3D Fast Low-angle Shot Research Articles

Contrast-enhanced pseudo-CT of finger joints: Improved diagnostic confidence for detection of inflammatory erosions

PurposeTo evaluate the interest of additional pseudo-CT images to standard clinical contrast-enhanced MR images (CE-MRI) in the detection of inflammatory erosions and to differentiate them from intraosseous ganglia at the finger joints. Method47 prospectively included patients with suspected or diagnosed rheumatoid arthritis received a CE-MRI of the fingers. Additionally, pseudo-CT images were derived from non-contrast MRI (pCT) and from contrast-enhanced MRI data (CE-pCT) using a high-resolution gradient-echo 3D fast low-angle shot sequence (FLASH), respectively. CE-MRI, pCT, and CE-pCT images were evaluated for erosions and intraosseous ganglia at the metacarpophalangeal and proximal interphalangeal joints by two musculoskeletal radiologists. Findings were defined on CE-MRI by an experienced independent 3rd reader which served as reference standard. Diagnostic confidence (1 = worst,4 = best) was rated for 3 different image sets (1 = CE-MRI,2 = CE-MRI + pCT,3 = CE-MRI + CE-pCT) and compared. ResultsReference standard revealed 44 erosions and 37 intraosseous ganglia on CE-MRI. Diagnostic confidence for CE-MRI was moderate for erosions (both readers) and intraosseous ganglia (reader 2). For the combination of CE-MRI and pCT, high confidence levels were observed for erosions for both readers (median 3 (Q1–Q3: 2–3) and 3 (3–3);p<.001 and p<.001) and for intraosseous ganglia for reader 2 (3 (3–3); p<.001). CE-MRI combined with CE-pCT showed very high confidence levels for both readers for erosions (4 (3–4) and 4 (4–4);p<.001 and p<.001) and for intraosseous ganglia (4 (3.5–4) and 4 (4–4);p<.001 and p<.001). ConclusionsPseudo-CT combined with CE-MRI increases the confidence in detection of inflammatory erosions at the finger joints, with CE-pCT being superior to pCT.

Diagnostic Confidence of Contrast-Enhanced T1-Weighted MRI for the Detection of Brain Metastases: 3D FSE-vs. 3D GRE-Based Sequences.

This retrospective study evaluated the utility of contrast-enhanced (CE) T1-weighted 3D fast spinecho-based SPACE sequences for brain metastasis detection on 3T MRI compared to gradient recalled-echo-based 3D fast low-angle shot (FLASH) sequence. We identified all patients at a single institution who underwent SPACE and 3D FLASH sequences as part of a practice quality improvement project. Their medical records were retrospectively reviewed. Five certified neuroradiologists reviewed the images, with at least 2 weeks separation between scoring sequences for the same patient. The following parameters were evaluated: number of metastatic lesions, number of indeterminate lesions, lesion margin, contrast-to-noise ratio (CNR), extent of image artifacts, and overall image quality. CNR was also quantified for solidly enhancing lesions > 1 cm. We identified 220 patients who underwent SPACE and 3D FLASH sequences (the order of the sequences was equally distributed). Of these, 79 had brain metastases on imaging, and 7 were excluded; thus, 72 patients were included in the study. Twenty patients were scored by 2 radiologists. Out of the 92 evaluations, SPACE detected more lesions than did 3D FLASH in 35, while 3D FLASH detected more lesions in 10. More indeterminate lesions were seen on 3D FLASH (27) than on SPACE (9). For lesion margin, CNR, and overall image quality on a Likert scale, SPACE performed significantly better than did 3D FLASH, with less image artifacts (P < 0.00001). Higher quantitative CNRs were found on SPACE than on 3D FLASH images, although this result was not statistically significant (median = 22.9 vs. 15.5, respectively, P = 0.134). There was a high inter-reader lesion detection concordance with Krippendorf's alpha ordinals at 0.962 for SPACE, 0.870 for 3D FLASH, and 0.918 for the two sequences combined. Compared with 3D FLASH, the SPACE sequence detected more metastatic lesions and was rated higher for image quality, lesion margin, and CNR, with fewer artifacts. Importantly, the SPACE sequence resulted in increased reader confidence, with fewer indeterminate lesions detected. FLASH = fast low-angle shot; FSE = fast spin-echo; GRE = gradient-recalled echo; MP-RAGE = magnetization-prepared rapid gradient echo; SPACE = Sampling Perfection with Application-optimized Contrasts using different flip angle Evolution; VIBE = volumetric interpolated breath-hold examination.

