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Foongkajornkiat S, Sokolowski K, Stephenson J, Lloyd T, Hugo HJ, Thompson EW, Momot KI. Quantitative measurement of mammographic density in breast-tissue explants using portable NMR: Precision and accuracy. Magn Reson Med 2024; 92:374-388. [PMID: 38380719 DOI: 10.1002/mrm.30040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2023] [Revised: 12/20/2023] [Accepted: 01/18/2024] [Indexed: 02/22/2024]
Abstract
PURPOSE Single-sided portable NMR (pNMR) has previously been demonstrated to be suitable for quantification of mammographic density (MD) in excised breast tissue samples. Here we investigate the precision and accuracy of pNMR measurements of MD ex vivo as compared with the gold standards. METHODS Forty-five breast-tissue explants from 9 prophylactic mastectomy patients were measured. The relative tissue water content was taken as the MD-equivalent quantity. In each sample, the water content was measured using some combination of three pNMR techniques (apparent T2, diffusion, and T1 measurements) and two gold-standard techniques (computed microtomography [μCT] and hematoxylin and eosin [H&E] histology). Pairwise correlation plots and Bland-Altman analysis were used to quantify the degree of agreement between pNMR techniques and the gold standards. RESULTS Relative water content measured from both apparent T2 relaxation spectra, and diffusion decays exhibited strong correlation with the H&E and μCT results. Bland-Altman analysis yielded average bias values of -0.4, -2.6, 2.6, and 2.8 water percentage points (pp) and 95% confidence intervals of 13.1, 7.5, 11.2, and 11.8 pp for the H&E - T2, μCT - T2, H&E - diffusion, and μCT - diffusion comparison pairs, respectively. T1-based measurements were found to be less reliable, with the Bland-Altman confidence intervals of 27.7 and 33.0 pp when compared with H&E and μCT, respectively. CONCLUSION Apparent T2-based and diffusion-based pNMR measurements enable quantification of MD in breast-tissue explants with the precision of approximately 10 pp and accuracy of approximately 3 pp or better, making pNMR a promising measurement modality for radiation-free quantification of MD.
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Affiliation(s)
- Satcha Foongkajornkiat
- School of Chemistry and Physics, Queensland University of Technology, Brisbane, Queensland, Australia
| | - Kamil Sokolowski
- Preclincal Imaging Facility, Translational Research Institute, Woolloongabba, Queensland, Australia
| | - James Stephenson
- Department of Breast and Endocrine Surgery, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia
- Translational Research Institute, Woolloongabba, Queensland, Australia
| | - Thomas Lloyd
- Department of Diagnostic Radiology, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia
| | - Honor J Hugo
- School of Health and Behavioural Science, University of the Sunshine Coast, Sippy Downs, Queensland, Australia
- School of Medicine and Dentistry, Griffith University Sunshine Coast, Birtinya, Queensland, Australia
| | - Erik W Thompson
- Translational Research Institute, Woolloongabba, Queensland, Australia
- School of Biomedical Sciences, Faculty of Health, Queensland University of Technology, Brisbane, Queensland, Australia
| | - Konstantin I Momot
- School of Chemistry and Physics, Queensland University of Technology, Brisbane, Queensland, Australia
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Portable NMR for quantification of breast density in vivo: Proof-of-concept measurements and comparison with quantitative MRI. Magn Reson Imaging 2022; 92:212-223. [PMID: 35843446 DOI: 10.1016/j.mri.2022.07.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Revised: 06/17/2022] [Accepted: 07/11/2022] [Indexed: 11/23/2022]
Abstract
Mammographic Density (MD) is the degree of radio-opacity of the breast in an X-ray mammogram. It is determined by the Fibroglandular: Adipose tissue ratio. MD has major implications in breast cancer risk and breast cancer chemoprevention. This study aimed to investigate the feasibility of accurate, low-cost quantification of MD in vivo without ionising radiation. We used single-sided portable nuclear magnetic resonance ("Portable NMR") due to its low cost and the absence of radiation-related safety concerns. Fifteen (N = 15) healthy female volunteers were selected for the study and underwent an imaging routine consisting of 2D X-ray mammography, quantitative breast 3T MRI (Dixon and T1-based 3D compositional breast imaging), and 1D compositional depth profiling of the right breast using Portable NMR. For each participant, all the measurements were made within 3-4 h of each other. MRI-determined tissue water content was used as the MD-equivalent quantity. Portable NMR depth profiles of tissue water were compared with the equivalent depth profiles reconstructed from Dixon and T1-based MR images, which were used as the MD-equivalent reference standard. The agreement between the depth profiles acquired using Portable NMR and the reconstructed reference-standard profiles was variable but overall encouraging. The agreement was somewhat inferior to that seen in breast tissue explant measurements conducted in vitro, where quantitative micro-CT was used as the reference standard. The lower agreement in vivo can be attributed to an uncertainty in the positioning of the Portable NMR sensor on the breast surface and breast compression in Portable NMR measurements. The degree of agreement between Portable NMR and quantitative MRI is encouraging. While the results call for further development of quantitative Portable NMR, they demonstrate the in-principle feasibility of Portable NMR-based quantitative compositional imaging in vivo and show promise for the development of safe and low-cost protocols for quantification of MD suitable for clinical applications.
