Publications by authors named "Schmitter S"

Purpose: Ultrahigh-field (UHF; ≥7 T) MRI is challenging due to spatially heterogeneous B profiles. This longitudinal study evaluates the reproducibility of three parallel-transmission excitation strategies to enable UHF cardiac MRI: vendor-supplied radiofrequency (RF) shim, subject-tailored kT-points pulses (TPs), and universal kT-points pulses (UPs).

Methods: Six healthy subjects underwent 7 T MRI scans performed by different MR operators using a 32-element parallel-transmission body array at four time points over 3 years.

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Introduction: This study investigated intracardiac flow dynamics and assessed the comparability and reliability of 4D flow CMR measurements across multiple sites within the Berlin Research Network for Cardiovascular Magnetic Resonance (BER-CMR) using 3D cine phase-contrast imaging with three-directional velocity encoding in a healthy traveling cohort.

Methods: In a prospective multi-site cohort study, 20 healthy volunteers underwent CMR at different sites. Quantitative assessment of Forward flow Volume (FFV), Peak (PV) and Mean Velocity (MV) across the heart's valves were conducted using retrospective valve tracking.

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Purpose: To improve the current method for MRI turbulence quantification which is the intravoxel phase dispersion (IVPD) method. Turbulence is commonly characterized by the Reynolds stress tensor (RST) which describes the velocity covariance matrix. A major source for systematic errors in MRI is the sequence's sensitivity to the variance of the derivatives of velocity, such as the acceleration variance, which can lead to a substantial measurement bias.

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Article Synopsis
  • Time-resolved 3D cine phase-contrast cardiovascular magnetic resonance (4D flow CMR) is a method used to analyze blood flow, but it can be affected by various confounders like field strength and scanner configurations.
  • This study involved 19 healthy volunteers who underwent 4D flow CMR at four different sites, with measurements taken from the thoracic aorta and the entire heart to assess the impact of these confounding factors.
  • Results indicated that while some parameters showed good inter-site reproducibility (e.g., in the ascending aorta), others had significant discrepancies, particularly at Site IV, highlighting the need for standardization in 4D flow CMR measurements.
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Purpose: This study investigates the feasibility of using complex-valued neural networks (NNs) to estimate quantitative transmit magnetic RF field (B ) maps from multi-slice localizer scans with different slice orientations in the human head at 7T, aiming to accelerate subject-specific B -calibration using parallel transmission (pTx).

Methods: Datasets containing channel-wise B -maps and corresponding multi-slice localizers were acquired in axial, sagittal, and coronal orientation in 15 healthy subjects utilizing an eight-channel pTx transceiver head coil. Training included five-fold cross-validation for four network configurations: used transversal, sagittal, coronal data, and was trained on all slice orientations.

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Article Synopsis
  • The study examines two commercially available software for analyzing three-dimensional flow in cardiovascular MRI, focusing on how they affect key metrics like forward flow volume (FFV), peak velocity (PV), and wall shear stress (WSS).
  • Data was collected from MRI scans of 30 participants (healthy volunteers and patients with aortic issues) to assess the software's performance in different analysis planes.
  • Overall, the two software packages showed good correlation for FFV and PV, particularly in healthy individuals, but displayed poor agreement for WSS analysis, highlighting variability in results based on the software used.
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Hypertrophic cardiomyopathy (HCM) is one of the most common genetic cardiac disorders and is characterized by different phenotypes of left ventricular hypertrophy with and without obstruction. The effects of left ventricular outflow tract (LVOT) obstruction based on different anatomies may be hemodynamically relevant and influence therapeutic decision making. Cardiovascular magnetic resonance (CMR) provides anatomical information.

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Purpose: This study aims to map the transmit magnetic field ( ) in the human body at 7T using MR fingerprinting (MRF), with a focus on achieving high accuracy and precision across a large dynamic range, particularly at low flip angles (FAs).

Methods: A FLASH-based MRF sequence (B1-MRF) with high sensitivity was developed. Phantom and in vivo abdominal imaging were performed at 7T, and the results were compared with established reference methods, including a slow but precise preparation-based method (PEX), saturated TurboFLASH (satTFL), actual flip angle imaging (AFI) and Bloch-Siegert shift (BSS).

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Purpose: Atherosclerosis of the carotid artery is a major risk factor for stroke. Quantitative assessment of the carotid vessel wall can be based on cross-sections of three-dimensional (3D) black-blood magnetic resonance imaging (MRI). To increase reproducibility, a reliable automatic segmentation in these cross-sections is essential.

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Purpose: To investigate the impact of reduced k-space sampling on mapping and the resulting impact on phase shimming and dynamic/universal parallel transmit (pTx) RF pulse design.

Methods: Channel-wise 3D maps were measured at 7 T in 35 and 23 healthy subjects for the heart and prostate region, respectively. With these maps, universal phase shims optimizing homogeneity and efficiency were designed for heart and prostate imaging.

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Ultrahigh field magnetic resonance imaging (MRI) (≥ 7 T) has the potential to provide superior spatial resolution and unique image contrast. Apart from radiofrequency transmit inhomogeneities in the body at this field strength, imaging of the upper abdomen faces additional challenges associated with motion-induced ghosting artifacts. To address these challenges, the goal of this work was to develop a technique for high-resolution free-breathing upper abdominal MRI at 7 T with a large field of view.