Post‐Myocardial Infarction Remodeling and Hyperkinetic Remote Myocardium in Sheep Measured by Cardiac MRI Feature Tracking

BackgroundCardiac MRI feature tracking (FT) allows objective assessment of segmental left ventricular (LV) function following a myocardial infarction (MI), but its utilization in sheep, where interventions can be tested, is lacking.PurposeTo apply and validate FT in a sheep model of MI and describe post‐MI LV remodeling.Study TypeAnimal model, longitudinal.Animal ModelEighteen lambs (6 months, male, n = 14; female, n = 4; 25.2 ± 4.5 kg).Field Strength/SequenceTwo‐dimensional balanced steady‐state free precession (bSSFP) and 3D inversion recovery fast low angle shot (IR‐FLASH) sequences at 3 T.AssessmentSeven lambs underwent test–retest imaging to assess FT interstudy reproducibility. MI was induced in the remaining 11 by coronary ligation with MRI being undertaken before and 15 days post‐MI. Injury size was measured by late gadolinium enhancement (LGE) and LV volumes, LV mass, ejection fraction (LVEF), and wall thickness (LVWT) were measured, with FT measures of global and segmental radial, circumferential, and longitudinal strain.Statistical TestsSampling variability, inter‐study, intra and interobserver reproducibility were assessed using Pearson's correlation, Bland–Altman analyses, and intra‐class correlation coefficients (ICC). Diagnostic performance of segmental strain to predict LGE was assessed using receiver operating characteristic curve analysis. Significant differences were considered P &lt; 0.05.ResultsInter‐study reproducibility of FT was overall good to excellent, with global strain being more reproducible than segmental strain (ICC = 0.89–0.98 vs. 0.77–0.96). MI (4.0 ± 3.7% LV mass) led to LV remodeling, as evident by significantly increased LV volumes and LV mass, and significantly decreased LVWT in injured regions, while LVEF was preserved (54.9 ± 6.9% vs. 55.6 ± 5.7%; P = 0.778). Segmental circumferential strain (CS) correlated most strongly with LGE. Basal and mid‐ CS increased significantly, while apical CS significantly decreased post‐MI.Data ConclusionFT is reproducible and compensation by hyperkinetic remote myocardium may manifest as overall preserved global LV function.Evidence LevelN/ATechnical EfficacyStage 2

Voxel-based Morphometry of Alzheimer's Disease Using a Localizer Image: A Comparative Study with Magnetization Prepared Rapid Acquisition with Gradient Echo.

Magnetization prepared rapid acquisition with gradient echo (MPRAGE) sequence is a gold-standard technique for voxel-based morphometry (VBM) because of high spatial resolution and excellent tissue contrast, especially between gray matter (GM) and white matter (WM). Despite its benefits, MPRAGE exhibits distinct challenge for VBM in some patients with neurological disease because of long scan time and motion artifacts. Speedily acquired localizer images may alleviate this problem. This study aimed to evaluate the feasibility of VBM using 3D Fast Low Angle Shot image captured for localizer (L3DFLASH). Consecutive 13 patients with pathologically confirmed Alzheimer's disease (AD) (82 ± 9 years) and 21 healthy controls (HC) (79 ± 4 years) were included in this study. Whole-brain L3DFLASH and MPRAGE were captured and preprocessed using the Computational Anatomy Toolbox 12 (CAT12). Agreement with MPRAGE was evaluated for L3DFLASH using regional normalized volume for segmented brain areas. In addition to brain volume difference on VBM and Bland-Altman analysis, atrophic pattern of AD on VBM was evaluated using L3DFLASH and MPRAGE. Acquisition time was 18s for L3DFLASH and 288s for MPRAGE. There was a slight systematic difference in all regional normalized volumes from L3DFLASH and MPRAGE. For the whole cohort, GM volume measured from MPRAGE was greater than that from L3DFLASH in most of the region on VBM. When AD and HC were compared, AD-related atrophic pattern was demonstrated in both L3DFLASH and MPRAGE on VBM, although the difference was noted in significant clusters between them. Although systematic difference was noted in regional brain volume measured from L3DFLASH and MPRAGE, AD-related atrophic pattern was preserved in L3DFLASH on VBM. VBM, using speedily acquired localizer image, may provide limited but useful information for evaluating brain atrophy.

Voxel-Based Morphometry of Progressive Supranuclear Palsy Using a 3D Fast Low-angle Shot Localizer Image: A Comparison with Magnetization-Prepared Rapid Gradient Echo.

