Physiological effects of fast oscillating magnetic field gradients

Advances in high-field magnetic resonance imaging

Among advances in magnetic resonance imaging (MRI), the increase of the magnetic field strength is perhaps one of the most significant. The use of high magnetic fields for in vivo magnetic resonance is motivated by a number of considerations. Advantages are increases in signal-to-noise ratio, blood-oxygenation level-dependent contrast, and spectral resolution, while disadvantages include potential reduction of contrast in anatomic imaging owing to lengthening of T1 and effects of susceptibility of high fields. To address these challenges, technical advances have been made in various aspects of MRI, allowing high-field MRI to provide exquisite morphological and functional details in clinical and research settings. This review provides an overview of technical issues and applications of high-field MRI.

MR procedures: biologic effects, safety, and patient care

The technology used for magnetic resonance (MR) procedures has evolved continuously during the past 20 years, yielding MR systems with stronger static magnetic fields, faster and stronger gradient magnetic fields, and more powerful radiofrequency transmission coils. Most reported cases of MR-related injuries and the few fatalities that have occurred have apparently been the result of failure to follow safety guidelines or of use of inappropriate or outdated information related to the safety aspects of biomedical implants and devices. To prevent accidents in the MR environment, therefore, it is necessary to revise information on biologic effects and safety according to changes that have occurred in MR technology and with regard to current guidelines for biomedical implants and devices. This review provides an overview of and update on MR biologic effects, discusses new or controversial MR safety topics and issues, presents evidence-based guidelines to ensure safety for patients and staff, and describes safety information for various implants and devices that have recently undergone evaluation.

Biological effects of exposure to magnetic resonance imaging: an overview

The literature on biological effects of magnetic and electromagnetic fields commonly utilized in magnetic resonance imaging systems is surveyed here. After an introduction on the basic principles of magnetic resonance imaging and the electric and magnetic properties of biological tissues, the basic phenomena to understand the bio-effects are described in classical terms. Values of field strengths and frequencies commonly utilized in these diagnostic systems are reported in order to allow the integration of the specific literature on the bio-effects produced by magnetic resonance systems with the vast literature concerning the bio-effects produced by electromagnetic fields. This work gives an overview of the findings about the safety concerns of exposure to static magnetic fields, radio-frequency fields, and time varying magnetic field gradients, focusing primarily on the physics of the interactions between these electromagnetic fields and biological matter. The scientific literature is summarized, integrated, and critically analyzed with the help of authoritative reviews by recognized experts, international safety guidelines are also cited.

3.0 T magnetic resonance in neuroradiology

Ever since the introduction of magnetic resonance (MR), imaging with 1.5 T has been considered the gold standard for the study of all body areas. Until not long ago, higher-field MR equipment was exclusively employed for research, not for clinical use. More recently, the introduction of 3.0 T MR machines for new and more sophisticated clinical applications has yielded in important benefits, especially in neuroradiology. Indeed, their high gradient power and field intensity allow adjunctive and more advanced diagnostic methodologies to be applied with excellent resolution in a fraction of the time of acquisition compared with earlier machines. The numerous advantages of these machines in terms of higher signal, increased spatial resolution and greater sensitivity, and their few limitations, which can be overcome and anyway do not adversely affect diagnostic efficacy, will make 3.0 T MR systems the gold standard for morphological and functional studies of the brain.

Peripheral nerve stimulation properties of head and body gradient coils of various sizes

Peripheral nerve stimulation (PNS) caused by time-varying magnetic fields has been studied both theoretically and experimentally. A human volunteer study performed on three different body-size gradient coils and one head-size gradient coil is presented in this work. The experimental results were used to generate average PNS threshold parameters for the tested gradient systems. It was found that the average stimulation threshold increases while gradient-region-of-uniformity size decreases. In addition, linear relationships between PNS parameters and diameter of homogeneous gradient spherical volume (DSV) were discovered: SR(min) and DeltaG(min) both vary inverse linearly with DSV. More importantly, the chronaxie value was found to vary inversely linearly with the DSV. This finding indicates that, contrary to the general understanding, the parameter "chronaxie" in the commonly accepted simple stimulation models cannot be considered to be a single-value, nerve-specific constant. A modified linear model for gradient-induced PNS based on these results was developed, which may permit, for the first time, the general prediction of nerve stimulation properties for gradient coils of arbitrary linear region dimension.

