Fast Magnetic Resonance Research Articles

Low Rank Enhanced Matrix Recovery of Hybrid Time and Frequency Data in Fast Magnetic Resonance Spectroscopy.

The two dimensional magnetic resonance spectroscopy (MRS) possesses many important applications in bioengineering but suffers from long acquisition duration. Non-uniform sampling has been applied to the spatiotemporally encoded ultrafast MRS, but results in missing data in the hybrid time and frequency plane. An approach is proposed to recover this missing signal, of which enables high quality spectrum reconstruction. M ethods: The natural exponential characteristic of MRS is exploited to recover the hybrid time and frequency signal. The reconstruction issue is formulated as a low rank enhanced Hankel matrix completion problem and is solved by a fast numerical algorithm. Experiments on synthetic and real MRS data show that the proposed method provides faithful spectrum reconstruction, and outperforms the state-of-the-art compressed sensing approach on recovering low-intensity spectral peaks and robustness to different sampling patterns. C onclusion: The exponential signal property serves as an useful tool to model the time-domain MRS signals and even allows missing data recovery. The proposed method has been shown to reconstruct high quality MRS spectra from non-uniformly sampled data in the hybrid time and frequency plane. Low-intensity signal reconstruction is generally challenging in biological MRS and we provide a solution to this problem. The proposed method may be extended to recover signals that generally can be modeled as a sum of exponential functions in biomedical engineering applications, e.g., signal enhancement, feature extraction, and fast sampling.

Discussion on data correction for Polarization Analysis with a 3He spin filter analyzer

Fully polarized neutron reflectometry and grazing incidence small angle neutron scattering are effective methods to explore magnetic structures on the nm to μm length scales. This paper is an outline of how to fully correct for the polarization analysis (PA) inefficiencies of such an instrument and to determine the error contributions of the neutron polarizer and analyzer. This discussion considers the exact case of the polarization analysis instrumentation used on the MARIA neutron reflectometer at the MLZ or for a general polarized neutron scattering instrument using at least one 3He neutron spin filter that has the capability for adiabatic fast passage nuclear magnetic resonance flipping of the 3He polarization. This paper will work to build a conceptual understanding of how the inefficiencies of neutron polarization elements affect measured data in order to stress and encourage the application of PA corrections and to help perform successful measurements. Then, using data from a fully polarized neutron reflectometer test measurement we show how it is possible to recover signals on the order of, or even smaller than, the inefficiencies, or bleed-through, of the neutron polarization devices used.

Congenital Unilateral Fallopian Tube and Renal Agenesis in a Patient with Primary Infertility

A 35-year-old nulligravid normo-ovulatory woman presented for the evaluation of primary infertility. Hysterosalpingography revealed normal filling (Fig. 1A) and intraperitoneal spillage of radiographic contrast through the right fallopian tube (Fig. 1B). No fill or spillage of contrast was noted through the left fallopian tube. A diagnostic hysteroscopy confirmed the presence of the right ostium (Fig. 2A); the left ostium was visually absent (Fig. 2B). Magnetic resonance imaging was subsequently performed, which showed blunting of the endometrium within the left cornua at the level of the uterotubal junction. There was no evidence of a kidney in the left renal fossa or within the pelvis (Fig. 2C). These findings indicated the congenital absence of the left fallopian tube and kidney. The patient underwent ovulation induction with intrauterine insemination and conceived in her second cycle. Fig. 2(A) Diagnostic hysteroscopy confirming the presence of the right ostium (white arrow). (B) Hysteroscopy indicating the absence of the left ostium (white X). (C) Single-shot fast spin echo magnetic resonance imaging confirming the presence of the right kidney (dotted white circle) in a coronal section. The same section shows an absent left kidney (white X). View Large Image Figure Viewer Download Hi-res image

630 - Prospective comparison of a 1.5T fast magnetic resonance imaging (MRI) protocol and the 3T multi-parametric MRI ESUR protocol as triage test for men with an elevated PSA

630 - Prospective comparison of a 1.5T fast magnetic resonance imaging (MRI) protocol and the 3T multi-parametric MRI ESUR protocol as triage test for men with an elevated PSA

Influence of cellulose gel matrix on BMIMCl ionic liquid dynamics and conductivity

