Emerging imaging techniques in spondyloarthritis dual-energy computed tomography and new MRI sequences

Imaging of the sacroiliac joint plays a critical role in the classification of patients with axial spondyloarthritis. New imaging techniques are emerging, changing the way clinicians look at the sacroiliac joint. This article introduces the novel techniques in imaging of spondyloarthritis, including dual-energy computed tomography and new MRI sequences, with a focus on the imaging of bone marrow edema and erosions of the sacroiliac joint

In-vivo magnetic resonance imaging of hyperpolarized silicon particles

Silicon-based micro and nanoparticles have gained popularity in a wide range of biomedical applications due to their biocompatibility and biodegradability in-vivo, as well as a flexible surface chemistry, which allows drug loading, functionalization and targeting. Here we report direct in-vivo imaging of hyperpolarized 29Si nuclei in silicon microparticles by MRI. Natural physical properties of silicon provide surface electronic states for dynamic nuclear polarization (DNP), extremely long depolarization times, insensitivity to the in-vivo environment or particle tumbling, and surfaces favorable for functionalization. Potential applications to gastrointestinal, intravascular, and tumor perfusion imaging at sub-picomolar concentrations are presented. These results demonstrate a new background-free imaging modality applicable to a range of inexpensive, readily available, and biocompatible Si particles.Comment: Supplemental Material include

Body MRI artifacts in clinical practice: a physicist\u27s and radiologist\u27s perspective.

The high information content of MRI exams brings with it unintended effects, which we call artifacts. The purpose of this review is to promote understanding of these artifacts, so they can be prevented or properly interpreted to optimize diagnostic effectiveness. We begin by addressing static magnetic field uniformity, which is essential for many techniques, such as fat saturation. Eddy currents, resulting from imperfect gradient pulses, are especially problematic for new techniques that depend on high performance gradient switching. Nonuniformity of the transmit radiofrequency system constitutes another source of artifacts, which are increasingly important as magnetic field strength increases. Defects in the receive portion of the radiofrequency system have become a more complex source of problems as the number of radiofrequency coils, and the sophistication of the analysis of their received signals, has increased. Unwanted signals and noise spikes have many causes, often manifesting as zipper or banding artifacts. These image alterations become particularly severe and complex when they are combined with aliasing effects. Aliasing is one of several phenomena addressed in our final section, on artifacts that derive from encoding the MR signals to produce images, also including those related to parallel imaging, chemical shift, motion, and image subtraction

Doctor of Philosophy

dissertationThis dissertation comprises two separate studies: 1) efficacy of an anabolic steroid, oxandrolone, on the energy utilization of the heart of a lamb born with single ventricle (SV) physiology using 31P MR spectroscopy (MRS) and 2) signal behavior of ultra-high-b radial diffusion weighted imaging (UHb-rDWI) in healthy and multiple sclerosis (MS) subjects. SV infants have the highest mortality of all infants that have congenital heart defects. Their inability to gain weight appropriately may be due to high cardiac energy requirements from their shunt dependent physiology. We hypothesize that oxandrolone, which is already known to markedly improve the nutritional state of burn patients, will improve the energy utilization in the heart. We tested our hypothesis on SV modelled lambs using 31P MRS, home built 1H/31P double tuned radio frequency (RF) coil, and 1H and 31P T/R switches. We monitored cardiac energy in the lamb by quantitatively evaluating the first-order forward reaction rate (kf) of the creatine-kinase (CK) reaction in the heart. Spinal cord injury due to pathologies, such as MS, may include demyelination and/or axonal damage and lead to varying degrees of neurologic deficit. Noninvasive imaging biomarkers for earlier disease detection and monitoring in the follow-up and treatment stages would be a significant advancement in patient care. Moreover, imaging of the cervical spinal cord (CSC) is technically challenging because of the low signal to noise ratio from the small cross section of the cord, susceptibility artifact due to tissue-bone interface, and motion induced artifact from breathing and swallowing. To resolve these challenges, we used the UHb-rDWI technique and a CSC dedicated phased array RF coil. We studied the behavior of UHb-rDWI signal over the range of b-values from 0 sec/mm2 to 7348 sec/mm2 in the CSC of healthy and MS subjects over multiple time points. In the normal CSC, the signal decays fast at low b and slowly at UHb (b>4000 sec/mm2). In MS patients, the region affected by active lesions revealed a marked decrease in signal intensities in UHb region. UHb-rDWI could, therefore, be used for establishing an imaging biomarker to distinguish inflammation, demyelination, and axonal loss in the CSC