Neuroelectric mechanisms applied to low frequency electric and magnetic field exposure guidelines--part I: sinusoidal waveforms

Electric and magnetic field exposure guidelines are developed from established mechanisms of bioelectric interaction. Such mechanisms involve phenomena of electrostimulation-the functional influence of applied electrical forces on nerve and muscle, and, at quasi-static frequencies, on magneto-dynamic mechanisms. The paper develops criteria of human reactions based on theoretical models with parametric values derived from experimental observations. These basic restrictions on electrostimulation effects are referenced to the induced in situ electric fields. Basic limitations are differentiated for induction in the heart, peripheral nerves, the extremities, and the central nervous system. The paper recommends maximum permissible exposure limits which account for (a) adverse reaction criteria, (b) statistical distribution of reaction thresholds, and (c) acceptability factors. From the basic limitations the paper further develops reference levels which apply to environmental electric or magnetic fields.

Health effects relevant to the setting of EMF exposure limits

To date, electric and magnetic exposure limits for frequencies below 100 kHz have been based on vaguely defined neurobiological responses to electric fields induced in tissues in vivo by magnetic fields and on perceptual responses to external electric fields. Advances in tissue dosimetry, risk assessment methods, and biological research on stimulation thresholds and mechanisms are providing new bases for exposure limits. This paper reviews the historical basis for current electric and magnetic exposure limits in preparation for the development of the "next generation" of electric and magnetic occupational and public exposure guidelines. This is followed by an overview of reported neurobiological effects of electric and magnetic stimulation that should be considered in new exposure guidelines. For magnetic fields, there is stronger evidence for setting exposure limits to protect against adverse effects of nerve stimulation than for protecting against visual magnetophosphenes. Magnetophosphenes are not adverse, and the evidence that these perceptual responses of the eye are a precursor or surrogate for other adverse neurologic responses is weak. Rather than relying just on theoretical models to set exposure limits, data from human subjects exposed to pulsed magnetic fields should be used to estimate nerve stimulation thresholds. Such data can provide a solid basis for setting magnetic field exposure limits if uncertainties in the data and inter-individual variability are addressed. Research on sensory perception, spontaneous and evoked potentials, and epidemiologic studies of neuropsychiatric conditions in electric and magnetic exposed populations does not suggest a need for lower exposure limits. However, a report that a 60-mT magnetic field (below the threshold for peripheral nerve stimulation) produces prolonged alterations of brain excitability and "indisposure" of subjects should be investigated in future research.

Comparison of the threshold for peripheral nerve stimulation during gradient switching in whole body MR systems

PURPOSE

To compare thresholds for peripheral nerve stimulation from gradient switching in whole body magnetic resonance (MR) equipment of different design.

MATERIALS AND METHODS

Threshold data obtained in three experiments were reformatted into a single joint data set describing thresholds for anterio-posterior (AP) gradient orientation and Echo Planar Imaging (EPI) waveforms with bipolar ramp times between 0.07 and 1.2 ms. Reformatting included the use of: a) the rate of change of the maximum field in the patient space as a measure of gradient output, b) lowest observable thresholds, c) lognormal distribution of thresholds, and d) equal standard deviation (SD) of all samples.

RESULTS

The joint data fit a hyperbolic threshold function. The residues were not significantly different between experiments.

CONCLUSION

Then expressed in appropriate format, the thresholds for peripheral nerve stimulation in volunteers for whole body MR equipment can be described with a hyperbolic threshold curve with rheobase 18.8 +/- 0.6 Tesla/second and chronaxie 0.36 +/- 0.02 milliseconds.

Health and safety implications of exposure to electromagnetic fields in the frequency range 300 Hz to 10 MHz

An international seminar on health effects of exposure to electromagnetic fields (EMF) in the frequency range from 300 Hz to 10 MHz (referred to as the Intermediate Frequency (IF) range) was held in Maastricht, Netherlands, on 7-8 June 1999. The seminar, organized under the International EMF Project, was sponsored jointly by the World Health Organization (WHO), the International Commission on Non-Ionizing Radiation Protection (ICNIRP), and the Government of the Netherlands. This report does not attempt to summarize all of the material presented at the conference, but focuses on sources of exposure, biophysical and dosimetric considerations pertinent to extrapolating biological data from other frequency ranges to IF and identifies potential health concerns and needs for developing exposure guidelines. This paper is based on presentations at the conference and reports of working groups consisting of the speakers and other experts. It concludes with recommendations for further research aimed at improving health risk assessments in this frequency range.