Fast field-recycling magnetic resonance relaxometry (FFC NMR) was applied to measure the spin-lattice relaxation time, T 1, of protons in pure ionic liquid (IL) 1-butyl-3-methylimidazolium chloride (BMIMCl) and when confined in cellulose (Cell) ion gel (Cell/BMIMCl) at different temperatures and different Larmor frequencies. The rotational and translational contributions were taken to interpret the relaxation data of neat BMIMCl and were described by Woessner’s and Torrey’s theoretical models, respectively. The ionic liquid–cellulose matrix interaction detected in 10 wt% polymer-ion gel was interpreted on the basis of a dynamical process called reorientation mediated by translational displacements (RMTD), which allow explanation of the significant slowing of the dynamics of IL cations at cellulose surfaces. Two types of cation diffusion were identified in this gel: a long-range translational diffusion within large cavities of the Cell matrix and diffusion occurring at the polymer surface. The correlational time constants and self-diffusion coefficients of the BMIMCl ionic liquid in bulk-like state and interaction with the cellulose matrix surface were determined. The conductivity measurements performed for pure IL and that confined in the Cell/BMIMCl ion gel show that the gelation only results in a small decrease of the ionic conductivity.

Influence of underlying local organisations in typical nematic phase of 6CHBT and induced nematic phase of bicomponent liquid crystalline systems 4DBT–12CB – a Fast Field Cycling NMR investigation

ABSTRACTVariable-temperature proton magnetic relaxation dispersion (PMRD) profiles are collected in the induced nematic phases of the binary liquid crystalline mixtures composed of smectic mesogens: 5-butyl-2-(4-isothiocyanatophenyl)-1,3-dioxane (4DBT) and 4′-dodecyl-4-cyanobiphenyl (12CB) and the low viscous nematogen 4-(trans-4′-n-hexylcyclohexyl)-isothiocyanatobenzene (6CHBT), with a view to assess the influence of local organisations on the power spectrum of director fluctuation modes. Two distinct compositions of the binary mixture i.e. 50 mol% of 12CB (without a smectic phase) and 70 mol% of 12CB (with a smectic phase) are used. Fast Field Cycling nuclear magnetic resonance relaxometry is employed to measure proton spin-lattice relaxation rates (R1) as a function of Larmor frequency (10 kHz–30 MHz). PMRD data analysis with the choice of a suitable model indicated nematic clusters of moderate size (~200 Å) found in the broad nematic region of 50 mol% 12CB, whose size is almost invariant with temperature. On the other hand, cybotactic clusters, i.e. local smectic organisations of relatively larger size (~2000–3000 Å), are observed near the nematic–smectic transition (T > TAN) of 70 mol% 12CB. Interestingly, the shape geometry of such local organisations accessed from PMRD analysis is weakly anisotropic near TAN, while being isotropic near TNI for 70 mol% 12CB.

Diagnostic performance of wrist magnetic resonance (MR) arthrography: comparison of three-dimensional isotropic T1 weighted fast spin-echo MR arthrography and two-dimensional MR arthrography.

To compare the diagnostic performance of direct wrist MR arthrography (D-MRA) with two-dimensional (2D) T1 weighted fast spin-echo (FSE) and three-dimensional (3D) isotropic T1 weighted FSE sequences for detecting triangular fibrocartilage (TFC) central perforations and scapholunate ligament (SLL) and lunotriquetral ligament (LTL) tears. 26 patients who had undergone pre-operative wrist D-MRA with 2D and 3D isotropic T1 weighted FSE sequences and subsequent arthroscopic surgeries were included. Each MRI sequence was independently evaluated and scored by two readers retrospectively for the presence of TFC central perforations and SLL and LTL tears. Arthroscopic findings were used as the reference standard. Diagnostic performance was evaluated by using the area under the receiver operating characteristic curve. The sensitivity, specificity and accuracy of both sequences for diagnosing the injuries were calculated. Arthroscopic surgery revealed 21 TFC central perforations, 7 SLL tears and 3 LTL tears. The area under the receiver operating characteristic curve value of 2D and 3D for central perforations in TFC and tears in SLL and LTL was identical or similar (0.667-0.947). The sensitivity, specificity and accuracy of both sequences for diagnosing the injury of each structure were not significantly different (TFC, 90.5/80/88.5% for both readers/sequences; SLL, 100/89.5/92.3% for both readers' 2D and Reader A's 3D, and 85.7/89.5/88.5% for Reader B's 3D; LTL, 66.7/100/96.2% for both readers' 2D and 33.3/100/92.3% for both readers' 3D). Interobserver agreements were substantial to excellent. In wrist D-MRA, the diagnostic performances of 3D isotropic and 2D T1 weighted FSE sequences are comparable for TFC central perforations and SLL and LTL tears. Advances in knowledge: The diagnostic performance of 3D isotropic T1 weighted FSE D-MRA and that of 2D T1 weighted FSE D-MRA were not significantly different in the diagnosis of central perforations in the TFC and tears in the SLL and LTL. 3D isotropic T1 weighted FSE D-MRA has potential for substituting 2D imaging.