Voxel-based morphometry (VBM) is widely used to investigate white matter (WM) atrophy in patients with progressive supranuclear palsy (PSP). In contrast to high-resolution 3D T1-weighted imaging such as magnetization-prepared rapid acquisition with gradient echo (MPRAGE) sequences, the utility of other 3D sequences has not been sufficiently evaluated. This study aimed to assess the feasibility of using a 3D fast low-angle shot sequence captured as a localizer image (L3DFLASH) for VBM analysis of WM atrophy patterns in patients with PSP. This retrospective study included 12 patients with pathologically or clinically confirmed PSP, and 18 age- and sex-matched healthy controls scanned with both L3DFLASH and MPRAGE sequences. Image processing was conducted with the Computational Anatomy Toolbox 12 in statistical parametric mapping 12. In addition to the atrophic WM pattern of PSP on VBM, we assessed the WM volume agreement between the two sequences using simple linear regression and Bland-Altman plots. Despite the slightly larger clusters on MPRAGE, VBM using both sequences showed similar characteristics of PSP-related WM atrophy, including in the midbrain, pons, thalamus, and precentral gyrus. In contrast, VBM showed gray matter (GM) atrophy of the precuneus and right superior parietal lobule exclusively on L3DFLASH. Unlike the measured values of total intracranial volume, GM, and cerebrospinal fluid on MPRAGE, the value of WM was larger on L3DFLASH. In contrast to the total intracranial volume, brainstem, and frontal and occipital lobes, the correlation with WM volume in other regions was relatively low. However, the Bland-Altman plots demonstrated strong agreement, with over 90% of the values falling within the agreement limits. Both MPRAGE and L3DFLASH are useful for detecting PSP-related WM atrophy using VBM.

Radiomic analysis of the proximal femur in osteoporosis women using 3T MRI

IntroductionOsteoporosis (OP) results in weak bone and can ultimately lead to fracture. MRI assessment of bone structure and microarchitecture has been proposed as method to assess bone quality and fracture risk in vivo. Radiomics provides a framework to analyze the textural information of MR images. The purpose of this study was to analyze the radiomic features and its abilityto differentiate between subjects with and without prior fragility fracture.MethodsMRI acquisition was performed on n = 45 female OP subjects: 15 with fracture history (Fx) and 30 without fracture history (nFx) using a high-resolution 3D Fast Low Angle Shot (FLASH) sequence at 3T. Second and first order radiomic features were calculated in the trabecular region of the proximal femur on T1-weighted MRI signal of a matched dataset. Significance of the feature’s predictive ability was measured using Wilcoxon test and Area Under the ROC (AUROC) curve analysis. The features were correlated DXA and FRAX score.ResultA set of three independent radiomic features (Dependence Non-Uniformity (DNU), Low Gray Level Emphasis (LGLE) and Kurtosis) showed significant ability to predict fragility fracture (AUROC DNU = 0.751, p &amp;lt; 0.05; AUROC LGLE = 0.729, p &amp;lt; 0.05; AUROC Kurtosis = 0.718, p &amp;lt; 0.05) with low to moderate correlation with FRAX and DXA.ConclusionRadiomic features can measure bone health in MRI of proximal femur and has the potential to predict fracture.

Diagnostic Performance and Safety of a Novel Ferumoxytol-Enhanced Coronary Magnetic Resonance Angiography.

Currently, noninvasive arteriography for the diagnosis of coronary artery disease is clinically limited to the computed tomography scanning, where patients have to be exposed to the radiation and risks associated with iodinated contrast. We aimed to investigate the diagnostic performance and safety of a novel ferumoxytol-enhanced coronary magnetic resonance angiography (CMRA) in patients with suspected coronary artery disease. Thirty patients, 19 males, with a median age of 63 years old, and 17 with renal insufficiency, who were scheduled for invasive coronary angiography, were enrolled. Ferumoxytol was administered intravenously with a dose of 3 mg/kg during CMRA. Images were acquired with an ECG-triggered, navigator-gated, inversion recovery-prepared 3D fast low-angle shot sequence, and the image quality was assessed by a 4-point scale. Eighteen-segment coronary artery model was adopted to evaluate the visibility of the coronary arteries, and the image quality and stenosis were evaluated in nine segments. The diagnostic performance of CMRA is described as sensitivity, specificity, positive and negative predictive values, and accuracy with the invasive coronary angiography results as reference. The patients' vital signs were monitored during CMRA, and their hepatic and renal functions were followed up for 3 months to evaluate the safety of ferumoxytol. Two hundred fifty-two of the 270 study segments were identified by CMRA, and their quality score reached 3.6±0.7. Referring to the invasive coronary angiography results, the sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of ferumoxytol-enhanced CMRA reached 100.0%, 66.7%, 92.3%, 100.0%, and 93.3% respectively in patient-based analysis; 91.4%, 90.9%, 86.5%, 94.3%, and 91.1%, respectively in vessel-based analysis; and 92.3%, 96.7%, 83.7%, 98.6%, and 96.0%, respectively in segment-based analysis. No ferumoxytol-related adverse event was observed during the 3-month follow-up. Ferumoxytol-enhanced CMRA demonstrated good diagnostic performance and excellent safety in the diagnosis of significant coronary stenosis, providing an alternative to coronary computed tomography angiography for the diagnosis of coronary artery disease. URL: https://www. gov; Unique identifier: NCT05032937.

