Magnetization Transfer Contrast Research Articles

Optimization of multiple overlapping thin slab acquisition (MOTSA) MRA

This optimization treats 2D and 3D single‐slab Time‐Of‐Flight (TOF) as opposite limiting cases of MOTSA. It was approached from a general theoretical analysis through imaging parameters such as flow velocity, T1 of blood and surrounding tissue, and size of the region of interest. The potential CNR improvement from using magnetization transfer contrast (MTC) in conjunction with the MOTSA sequence was also examined. A mathematical model was built and tested to describe evolution of hydrogen magnetization under radio frequency pulses, and the computer simulations in turn were used to determine an optimized combination of flip angle, repetition time (TR) and slab thickness. A flat slab‐selection profile was used, under the constraints of fixed anatomical coverage, total acquisition time and resolution. Results of phantom and volunteer studies agree with the computer simulation. Conclusions of this study are (1) the flow model used is adequate for imaging the human anterior cerebral arteries, a representative of intracranial arteries; (2) combination of MTC (using a binomial pulse) with MOTSA does not improve CNR; (3) the optimum MOTSA technique has the shortest TR possible, a slab thickness in which flowing blood receives approximately two flips, and a flip angle chosen to yield the maximum vessel‐to‐background CNR for that particular TR and slab thickness.

Tecniche di angio-RM: Stato dell'arte

MRI is very sensitive to flow effects and they may be exploited to develop non-invasive techniques for imaging of the vascular anatomy. These techniques are referred to as Magnetic Resonance Angiography (MRA). MRA techniques can be classified in two major categories: time-of-flight (TOF) and phase contrast (PC). Both techniques rely on different physical effects; inflow-enhancement and flow-induced phase shift respectively. In both techniques definitive angiographic images are obtained by means of post-processing of data with a Maximum Intensity Projection (MIP) algorithm. TOF MRA can be classified in three major categories: 2D-sequential, 3D-volumetric and multi-slab-3D (MOTSA). To improve vessel-background contrast in TOF MRA, new techniques, such as ramped radiofrequency (rf), pulses across the slab to partially compensate for the progressive saturation of spins (TONE) and magnetization transfer contrast (MTC) have been introduced. In PC MRA complex subtraction of two data sets with a different amount of flow sensitivity produces an image with signal intensities depending on flow velocity. Quantitative information about flow velocity and flux can also be obtained in PC MRA. More recently the use of contrast agents with ultrafast imaging (CE-MRA) has shown significant improvements in the delineation of the vessel lumen.

Angio-RM in patologia cerebro-vascolare ischemica

Magnetic Resonance Angiography (MRA) has achieved a major role in the non-invasive study of the intra and extracranial cerebral vessels. In the vascular occlusion pathology of brain, MRA with 3D-time-of-flight technique is particularly useful. The modern approach to stroke makes provision for MRA because of the complete management of the patient. Recently the development of the variable flip, angle (TONE) and magnetisation transfer contrast techniques (MTC) have improved spatial resolution. MRA is particularly useful in the management of children with vascular pathology because of laminar flow which permits better visualization of small vessels. Only a wide knowledge of MRA and its limits and artifacts can reduce diagnostic errors.

Understanding pulsed magnetization transfer.

Using a two-pool exchange model of magnetization transfer (MT), numeric simulations were developed to predict the time dependence of longitudinal magnetization in both semisolid and liquid pools for arbitrary pulsed radiofrequency (RF) irradiation. Whereas RF excitation of the liquid pool was modeled using the time-dependent Bloch equations, RF saturation of the semisolid pool was described by a time-dependent rate proportional to both the absorption lineshape of the semisolid pool and the square of the RF pulse amplitude. Simulations show good agreement with experimental results for a 4% agar gel aqueous system in which the two-pool kinetics have been well studied previously. These simulations provide a method for interpreting pulsed MT effects, are easily extended to biologic tissues, and provide a basis for optimizing clinical imaging applications that exploit MT contrast.

