RF instrumentation for same-breath triple nuclear lung MR imaging of (1)H and hyperpolarized (3)He and (129)Xe at 1.5T

Wideband receive-coil array design using high-impedance amplifiers for broadband decoupling

PURPOSE

Multinuclear MRI/S is of increasing interest. Currently, most multinuclear receive array coils are constructed by nesting multiple single-tuned array coils or using switching elements to control the operating frequency, in which case more than one set of conventional isolation preamplifiers and associated decoupling circuits is required. These conventional configurations rapidly become complicated when greater numbers of channels or nuclei are needed. In this work, a novel coil decoupling mechanism is proposed to enable broadband decoupling for array coils with one set of preamplifiers.

METHODS

Instead of using conventional isolation preamplifiers, a high-input impedance preamplifier is proposed to create broadband decoupling of the array elements. A matching network consisting of a single inductor-capacitor-capacitor multi-tuned network and a wire-wound transformer was used to interface the surface coil to the high-impedance preamplifier. To validate the concept, the proposed configuration was compared to the conventional preamplifier decoupling configuration on both bench and scanner.

RESULTS

2 The approach can provide more than 15dB decoupling over a range of 25MHz, covering the Larmor frequencies of 23 Na and 2 H at 4.7T. This multi-tuned prototype obtained 61% and 76% of the imaging SNR at 2 H and 23 Na respectively, 76 and 89% in a higher loading test phantom, when compared to the conventional single-tuned preamplifier decoupling configuration.

CONCLUSION

With the multinuclear array operation and decoupling achieved using only one layer of array coil and preamplifiers, this work provides a simple approach of building high element-count arrays to enable accelerated imaging or SNR improvement from multiple nuclei.

Interleaved and simultaneous multi-nuclear magnetic resonance in vivo. Review of principles, applications and potential

Magnetic resonance signals from different nuclei can be excited or received at the same time,rendering simultaneous or rapidly interleaved multi-nuclear acquisitions feasible. The advan-tages are a reduction of total scan time compared to sequential multi-nuclear acquisitions or that additional information from heteronuclear data is obtained at thesame time and anatomical position. Information content can be qualitatively increased by delivering a more comprehensive MR-based picture of a transient state (such as an exercise bout). Also, combiningnon-proton MR acquisitions with ¹ Hinformation (e.g., dynamic shim updates and motion correction) can be used to improve data quality during long scans and benefits image coregistration. This work reviews the literature on interleaved and simultaneous multi-nuclear MRI and MRS in vivo. Prominent use cases for this methodology in clinical and research applications are brain and muscle, but studies have also been carried out in other targets, including the lung, knee, breast and heart. Simultaneous multi-nuclear measurements in the liver and kidney have also been performed, but exclusively in rodents. In this review, a consistent nomenclature is proposed, to help clarify the terminology used for this principle throughout the literature on in-vivo MR. An overview covers the basic principles, the technical requirements on the MR scanner and the implementations realised either by MR system vendors or research groups, from the early days until today. Considerations regarding the multi-tuned RF coils required and heteronuclear polarisation interactions are briefly discussed, and fields for future in-vivo applications for interleaved multi-nuclear MR pulse sequences are identified.

A radially interleaved sodium and proton coil array for brain MRI at 7 T

The objective of the current study was to design and build a dual-tuned coil array for simultaneous ²³ Na/¹ H MRI of the human brain at 7 T. Quality factor, experimental B₁⁺ measurements, and electromagnetic simulations in prototypes showed that setups consisting of geometrically interleaved ¹ H and ²³ Na loops performed better than or similar to ¹ H or ²³ Na loops in isolation. Based on these preliminary findings, we built a transmit/receive eight-channel ²³ Na loop array that was geometrically interleaved with a transmit/receive eight-channel ¹ H loop array. We assessed the performance of the manufactured array with mononuclear signal-to-noise ratio (SNR) and B₁⁺ measurements, along with multinuclear magnetic resonance fingerprinting maps and images. The ²³ Na array within the developed dual-tuned device provided more than 50% gain in peripheral SNR and similar B₁⁺ uniformity and coverage as a reference birdcage coil of similar size. The ¹ H array provided good B₁⁺ uniformity in the brain, excluding the cerebellum and brain stem. The integrated ²³ Na and ¹ H arrays were used to demonstrate truly simultaneous quantitative ¹ H mapping and ²³ Na imaging.

