Dose and detectability for a cone-beam C-arm CT system revisited.

Purpose: The authors had previously published measurements of the detectability of disk-shaped contrast objects in images obtained from a C-arm CT system. A simple approach based on Rose's criterion was used to scale the date, assuming the threshold for the smallest diameter detected should be inversely proportional to (dose)1/2. A more detailed analysis based on recent theoretical modeling of C-arm CT images is presented in this work.

Advances in magnetic resonance neuroimaging.

Interest in advanced neuroimaging is growing and is certain to continue; new and faster sequences, better image quality, higher magnetic fields, and improved models of diffusion, perfusion, and functional connectivity are in constant development. The purpose of this article is to highlight recent advances in neuroimaging from two aspects: (1) those advances directly benefited by increases in field strength (increased T1, signal-to-noise ratio, magnetic susceptibility-sensitivity, and chemical shift) and how the increased signal-to-noise ratio can be used to trade off for other advantages and (2) those advances made in response to attempts to try to reduce the inherent artifacts encountered at higher field strengths (eg, reducing specific radiofrequency absorption in tissue and magnetic susceptibility).

Quantitative evaluation of the relaxivity effects of iodine on GD-DTPA enhanced MR arthrography.

Purpose: To quantify the effect of iodine on the gadolinium (Gd) contrast-enhanced signal in MR arthrography.

Materials And Methods: Saline solutions of Gd contrast agent (0-1 mmol/liter) were mixed with iodinated contrast agent (0-185 mmol/liter). The T1 and T2 relaxation constants of these solutions were measured at 1.

Truly hybrid X-ray/MR imaging: toward a streamlined clinical system.

Rationale And Objective: We have installed an improved X-ray/MR (XMR) truly hybrid system with higher imaging signal-to-noise ratio (SNR) and versatility than our first prototype. In our XMR design, a fixed anode X-ray fluoroscopy system is positioned between the two donut-shaped magnetic poles of a 0.5T GE Signa-SP magnet (SP-XMR).

Effects of spatial and temporal resolution for MR image-guided thermal ablation of prostate with transurethral ultrasound.

Purpose: To describe approaches for determining optimal spatial and temporal resolutions for the proton resonance frequency shift method of quantitative magnetic resonance temperature imaging (MRTI) guidance of transurethral ultrasonic prostate ablation.

Materials And Methods: Temperature distributions of two transurethral ultrasound applicators (90 degrees sectored tubular and planar arrays) for canine prostate ablation were measured via MRTI during in vivo sonication, and agree well with two-dimensional finite difference model simulations at various spatial resolutions. Measured temperature distributions establish the relevant signal-to-noise ratio (SNR) range for thermometry in an interventional MR scanner, and are reconstructed at different resolutions to compare resultant temperature measurements.

Edge displacement field-based classification for improved detection of polyps in CT colonography.

Colorectal cancer can easily be prevented provided that the precursors to tumors, small colonic polyps, are detected and removed. Currently, the only definitive examination of the colon is fiber-optic colonoscopy, which is invasive and expensive. Computed tomographic colonography (CTC) is potentially a less costly and less invasive alternative to FOC.

Ethical issues in the clinical application of fMRI: factors affecting the validity and interpretation of activations.

The ability of functional magnetic resonance imaging (fMRI) to localize activations in a single patient, along with the safety and widespread availability of this methodology, has lead to an increasing use of fMRI for clinical purposes such as pre-surgical planning. As methodology continues to improve and more experience with fMRI in the clinical setting is acquired, clinical functional neuroimaging will likely have an increasing influence over patient care. Therefore, ethical use of fMRI, as with other medical techniques, requires understanding the factors impacting the interpretation of the methodology.

Local staging of pancreatic carcinoma with multi-detector row CT: use of curved planar reformations initial experience.

Purpose: To evaluate the utility of curved planar reformations compared with standard transverse images in the assessment of pancreatic tumors.

Materials And Methods: Forty-three patients suspected of having pancreatic tumors underwent contrast material-enhanced biphasic multi-detector row computed tomography (CT). Curved planar reformations were generated along the pancreatic duct, common bile duct, and major mesenteric vessels.

Estimating sample size in functional MRI (fMRI) neuroimaging studies: statistical power analyses.

Estimation of statistical power in functional MRI (fMRI) requires knowledge of the expected percent signal change between two conditions as well as estimates of the variability in percent signal change. Variability can be divided into intra-subject variability, reflecting noise within the time series, and inter-subject variability, reflecting subject-to-subject differences in activation. The purpose of this study was to obtain estimates of percent signal change and the two sources of variability from fMRI data, and then use these parameter estimates in simulation experiments in order to generate power curves.

Isoattenuating pancreatic adenocarcinoma at multi-detector row CT: secondary signs.

Purpose: To assess the frequency of isoattenuating pancreatic adenocarcinoma with multi-detector row computed tomography (CT) and determine whether there are specific secondary signs that aid in detection.

Materials And Methods: Fifty-three patients with pancreatic adenocarcinoma underwent contrast material-enhanced biphasic multi-detector row CT with curved planar reformation. Tumors were initially deemed isoattenuating or hypoattenuating to normal pancreatic parenchyma on the basis of visual inspection, and the degree of attenuation was confirmed by calculating the mean attenuation differences between normal pancreatic parenchyma and tumor (tumor-pancreas contrast) during the pancreatic phase.

New approach to 3D time-resolved angiography.

TRICKS is an acquisition and reconstruction method capable of generating 3D time-resolved angiograms. Arguably, the main problem with TRICKS is the way it handles the outer regions of the k-space matrix, leading to artifacts at the edges of blood vessels. An alternative to the data- processing stage of TRICKS, designed to better represent edges and small vessels, is presented here.