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Morin DM, Lawrence M, Balcom BJ. Design and validation of a single-sided magnet with a constant gradient parallel to its surface. JOURNAL OF MAGNETIC RESONANCE (SAN DIEGO, CALIF. : 1997) 2022; 342:107266. [PMID: 35905531 DOI: 10.1016/j.jmr.2022.107266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/09/2022] [Revised: 06/15/2022] [Accepted: 07/04/2022] [Indexed: 06/15/2023]
Abstract
We present the design, validation, and testing of an optimized 5 MHz three-magnet array with a gradient parallel to the magnet surface. An approach to permanent magnet array design is explored with a genetic algorithm. The genetic algorithm was used to produce multiple designs based on an inventory of available block magnets. One three-magnet array was constructed for testing. Constant gradients of 205, 115, and 61 gauss/cm, parallel to the magnet surface are found at displacements of 1.5, 2.0, and 2.5 cm from the surface of the magnet, respectively. Regions of useful gradient are roughly 1 cm in length. We constructed and field plotted the three-magnet array and found good agreement between the experimental and simulated magnet fields. To test applicability, we performed T1 and T2 relaxation measurements on a cod liver oil sample, and a simple doped water flow measurement.
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Affiliation(s)
- Devin M Morin
- UNB MRI Centre, Department of Physics, University of New Brunswick, Fredericton E3B 5A3, Canada
| | - Maggie Lawrence
- UNB MRI Centre, Department of Physics, University of New Brunswick, Fredericton E3B 5A3, Canada
| | - Bruce J Balcom
- UNB MRI Centre, Department of Physics, University of New Brunswick, Fredericton E3B 5A3, Canada.
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Thomas DG, Galvosas P, Tzeng YC, Harrison FG, Berry MJ, Teal PD, Wright GA, Obruchkov S. Oxygen saturation-dependent effects on blood transverse relaxation at low fields. MAGMA (NEW YORK, N.Y.) 2022; 35:805-815. [PMID: 35107697 PMCID: PMC9463268 DOI: 10.1007/s10334-021-00993-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/23/2021] [Revised: 11/28/2021] [Accepted: 12/15/2021] [Indexed: 11/28/2022]
Abstract
Objective Blood oxygenation can be measured using magnetic resonance using the paramagnetic effect of deoxy-haemoglobin, which decreases the \documentclass[12pt]{minimal}
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\begin{document}$$\textit{T}_{2}$$\end{document}T2 relaxation time of blood. This \documentclass[12pt]{minimal}
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\begin{document}$$\textit{T}_{2}$$\end{document}T2 contrast has been well characterised at the \documentclass[12pt]{minimal}
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\begin{document}$$\textit{B}_{{0}}$$\end{document}B0 fields used in MRI (1.5 T and above). However, few studies have characterised this effect at lower magnetic fields. Here, the feasibility of blood oximetry at low field based on \documentclass[12pt]{minimal}
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\begin{document}$$\textit{T}_{2}$$\end{document}T2 changes that are within a physiological relevant range is explored. This study could be used for specifying requirements for construction of a monitoring device based on low field permanent magnet systems. Methods A continuous flow circuit was used to control parameters such as oxygen saturation and temperature in a sample of blood. It flowed through a variable field magnet, where CPMG experiments were performed to measure its \documentclass[12pt]{minimal}
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\begin{document}$$\textit{T}_{2}$$\end{document}T2. In addition, the oxygen saturation was monitored by an optical sensor for comparison with the \documentclass[12pt]{minimal}
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\begin{document}$$\textit{T}_{2}$$\end{document}T2 changes. Results These results show that at low \documentclass[12pt]{minimal}
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\begin{document}$$\textit{B}_{{0}}$$\end{document}B0 fields, the change in blood \documentclass[12pt]{minimal}
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\begin{document}$$\textit{T}_{2}$$\end{document}T2 due to oxygenation is small, but still detectable. The data measured at low fields are also in agreement with theoretical models for the oxy-deoxy \documentclass[12pt]{minimal}
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\begin{document}$$\textit{T}_{2}$$\end{document}T2 effect. Conclusion \documentclass[12pt]{minimal}
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\begin{document}$$\textit{T}_{2}$$\end{document}T2 changes in blood due to oxygenation were observed at fields as low as 0.1 T. These results suggest that low field NMR relaxometry devices around 0.3 T could be designed to detect changes in blood oxygenation.
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Affiliation(s)
- Dion G Thomas
- School of Chemical and Physical Sciences and MacDiarmid Institute for Advanced Materials, Victoria University of Wellington, Wellington, New Zealand
| | - Petrik Galvosas
- School of Chemical and Physical Sciences and MacDiarmid Institute for Advanced Materials, Victoria University of Wellington, Wellington, New Zealand
| | - Yu-Chieh Tzeng
- Centre for Translational Research, University of Otago, Wellington, New Zealand
| | - Freya G Harrison
- Centre for Translational Research, University of Otago, Wellington, New Zealand
| | - Mary J Berry
- Centre for Translational Research and Department of Paediatrics and Child Health, University of Otago, Wellington, New Zealand
| | - Paul D Teal
- School of Engineering and Computer Science, Victoria University of Wellington, Wellington, New Zealand
| | - Graham A Wright
- Sunnybrook Research Institute and University of Toronto, Toronto, ON, Canada
| | - Sergei Obruchkov
- Robinson Research Institute, Victoria University of Wellington, Wellington, New Zealand.
