinium, lack of edema in adjacent normal structures, extensive insinuation into cisternal and other cerebrospinal fluid spaces, and a high-signal intensity on proton-weighted images. Multiplanar magnetic resonance imaging was extremely helpful in displaying the full anatomic extent of the lesion and its relationship with other structures.

Compatibility of the two-site exchange model and 1H NMR relaxation rates

We demonstrate a formalism for determining whether 1H longitudinal and transverse magnetic relaxation decay curves are compatible with a model of proton exchange between two sites with inherently different relaxation rates. We apply the method to published data in which both decay curves have been fit to normalized biexponential functions, a prediction of the simplest two-site exchange model. The analysis is applied to relaxation data of adsorbed water vapor on silica gel (J.R. Zimmerman and J.A. Lasater, J. Phys. Chem. 62, 1157 (1958] and to relaxation data reported in mycelia of Botrytis cinerea Persoon and pupae of the tobacco cutworm (M. Yoshida and K. Nose, Agric. Biol. Chem. 51, 3399 (1987]. Exchange parameters are calculated form these data sets and the compatibility of the two-site exchange model with the data is discussed for each case. The sensitivity of the calculated exchange parameters to errors in the bioexponential fitting parameters is treated in some detail.

MR studies of brain oedema in the developing animal

Assessment of perinatal brain oedema is complicated by normal changes in brain water that accompany the marked physiological, biochemical and morphological alterations occurring during this phase of development. Multiexponential analysis of transverse decay curves (TDCs), derived from 128 echo CPMG images, of white matter (WM) made oedematous by either exposure of animals to triethyltin (TET) or cryogenic cortical lesions revealed a second, slower decay component not apparent in controls. More significantly, an obvious difference was noted between the TET and cryogenic lesion fast decay components which might serve as a basis to differentiate non-invasively cytotoxic and vasogenic oedemas.

Contrast manipulation and artifact assessment of 2D and 3D RARE sequences

The extent of contrast manipulation and the assessment of characteristic artifacts in imaging studies of brain and knee as performed with novel variants of the Rapid Acquisition Relaxation Enhanced (RARE) sequence are reported. Methods of ordering the phase encoding within one or two echo trains are proposed for manipulating T2 contrast. Options for minimizing artifacts associated with the various schemes are discussed. The extent of T1 contrast manipulation in RARE sequences is explored by varying repetition rates in a signal averaging scheme and by applying inversion pulses prior to data acquisition. The results demonstrate that RARE sequences can be utilized for obtaining good quality images with a range of tissue contrast options similar to those associated with slower spin-echo methods. They also suggest that RARE applications need not be confined to highlighting long T2 fluid spaces, an application already well documented.

Response to and control of destructive energy by magnetic resonance

Magnetic resonance imaging techniques can be used to control and monitor the deposition of destructive energy. The authors evaluated the feasibility of phosphorus-31 magnetic resonance spectroscopy for the control, monitoring, and prediction of the three-dimensional extent of tissue destruction during interstitial laser surgery. Characteristic metabolic changes were demonstrated within the lesion and in the adjacent normal tissue during the deposition of thermal energy.

Spin-lock techniques and CPMG imaging sequences: a critical appraisal of T1p contrast at 0.15 T

The addition of a spin-lock preparatory sequence to a Carr-Purcell-Meiboom-Gill (CPMG) imaging sequence provides a method which allows an accurate and simple comparison of T1p and T2 contrast. Sagittal and axial brain images, produced with the application of a three pulse preparatory spin-lock sequence prior to a sixteen-echo CPMG imaging sequence, are compared with images acquired without the spin-lock sequence. The CPMG sequence uses non-selective refocusing pulses. Therefore, observed echo signals accurately reflect T2 relaxation. This allows a convenient method for assessing the degree to which T1p and T2 contrast differ. The spin-lock CPMG (SL-CPMG) images were acquired with a spin-locking field amplitude of 0.4 G and resemble heavily T2-weighted images at 0.15 T. Quantitative analyses of signal intensities from edema and normal brain tissue confirm the qualitative observations. This in vivo method should prove useful for determining when the additional RF power deposition associated with spin-locking techniques will provide an alternate form of tissue contrast than that available from additional echo collection.

Mucinous cysts of the pituitary stalk. Report of two cases

This report describes two cases of a mucinous cyst (Rathke's cleft cyst) in the pituitary stalk: the first was found in a 29-year-old woman 5 years following pregnancy and the second in a 30-year-old woman 6 years after pregnancy. The presenting symptoms are analyzed and the diagnosis is discussed, with emphasis on the role of magnetic resonance imaging.

The effect of gadolinium DTPA on tissue water compartments in slow- and fast-twitch rabbit muscles

Proton T2 relaxation and its biexponential components have been determined in rabbit skeletal muscle in the presence and absence of GdDTPA. The effect of GdDTPA, which distributes only in the extracellular space, was greatest in the longer-relaxing T2 component (T22). A 27% reduction in T22 was measured for slow-twitch (red) muscle and 17% for fast-twitch (white) muscle, consistent with the larger extracellular space of the former. Magnetic resonance images demonstrated apparent contrast between red and white rabbit muscles. This contrast was instantaneously enhanced by administration of GdDTPA and returned to near normal levels after approximately 30 min. These functional changes in tissue contrast are consistent with differences in blood perfusion and biological water compartmentation between fast- and slow-twitch skeletal muscles.