Evaluation of biological effects, dosimetric models, and exposure assessment related to ELF electric- and magnetic-field guidelines

Several organizations worldwide have issued guidelines to limit occupational and public exposure to electric and magnetic fields and contact currents in the extremely low frequency range (<3 kilohertz). In this paper, we evaluate relevant developments in biological and health research, computational methods for estimating dosimetric quantities, and exposure assessment, all with an emphasis on the power frequency (60 hertz in North America, 50 hertz in Europe). The aim of each guideline is to prevent acute neural effects of induced electric fields. An evaluation of epidemiological and laboratory studies of neurobiological effects identified peripheral nerve stimulation as the response most suitable for establishing a magnetic-field guideline. Key endpoints that merit further study include reversal of evoked potentials; cardiovascular function, as measured by heart rate and heart rate variability; and sleep patterns. High-resolution computations of induced electric fields and current densities in anatomically correct human models are now achieved with finite-difference methods. The validity and limitations of these models have been demonstrated by computations in regular geometric shapes, using both analytic and numeric computations. Calculated values for average dosimetric quantities are typically within a few percent for the two approaches. However, maximum induced quantities are considerably overestimated by numerical methods, particularly at air interfaces. Overestimates are less pronounced for the upper 99th percentile level of a dosimetric quantity, making this measure a more useful indicator of maximum dose. Neural stimulation thresholds are dependent on the electric field around the excitable cell rather than on the current density, making the former preferable for expression of basic restrictions based on nervous system function. Furthermore, modeling data indicate that the induced electric field is much less strongly influenced by tissue conductivity than is the induced current density. In the electric utility industry, most magnetic-field exposures at or near guideline levels occur in highly nonuniform fields. Two methods are described for simplified estimation of induced quantities in such fields, with each method using as input modeling results for uniform field exposure. These methods have practical value for assessing occupational exposures relative to guideline levels.

A comparison between human magnetostimulation thresholds in whole-body and head/neck gradient coils

Gradient coil magnetostimulation thresholds were measured in a group of 20 volunteers in both a whole-body gradient coil and a head/neck gradient coil. Both coils were operated using both x and y axes simultaneously (xy oblique mode). The waveform applied was a 64-lobe trapezoidal train with 1-ms flat-tops and varying rise times. Thresholds were based on the subjects' perception of stimulation, and painful sensations were not elicited. Thresholds were expressed in terms of the total gradient excursion required to cause stimulation as a function of the duration of the excursion. Thresholds for each subject were fit to a linear model, and values for the threshold curve slope (SR(min)) and vertical axis intercept (DeltaG(min)) were extracted. For the body coil, the mean values were: SR(min) = 62.2 mT/m/ms, DeltaG(min) = 44.4 mT/m. For the head/neck coil, the mean values were: SR(min) = 87.3 mT/m/ms, DeltaG(min) = 78.9 mT/m. These curve parameters were combined with calculated values for the induced electric field as a function of position within the coil to yield the tissue specific parameters E(r) (electric field rheobase) and tau(c) (chronaxie). For tissue stimulated within the body coil, the mean values were: E(r) = 1.8 V/m, tau(c) = 770 micros. For tissue stimulated within the head/neck coil, the mean values were: E(r) = 1.3 V/m, tau(c) = 1100 micros. Scalar potential contributions were not included in the calculation of induced electric fields. The mean threshold curves were combined with the gradient system performance curves to produce operational limit curves. The operational limit curves for the head/neck coil system were verified to be higher than those of the whole-body coil; however, the head/neck system was also found to be physiologically limited over a greater range of its operation than was the body coil. Subject thresholds between the two coils were not well correlated.

Simple linear formulation for magnetostimulation specific to MRI gradient coils

A simple linear formulation for magnetostimulation thresholds specific to MRI gradient coils is derived based on established hyperbolic electrostimulation strength vs. duration relations. Thresholds are derived in terms of the gradient excursion required to cause stimulation, and it is demonstrated that the threshold curve is a linear function of the gradient switching time. A parameter beta is introduced as being fundamental in the evaluation of gradient coil stimulation. beta is a map of the induced electric field per unit gradient slew rate, and can be calculated directly from the gradient coil wire pattern. Consideration of beta alone is sufficient to compare stimulation thresholds between different gradient coil designs, as well as to evaluate the expected dependency of stimulation threshold on position within the gradient coil. The linear gradient threshold curve is characterized by two parameters: SR(min) and DeltaG(min). SR(min) is the slope of the threshold curve and represents the minimum slew rate required to cause stimulation in the limit of infinite gradient strength. DeltaG(min) is the vertical axis intercept of the curve and represents the minimum gradient excursion required to cause stimulation in the limit of infinite slew rate. Both SR(min) and DeltaG(min) are functions of both beta and the standard tissue parameters E(r) (rheobase) and tau(c) (chronaxie time). The ease with which both the gradient system performance and the stimulation thresholds can be plotted on the same axes is noted and is used to introduce the concept of a piece-wise linear operational limit curve for a gradient system.