Biomechanical Effects of Chronic Ankle Instability on the Talar Cartilage Matrix: The Value of T1ρ Relaxation Mapping Without and With Mechanical Loading.

T1ρ mapping has been proposed for the detection of early cartilage degeneration associated with chronic ankle instability (CAI). However, there are limited data surrounding the influence of ankle loading on T1ρ relaxation. To evaluate T1ρ relaxation times of talar cartilage, as an indicator of early degenerative changes, associated with CAI and to investigate the influence of acute axial in situ loading on T1ρ values in CAI patients and healthy controls. Prospective. A total of 9 patients (age=21.8 ± 2.5 years, male/female=2/7) with chronic ankle instability and 18 healthy control subjects (age=22.8 ± 3.6 years, male/female=5/13). 3 T. 3D gradient echo fast low-angle shot (FLASH) sequence augmented with a variable spin-lock preparation period. Ankle T1ρ mapping was performed without and with axial loading of 500 N. The talar cartilage was segmented in five coronal slices covering the central talocrural joint. Median talar T1ρ values were separately calculated for the medial and lateral facets. Mann-Whitney U and Wilcoxon signed-rank tests, significance level: P < 0.05. For the combined cohorts, the statistical analysis yielded significantly lower T1ρ values with loading compared to the no-load measurement for both the lateral (no load: [51.0 ± 4.0] msec, load: [49.5 ± 5.4] msec) as well as the medial compartment (no load: [50.0 ± 5.4] msec, load: [47.8 ± 6.8] msec). In the unloaded scans, the CAI patients showed significantly increased talar T1ρ values ([53.0 ± 7.4] mse ) compared to the healthy control subjects ([48.8 ± 4.1] msec) in the medial compartment. Increased talar T1ρ relaxation times in CAI patients compared to healthy controls suggest that T1ρ relaxation is a sensitive biomarker for CAI-induced early-stage cartilage degeneration. However, the load-induced T1ρ change did not prove to be a viable marker for the altered biomechanical properties of the hyaline talar cartilage. 2 LEVEL OF EFFICACY: Stage 2.

Spin Lattice (T1) and Magnetization Transfer Saturation (MTsat) Imaging to Monitor Age-Related Differences in Skeletal Muscle Tissue.

Background: The aim was to compare spin-lattice relaxation (T1) mapping from sequences with no fat suppression and three fat suppression methods and Magnetization Transfer Saturation (MTsat) mapping, to identify regional and age-related differences in calf muscle. These differences may be of clinical significance in age-related loss of muscle force. Methods: Ten young and seven senior subjects were imaged on a 3T MRI scanner using a 3D Fast Low Angle Shot sequence without and with different fat suppression and with MT saturation pulse. Bland–Altman plots were used to assess T1 maps using the fat unsuppressed sequence as the reference image. Age and regional differences in T1 and in MTsat were assessed using two-way factorial analyses of variance (ANOVAs) with Bonferroni-adjusted independent sample t-tests for post hoc analyses. Results: A significant age-related increase in T1 and decrease in MTsat was seen in the calf muscles. The largest size effect was observed in the T1 sequence with fat saturation. Conclusions: T1 increase with age may reflect increase in inflammatory processes while the decrease in MTsat may indicate that magnetization transfer may also be associated with muscle fiber macromolecules. T1 and MTsat maps of calf muscle have the potential to detect regional and age-related compositional differences in calf muscle.

Regional Left Ventricular Myocardial Injury and Function Characterisation by Cardiac Magnetic Resonance Imaging in a Sheep Model of Myocardial Infarction

Left ventricular (LV) remodelling following a myocardial infarction(MI) elicits different responses in infarct and remote LV, with prior studies reporting increased contractility in the latter. We explored the relationship between myocardial injury and its functional consequences using a combination of 3D late gadolinium enhancement (LGE), feature tracking (FT) cardiac magnetic resonance (CMR) and autopsy findings in a sheep model of MI. MI was induced in sheep (n=11) by coronary artery ligation under general anaesthesia. Baseline (pre-MI) and follow-up (15d post-MI) CMR exams were performed for cine imaging. LGE imaging was performed using a 3D inversion recovery fast low angle shot (IR-FLASH) sequence in the follow-up examination. MI size was confirmed at post-mortem. Regions of MI identified by imaging were compared with post-mortem findings using AHA LV segmentation. The sensitivity and specificity of the LGE imaging was calculated and compared to post-mortem using McNemar’s test. FT was applied to the cine imaging to quantify regional circumferential strain (CS). The percentage change in regional CS was calculated for each segment (Data: mean±SD; *p<0.05). LGE detected MI with a sensitivity of 90.6% and specificity of 96.4% (p=0.7). LV ejection fraction (EF) was 55.7±5.6% post-MI. Percentage changes in regional CS were -34.3±13.8% and -17.4±30.7% in AHA segments 13 and 16, respectively, while other segments exhibited increased CS (range=+0.1% to +28.7%). Our novel application of 3D IR-FLASH and FT provided comprehensive visualisation of LV injury and function in the setting of MI. Our data reproduces prior descriptions of compensatory increases in myocardial contractility in remote regions in STEMI patients with ≥50% EF [[1]Leung S.W. Ratajczak T.M. Abo-Aly M. Shokri E. Abdel-Latif A. Wenk J.F. Regional end-systolic circumferential strain demonstrates compensatory segmental contractile function in patients with ST-segment elevation myocardial infarction.J Biomech. 2021; 129 (110794)Crossref PubMed Scopus (1) Google Scholar] and a canine model of MI [[2]Lew W.Y. Chen Z.Y. Guth B. Covell J.W. Mechanisms of augmented segment shortening in nonischemic areas during acute ischemia of the canine left ventricle.Circ Res. 1985; 56: 351-358Crossref PubMed Scopus (112) Google Scholar].