New MRI Techniques for Nanoparticle Based Functional and Molecular Imaging

Although in clinical use for several decades, magnetic resonance imaging: MRI) is undergoing a transition from a qualitative anatomical imaging tool to a quantitative technique for evaluating myriad diseases. Furthermore, MRI has made great strides as a potential tool for molecular imaging of cellular and tissue biomarkers. Of the candidate contrast agents for molecular MRI, the excellent bio-compatibility and adaptability of perfluorocarbon nanoparticles: PFC NP) has established these agents as a potent targeted imaging agent and as a functional platform for non-invasive oxygen tension sensing. Direct readout and quantification of PFC NP can be achieved with fluorine: 19F) MRI because of the unique 19F signal emanating from the core PFC molecules. However, the signal is usually limited by the modest accumulated concentrations as well as several special NMR considerations for PFC NP, which renders 19F MRI technically challenging in terms of detection sensitivity, scan time, and image reconstruction. In the present dissertation, some of the pertinent NMR properties of PFC NP are investigated and new 19F MRI techniques developed to enhance their performance and expand the biomedical applications of 19F MRI with PFC NP. With the use of both theoretical and experimental methods, we evaluated J-coupling modulation, chemical shift and paramagnetic relaxation enhancement of PFC molecules in PFC NP. Our unique contribution to the technical improvement of 19F MRI of small animal involves:: 1) development of general strategies for RF 1H/19F coil design;: 2) design of novel MR pulse sequences for 19F T1 quantification; and: 3) optimization of imaging protocols for distinguishing and visualizing multiple PFC components: multi-chromatic 19F MRI). The first pre-clinical application of our novel 19F MRI techniques is blood vessel imaging and rapid blood oxygen tension measurement in vivo. Blood vessel anatomy and blood oxygen tension provide pivotal physiological information for routine diagnosis of cardiovascular disease. Using our novel Blood: flow)-Enhanced-Saturation-Recovery: BESR) sequence, we successfully visualized reduced flow caused by thrombosis in carotid arteries and jugular veins, and we quantified the oxygen tension in the cardiac ventricles of the mouse. The BESR sequence depicted the expected oxygenation difference between arterial and venous blood and accurately registered the response of blood oxygen tension to high oxygen concentration in 100% oxygen gas. This study demonstrated the potential application of PFC NP as a blood oxygen tension sensor and blood pool MR contrast agent for angiography. Another pre-clinical application investigated was functional kidney imaging with 19F MRI of circulating PFC NP. Conventional functional kidney imaging typically calls for the injection of small molecule contrast agents that may be nephrotoxic, which raises concerns for their clinical applications in patients with renal insufficiency. We demonstrated that our 19F MRI technique offers a promising alternative functional renal imaging approach that generates quantitative measurement of renal blood volume and intrarenal oxygenation. We successfully mapped the expected heterogeneous distribution of renal blood volume and confirmed the presence of an oxygenation gradient in healthy kidneys. We validated the diagnostic capability of 19F MRI in a mouse model of acute ischemia/reperfusion kidney injury. We also employed 19F MRI as a tool to test the therapeutic efficacy of a new nanoparticle-based drug, i. e. PPACK: D-phenylalanyl-L-prolyl-L-arginine chloromethyl ketone) PFC NP, which was postulated to inhibit microvascular coagulation during acute kidney injury. Based on our preliminary 19F MRI findings, we observed that PPACK PFC NP effectively reduced coagulation in our animal model, as evidenced by lesser accumulation of particles trapped by the clotting process. This finding suggests the potential for 19F MRI to be used as a drug monitoring tool as well in common medical emergencies such as acute kidney failure