Toward the automatic quantification of in utero brain development in 3D structural MRI: A review.

Investigating the human brain in utero is important for researchers and clinicians seeking to understand early neurodevelopmental processes. With the advent of fast magnetic resonance imaging (MRI) techniques and the development of motion correction algorithms to obtain high-quality 3D images of the fetal brain, it is now possible to gain more insight into the ongoing maturational processes in the brain. In this article, we present a review of the major building blocks of the pipeline toward performing quantitative analysis of in vivo MRI of the developing brain and its potential applications in clinical settings. The review focuses on T1- and T2-weighted modalities, and covers state of the art methodologies involved in each step of the pipeline, in particular, 3D volume reconstruction, spatio-temporal modeling of the developing brain, segmentation, quantification techniques, and clinical applications. Hum Brain Mapp 38:2772-2787, 2017. © 2017 Wiley Periodicals, Inc.

Left Atrial Structure in Relationship to Age, Sex, Ethnicity, and Cardiovascular Risk Factors: MESA (Multi-Ethnic Study of Atherosclerosis).

Left atrial (LA) size is a marker of diastolic function and is associated with atrial fibrillation and cardiovascular outcomes. However, there are no large population studies measuring LA structure. The relationship of demographics and cardiovascular risk factors to LA size is largely unknown. This study aimed to determine associations of LA size with demographic factors, cardiac structure and function, and cardiovascular risk factors. LA volume indexed to body surface area was measured by cardiovascular magnetic resonance steady-state free precession and fast gradient echo cine long- and short-axis images in 2576 asymptomatic participants of MESA ([Multi-Ethnic Study of Atherosclerosis] 68.7 years, 53.0% women, white 42.2%, Chinese American 12.0%, black 24.5%, and Hispanic 21.2%) using biplane and short-axis images. The mean LA volume index was 36.5±11.4 mL/m2 in the entire cohort and 35.5±10.1 mL/m2 in subjects free of cardiovascular risk factors (n=283). Multivariable analysis included adjustment for demographics, ethnicity, cardiovascular risk factors, serological studies, socioeconomic status, left ventricular structure, and medications. In the adjusted analysis, age (β=0.2 mL/m2 per year, P<0.0001), male sex (β=-4.2 mL/m2, P<0.0001), obesity (β=1.3 mL/m2, P<0.01), end-diastolic volume index (β=0.4 mL/m2, P<0.0001), Chinese American (β=-2.6 mL/m2, P<0.0001), and Hispanic (β=1.1 mL/m2, P<0.05) ethnicities were associated with LA volume index. Diabetes mellitus and smoking were not associated with LA volume index. LA volumes measured by steady-state free precession were 3% larger than by fast gradient echo cine cardiovascular magnetic resonance (P<0.001). Age, sex, ethnicity and left ventricular structural parameters were associated with LA size. Importantly, the study provides reference values of normal LA volume index.