3D fast low-angle shot (FLASH) technique for 3T contrast-enhanced brain MRI in the inpatient and emergency setting: comparison with 3D magnetization-prepared rapid gradient echo (MPRAGE) technique.

To retrospectively evaluate the diagnostic performance of a 1-min contrast-enhanced 3D-FLASH pulse sequence for detecting intracranial enhancing lesions compared to standard contrast-enhanced 3D-MPRAGE pulse sequence. Contrast-enhanced 3D-FLASH (acquisition time 49s) and contrast-enhanced 3D-MPRAGE (4min 35s) pulse sequences were performed consecutively in 110 inpatient/emergency department 3T MRI brain examinations and analyzed by two independent neuroradiologist readers. For each sequence, the readers recorded (1) number of enhancing intracranial lesions; (2) intracranial susceptibility artifact (presence or absence; mm depth of intracranial signal loss); and (3) motion artifact (none, mild, moderate, severe). Inter and intra-reader agreement and reader accuracy relative to a reference standard were determined, and sequence comparison with respect to susceptibility and motion artifacts was performed. There was substantial intra-reader, inter-sequence agreement [reader 1, κ = 0.70 (95% CI: [0.60, 0.81]); reader 2, κ = 0.70 (95% CI: [0.59, 0.82])] and substantial intra-sequence, inter-reader agreement [3D-MPRAGE assessment, κ = 0.76 (95% CI: [0.66, 0.86]); 3D-FLASH assessment, κ = 0.86 (95% CI: [0.77, 0.94]) for detection of intracranial enhancing lesions. For both readers, the diagnostic accuracy of 3D-FLASH and 3D-MPRAGE was similar (3D-MPRAGE: 86.4 and 88.1%; 3D-FLASH: 88.2 and 84.5%), with no inter-sequence diagnostic accuracy discordancy between the sequences for either reader. 3D-FLASH was associated with less susceptibility artifact (p < 0.001 both readers) and less motion artifact (p < 0.001 both readers). On 3T brain MRI in the inpatient and emergency department setting, 1-min 3D-FLASH pulse sequence achieved comparable diagnostic performance to 4.5min 3D-MPRAGE pulse sequence for detecting enhancing intracranial lesions, with reduced susceptibility and motion artifacts.

Comparison of Three-Dimensional Double-Echo Steady-State Sequence with Routine Two-Dimensional Sequence in the Depiction of Knee Cartilage

Introduction: There are some routine two-dimensional sequences, including short tau inversion recovery (STIR), T2-weighted fast-spin echo (T2W-FSE), and proton-density fast spin-echo for diagnosing osteoarthritis and lesions of the knee cartilage. However, these sequences have some disadvantages, such as long scan time, inadequate spatial resolution, and suboptimal tissue contrast which results in loss of image details, as well as missing the visualization of knee cartilage lesions. Three-dimensional (3D) sequences, such as the double-echo steady-state (DESS) sequence can decrease and overcome these problems to the smallest possible amount. Material and Methods: A total of 15 volunteers with knee pain were examined by a 1.5 Tesla magnetic resonance imaging.The contrast-to-noise ratio (CNR) and thickness values of the knee articular cartilage were measured. The CNR and thickness values were comparedby the Friedman test and the Wilcoxon signed-rank test. Results: The obtained results showed significant differences between sequences in CNR and thickness values. The DESS sequence with a flip angle of 40°showed the best CNR values and 3D fast low-angle shot (FLASH) showed the worst results. In addition, the results showed no significant differences between FLASH, 3D DESS 40° and 90° in terms of cartilage thickness. However, thickness values of these sequences were much higher than that of the PD, T2, and STIR sequences. Conclusion: The 3D DESS sequence with two flip angles of 40°and 90° are the best sequences for visualizing the cartilage and the synovial fluid. Because they provide the best contrast between the cartilage and the synovial fluid, it is recommended to use DESS sequences in the evaluation of cartilage defections.

