Blood oxygenation level dependent (BOLD)--renal imaging: concepts and applications. Z Med Phys. 2010;20:88-100. [PMID: 20807689 DOI: 10.1016/j.zemedi.2010.01.003]

Magnetic resonance fingerprinting for simultaneous renal T1 and T 2 * mapping in a single breath-hold

PURPOSE

To evaluate the use of magnetic resonance fingerprinting (MRF) for simultaneous quantification of T 1 and T 2 ∗ in a single breath-hold in the kidneys.

METHODS

The proposed kidney MRF sequence was based on MRF echo-planar imaging. Thirty-five measurements per slice and overall 4 slices were measured in 15.4 seconds. Group matching was performed for in-line quantification of T 1 and T 2 ∗ . Images were acquired in a phantom and 8 healthy volunteers in coronal orientation. To evaluate our approach, region of interests were drawn in the kidneys to calculate mean values and standard deviations of the T 1 and T 2 ∗ times. Precision was calculated across multiple repeated MRF scans. Gaussian filtering is applied on baseline images to improve SNR and match stability.

RESULTS

T 1 and T 2 ∗ times acquired with MRF in the phantom showed good agreement with reference measurements and conventional mapping methods with deviations of less than 5% for T 1 and less than 10% for T 2 ∗ . Baseline images in vivo were free of artifacts and relaxation times yielded good agreement with conventional methods and literature (deviation T 1 : 7 ± 4 % , T 2 ∗ : 6 ± 3 % ).

CONCLUSIONS

In this feasibility study, the proposed renal MRF sequence resulted in accurate T 1 and T 2 ∗ quantification in a single breath-hold.

Advanced imaging techniques in the therapeutic response of transarterial chemoembolization for hepatocellular carcinoma

Hepatocellular carcinoma (HCC) is one of the major causes of morbidity and mortality in patients with chronic liver disease. Transarterial chemoembolization (TACE) can significantly improve the survival rate of patients with HCC and is the first treatment choice for patients who are not suitable for surgical resections. The evaluation of the response to TACE treatment affects not only the assessment of the therapy efficacy but also the development of the next step in the treatment plan. The use of imaging to examine changes in tumor volume to assess the response of solid tumors to treatment has been controversial. In recent years, the emergence of new imaging technology has made it possible to observe the response of tumors to treatment prior to any morphological changes. In this article, the advances in studies reporting the use of computed tomography perfusion imaging, diffusion-weighted magnetic resonance imaging (MRI), intravoxel incoherent motion, diffusion kurtosis imaging, magnetic resonance spectroscopy, magnetic resonance perfusion-weighted imaging, blood oxygen level-dependent MRI, positron emission tomography (PET)/computed tomography and PET/MRI to assess the TACE treatment response are reviewed.

Comparing anisotropic diffusion filters for the enhancement of sodium magnetic resonance images

The anisotropic diffusion (AND) filter, an image processing technique derived from physics, was applied to low-resolution sodium magnetic resonance imaging (MRI) to examine the possibilities of image enhancement by postprocessing. We compared six different variants of AND filters. Besides the qualitative good results on phantom measurements, quantitative analyses on MRI of human kidney yielded major improvements in noise reduction and other quality measures: the noise (i.e., the standard deviation in the image background) could be reduced to 1%-2% of its original value, while linear filters (Gaussian, Fermi, Hamming) achieved a reduction to 42%-64%. Besides that, less than 5% of structures and intensities are lost when using AND filters. Comparing the different variants, the two-dimensional and the three-dimensional AND filter outperformed the histogram-of-gradient and tensor-based AND filter. We envision that by using these AND filters, quantitative analysis of sodium MRI of kidney could be improved.

Susceptibility weighted imaging (SWI) of the kidney at 3T--initial results

Susceptibility weighted imaging provides diagnostic information in strokes, hemorrhages, and cerebral tumors and has proven to be a valuable tool in imaging venous vessels in the cerebrum. The SWI principle is based on the weighting of T(2)* weighted magnitude images with a phase mask, therewith improving image contrast of veins or neighbouring structures of different susceptibility, in general. T(2)* weighted MRI is already used for assessment of kidney function. In this paper, the feasibility of SWI on kidneys was investigated. Translation of SWI from the brain to the kidneys comes along with two main challenges: (i) organ motion due to breathing and (ii) a higher oxygenation level of renal veins compared to the brain. To handle these problems, the acquisition time has been cut down to allow for breath-hold examinations, and different post-processing methods including a new phase mask were investigated to visualize renal veins. Results showed that by a new post-processing strategy SWI contrast was enhanced on average by a factor of 1.33 compared to the standard phase mask. In summary, initial experiences of SWI on the kidneys demonstrated the feasibility. However, further technical developments have to be performed to make this technology applicable in clinical abdominal MRI.