Improving structural brain images acquired with the 3D FLASH sequence

The three-dimension Fast Low Angle SHot Magnetic Resonance Imaging (3D FLASH) sequence has been widely adopted in medical diagnostic imaging because of its availability, simplicity, and high spatial resolution. To improve the quality of structural brain images acquired with the 3D FLASH sequence, we developed a parameter optimization scheme and image inhomogeneity correction methods. The optimal imaging parameters were determined by maximizing gray-matter and white-matter CNR efficiency. Compared to protocols based on published parameters, applying the proposed optimal imaging parameters increased CNR efficiency by >10%. Image inhomogeneity, including signal and CNR inhomogeneity, was corrected by the choice of an optimal flip angle, estimated transmit function, and estimated receive sensitivity. As a result, our optimization and image inhomogeneity correction greatly improved the quality of images acquired with the 3D FLASH sequence.

Influence of Adsorbed Water on the Activation Energy of Model Photocatalytic Reactions

Two commercial (Merck and Sigma-Aldrich) and two home prepared (HP05 and HP05C) powdered TiO2 photocatalysts were investigated by fast field cycling nuclear magnetic resonance experiments in order to explore the nature of the interactions between water and the solid surfaces. The results were related to the activation energies determined at temperatures ranging from 303 to 353 K for the photocatalytic oxidation in water of three model molecules presenting different interactions with the solid surface (catechol, phenol, and metylbenzoate). The photoactivity results at different temperatures were comparable to each other because the runs were carried out while keeping constant the concentration of O2 in the suspensions. The study highlights the influence of the adsorbed water on the activation energy of a photocatalytic reaction. In particular, we showed that competition between water and substrate adsorption is a determining factor in the activation energy of a photocatalytic oxidation reaction.

Fast Magnetic Resonance Electrical Impedance Tomography with Highly Undersampled Data

This paper describes the mathematical grounds for a highly undersampled magnetic resonance electrical impedance tomography (MREIT) method, with the aim of visualizing the dynamic changes in electrical tissue properties that occur in response to physiological activity. MREIT with fully sampled magnetic resonance (MR) data (satisfying the Nyquist criterion) has been shown to be capable of high-resolution conductivity imaging in numerical simulations and in animal experiments. However, when the data are undersampled (violating the Nyquist criterion for reducing data acquisition time), it is difficult to extract the component of magnetic flux density that is induced by boundary injection currents, and it is the data from this component that are used in performing the standard MREIT algorithm. Here, we show that it is possible to localize small conductivity perturbations using highly undersampled MR data. We perform various numerical simulations to support our theoretical results.

Cross-sectional and longitudinal associations between serum inflammatory cytokines and knee bone marrow lesions in patients with knee osteoarthritis.

To describe cross-sectional and longitudinal associations between serum levels of interleukin (IL) - 6, IL-17A, IL-17F, IL-23 and knee bone marrow lesions (BMLs) in patients with knee osteoarthritis (OA). Patients (n=192) with symptomatic knee OA (mean 63 years, range 50-79, female 53%) were assessed at baseline and after 24 months. At each time point, serum IL-6, IL-17A, IL-17F and IL-23 were measured using Bio-Plex® Multiplex Immunoassays with Luminex xMAP technology. Knee BMLs were scored using the modified whole organ MRI score (WORMS) from T2 weighted fat-suppressed fast spin echo magnetic resonance imaging (MRI). Multivariable linear regression and log binominal regression were used to determine the associations between cytokines and BMLs. Baseline IL-6 (quarters) were significantly associated with total knee BMLs (P<0.01 for the trend) as well as associated with an increase in BML score (P=0.05 for the trend), after adjustment for confounders. Baseline IL-17F and IL-23 (highest quarters vs others) was associated with an increase in BML score in females (P=0.04 for IL-17F; P=0.01 for IL-23), but not in males, in multivariable analyses. In contrast, IL-17A was not significantly associated with BMLs in either females or males. IL-6 is associated with increased knee BMLs in both females and males with OA. Serum IL-17F and IL-23 predicted increased knee BML scores in females only, suggesting that inflammation is involved in BML pathogenesis in knee OA, especially in women. ClinicalTrials.gov identifier: NCT01176344; Australian New Zealand Clinical Trials Registry: ACTRN12610000495022.

Role of Gut Microbiota and Short Chain Fatty Acids in Modulating Energy Harvest and Fat Partitioning in Youth.