Sensitivity of contrast enhanced MRI in multiple sclerosis. Effects of gadolinium dose, magnetization transfer contrast and delayed imaging

Although clinical end points remain the definitive measure of therapeutic efficacy in multiple sclerosis, more sensitive markers of disease activity are required to screen potential disease-modifying agents. The use of gadolinium contrast-media in MRI studies increases both the reliability and sensitivity of detecting active lesions in multiple sclerosis. We studied three potential methods for further improving sensitivity; the use of 0.3 mmol/kg (triple dose) gadolinium-diethylenetriaminepenta-acetic acid (Gd-DTPA), magnetization transfer (MT) contrast imaging and the introduction of a delay between contrast-medium injection and imaging. Fifty patients were studied (seven with benign, 14 with relapsing-remitting, 10 with secondary progressive, 16 with primary progressive and three with transitional multiple sclerosis). Imaging was performed on two occasions, 24-72 h apart, with triple- and single-dose Gd-DTPA. Pairs of contrast-enhanced T 1-weighted studies, with and without MT, were obtained at three different times, i.e. within early (0-20 min), short-delay (20-40 min) and long-delay (40-60 min) time-windows. Nineteen patients did not have the full complement of studies. Seven patients suffered minor self-limiting adverse events possibly related to triple-dose Gd-DTPA. Overall, triple-dose Gd-DTPA resulted in a 75% increase in the number of enhancing lesions detected compared with the single dose (P < 0.002). The use of MT or delay alone did not significantly increase the sensitivity of either single- or triple-dose studies. The combination of MT and short delay increased the number of enhancing lesions detected with single-dose Gd-DTPA by 47% (P < 0.05) and with triple-dose Gd-DTPA by 27% (P < 0.01). Detection was not significantly further improved by a long delay. The most sensitive modality was MT imaging with a long delay following triple-dose Gd-DTPA, resulting in the detection of 126% more enhancing lesions than in standard single-dose imaging (P < 0.05). This applies to all subgroups except for primary progressive multiple sclerosis, in which none of these methods alone or in combination improved the sensitivity. We conclude that for relapsing-remitting and secondary progressive multiple sclerosis, the combination of triple-dose Gd-DTPA and delayed MT imaging more than doubles the sensitivity to contrast-enhancing lesions.

Dispersion in magnetization transfer contrast at a given specific absorption rate due to variations of RF pulse parameters in the magnetization transfer preparation.

The effects of RF pulse parameters on magnetization transfer contrast (MTC) were investigated using a magnetization prepared segmented fast gradient echo sequence. MTC was found not to be uniquely determined by the specific absorption rate (SAR). RF pulse parameters (RF amplitude, number of RF pulses and RF duration) also affect MTC. There can be 40% variation in MTC due to differences in RF parameters at SAR = 1 W/kg for a 70-kg subject. Increasing the number of RF pulses is a more efficient way to increase MTC than increasing RF amplitude. This phenomenon is likely caused by the fact that the time scale for magnetization transfer between the free and restricted proton pools is on the same order or longer than the duration of the MT pulse. Accordingly, increase in the MT pulse duration by increasing the number of RF pulses in the MT pulse allows more effective magnetization transfer. Such information can be used as a guide to select RF pulse parameters for a magnetization transfer (MT) pulse. An off-resonance MT pulse designed under this guide for coronary MR angiography improved the depiction of distal vessels.

The value of new MRI techniques in adrenoleukodystrophy.