In vivo methods and applications of xenon-129 magnetic resonance

Hyperpolarised gas lung MRI using xenon-129 can provide detailed 3D images of the ventilated lung airspaces, and can be applied to quantify lung microstructure and detailed aspects of lung function such as gas exchange. It is sensitive to functional and structural changes in early lung disease and can be used in longitudinal studies of disease progression and therapy response. The ability of 129Xe to dissolve into the blood stream and its chemical shift sensitivity to its local environment allow monitoring of gas exchange in the lungs, perfusion of the brain and kidneys, and blood oxygenation. This article reviews the methods and applications of in vivo129Xe MR in humans, with a focus on the physics of polarisation by optical pumping, radiofrequency coil and pulse sequence design, and the in vivo applications of 129Xe MRI and MRS to examine lung ventilation, microstructure and gas exchange, blood oxygenation, and perfusion of the brain and kidneys.

Comparison of MEMS switches and PIN diodes for switched dual tuned RF coils

PURPOSE

To evaluate the performance of micro-electromechanical systems (MEMS) switches against PIN diodes for switching a dual-tuned RF coil between 19 F and 1 H resonant frequencies for multi-nuclear lung imaging.

METHODS

A four-element fixed-phase and amplitude transmit-receive RF coil was constructed to provide homogeneous excitation across the lungs, and to serve as a test system for various switching methods. The MR imaging and RF performance of the coil when switched between the 19 F and 1 H frequencies using MEMS switches, PIN diodes and hardwired configurations were compared.

RESULTS

The performance of the coil with MEMS or PIN diode switching was comparable in terms of RF measurements, transmit efficiency and image SNR on both 19 F and 1 H nuclei. When the coil was not switched to the resonance frequency of the respective nucleus being imaged, reductions in the transmit efficiency were observed of 32% at the 19 F frequency and 12% at the 1 H frequency. The coil provides transmit field homogeneity of ±12.9% at the 1 H frequency and ±14.4% at the 19 F frequency in phantoms representing the thorax with the air space of the lungs filled with perfluoropropane gas.

CONCLUSION

MEMS and PIN diodes were found to provide comparable performance in on-state configuration, while MEMS were more robust in off-state high-powered operation (>1 kW), providing higher isolation and requiring a lower DC switching voltage than is needed for reverse biasing of PIN diodes. In addition, clear benefits of switching between the 19 F and 1 H resonances were demonstrated, despite the proximity of their Larmor frequencies.

19 F MRI of the Lungs Using Inert Fluorinated Gases: Challenges and New Developments

Fluorine-19 (¹⁹ F) MRI using inhaled inert fluorinated gases is an emerging technique that can provide functional images of the lungs. Inert fluorinated gases are nontoxic, abundant, relatively inexpensive, and the technique can be performed on any MRI scanner with broadband multinuclear imaging capabilities. Pulmonary ¹⁹ F MRI has been performed in animals, healthy human volunteers, and in patients with lung disease. In this review, the technical requirements of ¹⁹ F MRI are discussed, along with various imaging approaches used to optimize the image quality. Lung imaging is typically performed in humans using a gas mixture containing 79% perfluoropropane (PFP) or sulphur hexafluoride (SF₆ ) and 21% oxygen. In lung diseases, such as asthma, chronic obstructive pulmonary disease (COPD), and cystic fibrosis (CF), ventilation defects are apparent in regions that the inhaled gas cannot access. ¹⁹ F lung images are typically acquired in a single breath-hold, or in a time-resolved, multiple breath fashion. The former provides measurements of the ventilation defect percent (VDP), while the latter provides measurements of gas replacement (ie, fractional ventilation). Finally, preliminary comparisons with other functional lung imaging techniques are discussed, such as Fourier decomposition MRI and hyperpolarized gas MRI. Overall, functional ¹⁹ F lung MRI is expected to complement existing proton-based structural imaging techniques, and the combination of structural and functional lung MRI will provide useful outcome measures in the future management of pulmonary diseases in the clinic. Level of Evidence: 3 Technical Efficacy: Stage 1 J. Magn. Reson. Imaging 2019;49:343-354.