Review of patient safety in time-varying gradient fields

In magnetic resonance, time-varying gradient magnetic fields (dB/dt) may stimulate nerves or muscles by inducing electric fields in patients. Models predicted mean peripheral nerve and cardiac stimulation thresholds. For gradient ramp durations of less than a few milliseconds, mean peripheral nerve stimulation is a safe indicator of high dB/dt. At sufficient amplitudes, peripheral nerve stimulation is perceptible (i.e., tingling or tapping sensations). Magnetic fields from simultaneous gradient axes combine almost as a vector sum to produce stimulation. Patients may become uncomfortable at amplitudes 50%-100% above perception thresholds. In dogs, respiratory stimulation has been induced at about 300% of mean peripheral nerve thresholds. Cardiac stimulation has been induced in dogs by small gradient coils at thresholds near Reilly's predictions. Cardiac stimulation required nearly 80 times the energy needed to produce nerve stimulation in dogs. Nerve and cardiac stimulation thresholds for dogs were unaffected by 1.5-T magnetic fields.

Spiral scan peripheral nerve stimulation

Time-varying magnetic fields induce electric fields that can cause physiological stimulation. Stimulation has been empirically characterized as a function of dB/dt and duration based on experiments using trapezoidal and sinusoidal gradient waveforms with constant ramp time, amplitude, and direction. For two-dimensional (2D) spiral scans, the readout gradient waveforms are frequency- and amplitude-modulated sinusoids on two orthogonal axes in quadrature. The readout gradient waveform therefore rotates with amplitude and angular velocity that are generally not constant. It does not automatically follow that spiral stimulation thresholds can be predicted using available stimulation models. We scanned 18 normal volunteers with a 2D spiral scan and measured global thresholds for axial, sagittal, and coronal planes. We concluded that the stimulation model evaluated accurately predicts slew rate-limited spiral mean stimulation thresholds, if the effective ramp time is chosen to be the half-period at the end of the spiral readout.

Electromyography in MRI--first recordings of peripheral nerve activation caused by fast magnetic field gradients

Prior studies on the evaluation of stimulation by MRI were based on the subjective feeling of the volunteers. A wide variety of stimulation thresholds between the subjects was observed. In order to exclude subjective perception levels as a cause of this variation, we developed a method to investigate the activation of peripheral nerves after gradient switching by electromyography (EMG) within the MR-imager. Five healthy volunteers were positioned in the MR-scanner with the bridge of the nose at isocenter. The amplitude of sinusoidal pulse trains of the anterior-posterior gradient (rise-times: 200 or 300 micros, various numbers of oscillations) was increased stepwise. Four surface electrodes were placed on the region where a muscle-twitch was reported. Electric activity of the muscle during stimulation experiments was recorded with an MR-compatible electro-physiologic amplifier. Stimulation thresholds were defined by the appearance of an EMG-signal. Thresholds were sharp and consistent with the report of the subjects.

High signal-to-noise FLASH imaging at 8 Tesla

A radio frequency (RF) and gradient spoiled fast low angle shot technique was used to acquire images from the human brain at 8 Tesla. The resulting FLASH images, obtained with a 17 degrees nutation, a 70 ms repetition time, and a 17 ms echo time, displayed an average signal-to-noise ratio (SNR) of 220:1 (slice thickness 2.2 mm, field-of-view 24 cm, matrix 256 x 128). These images were compared with images obtained at 1.5 Tesla using identical parameters yielding a signal-to-noise of less than 10:1. As such, the 8 Tesla images display a remarkable improvement in SNR with increasing field strength. The images also show little evidence of susceptibility distortion, chemical shift, or RF penetration limitations.