We aimed at determining the relationship of the gut microbiota and short chain fatty acids with obesity and fat partitioning and at testing potential differences in the ability of gut microbiota to ferment equal amounts of carbohydrates (CHO) between lean and obese youth. We analyzed the gut microbiota of 84 youth in whom body fat distribution was measured by fast-magnetic resonance imaging, de novo lipogenesis (DNL) quantitated using deuterated water, and the capability of gut flora to ferment CHO was assessed by 13C-fructose treatment in vitro. A significant association was found between the Firmicutes to Bacteroidetes ratio, and the abundance of Bacteroidetes and Actinobacteria with body mass index, visceral and SC fat (all P < .05). Plasma acetate, propionate, and butyrate were associated with body mass index and visceral and SC fat (all P < .05) and with hepatic DNL (P = .01, P = .09, P = .04, respectively). Moreover, the rate of CHO fermentation from the gut flora was higher in obese than in lean subjects (P = .018). These data demonstrate that obese youth show a different gut flora composition than lean and that short chain fatty acids are associated with body fat partitioning and DNL. Also, the gut microbiota of obese youth have a higher capability than the gut flora of lean to oxidize CHO.

31P NMR 2D Mapping of Creatine Kinase Forward Flux Rate in Hearts with Postinfarction Left Ventricular Remodeling in Response to Cell Therapy.

Utilizing a fast 31P magnetic resonance spectroscopy (MRS) 2-dimensional chemical shift imaging (2D-CSI) method, this study examined the heterogeneity of creatine kinase (CK) forward flux rate of hearts with postinfarction left ventricular (LV) remodeling. Immunosuppressed Yorkshire pigs were assigned to 4 groups: 1) A sham-operated normal group (SHAM, n = 6); 2) A 60 minutes distal left anterior descending coronary artery ligation and reperfusion (MI, n = 6); 3) Open patch group; ligation injury plus open fibrin patch over the site of injury (Patch, n = 6); and 4) Cell group, hiPSCs-cardiomyocytes, -endothelial cells, and -smooth muscle cells (2 million, each) were injected into the injured myocardium pass through a fibrin patch (Cell+Patch, n = 5). At 4 weeks, the creatine phosphate (PCr)/ATP ratio, CK forward flux rate (Flux PCr→ATP), and k constant of CK forward flux rate (kPCr→ATP) were severely decreased at border zone myocardium (BZ) adjacent to MI. Cell treatment results in significantly increase of PCr/ATP ratio and improve the value of kPCr→ATP and Flux PCr→ATP in BZ myocardium. Moreover, the BZ myocardial CK total activity and protein expression of CK mitochondria isozyme and CK myocardial isozyme were significantly reduced, but recovered in response to cell treatment. Thus, cell therapy results in improvement of BZ bioenergetic abnormality in hearts with postinfarction LV remodeling, which is accompanied by significantly improvements in BZ CK activity and CK isozyme expression. The fast 2D 31P MR CSI mapping can reliably measure the heterogeneity of bioenergetics in hearts with post infarction LV remodeling.

The Role of Limited Head Computed Tomography in the Evaluation of Pediatric Ventriculoperitoneal Shunt Malfunction.