Bulk motion-compensated DCE-MRI for functional imaging of kidneys in newborns.

Evaluation of kidney function in newborns with hydronephrosis is important for clinical decisions. Dynamic contrast-enhanced (DCE) MRI can provide the necessary anatomical and functional information. Golden angle dynamic radial acquisition and compressed sensing reconstruction provides sufficient spatiotemporal resolution to achieve accurate parameter estimation for functional imaging of kidneys. However, bulk motion during imaging (rigid or nonrigid movement of the subject resulting in signal dropout) remains an unresolved challenge. To evaluate a motion-compensated (MoCo) DCE-MRI technique for robust evaluation of kidney function in newborns. Our method includes: 1) motion detection, 2) motion-robust image reconstruction, 3) joint realignment of the volumes, and 4) tracer-kinetic (TK) model fitting to evaluate kidney function parameters. Retrospective. Eleven newborn patients (ages <6 months, 6 female). 3T; dynamic "stack-of-stars" 3D fast low-angle shot (FLASH) sequence using a multichannel body-matrix coil. We evaluated the proposed technique in terms of the signal-to-noise ratio (SNR) of the reconstructed images, the presence of discontinuities in the contrast agent concentration time curves due to motion with a total variation (TV) metric and the goodness of fit of the TK model, and the standard variation of its parameters. We used a paired t-test to compare the MoCo and no-MoCo results. The proposed MoCo method successfully detected motion and improved the SNR by 3.3 (P = 0.012) and decreased TV by 0.374 (P = 0.017) across all subjects. Moreover, it decreased nRMSE of the TK model fit for the subjects with less than five isolated bulk motion events in 6 minutes (mean 1.53, P = 0.043), but not for the subjects with more frequent events or no motion (P = 0.745 and P = 0.683). Our results indicate that the proposed MoCo technique improves the image quality and accuracy of the TK model fit for subjects who present isolated bulk motion events. 3 Technical Efficacy Stage: 1 J. Magn. Reson. Imaging 2020;52:207-216.

Magnetization transfer saturation imaging of human calf muscle: Reproducibility and sensitivity to regional and sex differences.

Magnetization transfer saturation (MTsat ) derives a semiquantitative index of magnetization transfer in faster acquisition times than quantitative magnetization transfer; the potential of MTsat for muscle imaging has not yet been explored. To evaluate the potential of MTsat to identify regional and sex differences in calf muscle. Prospective cohort study. Vials with different agar and nickel nitrate concentrations providing a range of macromolecular fraction and T1 . Seven male subjects (25 ± 7 years) and seven female subjects (28 ± 14 years); three subjects were scanned in three separate sessions to assess reproducibility. 3T, 3D fast low angle shot (FLASH) sequence with and without a magnetization transfer pulse; acquisition time of 4.12 minutes. The effectiveness of two methods of fat suppression was evaluated using the fat unsuppressed sequence as the reference and MTsat maps derived with and without transmit field inhomogeneity corrections were compared. Statistical evaluation of MTsat differences between calf muscles and between male and female cohorts was made. Bland-Altman plots were used to assess fat suppression and B1+ correction. The coefficient of variation (CV) and the repeatability coefficient (RC) were calculated from the repeat sessions. Sex and regional differences were assessed using two-way factorial analyses of variance (ANOVAs) with Bonferroni-adjusted independent sample t-tests for post-hoc analyses. In phantoms, MTsat increased linearly with agar concentration and MTsat was independent of T1 (P = 0.229) evaluated in phantoms with two T1 s. The CV and RC of MTsat ranged between 2.65 to 5.03% and 0.13 to 0.38, respectively, in the different calf muscles. MTsat of the tibialis anterior was significantly higher than other muscles (P < 0.05). MTsat in male subjects was significantly higher than in female subjects (P = 0.009). MTsat maps of calf muscle acquired under 5 minutes may have the potential to detect regional and sex differences. 2 Technical Efficacy: Stage 2 J. Magn. Reson. Imaging 2019;50:1227-1237.

Repeatability and reproducibility of variable flip angle T1 quantification in the prostate at 3 T.