Simultaneous assessment of both lung morphometry and gas exchange function within a single breath-hold by hyperpolarized 129 Xe MRI

During the measurement of hyperpolarized ¹²⁹ Xe magnetic resonance imaging (MRI), the diffusion-weighted imaging (DWI) technique provides valuable information for the assessment of lung morphometry at the alveolar level, whereas the chemical shift saturation recovery (CSSR) technique can evaluate the gas exchange function of the lungs. To date, the two techniques have only been performed during separate breaths. However, the request for multiple breaths increases the cost and scanning time, limiting clinical application. Moreover, acquisition during separate breath-holds will increase the measurement error, because of the inconsistent physiological status of the lungs. Here, we present a new method, referred to as diffusion-weighted chemical shift saturation recovery (DWCSSR), in order to perform both DWI and CSSR within a single breath-hold. Compared with sequential single-breath schemes (namely the 'CSSR + DWI' scheme and the 'DWI + CSSR' scheme), the DWCSSR scheme is able to significantly shorten the breath-hold time, as well as to obtain high signal-to-noise ratio (SNR) signals in both DWI and CSSR data. This scheme enables comprehensive information on lung morphometry and function to be obtained within a single breath-hold. In vivo experimental results demonstrate that DWCSSR has great potential for the evaluation and diagnosis of pulmonary diseases.

Multiple breath washout of hyperpolarized 129 Xe and 3 He in human lungs with three-dimensional balanced steady-state free-precession imaging

Purpose

To compare quantitative fractional ventilation measurements from multiple breath washout imaging (MBW‐I) using hyperpolarized ³He with both spoiled gradient echo (SPGR) and balanced steady‐state free precession (bSSFP) three‐dimensional (3D) pulse sequences and to evaluate the feasibility of MBW‐I with hyperpolarized ¹²⁹Xe.

Methods

Seven healthy subjects were scanned using ³He MBW‐I with 3D SPGR and bSSFP sequences. Five also underwent MBW‐I with ¹²⁹Xe. A dual‐tuned coil was used to acquire MBW‐I data from both nuclei in the same subject position, enabling direct comparison of regional information.

Results

High‐quality MBW images were obtained with bSSFP sequences using a reduced dose (100 mL) of inhaled hyperpolarized ³He. 3D MBW‐I with ¹²⁹Xe was also successfully demonstrated with a bSSFP sequence. Regional quantitative ventilation measures derived from ³He and ¹²⁹Xe MBW‐I correlated well in all subjects (P < 0.001) with mean Pearson's correlation coefficients of r = 0.61 and r = 0.52 for ³He SPGR‐bSSFP and ¹²⁹Xe‐³He (bSSFP) comparisons. The average intersubject mean difference (and standard deviation) in fractional ventilation in SPGR‐bSSFP and ¹²⁹Xe‐³He comparisons was 15% (28%) and 9% (38%), respectively.

Conclusions

Improved sensitivity in MBW‐I can be achieved with polarization‐efficient bSSFP sequences. Same scan‐session 3D MBW‐I with ³He and ¹²⁹Xe has been demonstrated using a dual‐tuned coil. Magn Reson Med 77:2288–2295, 2017. © 2016 The Authors Magnetic Resonance in Medicine published by Wiley Periodicals, Inc. on behalf of International Society for Magnetic Resonance in Medicine. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.