To evaluate the significance of new techniques in MRI examinations of the brain in children with X-linked adrenoleukodystrophy (ALD). Five patients aged between 2 and 15 years with childhood ALD were examined with MRI. Following conventional spin-echo (CSE) sequence, a fast spin-echo (FSE) sequence with T2 contrast was performed in four patients, an FSE turbo-inversion-recovery (TIR) sequence in two, magnetization transfer contrast (MTC) imaging in two, and localized proton spectroscopy (MRS) in four patients. FSE compared favorably with CSE with a time saving of 70%. On TIR images the contrast between normal and demyelinated white matter was greater than on CSE and FSE images. Calculated MTC values revealed a severe MTC loss within the demyelinated regions and a moderate reduction in the border zones. In this way, calculation of MTC might be useful to differentiate between edematous changes and areas of irreversible demyelination. MRS revealed a reduction in N-acetylaspartate and an elevation in choline (Cho). The degree of MRS changes paralleled the severity of demyelination. A Cho elevation may precede visible demyelination on T2-weighted images. T2-weighted FSE sequences can replace CSE without any disadvantages and with effective time saving. The indication for MTC imaging and MRS in children with ALD is not yet finally defined. These new techniques may reveal the earliest signs of cerebral involvement or of disease progression, a matter of great importance in selecting the optimal therapeutic approach.

Apparent diffusion coefficient (ADC) and magnetization transfer contrast (MTC) mapping of experimental brain tumor.

Brain tumor tissue contains different pathological areas, such as tumor cell rich parts, necrotic tissues, and cyst. Furthermore, both neovascularization and edema formation progress along with the tumor progression. In this study we employed diffusion weighted (DW) and magnetization transfer contrast (MTC) imaging to chronologically investigate the biological characteristics of a rat glioma. RG-2 glioma cells were implanted stereotactically into the right hemisphere of male Wistar rats. MR images were taken 1, 2 and 3 weeks after inoculation. Apparent diffusion coefficient (ADC) and MTC values were calculated as follows; ADC = -ln (SI-DW/SI-T2)/1096, MTC = 1-SI-MTon/SI-MToff. Each mapping image was made based on the calculated average values of four pixels. The spatial signal changes and the real values were compared to the histological findings. The apparent increase of ADC was noted in the parenchyma adjacent to tumor suggesting the progression of edema. The tumor itself had similar or slightly increased ADC. Cystic and necrotic components appeared 2 weeks after implantation and they showed significantly higher ADC than those calculated in the contralateral putamen. On the other hand, MTC was slightly decreased in the parenchyma adjacent to the tumor, markedly within the tumor, and maximally in the cystic and necrotic area suggesting accumulation of macromolecules such as growth factors, cytokines, and serum albumin.

A chronological evaluation of experimental brain infarct by diffusion-mapping and magnetization transfer contrast imaging.

There is a complex system of evolving physiochemical processes in the ischemic brain. The evaluation of this chain of processes is a major challenge of recent stroke studies. Two magnetic resonance imaging techniques: diffusion-weighted (DW) and magnetization transfer contrast (MTC) imaging were introduced in experimental studies and were shown to have sensitivity for different stages of brain infarct. We used a reproducible middle cerebral artery (MCA) occlusion model in rat to examine infarcts of different time courses. Magnetic resonance T2-weighted (T2). DW, and MTC imaging were performed 3 h, 1 d, 3 d, 5 d, 2 w, 3 w, and 4 w after MCA occlusion. Haematoxylin/eosin (HE) stained sections, which revealed sub regions within infarct lesions, were compared to T2, DW, diffusion-mapping and MTC-mapping images. On DW images 3 hours post occlusion lesions were detected as an area with high signal intensity, while T2 imaging does not raise significant contrast of the lesion at this early stage. Three sub regions of the lesion having different ADCs, are discernible on diffusion-mapping images from 1 day to 7 days. The decrease of MTC effect was measured within the infarct lesion from core to marginal zone, from 7 days to 4 weeks. Diffusion-mapping imaging may help to examine brain infarction from 3 hours to 5 days. MTC imaging recognizes infarcts 7 days after the onset. Following this stage, MTC-mapping images may provide a quantitative method to assess infarct size.