Adrenal hemorrhage after orthotopic liver transplantation: MR appearance.

The purpose of this paper is to describe the MR imaging findings of right adrenal hemorrhage after orthotopic liver transplantation. Twenty-seven orthotopic liver transplantation patients underwent MR studies of the liver and/or biliary system. Patients were referred to MR examination because of suspected biliary complications ( n=22) or for evaluation of mass lesions ( n=5).

Physiological noise in oxygenation-sensitive magnetic resonance imaging.

The physiological noise in the resting brain, which arises from fluctuations in metabolic-linked brain physiology and subtle brain pulsations, was investigated in six healthy volunteers using oxygenation-sensitive dual-echo spiral MRI at 3.0 T. In contrast to the system and thermal noise, the physiological noise demonstrates a signal strength dependency and, unique to the metabolic-linked noise, an echo-time dependency.

SMASH and SENSE: experimental and numerical comparisons.

Three parallel-imaging methods were implemented and compared in terms of artifact and noise content: original SMASH, Cartesian SENSE, and an extremely simple method called here the "scissors method." These methods represent very different approaches to the parallel-imaging problem. The experimental and numerical comparisons presented here aim at shedding light on the whole spectrum of parallel-imaging methods, not just the three methods actually implemented.

Neuroimaging at 1.5 T and 3.0 T: comparison of oxygenation-sensitive magnetic resonance imaging.

Noise properties, the signal-to-noise ratio (SNR), contrast-to-noise ratio (CNR), and signal responses were compared during functional activation of the human brain at 1.5 and 3.0 T.

Quantification of cerebral blood flow by bolus tracking and artery spin tagging methods.

This study deals with perfusion quantification in healthy volunteers using two types of dynamic magnetic resonance imaging (MRI) methods. Absolute cerebral blood flow (CBF) measurements were performed in 11 subjects by applying both bolus tracking of exogenous contrast agent and non-invasive arterial spin labeling MRI techniques. Both methods produced CBF images with good tissue contrast and CBF values are in good agreement with literature data.

A reduced field-of-view method to increase temporal resolution or reduce scan time in cine MRI.

In some dynamic applications of MRI, only a part of the field-of-view (FOV) actually undergoes dynamic changes. A class of methods, called reduced-FOV (rFOV) methods, convert the knowledge that some part of the FOV is static or not very dynamic into an increase in temporal resolution for the dynamic part, or into a reduction in the scan time. Although cardiac imaging is an important example of an imaging situation where changes are concentrated in a fraction of the FOV, the rFOV methods developed up to now are not compatible with one of the most common cardiac sequences, the so-called retrospective cine method.

Simultaneous monitoring of dynamic changes in cerebral blood flow and oxygenation during sustained activation of the human visual cortex.

Functional neuroimaging was used to investigate the effect of cerebral blood flow (CBF) adjustments on the blood oxygenation level dependent (BOLD) signal during visual stimulation. Temporal responses from both oxygenation- and perfusion-sensitized MRI revealed almost identical features during onset and ongoing activation, i.e.

Unaliasing by fourier-encoding the overlaps using the temporal dimension (UNFOLD), applied to cardiac imaging and fMRI.

In several applications, MRI is used to monitor the time behavior of the signal in an organ of interest; e.g., signal evolution because of physiological motion, activation, or contrast-agent accumulation.

Relationship between cerebral blood flow changes during visual stimulation and baseline flow levels investigated with functional MRI.

Using fMRI, the relationship between regional cerebral blood flow (rCBF) changes during visual stimulation and the prevailing baseline global and regional flow levels was evaluated in 22 volunteers. The absolute increase in rCBF was not correlated with baseline rCBF values (r = 0.01, p = 0.

Dynamics of cerebral injury, perfusion, and blood-brain barrier changes after temporary and permanent middle cerebral artery occlusion in the rat.

By means of magnetic resonance imaging (MRI) we longitudinally monitored the evolution of ischemic injury, changes in cerebral hemodynamics and alterations of the blood-brain barrier (BBB) during permanent or temporary middle cerebral artery occlusion (MCAO) in rats. Using the intraluminal suture occlusion model, male Sprague-Dawley rats were subjected to either permanent MCAO (Group A, n = 6), reperfusion after 1 h (Group B, n = 5), or reperfusion after 3 h (Group C, n = 5). Diffusion- and perfusion-weighted MRI and Gd-DTPA enhanced T1-weighted images were performed at six time points from 0.

Cerebral blood flow-related signal changes during breath-holding.

Background And Purpose: In the past, functional MR imaging techniques have been used successfully to determine cerebrovascular reactivity (CVR) to various stimuli, complementing the arsenal of functional brain investigations feasible with MR imaging. While previous studies have focused on blood oxygenation changes under vasodilatory stress, the aim of this study was to assess regional cerebral blood flow (rCBF) changes during breath-holding by using a flow-sensitive alternating inversion recovery (FAIR) imaging technique.

Methods: In six healthy volunteers, FAIR images were acquired during alternating periods of breath-holding and breathing at 40-second intervals after inspiration and at 30-second intervals after expiration, for a total dynamic scanning time of 10 minutes.

Virtual endoscopy using perspective volume-rendered three-dimensional sonographic data: technique and clinical applications.

Objective: We present a technique for obtaining three-dimensional external and virtual endoscopy views of organs using perspective volume-rendered gray-scale and Doppler sonographic data, and we explore potential clinical applications in the carotid artery, the female pelvis, and the bladder.

Conclusion: Using the proposed methods, radiologists will find it possible to create virtual endoscopy and external perspective views using sonographic data. The technique works well for revealing the interior of fluid-filled structures and cavities.