Variable flip angle (VFA) imaging is widely used for the estimation of T1 relaxation in the prostate, but may have limited repeatability and reproducibility due to its sensitivity to B1 + inhomogeneity. To assess the repeatability and reproducibility of prostate T1 estimation with and without compensating for B1 + variation. Prospective. Twenty-one volunteers were prospectively recruited and scanned twice on two 3 T MRI scanners, resulting in 84 VFA T1 exams. 3 T/2D saturated turbo fast low angle shot (FLASH) and 3D dual-echo FLASH. Two B1 + mapping techniques, including reference region VFA (RR-VFA) and saturated turbo FLASH (satTFL), were used for B1 + correction, and T1 maps with and without B1 + correction were tested for intrascanner repeatability and interscanner reproducibility. Volumetric regions of interest (ROIs) were drawn on the transition zone, peripheral zone of the prostate, and the obturator internus left and right muscles in the corresponding slices. The average T1 within each ROI for each scan was compared for both intra- and interscanner variability using concordance correlation coefficient and a Bland-Altman plot. Both RR-VFA-corrected T1 and satTFL-corrected T1 showed higher intra- and interscanner correlation (0.89/0.87 and 0.87/0.84, respectively) than VFA T1 (0.84 and 0.74). Bland-Altman plots showed that VFA T1 had wider 95% limits of agreement and a larger range of T1 for each tissue compared with T1 with B1 + correction. The application of B1 + correction (both RR-VFA and satTFL) to VFA T1 results in more repeatable and reproducible T1 estimation than VFA T1 . This can potentially provide improved quantification of the prostate dynamic contrast-enhanced MRI parameters. Level of Evidence 1. Technical Efficacy Stage 1. J. Magn. Reson. Imaging 2018.

Quantitative 3D dynamic contrast-enhanced (DCE) MR imaging of carotid vessel wall by fast T1 mapping using Multitasking.

To develop a dynamic contrast-enhanced (DCE) MRI method capable of high spatiotemporal resolution, 3D carotid coverage, and T1-based quantification of contrast agent concentration for the assessment of carotid atherosclerosis using a newly developed Multitasking technique. 5D imaging with 3 spatial dimensions, 1 T1 recovery dimension, and 1 DCE time dimension was performed using MR Multitasking based on low-rank tensor modeling, which allows direct T1 quantification with high spatiotemporal resolution (0.7 mm isotropic and 595 ms, respectively). Saturation recovery preparations followed by 3D segmented fast low angle shot readouts were implemented with Gaussian-density random 3D Cartesian sampling. A bulk motion removal scheme was developed to improve image quality. The proposed protocol was tested in phantom and human studies. In vivo scans were performed on 14 healthy subjects and 7 patients with carotid atherosclerosis. Kinetic parameters including area under the concentration versus time curve (AUC), vp , Ktrans , and ve were evaluated for each case. Phantom experiments showed that T1 measurements using the proposed protocol were in good agreement with reference value ( ). In vivo studies demonstrated that AUC, vp , and Ktrans in the patient group were significantly higher than in the control group (0.63 ± 0.13 versus 0.42 ± 0.12, P < 0.001; 0.14 ± 0.05 versus 0.11 ± 0.03, P = 0.034; and 0.13 ± 0.04 versus 0.08 ± 0.02, P < 0.001, respectively). Results from repeated subjects showed good interscan reproducibility (intraclass correlation coefficient: vp , 0.83; Ktrans , 0.87; ve , 0.92; AUC, 0.94). Multitasking DCE is a promising approach for quantitatively assessing the vascularity properties of the carotid vessel wall.

4D cardiac imaging at clinical 3.0 T provides accurate assessment of murine myocardial function and viability

ObjectivesWe validate a 4D strategy tailored for 3T clinical systems to simultaneously quantify function and infarct size in wild type mice after ischemia/reperfusion, with improved spatial and temporal resolution by comparison to previous published protocols using clinical field MRI systems. MethodsC57BL/6J mice underwent 60min ischemia/reperfusion (n=14) or were controls without surgery (n=6). Twenty-four hours after surgery mice were imaged with gadolinium injection and sacrificed for post-mortem MRI and histology with serum also taken for Troponin I levels. The double ECG- and respiratory-triggered 3D FLASH (Fast Low Angle Shot) gradient echo (GRE) cine sequence had an acquired isotropic resolution of 344μm, TR/TE of 7.8/2.9ms and acquisition time 25–35min. The conventional 2D FLASH cine sequence had the same in-plane resolution of 344μm, 1mm slice thickness and TR/TE 11/5.4ms for an acquisition time of 20–25min plus 5min for planning. Left ventricle (LV) and right ventricle (RV) volumes were measured and functional parameters compared 2D to 3D, left to right and for inter and intra observer reproducibility. MRI infarct volume was compared to histology. ResultsFor the function evaluation, the 3D cine outperformed 2D cine for spatial and temporal resolution. Protocol time for the two methods was equivalent (25–35min). Flow artifacts were reduced (p=0.008) and epi/endo-cardial delineation showed good intra and interobserver reproducibility. Paired t-test comparing ejection volume left to right showed no significant difference for 3D (p=0.37), nor 2D (p=0.30) and correlation slopes of left to right EV were 1.17 (R2=0.75) for 2D and 1.05 (R2=0.50) for 3D.Quantifiable ‘late gadolinium enhancement’ infarct volume was seen only with the 3D cine and correlated to histology (R2=0.89). Left ejection fraction and MRI-measured infarct volume correlated (R2>0.3). ConclusionsThe 4D strategy, with contrast injection, was validated in mice for function and infarct quantification from a single scan with minimal slice planning.