Comparison between magnetization transfer contrast and fast spin-echo MR imaging of degenerative disease of the cervical spine at 0.3 T

We compared magnetization transfer contrast (MTC) with gradient recalled echo (GRE) magnetic resonance imaging (MRI) and fast spin-echo (FSE) MRI of the degenerative cervical spine at 0.3 T. Fifty patients with suspected degenerative disease of the cervical spine were prospectively evaluated. Multislice sagittal and axial images of the cervical spine were obtained using MTC GRE sequence [repetition time (TR)/echo time (TE)/flip angle = 750/23/25°] and FSE sequence with peripheral gating (TR/effective TE = 2000–4000 120 ). Quantitatively, FSE showed higher signal-to-noise ratio and superior disk contrast between normal and degenerative disks, while MTC images showed superior contrast-to-noise ratio for the cerebrospinal fluid (CSF) versus cord and superior CSF homogeneity. In qualitative analysis, similar results were obtained. In conclusion, FSE and MTC GRE sequences are MRI techniques of imaging the cervical spine that have different characteristics and supplement each other in the diagnostic imaging of degenerative disease of the cervical spine.

A dual approach for minimizing false lesion classifications on magnetic resonance images.

Segmentation methods based on dual-echo MR images are generally prone to significant false lesion classifications. We have minimized these false classifications by (1) improving the lesion-to-tissue contrast on MR images by developing a fast spin-echo sequence that incorporates both cerebrospinal fluid signal attenuation and magnetization transfer contrast and (2) including information from MR flow images. Studies on patients with multiple sclerosis indicate that this dual approach to tissue segmentation reduces the volume of false lesion classifications by an average of 87%.

Bioreactor and probe system for magnetic resonance microimaging and spectroscopy of chondrocytes and neocartilage

We have developed a nuclear magnetic resonance (NMR)-compatible hollow fiber chondrocyte bioreactor (HFBR), permitting the noninvasive study of neocartilage under conditions optimized for cell growth and matrix expression. The system was used to investigate the properties of neocartilage which developed from embryonic chick chondrocytes. Histologic studies performed 30 days after inoculation of the HFBR with chondrocytes showed cartilage growth units demarcated by stromal layers surrounding each fiber; the tissue itself was highly cellular with abundant proteoglycan content. Spin-density, spin-lattice, and spin-spin relaxation and magnetization transfer contrast images revealed heterogeneous tissue with NMR properties that correlated well with histologic data. It was found that the apparent free water content of the neocartilage was greater than that seen in mature cartilage, even in regions of relatively low cell density. The bioenergetic profile of the cells in culture was monitored with 31P-NMR spectroscopy, and the presence of phosphocreatine was clearly demonstrated. Overall metabolic stability was confirmed between days 10 and 17 after inoculation. A significant decrease in intracellular pH with time was observed during early development of the chondrocyte system. © 1997 John Wiley & Sons, Inc. Int J Imaging Syst Technol, 8, 285–292, 1997

Applications of magnetization transfer contrast in the musculoskeletal system in children.

Magnetization transfer (MT) is a new MR imaging technique which has the potential to create contrast differences between normal and pathologic tissues distinct from T1- and T2-weighted contrast. The technique has been used in adults but received little consideration for pediatric imaging. This article reports the successful creation of MT contrast between normal and abnormal tissues in seven children.

Hyaline cartilage: in vivo and in vitro assessment with magnetization transfer imaging.

To elucidate the magnetization transfer (MT) effects of major components of hyaline cartilage. The authors evaluated the MT effect of type II collagen and chondroitin sulfate phantoms (concentrations of 0.6%, 1.2%, 2.4%, 4.8%, 9.6%, and 19.2%), mass-cultured rat osteosarcoma-derived cells, and normal articular cartilage of the knee. The MT effect of collagen yielded a decrease in signal intensity of 10% (1.2% collagen) to 31% (19.2% collagen); the decrease varied linearly with collagen concentration. Chondroitin sulfate did not have a statistically significant MT effect. Cell pellets showed a decrease in signal intensity of 22%-26%, which was greater than that of 4.8% collagen. Normal articular cartilage of the knees showed a decrease in signal intensity of 38%-48%. The major role of collagen in MT contrast of hyaline cartilage was confirmed. In addition, a higher cellular contribution to the MT effect was also demonstrated.