Modular gradient coil: A new concept in high-performance whole-body gradient coil design

A new concept in high-performance MR gradient coil design is presented which we have called the Modular Gradient Coil (MGC). This novel design approach results in an actively shielded whole-body gradient coil containing multiple and independent elements, integrated onto a single former, for generating gradient fields along each of the three axes (x, y, and z). These elements can be energized in a number of configurations, using a single gradient power supply unit (PSU), to generate a whole range of gradient performance levels. The design criteria for the MGC also include a requirement to prohibit peripheral nerve stimulation in all of its modes of operation. This requirement is achieved, while simultaneously providing high performance, by specifying different volumes of gradient linearity for each of the operating modes. Magn Reson Med 42:561-570, 1999.

Improved field of view-reducing gradient insert: artifacts and application to cardiac imaging

An improved homogeneity-spoiling local gradient insert has been constructed and built into the patient bed to reduce its impact on bore size and setup time. It allows the field of view to be reduced without introducing aliasing artifacts. Image quality and artifacts were evaluated for pulse sequences relevant to cardiac imaging. The utility of the insert is demonstrated by a contrast-enhanced perfusion study, in which the reduced field of view allowed a 25% increase in resolution and one more slice to be imaged per heartbeat. J. Magn. Reson. Imaging 1999;10:209-215.

Maximum pulsed electromagnetic field limits based on peripheral nerve stimulation: application to IEEE/ANSI C95.1 electromagnetic field standards

This communication proposes a rationale for maximum pulsed magnetic field limits in the electromagnetic-field standards of IEEE/ANSI C95.1. The peak limits, intended to protect against peripheral nerve excitation by pulsed fields, are adapted from existing standards for patient exposure in magnetic resonance imaging (MRI) examinations.

Axonal stimulation under MRI magnetic field z gradients: a modeling study

The stimulation of axons under MRI magnetic fields is analyzed solving the cable equation along the axons in the presence of magnetic field z gradients. Axons are represented using a one-dimensional compartmental cable model including the kinetics of mammalian myelinated fibers. Computer simulations of the model were performed for sinusoidal and trapezoidal fields. Several axon and field parameters were tested to determine the threshold values for axonal stimulation of the magnetic field, induced electric field and time derivative of the magnetic field. The results indicate that 1) threshold for stimulation is lowest for the largest diameter axons terminating in the region where the magnetic field is maximum, 2) trapezoidal waveforms can be optimized to allow better sub-threshold resolution than sinusoidal waveforms, and 3) the induced electric field is better than the magnetic field and time derivative of the magnetic field as indicators of stimulation threshold.

Peripheral nerve stimulation during MRI: effects of high gradient amplitudes and switching rates

The application of high gradient amplitudes and switching rates for MRI and spectroscopy, resulting in short rise times for the gradient field and high changes of the magnetic flux density in the patient, is known to possibly evoke peripheral nerve stimulation (PNS) in patients. These effects have been studied on 20 volunteers under different experimental circumstances. The results of these measurements are partially in line with earlier findings reported in the literature. New information is found for the dependence of the PNS threshold level as a function of the rise time of the gradient waveform. The PNS threshold level, expressed in terms of dB/dt, is found to be proportional with t-0.5, where t is the switch time for the gradients. Indications are found that magnitude of B, the modulus of the gradient vector field, is more closely related to the PNS threshold level than Bx, the imaging component of the gradient field. From the experiments, it is furthermore concluded that only for the imaging protocols characterized by the application of long bipolar repetitive gradient pulse trains, such as echoplanar imaging, PNS is expected at the reported threshold levels. For the protocols based on spin echo, turbo spin echo, inversion recovery, fast field echo, etc., characterized by shorter gradient pulse trains, the threshold levels are expected to be much higher.

Peripheral nerve stimulation by time-varying magnetic fields

PURPOSE

A study was performed to assess the stimulation threshold for healthy adults using sinusoidally oscillating gradients.

METHOD

One hundred thirteen healthy adults were examined in the study. ECG and physiological parameters were measured. All measurements were performed of both the head and the abdomen. The subjects were measured in the supine position with the region of interest positioned in the center of the gradient coils. The measurement was performed for three orthogonal, four oblique, and double oblique orientations.

RESULTS

No volunteer reported painful, severe stimulation. The mean thresholds for peripheral stimulation in head and body measurement were similar: 85.5% of stimulation during examination of the head and 87.6% during measurements of the abdomen were reported when the y-gradient was used.

