Fast scan and echo planar MR imaging

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Veröffentlicht: Philadelphia [u.a.] Saunders 1999
Schriftenreihe:Neuroimaging clinics of North America 9,2
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adam_text I ASI SC AX AM) f CFfO [M AXAK MK IMAi.INC. CONTENTS Preface xiii Joseph E. Heiserman Fast Scan and Echo Planar MR Imaging Technology 227 Peter B. Roemer and Xiaole Hong The development of imaging technology for acquiring ever faster images has been an ongoing activity since the early years of MR imaging devel¬ opment. This article gives the reader a sense of the range of technical chal¬ lenges faced by the developers of faster imaging hardware and some of their solutions. Before reviewing the technical issues, however, the authors briefly discuss the marketplace realities that have led to technology decisions and, to a certain extent, the prolonged pace of development of the hardware. Fast(er) MR Imaging 243 Paul J. Keller The author reviews the methods used for rapid MR scanning, including gradient echo, fast spin echo, and planar sequences. Each of these ap¬ proaches can be understood by evaluation of the relationship of the fun¬ damental MR parameters such as Tl and T2 values to operator selected variables such as TR, TE, and flip angles. Strategies for phase view acqui¬ sition and the application of high performance gradients are discussed. MR Angiography: Toward Faster and More Accurate Methods 253 Joseph E. Heiserman MR angiography is a class of methods developed to noninvasively evaluate vascular structures. After first reviewing the different approaches and com¬ paring strengths and weaknesses, new methods to improve the quality or speed of acquisition of these important sequences are examined. i . . —— NEUROIMAGING CLINICS OF NORTH AMERICA VOLUME 9 • NUMBER 2 • MAY 1999 ix Contrast Enhanced Carotid MR Angiography: Imaging Principles and Physics 263 Thomas K.F. Foo, Vincent B. Ho, and Peter L. Choyke Arterial contrast enhancement on MR angiography images is dependent on the adequate timing of the contrast bolus arrival to the acquisition of the center of k space. Different strategies for achieving this goal are described. The more advanced techniques are aimed at making the detection of the peak arrival and the start of data acquisition more robust in order to gen¬ erate images with maximal arterial background contrast with minimal ve¬ nous signal contamination. The Clinical Applications of Functional MR Imaging 285 Victor M. Haughton, Patrick A. Turski, Beth Meyerand, Gary Wendt, Chad H. Moritz, and John Ulmer Functional MR imaging, similar to positron emission tomography, shows the regions in which cerebral blood flow changes as neurons are active in the performance of cognitive tasks. Blood flow increases (activation) exceed that needed to supply oxygen for the increased metabolic needs for the increased neuronal activity. Therefore, in regions with activation, the deoxy hemoglobin concentration in the capillary blood decreases below levels found in the brain where neurons are not active. Applications of Functional MR Imaging to Research in Psychiatry 295 Deborah A. Yurgelun Todd and Perry F. Renshaw Functional MR (fMR) imaging techniques have revolutionized the study of psychiatric illness; however, the clinical utility of fMR imaging studies for these disorders is limited. This article addresses the research applications of fMR imaging to the study of psychiatric disorders. The four psychiatric dis¬ orders covered in detail include schizophrenia, obsessive compulsive dis¬ order, Alzheimer s dementia, and substance abuse. Research findings and implications for future study are discussed with reference to both clinical and technological limitations. Clinical Applications of Intracranial Perfusion MR Imaging 309 Michael H. Lev and Bruce R. Rosen Dynamic susceptibility MR perfusion imaging of the brain offers clinically relevant physiological data not obtainable by conventional MR imaging. As new treatments continue to be developed for stroke, neoplasm, dementia, psychiatric illness, headache, and trauma, the potential clinical applications of perfusion MR imaging in the diagnosis, triage, and therapeutic monitor¬ ing of these diseases will increase. MR perfusion techniques are likely to be at least as sensitive and specific as radionuclide based techniques, and offer the added advantage of higher intrinsic resolution, convenient coregistra tion with conventional MR imaging, as well as, time and cost effective im¬ aging in patients for whom a routine