Basilar and distal vertebral artery occlusive disease: Correlation of MR imaging and MR angiography : Seynaeve P, Hasso AN, Thompson JR, Hinshaw DB, Jr. (Department of Radiology, Middelheim Hospital, Lindendreef, 1, B-2020 Antwerp, Belgium). J Belge Radiol 1996;79:61–67

The purpose of this study is to evaluate the correlation of brain lesions seen on magnetic resonance imaging with vascular occlusive disease of the basilar and distal vertebral arteries as documented on MR angiography. The clinical findings are also correlated with the findings on MR imaging and MR angiography. The clinical records of twenty-one patients with proven occlusive disease of the distal vertebral and/or basilar arteries were retrospectively reviewed. All the patients were imaged utilizing either the Siemens Magnetom 1.5 T SP 4000 and the Siemens 1.0 T Impact systems. Dual MR angiographic techniques were employed including two-dimensional (2D) and three-dimensional time-of-flight. The 2D sequences utilized fast low angle shot gradient echo sequences. The 3D sequences utilized fast image steady-state precession gradient echo sequences. Gadolinium contrast was utilized for increased angiographic detail in one patient. Magnetization transfer contrast was used in three patients. The individual partitions as well as the maximum intensity pixel projection images were evaluated in each case. The most extensive brain lesions were seen in the group of patients with severe basilar and/or combined vertebrobasilar disease. One-half of these patients showed non-specific scattered foci of T2 lengthening similar to the findings found in a group of patients with noncritical stenosis. MR imaging invariably demonstrated more lesions than were clinically suspected. Even though the brain lesions tended to be more extensive in patients with severe vascular disease, the amount of brain tissue damage was not an adequate parameter to document the degree of vascular narrowing. The degree of vascular narrowing was useful in therapy planning. Such data was obtained by the MR angiograms, but not by MR imaging. MR angiography is a useful complementary examination when lesions in the basilar and distal vertebral vascular territories are diagnosed on MR imaging. MR angiography can differentiate critical from noncritical stenosis and can thus play a key role in the therapeutic decision making process.

Magnetization Transfer Magnetic Resonance Imaging

Magnetic resonance imaging has traditionally used the T1 and T2 relaxation times and proton density (PD) of tissue water (hydrogen protons) to manipulate contrast. Magnetization transfer (MT) is a new form of tissue contrast based on the physical concept that tissues contain two or more separate populations of hydrogen protons: a highly mobile (free) hydrogen (water) pool, Hr, and an immobile (restricted) hydrogen pool, Hr, the latter being those protons bound to large macromolecular proteins and lipids, such as those found in such cellular membranes as myelin. Direct observation of the Hr magnetization pool is normally not possible because of its extremely short T2 time (< 200 microseconds). But saturation of the restricted pool will have a detectable effect on the mobile (free) proton pool. Saturation of the restricted pool decreases the signal of the free pool by transferring the restricted pool's saturation. Exchange of magnetization between the free and restricted hydrogen protons is a substantial mechanism for spin-lattice (T1) relaxation in tissues and the physical basis of MT. Through an appropriately designed pulse sequence, magnetization transfer contrast (MTC) can be produced. MT contrast is different from T1, T2, and PD, and it likely reflects the structural integrity of the tissue being imaged. A variety of clinically important uses of MT have emerged. In this clinical review of the neuroradiological applications of MT, we briefly review the physics of MT, the appearance of normal brain with MT, and the use of MT as a method of contrast enhancement/background suppression and in tissue characterization, such as evaluation of multiple sclerosis and other white-matter lesions and tumors. The role of MT in small-vessel visualization on three-dimensional time-of-flight magnetic resonance angiography and in head and neck disease and newer applications of MT are also elaborated.

Pulsed magnetization transfer contrast in gradient echo imaging: a two-pool analytic description of signal response.