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Blümich B, Anders J. When the MOUSE leaves the house. MAGNETIC RESONANCE (GOTTINGEN, GERMANY) 2021; 2:149-160. [PMID: 37904756 PMCID: PMC10539780 DOI: 10.5194/mr-2-149-2021] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/14/2021] [Accepted: 03/10/2021] [Indexed: 11/01/2023]
Abstract
Change is inherent to time being transient. With the NMR-MOUSE (MObile Universal Surface Explorer) having matured into an established NMR tool for nondestructive testing of materials, this forward-looking retrospective assesses the challenges the NMR-MOUSE faced when deployed outside a protected laboratory and how its performance quality can be maintained and improved when operated under adverse conditions in foreign environments. This work is dedicated to my dear colleague and friend Geoffrey Bodenhausen on the occasion of his crossing an honorable timeline in appreciation of his ever-continuing success of fueling the dynamics of magnetic resonance.
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Affiliation(s)
- Bernhard Blümich
- Institut für Technische und Makromolekulare Chemie, RWTH Aachen
University, 52159 Roetgen, Germany
| | - Jens Anders
- Institute of Smart Sensors, University of Stuttgart, 70569 Stuttgart, Germany
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Barbieri M, Fantazzini P, Bortolotti V, Baruffaldi F, Festa A, Manners DN, Testa C, Brizi L. Single-sided NMR to estimate morphological parameters of the trabecular bone structure. Magn Reson Med 2020; 85:3353-3369. [PMID: 33349979 DOI: 10.1002/mrm.28648] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2020] [Revised: 11/24/2020] [Accepted: 11/24/2020] [Indexed: 11/06/2022]
Abstract
PURPOSE Single-sided 1 H-NMR is proposed for the estimation of morphological parameters of trabecular bone, and potentially the detection of pathophysiological alterations of bone structure. In this study, a new methodology was used to estimate such parameters without using an external reference signal, and to study intratrabecular and intertrabecular porosities, with a view to eventually scanning patients. METHODS Animal trabecular bone samples were analyzed by a single-sided device. The Carr-Purcell-Meiboom-Gill sequence of 1 H nuclei of fluids, including marrow, confined inside the bone, was analyzed by quasi-continuous T2 distributions and separated into two 1 H pools: short and long T2 components. The NMR parameters were estimated using models of trabecular bone structure, and compared with the corresponding micro-CT. RESULTS Without any further assumptions, the internal reference parameter (short T2 signal intensity fraction) enabled prediction of the micro-CT parameters BV/TV (volume of the trabeculae/total sample volume) and BS/TV (external surface of the trabeculae/total sample volume) with linear correlation coefficient >0.80. The assignment of the two pools to intratrabecular and intertrabecular components yielded an estimate of average intratrabecular porosity (33 ± 5)%. Using the proposed models, the NMR-estimated BV/TV and BS/TV were found to be linearly related to the corresponding micro-CT values with high correlation (>0.90 for BV/TV; >0.80 for BS/TV) and agreement coefficients. CONCLUSION Low-field, low-cost portable devices that rely on intrinsic magnetic field gradients and do not use ionizing radiation are viable tools for in vitro preclinical studies of pathophysiological structural alterations of trabecular bone.
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Affiliation(s)
- Marco Barbieri
- Physics and Astronomy Department, University of Bologna, Bologna, Italy.,Department of Radiology, Stanford University, Stanford, CA, USA
| | - Paola Fantazzini
- Physics and Astronomy Department, University of Bologna, Bologna, Italy
| | - Villiam Bortolotti
- Department of Civil, Chemical, Environmental, and Materials Engineering, University of Bologna, Bologna, Italy
| | | | - Anna Festa
- IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy
| | - David N Manners
- Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy
| | - Claudia Testa
- Physics and Astronomy Department, University of Bologna, Bologna, Italy.,National Institute for Nuclear Physics Bologna, Bologna, Italy
| | - Leonardo Brizi
- Physics and Astronomy Department, University of Bologna, Bologna, Italy.,National Institute for Nuclear Physics Bologna, Bologna, Italy
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Keschenau PR, Simons N, Klingel H, Reuter S, Foldenauer AC, Vieß J, Weidener D, Andruszkow J, Blümich B, Tolba R, Jacobs MJ, Kalder J. Perfusion-related changes in intestinal diffusion detected by NMR-MOUSE® monitoring in minipigs. Microvasc Res 2019; 125:103876. [DOI: 10.1016/j.mvr.2019.04.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2019] [Revised: 04/22/2019] [Accepted: 04/28/2019] [Indexed: 02/07/2023]
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