CONCLUSION

The greatest frequency of reported stimulations occurs when the y-gradient is used. This was confirmed by the results and supports the hypothesis that orthogonal to the y-axis the body has its largest conductive loop, resulting in the strongest peripheral stimulation.

Peripheral nerve stimulation in a whole-body echo-planar imaging system

Echo-planar techniques in MRI use a rapidly oscillating frequency-encoding gradient with the potential to produce peripheral nerve stimulation. To evaluate the incidence, type, and location of stimulation in a commercial whole-body scanner, we studied two groups: (a) 173 consecutive individuals scanned by echo-planar imaging for other purposes and (b) seven subjects who were scanned with an extensive set of 36 echo-planar sequences (with prompting after each scan to report any peripheral nerve stimulation) to test the effects of various parameters. Although only 5% of group A reported symptoms of peripheral nerve stimulation, all in group B experienced some type of stimulation, dependent primarily on direction of the oscillating gradient and location of the body within the gradient coil. Maximum stimulation typically occurred 30 to 40 cm from isocenter in the region of maximum dB/dt. Generally, y gradients produced truncal stimulation, and x gradients produced stimulation in the head. When hands were clasped over the abdomen, a tingling in the hands occasionally was felt. Patients should be instructed to keep their hands apart.

Three-dimensional spectral-spatial excitation

A method of three-dimensional spectral-spatial excitation is presented which is selective simultaneously in two spatial dimensions and in the spectral or chemical shift dimension. This method can be used to create spectral passbands whose center frequency varies as a function of spatial location within an imaging plane. This variation of passband center frequency may be specified by an acquired main field (B0) map; the resulting excitations compensate for inhomogeneity of the B0 field. In vivo images are presented in which three-dimensional spectral-spatial excitation allows selective water-only imaging in the presence of large B0 inhomogeneity where conventional spectrally selective imaging falls. Phantom studies give a detailed profile of the performance of three-dimensional spectral-spatial pulses suitable for water-only or fat-saturation imaging. These pulses may also be useful for fat and water suppression in spectroscopic imaging. Performance constraints imposed by limited gradient slew rates are analyzed and quantified.

Magnetostimulation in MRI

In national and international bodies, there is active discussion of appropriate safety regulations of levels of magnetic field strength in MRI. Present limits are usually expressed in terms of the switching rate dB/dt, but the validity of this is open to debate. Application of the fundamental law of electrostimulation is well-established, both on theoretical and experimental grounds. Application of this law, in combination with Maxwell's law, yields a very simple equation that we call the fundamental law of magnetostimulation. This law has the hyperbolic form of a strength-duration curve and allows an estimation of the lowest possible value of the magnetic flux density capable of stimulating nerves and muscles. Calculations prove that the threshold for heart excitation is much higher than those for nerve and muscle stimulations. Experimental results from us and other authors confirm the correctness of the derived laws for magnetostimulation. In light of these findings, proposed safety limits should be reconsidered.

Interleaved echo planar phase contrast angiography

Technical aspects of a new rapid 2D multiplanar phase contrast angiographic sequence are presented. The sequence uses multiple excitation echo planar imaging concepts. The advantage of using multiple excitations is that the resolution can be increased over that obtainable with single shot echo planar imaging. By combining phase contrast measurements with echo planar imaging, the measurement time is considerably reduced compared with conventional phase contrast magnetic resonance angiography. The present implementation still requires some improvements before being suitable for clinical applications. Future embodiments could, however, permit angiograms of vessels subject to respiratory motion.

Fast spiral coronary artery imaging

A flow-independent method for imaging the coronary arteries within a breath-hold on a standard whole-body MR imager was developed. The technique is based on interleaved spiral k-space scanning and forms a cardiac-gated image in 20 heartbeats. The spiral readouts have good flow properties and generate minimal flow artifacts. The oblique slices are positioned so that the arteries are in the plane and so that the chamber blood does not obscure the arteries. Fat suppression by a spectral-spatial pulse improves the visualization of the arteries.

Echo-planar imaging of the central nervous system at 1.0 T

Echo-planar imaging (EPI) on the authors' 1-T prototype imager provides high-quality 100-msec images of the central nervous system. Contrast parameters can be chosen freely. Three-dimensional EPI sequences provide isotropically resolved data sets with 1-mm resolution. Brain perfusion and blood-brain barrier disruption can be assessed in time-course studies with gadopentetate dimeglumine. The current state of development of the authors' midfield research EPI system is discussed and its image quality illustrated through selected patient studies.