17,477 research outputs found
Diagnostic accuracy of 3.0-T magnetic resonance T1 and T2 mapping and T2-weighted dark-blood imaging for the infarct-related coronary artery in Non-ST-segment elevation myocardial infarction
Background: Patients with recent nonâSTâsegment elevation myocardial infarction commonly have heterogeneous characteristics that may be challenging to assess clinically.
Methods and Results: We prospectively studied the diagnostic accuracy of 2 novel (T1, T2 mapping) and 1 established (T2âweighted short tau inversion recovery [T2WâSTIR]) magnetic resonance imaging methods for imaging the ischemic area at risk and myocardial salvage in 73 patients with nonâSTâsegment elevation myocardial infarction (mean age 57±10 years, 78% male) at 3.0âT magnetic resonance imaging within 6.5±3.5 days of invasive management. The infarctârelated territory was identified independently using a combination of angiographic, ECG, and clinical findings. The presence and extent of infarction was assessed with late gadolinium enhancement imaging (gadobutrol, 0.1 mmol/kg). The extent of acutely injured myocardium was independently assessed with native T1, T2, and T2WâSTIR methods. The mean infarct size was 5.9±8.0% of left ventricular mass. The infarct zone T1 and T2 times were 1323±68 and 57±5 ms, respectively. The diagnostic accuracies of T1 and T2 mapping for identification of the infarctârelated artery were similar (P=0.125), and both were superior to T2WâSTIR (P<0.001). The extent of myocardial injury (percentage of left ventricular volume) estimated with T1 (15.8±10.6%) and T2 maps (16.0±11.8%) was similar (P=0.838) and moderately well correlated (r=0.82, P<0.001). Mean extent of acute injury estimated with T2WâSTIR (7.8±11.6%) was lower than that estimated with T1 (P<0.001) or T2 maps (P<0.001).
Conclusions: In patients with nonâSTâsegment elevation myocardial infarction, T1 and T2 magnetic resonance imaging mapping have higher diagnostic performance than T2WâSTIR for identifying the infarctârelated artery. Compared with conventional STIR, T1 and T2 maps have superior value to inform diagnosis and revascularization planning in nonâSTâsegment elevation myocardial infarction.
Clinical Trial Registration: URL: http://www.clinicaltrials.gov. Unique identifier: NCT02073422
Quantitative Susceptibility Mapping: Contrast Mechanisms and Clinical Applications.
Quantitative susceptibility mapping (QSM) is a recently developed MRI technique for quantifying the spatial distribution of magnetic susceptibility within biological tissues. It first uses the frequency shift in the MRI signal to map the magnetic field profile within the tissue. The resulting field map is then used to determine the spatial distribution of the underlying magnetic susceptibility by solving an inverse problem. The solution is achieved by deconvolving the field map with a dipole field, under the assumption that the magnetic field is a result of the superposition of the dipole fields generated by all voxels and that each voxel has its unique magnetic susceptibility. QSM provides improved contrast to noise ratio for certain tissues and structures compared to its magnitude counterpart. More importantly, magnetic susceptibility is a direct reflection of the molecular composition and cellular architecture of the tissue. Consequently, by quantifying magnetic susceptibility, QSM is becoming a quantitative imaging approach for characterizing normal and pathological tissue properties. This article reviews the mechanism generating susceptibility contrast within tissues and some associated applications
MRI Super-Resolution using Multi-Channel Total Variation
This paper presents a generative model for super-resolution in routine
clinical magnetic resonance images (MRI), of arbitrary orientation and
contrast. The model recasts the recovery of high resolution images as an
inverse problem, in which a forward model simulates the slice-select profile of
the MR scanner. The paper introduces a prior based on multi-channel total
variation for MRI super-resolution. Bias-variance trade-off is handled by
estimating hyper-parameters from the low resolution input scans. The model was
validated on a large database of brain images. The validation showed that the
model can improve brain segmentation, that it can recover anatomical
information between images of different MR contrasts, and that it generalises
well to the large variability present in MR images of different subjects. The
implementation is freely available at https://github.com/brudfors/spm_superre
Learning-based Single-step Quantitative Susceptibility Mapping Reconstruction Without Brain Extraction
Quantitative susceptibility mapping (QSM) estimates the underlying tissue
magnetic susceptibility from MRI gradient-echo phase signal and typically
requires several processing steps. These steps involve phase unwrapping, brain
volume extraction, background phase removal and solving an ill-posed inverse
problem. The resulting susceptibility map is known to suffer from inaccuracy
near the edges of the brain tissues, in part due to imperfect brain extraction,
edge erosion of the brain tissue and the lack of phase measurement outside the
brain. This inaccuracy has thus hindered the application of QSM for measuring
the susceptibility of tissues near the brain edges, e.g., quantifying cortical
layers and generating superficial venography. To address these challenges, we
propose a learning-based QSM reconstruction method that directly estimates the
magnetic susceptibility from total phase images without the need for brain
extraction and background phase removal, referred to as autoQSM. The neural
network has a modified U-net structure and is trained using QSM maps computed
by a two-step QSM method. 209 healthy subjects with ages ranging from 11 to 82
years were employed for patch-wise network training. The network was validated
on data dissimilar to the training data, e.g. in vivo mouse brain data and
brains with lesions, which suggests that the network has generalized and
learned the underlying mathematical relationship between magnetic field
perturbation and magnetic susceptibility. AutoQSM was able to recover magnetic
susceptibility of anatomical structures near the edges of the brain including
the veins covering the cortical surface, spinal cord and nerve tracts near the
mouse brain boundaries. The advantages of high-quality maps, no need for brain
volume extraction and high reconstruction speed demonstrate its potential for
future applications.Comment: 26 page
- âŠ