MR imaging is obtained. Quantitative Perfusion Imaging Using Arterial Spin Labeling 333 Eric C. Wong, Richard B. Buxton, and Lawrence R. Frank Arterial spine labeling (ASL) techniques have matured to the point that they can provide robust quantitative multislice measurements of cerebral blood flow (CBF) under most circumstances. These techniques provide better spa x CONTENTS tial and temporal resolution than positron emission tomography (PET) and are entirely noninvasive, requiring no injections or radiation. The most ob¬ vious clinical application is in the evaluation of acute stroke, in which the primary pathology is a lack of CBF, precisely the quantity that is measured directly by ASL. The one major technical challenge that currently prevents more general application in the brain is the sensitivity to abnormally long transit delays. Diffusion MR Imaging: Theory and Applications 343 Howard A. Rowley, P. Ellen Grant, and Timothy P.L. Roberts Diffusion MR imaging provides a novel way to characterize tissues based on sensitivity to the microscope molecular motion of water. Clinical imple¬ mentation requires strong, fast hardware and careful post processing of dif¬ fusion parameters. It is important to recognize that diffusion images and derivatives such as the trace of the diffusion tensor are quite specific in reflecting the physical properties of diffusion, but are non specific for pa¬ thology. Restricted diffusion is the earliest clinically detectable sign of is¬ chemia, but similar diffusion changes can be seen with infection and some tumors. Diffusion MR techniques are providing new ways to study prob¬ lems in oncology, epilepsy, white matter disorders, and infectious diseases, both for research and clinical applications. Physiologic Effects of Intense MR Imaging Gradient Fields 363 Joe D. Bourland, John A. Nyenhuis, and Daniel J. Schaefer The strength duration relationship for peripheral nerve stimulation by MR imaging pulsed gradient magnetic fields was measured in 84 human sub¬ jects. The data were fitted to the hyperbolic strength duration relationship: dB/dt (1 + c/d), where b is rheobase, c is chronaxie, and d is duration, and dB/dt is reported as the maximal value on the axis of the bore. For sensation threshold, average (b,c) (15 T/s, 0.37 ms) for the y gradient and (26 T/s, 0.38 ms) for the z gradient coil. The dB/dt intensity to induce a sensation which the subject described as uncomfortable was about 50% above the sensation threshold. Experiments with dogs showed that the cardiac stimu¬ lation by pulsed magnetic gradient fields is exceedingly unlikely. Proton MR Spectroscopy of the Brain 379 Scott D. Rand, Robert Prost, and Shi Jiang Li Over the past five decades, MR spectroscopy has evolved from an analytical chemistry tool to a noninvasive clinical examination on FDA approved equipment with an AMA billing code. While proton MR spectroscopy has dominated current clinical studies, interest in other nucleii has arisen, par¬ ticularly P 31 for the evaluation of membrane lipids, and C 13 for the eval¬ uation of glutamate neurotransmission and excitotoxicity. Currently, the most common neuroradiological diagnostic indication is the differentation of suspected cerebral neoplasms for post treatment effects, abcesses, sub acute infarcts, demyelinating disease, and other non neoplastic processes. Recent recommendations for monitoring multiple sclerosis treatment sug¬ gest an increasing role for MR spectroscopy in the future. Index 397 Subscription Information Inside back cover CONTENTS xi
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spelling Fast scan and echo planar MR imaging Joseph E. Heiserman, guest ed.
Philadelphia [u.a.] Saunders 1999
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spellingShingle Fast scan and echo planar MR imaging
Neuroimaging clinics of North America
Kernspintomografie (DE-588)4120806-7 gnd
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title Fast scan and echo planar MR imaging
title_auth Fast scan and echo planar MR imaging
title_exact_search Fast scan and echo planar MR imaging
title_full Fast scan and echo planar MR imaging Joseph E. Heiserman, guest ed.
title_fullStr Fast scan and echo planar MR imaging Joseph E. Heiserman, guest ed.
title_full_unstemmed Fast scan and echo planar MR imaging Joseph E. Heiserman, guest ed.
title_short Fast scan and echo planar MR imaging
title_sort fast scan and echo planar mr imaging
topic Kernspintomografie (DE-588)4120806-7 gnd
topic_facet Kernspintomografie
Aufsatzsammlung
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