Proton magnetic resonance in myelin deficient brains of mutant mice

The role of myelin in determining the magnetic resonance (MR) characterization of the central nervous system (CNS) was investigated in unmyelinated brains of normal fetal mice, as well as myelin-deficient adult mutant mice (shi, qk, mld) and their age-matched controls. In vitro NMR relaxation time measurements at 10 MHz for whole brains showed consistently longer T1 (range 558 +/- 8 to 580 +/- 27 msec) and T2 (range 81 +/- 3 to 89 +/- 3 msec) values for the adult myelin-deficient animals than the age-matched controls (T1 = 496 +/- 31, T2 = 79 +/- 4 msec). The fetal brains exhibited even more prolonged relaxation times (T1 = 976 +/- 60, T2 = 158 +/- 7 msec). MR images obtained at 81 MHz using spin echo (SE) sequences, which unlike the in vitro approach allowed discrimination between white and gray matter areas, revealed an absence of gray-white matter contrast in the brains of mutant mice, consistent with longer than normal relaxation of the myelin-deficient white matter. While larger tissue water components such as those present in the immature brain and edematous white matter contribute a greater effect, myelin and its associated bound water may still play an important role in the MR characterization of normal gray and white matter.

Proton magnetic resonance studies of triethyltin-induced edema during perinatal brain development in rabbits

To better understand the role of myelin-associated water in the differentiation of white and gray matter in magnetic resonance (MR) imaging, changes in MR relaxation processes were studied in rabbits during myelination and after induction of cytotoxic edema with triethyltin (TET). Normal rabbits were killed at various age intervals ranging from premature (28 days' gestation) to adult, and changes in MR relaxation times (T1 and T2) and in water and electrolyte content were determined for various areas of brain and muscle. Similar measurements were made in rabbits of comparable age exposed to TET. Light and electron microscopy and MR imaging were used to follow myelin development and morphological changes induced by TET. During the first 30 postnatal days, both T1 and T2 declined by 50% in normal rabbits, a fall that paralleled the loss in brain water and sodium that occurred during the same period. Exposure to TET prolonged T1 and T2 in white but not gray matter, reflecting the accumulation of sodium and water (edema fluid) in white matter areas. Multiexponential analysis revealed a second, longer component in T2 magnetization decay of TET-exposed white matter, presumably attributable to accumulation of non-ordered water within intramyelinic vacuoles, a supposition consistent with electron microscopic and MR imaging findings. In contrast to reports by others, changes in T1 (but not T2) closely correlated with alterations in brain water (r = 0.93, df = 39). The absence of tissue disruption in the animals in the present study may account for these differences, but further studies will be required both to resolve this question and to fully understand MR images of white matter edema in mature and immature brain.

Two-site exchange revisited: a new method for extracting exchange parameters in biological systems

A new analysis is presented which links real volume fractions, relaxation rates, and intracompartmental exchange rates directly with apparent volume fractions and relaxation rates obtained from biexponential fits of transverse magnetization decay curves. The analysis differs from previous methods in that measurements from two paramagnetic doping levels are used to close the two-site exchange equations. Both the new method and one previously described by Herbst and Goldstein (HG) have been applied to paramagnetically doped whole-blood data sets. Significant differences in the calculated exchange parameters are found between the two methods. A small dependence of the intracellular relaxation rate on extracellular paramagnetic agent concentration, assumed nonexistent with the HG method, is inferred from the new analysis. The analysis was also applied to published data on perfused rat hearts, and we obtained a limited assessment of two-site exchange in this system.

MRI of pulsatile CSF motion within arachnoid cysts

Flow void due to pulsatile motion of cerebrospinal fluid (CSF) has recently been demonstrated by a variety of magnetic resonance techniques with sensitivity to slow flow. It has been suggested that within fluid collections not communicating with the physiologic CSF space, there is less signal loss than with the physiologic CSF spaces. Utilizing the SSFP MR technique, which is sensitive to flow as slow as 1 mm/sec, we evaluated three patients with isolated arachnoid cysts. Irregular signal loss consistent with fluid motion was noted within all of the cysts, as well as within the physiologic CSF spaces. Definitive anatomic evaluation of these lesions, though, required ventriculography, an invasive technique.

MR imaging of laser-tissue interactions

A new application of magnetic resonance (MR) imaging to map the spatial and temporal distribution of the effects of Nd:YAG lasers on tissues was studied. The temperature dependence of MR relaxation mechanisms and the high sensitivity of MR to changes in the mobility and distribution of tissue water make it particularly suitable for the demonstration and control of thermal energy deposition in tissues. In heterogeneous tissues, MR imaging does not follow changing temperatures directly because even in the case of reversible thermal interactions, there is a hysteresis in the dynamic relationship between MR signal intensity and temperature. Appropriate matching of the laser and MR pulse sequences can, however, optimize the detection of relatively small laser energy deposition, and reversible and irreversible tissue changes can be distinguished. There is a potential for the integration of MR imaging and lasers for three-dimensional control and monitoring of laser-tissue interactions.

Clinical experience with rapid 2DFT SSFP imaging at low field strength

A retrospective analysis of clinical imaging using 2DFT SSFP at 0.14 T is presented. The technique's potential for tissue characterization and its utility for clinical diagnosis were tested by both in vitro measurements of various tissues and in vivo clinical images. Different pulse angles not only influenced image contrast, but also helped characterize lesions, particularly those containing fat. In addition, the pulse angle changed the signal from venous flow perpendicular to the imaged slice. The slow flow sensitivity of the 2DFT SSFP technique was demonstrated in the detection of CSF motion. Rapid SSFP offers flow sensitivity and adequate lesion detecting ability, along with high patient throughput.