Publications by authors named "Eugene Dunkle"

Purpose: To describe a pulse sequence for simultaneous static and cine nonenhanced magnetic resonance angiography (NEMRA) of the peripheral arteries.

Methods: The peripheral arteries of 10 volunteers and 6 patients with peripheral arterial disease (PAD) were imaged with the proposed cine NEMRA sequence on a 1.5 Tesla (T) system.

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Article Synopsis
  • The study aimed to evaluate the effectiveness of two nonenhanced MRA methods, QISS and Native SPACE, by comparing them to contrast-enhanced MR angiography (CEMRA) as a standard reference.
  • Involved 20 patients undergoing imaging of lower extremities, with assessments made on image quality and severity of arterial stenosis by two independent radiologists.
  • Results showed QISS had superior image quality and specificity compared to Native SPACE, making it more reliable for assessing abdominal and pelvic segments despite both methods being sensitive to significant stenosis.
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Purpose: To assess the diagnostic performance of quiescent-interval single-shot (QISS) magnetic resonance (MR) angiography, a nonenhanced two-dimensional electrocardiographically gated single-shot balanced steady-state free precession examination for the evaluation of symptomatic chronic lower limb ischemia.

Materials And Methods: For this prospective institutional review board-approved, HIPAA-compliant study, the institutional review board waived the requirement for informed patient consent. The QISS nonenhanced MR angiography technique was evaluated in a two-center trial involving 53 patients referred for lower extremity MR angiography for suspected or known chronic peripheral arterial disease (PAD), with contrast material-enhanced MR angiography serving as the noninvasive reference standard.

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Article Synopsis
  • Contrast-enhanced magnetic resonance angiography (CE-MRA) usually employs parallel imaging and digital subtraction techniques to enhance images by focusing on the contrast material in blood vessels while minimizing background noise.
  • However, high acceleration settings can lead to increased noise and poor image quality, making interpretation difficult.
  • A study using both phantom models and volunteer data shows that using complex subtraction before partial parallel reconstruction results in better image accuracy and quality compared to traditional magnitude subtraction, even at high reduction factors.
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Purpose: To evaluate a rapid sub-millimeter isotropic spoiled gradient-echo (nonselective SPGR) to facilitate the brain subcortical segmentation and the visualization of brain volume compared with the commonly accepted inversion recovery-prepared SPGR (SPGR-IR) technique.

Materials And Methods: The feasibility of the nonselective SPGR was evaluated for two segmentation algorithms. FAST was used to segment the brain into constituent tissue classes (white matter, gray matter, cerebrospinal fluid) and FreeSurfer was used to segment specific subcortical structures (hippocampus, caudate, putamen, and thalamus).

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We performed technical optimization followed by a pilot clinical study of quiescent-interval single-shot MR angiography for peripheral vascular disease. Quiescent-interval single-shot MR angiography acquires data using a modified electrocardiographic (ECG)-triggered, fat suppressed, two-dimensional, balanced steady-state, free precession pulse sequence incorporating slice-selective saturation and a quiescent interval for maximal enhancement of inflowing blood. Following optimization at 1.

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Fluid-suppressed STARFIRE (Signal Targeting Alternative Radiofrequency and Flow-Independent Relaxation Enhancement) is a noncontrast method for flow-independent MR venography (MRV). It uses magnitude subtraction of two inversion recovery-prepared segmented three-dimensional (3D) balanced steady-state free precession acquisitions to obtain isotropic cerebral venograms in which both fat and cerebrospinal fluid signals are suppressed. Unlike two-dimensional time-of-flight (2D TOF) MRV, it is insensitive to the flow velocity of the cerebral veins.

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Isotropic imaging offers the potential of improving lesion detection and imaging efficiency by enabling orthogonal image reformations without loss of spatial resolution. However, lengthy scan times for T1-weighted isotropic data acquisitions have been an impediment to the routine clinical application of this approach. We tested the feasibility of using the improved signal-to-noise ratio at 3 Tesla to perform rapid, whole-brain T1-weighted imaging with isotropic 0.

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Objective: To investigate the feasibility of studying renal effects of nitric oxide synthase inhibition (NOSi) in humans by blood oxygenation level-dependent (BOLD) MRI. Nitric oxide (NO) is known to play a key role in the pathophysiology of hypertension and previous reports suggest reduced bioavailability of NO in the kidneys of hypertensive rats and hence show reduced response to NOSi using BOLD MRI. Ability to perform similar studies in humans could potentially lead to detection of early changes before development of symptoms, and to monitor novel interventions targeted toward improved NO bioavailability.

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We describe a novel physical basis and methodology for gadolinium (Gd)-enhanced MRA, which we call "off-resonance contrast angiography" (ORCA). Unlike standard contrast-enhanced (CE) MR angiography (MRA), ORCA contrast depends not on T(1) but on Gd-induced shifts in intravascular resonance frequency due to the bulk magnetic susceptibility (BMS) effects of Gd. The method was tested at 3 Tesla in phantoms with a range of dilutions of Gd-DTPA and ultrasmall iron oxide contrast agent (CA).

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Institutional review board approval and informed consent were obtained for this HIPAA-compliant study, whose purpose was to prospectively evaluate the use of a dual-contrast mechanism in conjunction with an iron oxide blood pool contrast agent, ferumoxytol, to depict deep venous thrombosis (DVT). Nine patients with lower extremity DVT detected with duplex ultrasonography (US) were imaged with magnetic resonance (MR) imaging and ferumoxytol. Three techniques, including precontrast two-dimensional time-of-flight (TOF) imaging, ferumoxytol-enhanced bright-blood imaging, and ferumoxytol-enhanced dark-blood imaging, were applied.

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Objectives: We sought to perform a preliminary comparison of signal-to-noise ratio (SNR) and image quality for magnetic resonance imaging (MRI) of the pancreas at 1.5 and 3 T.

Materials And Methods: Two imaging cohorts were studied using a T2-weighted, single-shot fast spin-echo pulse sequence and a T1-weighted, fat-suppressed 3D gradient-echo pulse sequence.

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Article Synopsis
  • The study investigates the advantages of using a 3.0 Tesla (T) MRI scanner compared to a 1.5 T scanner for assessing changes in kidney oxygenation after medication administration.
  • Using a multiple gradient-echo sequence, researchers measured T2* values in kidney regions before and after a dose of furosemide, finding higher baseline and response values at the 3.0 T setting.
  • The results indicate improved detection of cortico-medullary contrast without increased artifacts, highlighting the effectiveness of higher field strengths in renal BOLD MRI studies.
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