Magnetization transfer (MT) imaging with a rapid gradient-echo sequence and pulsed saturation provides an efficient means of acquiring high resolution three-dimensional data in vivo. This paper presents a derivation of the theoretical steady-state signal equation for this sequence based on the two-site coupled Bloch equations. Numerical simulations are used to validate the derived expression and experiments are performed on an agar gel model and normal brain. Experimental agar data indicate that direct saturation of the liquid component can be a major source of signal attenuation whereas MT normally dominates in brain tissue. The signal equation presented here establishes the necessary theory for sequence design and optimization and provides insight into model parameters and experimental results.

Use of magnetization transfer contrast to improve single breath-hold three-dimensional MR-portography with bolus injection of gadopentetate dimeglumine: a preliminary report.

We investigated whether better visualization of the intrahepatic portal system could be obtained by adding magnetization transfer contrast (MTC) to three-dimensional MR portography (3D-MRP). In 15 healthy volunteers, 3D fast low-angle shot images combined with an off-resonance pulse were obtained after bolus injection of gadopentetate dimeglumine during one period of breath-holding. Within 1 week after injection, MR images without MTC were obtained using the same scanning condition. MRPs with and without the MTC pulse were compared quantitatively and qualitatively. The contrast-to-noise ratio of the portal vein-liver was significantly higher in the group imaged with the addition of MTC. Qualitatively, the use of MTC improved peripheral portal branch depiction on maximum-intensity projection images. Even when the MTC pulse was added to the conventional method of 3D data collection, it was possible to obtain images within one period of breath-holding. In conclusion, the use of MTC can substantially enhance the quality of 3D-MRPs.

Determination of saturation transfer parameters of human tissues in vivo.

In order to study the applicability of magnetization transfer contrast (MTC) to tissue differentiation, the determination of the magnetization transfer (MT) parameters of normal tissues is necessary for the evaluation of pathological conditions. The time-dependent saturation transfer technique was used to investigate the observed magnetization transfer parameters in several human tissues in vivo at 0.1 T. The length of the off-resonance saturation pulse varied from 0 to 750 ms. The magnetization transfer contrast (MTC) was 0.71 in striated muscle, 0.49 in liver, 0.49 in renal cortex, and 0.50 in spleen. The observed magnetization transfer rates (Rwm) were 5.5 s-1 for muscle, 3.1 s-1 for liver, and 1.5 s-1 for both renal cortex and spleen. Our results indicate that measuring Rwm and possibly other relaxation parameters could be useful in tissue differentiation.

Macroscopic tumor volume of malignant glioma determined by contrast-enhanced magnetic resonance imaging with and without magnetization transfer contrast

The purposes of this study were to compare the conspicuity and lesion volume of contrast-enhancing macroscopic malignant glioma determined by postcontrast magnetic resonance (MR) imaging with and without magnetization transfer (MT) saturation, and to discuss possible implications for radiotherapy planning. Nineteen patients (age 24–60 years) with histologically proven malignant glioma were prospectively examined by MR imaging. After the administration of gadolinium dimeglumine (0.1 mmol/kg body weight), the lesions were imaged with an MT-weighted FLASH (fast, low-angle shot) pulse sequence and with a conventional T 1-weighted spin-echo (SE) sequence without MT saturation. The mean tumor volumes of gliomas measured on MT-weighted FLASH images were significantly ( p < .01) larger than those obtained from T 1-weighted SE images (45 ± 15 cm 3 vs. 33 ± 10 cm 3). The mean contrast-to-noise ratio of enhancing lesions on MT-weighted FLASH was 48 ± 14 compared with 30 ± 14 on SE images, representing a significant ( p < .01) improvement. We conclude that the volume of contrast enhancement of malignant glioma identified on MT-weighted FLASH images represents the area of disrupted blood-brain barrier. If this volume of subtle contrast enhancement is caused by tumor infiltration and represents the boost target volume for stereotactic radiosurgery or brachytherapy, MT-weighted FLASH images would be better than T 1-weighted SE images to define these volumes. These improved delineation of areas at highest risk for recurrence following radiation therapy should enhance the efficacy of treatment planning for high-boost therapy.