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Purpose: To address the limitations of spinal cord imaging at ultra-high field (UHF) due to time-consuming parallel transmit (pTx) adjustments. This study introduces calibration-free offline computed universal shim modes that can be applied seamlessly for different pTx RF coils and spinal cord target regions, substantially enhancing spinal cord imaging efficiency at UHF.

Methods: A library of channel-wise relative maps for the cervical spinal cord (six datasets) and thoracic and lumbar spinal cord (nine datasets) was constructed to optimize transmit homogeneity and efficiency for these regions.

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Purpose: To research and evaluate the performance of broadband tailored kT-point pulses (TP) and universal pulses (UP) for homogeneous excitation of the human heart at 7T.

Methods: Relative 3D -maps of the thorax were acquired from 29 healthy volunteers. TP and UP were designed using the small-tip-angle approximation for a different composition of up to seven resonance frequencies.

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Purpose: Traditional phase-contrast MRI is affected by displacement artifacts caused by non-synchronized spatial- and velocity-encoding time points. The resulting inaccurate velocity maps can affect the accuracy of derived hemodynamic parameters. This study proposes and characterizes a 3D radial phase-contrast UTE (PC-UTE) sequence to reduce displacement artifacts.

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Purpose: To investigate safety and performance aspects of parallel-transmit (pTx) RF control-modes for a body coil at .

Methods: Electromagnetic simulations of 11 human voxel models in cardiac imaging position were conducted for , and and a body coil with a configurable number of transmit channels (1, 2, 4, 8, 16). Three safety modes were considered: the 'SAR-controlled mode' (SCM), where specific absorption rate (SAR) is limited directly, a 'phase agnostic SAR-controlled mode' (PASCM), where phase information is neglected, and a 'power-controlled mode' (PCM), where the voltage amplitude for each channel is limited.

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Article Synopsis
  • The study aimed to enhance the speed of 2D MR elastography (MRE) for better monitoring of liver stiffness changes related to breathing and patient feedback.
  • A rapid MRE method was developed that generates stiffness maps in just 625 ms, allowing real-time assessments of wavefield quality and shear wave amplitudes during a single breath-hold.
  • Results showed that this subsecond MRE method effectively detected changes in liver stiffness during different phases of breathing, making it a valuable tool for real-time monitoring compared to traditional methods.
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Multiple sites within Germany operate human MRI systems with magnetic fields either at 7 Tesla or 9.4 Tesla. In 2013, these sites formed a network to facilitate and harmonize the research being conducted at the different sites and make this technology available to a larger community of researchers and clinicians not only within Germany, but also worldwide.

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Objective: To examine the feasibility of human cardiac MR (CMR) at 14.0 T using high-density radiofrequency (RF) dipole transceiver arrays in conjunction with static and dynamic parallel transmission (pTx).

Materials And Methods: RF arrays comprised of self-grounded bow-tie (SGBT) antennas, bow-tie (BT) antennas, or fractionated dipole (FD) antennas were used in this simulation study.

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Objectives: Precision medicine is increasingly important in cancer treatment. Tumor-agnostic therapies are used regardless of tumor entity because they target specific biomarkers in tumors. In Germany, the benefit assessment of oncological pharmaceuticals has traditionally been entity specific.

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To protect implant carriers in MRI from excessive radiofrequency (RF) heating it has previously been suggested to assess that hazard via sensors on the implant. Other work recommended parallel transmission (pTx) to actively mitigate implant-related heating. Here, both ideas are integrated into one comprehensive safety concept where native pTx safety (without implant) is ensured by state-of-the-art field simulations and the implant-specific hazard is quantified in situ using physical sensors.

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Purpose: Assess and optimise acquisition parameters for continuous cardiac Magnetic Resonance Fingerprinting (MRF).

Methods: Different acquisition schemes (flip angle amplitude, lobe size, T2-preparation pulses) for cardiac MRF were assessed in simulations and phantom and demonstrated in one healthy volunteer. Three different experimental designs were evaluated using central composite and fractional factorial designs.

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Purpose: Subject-tailored parallel transmission pulses for ultra-high fields body applications are typically calculated based on subject-specific -maps of all transmit channels, which require lengthy adjustment times. This study investigates the feasibility of using deep learning to estimate complex, channel-wise, relative 2D -maps from a single gradient echo localizer to overcome long calibration times.

Methods: 126 channel-wise, complex, relative 2D -maps of the human heart from 44 subjects were acquired at 7T using a Cartesian, cardiac gradient-echo sequence obtained under breath-hold to create a library for network training and cross-validation.

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Purpose: To present electromagnetic simulation setups for detailed analyses of respiration's impact on and E-fields, local specific absorption rate (SAR) and associated safety-limits for 7T cardiac imaging.

Methods: Finite-difference time-domain electromagnetic field simulations were performed at five respiratory states using a breathing body model and a 16-element 7T body transceiver RF-coil array. and SAR are analyzed for fixed and moving coil configurations.

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Purpose: To simultaneously acquire spectroscopic signals from two MRS voxels using a multi-banded 2 spin-echo, full-intensity acquired localized (2SPECIAL) sequence, and to decompose the signal to their respective regions by a novel voxel-GRAPPA (vGRAPPA) decomposition approach for in vivo brain applications at 7 T.

Methods: A wideband, uniform rate, smooth truncation (WURST) multi-banded pulse was incorporated into SPECIAL to implement 2SPECIAL for simultaneous multi-voxel spectroscopy (sMVS). To decompose the acquired data, the voxel-GRAPPA decomposition algorithm is introduced, and its performance is compared to the SENSE-based decomposition.

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