The evaluation of children with suspected ventriculoperitoneal shunt (VPS) malfunction has evolved into a diagnostic dilemma. This patient population is vulnerable not only to the medical risks of hydrocephalus and surgical complications but also to silent but harmful effects of ionizing radiation secondary to imaging used to evaluate shunt efficacy and patency. The combination of increased medical awareness regarding ionizing radiation and public concern has generated desire to reduce the reliance on head computed tomography (CT) for the evaluation of VPS malfunction. Many centers have started to investigate the utility of low-dose CT scans and alternatives, such as fast magnetic resonance imaging for the investigation of VP shunt malfunction in order to keep radiation exposure as low as reasonably achievable. This pilot study hopes to add to the armamentarium available to the clinician charged with evaluating this challenging patient population by testing the feasibility of a limited CT protocol as an alternative to a full head CT examination. To evaluate the efficacy of a limited head CT protocol compared with a complete head CT for the evaluation of children presenting to the pediatric emergency department with suspected shunt malfunction. We retrospectively reviewed all pediatric patients who received a head CT for suspected VPS malfunction evaluation at a tertiary care children's hospital from January 2001 through January 2013. Children were included in the pilot study if they had at least 2 CT scans in this study period interpreted by a specific senior attending neuroradiologist. For each patient enrolled, a limited series was generated from the most recent CT scan by selecting four representative axial slices based on the sagittal scout image. These 4 slices where selected at the level of the fourth ventricle, third ventricle, basal ganglia level, and lateral ventricles, respectively. A blinded, senior attending neuroradiologist first reviewed the limited 4-slice CT data set and was asked to determine if the ventricular system had increased, decreased, or remained stable. Subsequently, the neuroradiologist compared their interpretation of the limited examination with the official report from the full CT data set as the standard of reference as well as the interpretation of the most recent prior scan. Forty-six patients (age range, 2 months to 18 years; average age, 6.4 years (SD, 4.2), 54% male) were included in the study. Forty-four of 46 (95.7%) limited CT scans matched the official report of the full CT scan. No cases of increased ventricular size were missed (100% positive predictive value for increased ventricular size). The use of a limited head CT (4 axial images) instead of a complete head CT (average of 31 axial images in our studied patients) confers a radiation dose reduction of approximately 87%. Our pilot study demonstrates that utilization of limited head CT scan in the evaluation of children with suspected VP shunt malfunction is a feasible strategy for the evaluation of the ventricular size. Further prospective and multidisciplinary studies are needed to evaluate the reliability of limited head CT for the clinical evaluation of VP shunt malfunction.

Magnetic Resonance Venous Volume Measurements in Peripheral Artery Disease (from ELIMIT)

The relation between the arterial and venous systems in patients with impaired lower extremity blood flow remains poorly described. The objective of this secondary analysis of the Effectiveness of Intensive Lipid Modification Medication in Preventing the Progression on Peripheral Artery Disease Trial was to determine the association between femoral vein (FV) volumes and measurements of peripheral artery disease. FV wall, lumen, and total volumes were quantified with fast spin-echo proton density-weighted magnetic resonance imaging scans in 79 patients with peripheral artery disease over 2 years. Reproducibility was excellent for FV total vessel (intraclass correlation coefficient 0.924, confidence interval 0.910 to 0.935) and lumen volumes (intraclass correlation coefficient 0.893, confidence interval 0.873 to 0.910). Baseline superficial femoral artery volumes were directly associatedwith FV wall (r= 0.46, p <0.0001), lumen (r= 0.42, p=0.0001),and totalvolumes (r=0.46, p <0.0001). The 2-year change in maximum walking time was inversely associated with the 24-month change in FV total volume (r=-0.45, p= 0.03). Inconclusion, FV volumes can be measured reliably with fast spin-echo proton density-weighted magnetic resonance imaging, and baseline superficial femoral artery plaque burden is positively associated with FV volumes, whereas the 2-year change in FV volumes and leg function show an inverse relation.

Confidence in Assessment of Lumbar Spondylolysis Using Three-Dimensional Volumetric T2-Weighted MRI Compared With Limited Field of View, Decreased-Dose CT.

Background:Limited z-axis–coverage computed tomography (CT) to evaluate for pediatric lumbar spondylolysis, altering the technique such that the dose to the patient is comparable or lower than radiographs, is currently used at our institution. The objective of the study was to determine whether volumetric 3-dimensional fast spin echo magnetic resonance imaging (3D MRI) can provide equal or greater diagnostic accuracy compared with limited CT in the diagnosis of pediatric lumbar spondylolysis without ionizing radiation.Hypothesis:Volumetric 3D MRI can provide equal or greater diagnostic accuracy compared with low-dose CT for pediatric lumbar spondylolysis without ionizing radiation.Study Design:Clinical review.Level of Evidence:Level 2.Methods:Three pediatric neuroradiologists evaluated 2-dimensional (2D) MRI, 2D + 3D MRI, and limited CT examinations in 42 pediatric patients who obtained imaging for low back pain and suspected spondylolysis. As there is no gold standard for the diagnosis of spondylolysis besides surgery, interobserver agreement and degree of confidence were compared to determine which modality is preferable.Results:Decreased-dose CT provided a greater level of agreement than 2D MRI and 2D + 3D MRI. The kappa for rater agreement with 2D MRI, 2D + 3D MRI, and CT was 0.19, 0.32, and 1.0, respectively. All raters agreed in 31%, 40%, and 100% of cases with 2D MRI, 2D + 3D MRI, and CT. Lack of confidence was significantly lower with CT (0%) than with 2D MRI (30%) and 2D + 3D MRI (25%).Conclusion:For diagnosing spondylolysis, radiologist agreement and confidence trended toward improvement with the addition of a volumetric 3D MRI sequence to standard 2D MRI sequences compared with 2D MRI alone; however, agreement and confidence remain significantly greater using decreased-dose CT when compared with either MRI acquisition.Clinical Relevance:Decreased-dose CT of the lumbar spine remains the optimal examination to confirm a high suspicion of spondylolysis, with dose essentially equivalent to radiographs. If clinical symptoms are not classic for spondylolysis, 2D MRI is still very good at detecting spondylolysis while remaining sensitive for detection of alternative diagnoses such as disc abnormalities and pars stress reaction. The data suggest that standard 2D MRI sequences should not be entirely replaced by a volumetric T2-weighted 3D sequence (despite promising features of rapid acquisition time, increased spatial resolution, and reconstruction capability).