7T MRI of distal radius trabecular bone microarchitecture: How trabecular bone quality varies depending on distance from end-of-bone.

To use 7T magnetic resonance imaging (MRI) to determine how trabecular bone microarchitecture varies at the epiphysis, metaphysis, and diaphysis of the distal radius. The distal radius of 24 females (mean age = 56 years, range = 24-78 years) was scanned on a 7T MRI using a 3D fast low-angle shot sequence (0.169 × 0.169 × 1 mm). Digital topological analysis was applied at the epiphysis, metaphysis, and diaphysis to compute: total trabecular bone volume; trabecular thickness, number, connectivity, and erosion index (a measure of network resorption). Differences and correlations were assessed using standard statistical methods. The metaphysis and epiphysis had 83-123% greater total bone volume and 14-16% greater trabecular number than the diaphysis (both P < 0.0001). The erosion index was significantly higher at the diaphysis than the metaphysis and epiphysis (both P < 0.01). The most elderly volunteers had lower trabecular number (<66 years mean 0.29 ± 0.01; ≥66 years, 0.27 ± 0.02, P < 0.05) and higher erosion index (<66 years mean 1.18 ± 0.17; age ≥66 years, mean 1.42 ± 0.46, P < 0.05) at the epiphysis; differences not detected by total trabecular bone volume. 7T MRI reveals trabecular bone microarchitecture varies depending on scan location at the end-of-bone, being of overall higher quality distally (epiphysis) than proximally (diaphysis). Age-related differences in trabecular microarchitecture can be detected by 7T MRI. The results highlight the potential sensitivity of 7T MRI to microarchitectural differences and the potential importance of standardizing scan location for future clinical studies of fracture risk or treatment response. 3 J. Magn. Reson. Imaging 2017;45:872-878.

Three-dimensional contrast-enhanced magnetic resonance angiography for anterolateral thigh flap outlining: A retrospective case series of 68 patients.

Flap transfer is increasingly used for repairing limb defects secondary to trauma or tumor, and appropriate preoperative planning plays a critical role. The present study aimed to examine the use of three-dimensional (3D) contrast-enhanced magnetic resonance angiography (CE-MRA) in evaluating the blood supply distribution and perforating branch pattern of anterolateral thigh (ALT) flaps. Bilateral donor lower limbs were scanned in 68 patients (136 limbs) using a Siemens Avanto 1.5 T magnetic resonance imaging scanner with a 3D fast low-angle shot sequence, following the thin-slab maximum intensity projection (TS-MIP) technique. The lateral femoral circumflex artery (LFCA) was visualized in all patients: 101 limbs (101/136, 74.3%) were type I; 20 limbs (20/136, 14.7%) were type II; 3 limbs (3/136, 2.2%) were type III; and 12 limbs (12/136, 8.8%) were type IV. Tertiary branches were identified in 94 limbs (94/136, 69.1%). Donor flaps were outlined according to MRA TS-MIP findings in 4 patients. All flaps survived uneventfully following the transfer. In donor flap outlining, 3D CE-MRA with the TS-MIP technique allowed an accurate, direct visualization of the branching pattern and distribution profile of the LFCA supplying the ALT flap.

Visualization of synaptic domains in the Drosophila brain by magnetic resonance microscopy at 10 micron isotropic resolution.

Understanding the complex architecture, connectivity, and pathology of the human brain is a major application of magnetic resonance imaging (MRI). However, the cellular basis of MR signal is still poorly understood. The advent of MR microscopy (MRM) enables imaging biological samples at cellular resolution, helping to interpret the nature of MR signal at the cellular level. In this regard, the small Drosophila brain can reveal key aspects of MR signal through the visualization of complex, intact neuronal structures in their native spatial arrangement. Applying state-of-the-art MR technology, we imaged fixed Drosophila heads at 10 μm isotropic resolution by two endogenously contrasted MRM sequences. The improved MRM sensitivity described here delivered the highest 3D resolution of an intact animal head reported so far. 3D fast low angle shot (FLASH) revealed strong signal in most internal tissues, particularly in the brain cortex, which contains the cell bodies of neurons and glia. Remarkably, 3D diffusion weighted imaging (DWI) delivered unprecedented contrast within the modular brain neuropil, revealing hyperintense signal in synapse-rich microdomains. Thus, the complex Drosophila brain revealed unknown features of FLASH and DWI with potential applications in characterizing the structure and pathology of the mammalian brain.