The pulsatility volume index: an indicator of cerebrovascular compliance based on fast magnetic resonance imaging of cardiac and respiratory pulsatility.

The influence of cardiac activity on the viscoelastic properties of intracranial tissue is one of the mechanisms through which brain-heart interactions take place, and is implicated in cerebrovascular disease. Cerebrovascular disease risk is not fully explained by current risk factors, including arterial compliance. Cerebrovascular compliance is currently estimated indirectly through Doppler sonography and magnetic resonance imaging (MRI) measures of blood velocity changes. In order to meet the need for novel cerebrovascular disease risk factors, we aimed to design and validate an MRI indicator of cerebrovascular compliance based on direct endogenous measures of blood volume changes. We implemented a fast non-gated two-dimensional MRI pulse sequence based on echo-planar imaging (EPI) with ultra-short repetition time (approx. 30-50 ms), which stepped through slices every approximately 20 s. We constrained the solution of the Bloch equations for spins moving faster than a critical speed to produce an endogenous contrast primarily dependent on spin volume changes, and an approximately sixfold signal gain compared with Ernst angle acquisitions achieved by the use of a 90° flip angle. Using cardiac and respiratory peaks detected on physiological recordings, average cardiac and respiratory MRI pulse waveforms in several brain compartments were obtained at 7 Tesla, and used to derive a compliance indicator, the pulsatility volume index (pVI). The pVI, evaluated in larger cerebral arteries, displayed significant variation within and across vessels. Multi-echo EPI showed the presence of significant pulsatility effects in both S0 and [Formula: see text] signals, compatible with blood volume changes. Lastly, the pVI dynamically varied during breath-holding compared with normal breathing, as expected for a compliance indicator. In summary, we characterized and performed an initial validation of a novel MRI indicator of cerebrovascular compliance, which might prove useful to investigate brain-heart interactions in cerebrovascular disease and other disorders.

Correlation of Phosphorus Cross-Linking to Hydration Rates in Sodium Starch Glycolate Tablet Disintegrants Using MRI

Understanding the behavior of tablet disintegrants is valuable in the development of pharmaceutical solid dosage formulations. In this study, high-resolution magnetic resonance imaging has been used to understand the hydration behavior of a series of commercial sodium starch glycolate (SSG) samples, providing robust estimates of tablet disintegration rate that could be correlated with physicochemical properties of the SSGs, such as the extent of phosphorus (P) cross-linking as obtained from infra-red spectroscopy. Furthermore, elemental analysis together with powder X-ray diffraction has been used to quantify the presence of carboxymethyl groups and salt impurities, which also contribute to the disintegration behavior. The utility of Fast Low Angle SHot magnetic resonance imaging has been demonstrated as an approach to rapidly acquire approximations of the volume of a disintegrating tablet and, together with a robust voxel analysis routine, extract tablet disintegration rates. In this manner, a complete characterization of a series of SSG grades from different sources has been performed, showing the variability in their physicochemical properties and demonstrating a correlation between their disintegration rates and intrinsic characteristics. The insights obtained will be a valuable aid in the choice of disintegrant source as well as in managing SSG variability to ensure robustness of drug products containing SSG.