Feasibility of cardiac MR thermometry at 0.55 T

Radiofrequency catheter ablation is an established treatment strategy for ventricular tachycardia, but remains associated with a low success rate. MR guidance of ventricular tachycardia shows promises to improve the success rate of these procedures, especially due to its potential to provide real-time information on lesion formation using cardiac MR thermometry. Modern low field MRI scanners (<1 T) are of major interest for MR-guided ablations as the potential benefits include lower costs, increased patient access and device compatibility through reduced device-induced imaging artefacts and safety constraints. However, the feasibility of cardiac MR thermometry at low field remains unknown. In this study, we demonstrate the feasibility of cardiac MR thermometry at 0.55 T and characterized its in vivo stability (i.e., precision) using state-of-the-art techniques based on the proton resonance frequency shift method. Nine healthy volunteers were scanned using a cardiac MR thermometry protocol based on single-shot EPI imaging (3 slices in the left ventricle, 150 dynamics, TE = 41 ms). The reconstruction pipeline included image registration to align all the images, multi-baseline approach (look-up-table length = 30) to correct for respiration-induced phase variations, and temporal filtering to reduce noise in temperature maps. The stability of thermometry was defined as the pixel-wise standard deviation of temperature changes over time. Cardiac MR thermometry was successfully acquired in all subjects and the stability averaged across all subjects was 1.8 ± 1.0°C. Without multi-baseline correction, the overall stability was 2.8 ± 1.6°C. In conclusion, cardiac MR thermometry is feasible at 0.55 T and further studies on MR-guided catheter ablations at low field are warranted

Personalized 2D-selective RF excitation in high field MRI

2D spatially selective excitation (2D SSE) was used to improve structural imaging in high field MRI. The vessel wall of the aorta could be imaged with greater efficiency and reduced artefact levels when 2D SSE was used in combination with a novel black blood method, compared to regular excitation strategies. Additional benefits became available when 2D SSE was combined with parallel imaging, compared to the conventional combination with a reduced field of view. The hippocampus could be imaged at 7T field strength at unprecedented isotropic resolution versus imaging time. A method has been presented that allows 2D SSE to be used in combination with highly efficient nonselective refocusing pulses. This expanded the potential applicability of 2D SSE from gradient echo sequences to turbo spin echo sequences

Universal pulses for homogeneous excitation using single channel coils

Purpose: Universal Pulses (UPs) are excitation pulses that reduce the flip angle inhomogeneity in high field MRI systems without subject-specific optimization, originally developed for parallel transmit (PTX) systems at 7T. We investigated the potential benefits of UPs for single channel (SC) transmit systems at 3T, which are widely used for clinical and research imaging, and for which flip angle inhomogeneity can still be problematic. Methods: SC-UPs were designed using a spiral nonselective k-space trajectory for brain imaging at 3T using transmit field maps (B1+) and off-resonance maps (B0) acquired on two different scanner types: a 'standard' single channel transmit system and a system with a PTX body coil. The effect of training group size was investigated using data (200 subjects) from the standard system. The PTX system was used to compare SC-UPs to PTX-UPs (15 subjects). In two additional subjects, prospective imaging using SC-UP was studied. Results: Average flip angle error fell from 9.5+/-0.5% for 'default' excitation to 3.0+/-0.6% using SC-UPs trained over 50 subjects. Performance of the UPs was found to steadily improve as training group size increased, but stabilized after ~15 subjects. On the PTX-enabled system, SC-UPs again outperformed default excitation in simulations (4.8+/-0.6% error versus 10.6+/-0.8% respectively) though greater homogenization could be achieved with PTX-UPs (3.9+/-0.6%) and personalized pulses (SC-PP 3.6+/-1.0%, PTX-PP 2.9+/-0.6%). MP-RAGE imaging using SC-UP resulted in greater separation between grey and white matter signal intensities than default excitation. Conclusions: SC-UPs can improve excitation homogeneity in standard 3T systems without further calibration and could be used instead of a default excitation pulse for nonselective neuroimaging at 3T.Comment: Submitted to Magnetic Resonance Imagin

Combining a reduced field of excitation with SENSE-based parallel imaging for maximum imaging efficiency

\u3cp\u3ePURPOSE: To show that a combination of parallel imaging using sensitivity encoding (SENSE) and inner volume imaging (IVI) combines the known benefits of both techniques. SENSE with a reduced field of excitation (rFOX) is termed rSENSE.\u3c/p\u3e\u3cp\u3eTHEORY AND METHODS: The noise level in SENSE reconstructions is reduced by removing voxels from the unfolding process that are rendered silent by using rFOX. The silent voxels need to be identified beforehand, this is done by using rFOX in the coil sensitivity maps. In vivo experiments were performed at 7 Tesla using a 32-channel receive coil.\u3c/p\u3e\u3cp\u3eRESULTS: Good image quality could be obtained in vivo with rSENSE at acceleration factors that are higher than could be obtained using SENSE or IVI alone. With rSENSE we were also able to accelerate scans using an rFOX that was purposely designed to be imperfect or incompatible at all with IVI.\u3c/p\u3e\u3cp\u3eCONCLUSION: rSENSE has been demonstrated in vivo with two-dimensionally selective radiofrequency pulses. Besides allowing additional scan acceleration, it offers a greater robustness and flexibility than IVI. The proposed method can be used with other field strengths, anatomies and other rFOX techniques. Magn Reson Med 78:88-96, 2017. © 2016 The Authors Magnetic Resonance in Medicine published by Wiley Periodicals, Inc. on behalf of International Society for Magnetic Resonance in Medicine. This is an open access article under the terms of the Creative Commons Attribution Non Commercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.\u3c/p\u3

Phase matched RF pulse design for imaging a reduced field of excitation with a fast TSE acquisition

A method is described to design parallel transmit (PTX) excitation pulses that are compatible with turbo spin echo (TSE) sequences, based on information available from conventional per-channel B1 + mapping. The excitation phase of PTX pulses that generate a reduced field of excitation (rFOX) is matched to the phase the quadrature mode of a PTX coil. This enables TSE imaging of a PTX-enabled rFOX excitation combined with standard nonselective refocusing pulses transmitted in the quadrature mode. In-vivo imaging experiments were performed at 7T using a dual channel parallel transmit head coil. In combination with simulations, the CPMG-required excitation phase was confirmed in TSE sequences with refocusing pulses of variable flip angle. Further experiments showed that the same rFOX was generated in TSE and gradient echo sequences, enabling high-resolution imaging with parallel imaging acceleration of the rFOX

Interventional cardiac MRI using an add‐on parallel transmit MR system: In vivo experience in sheep

International audiencePurpose: We present in vivo testing of a parallel transmit system intended for interventional MR-guided cardiac procedures.Methods: The parallel transmit system was connected in-line with a conventional 1.5 Tesla MRI system to transmit and receive on an 8-coil array. The system used a current sensor for real-time feedback to achieve real-time current control by determining coupling and null modes. Experiments were conducted on 4 Charmoise sheep weighing 33.9-45.0 kg with nitinol guidewires placed under X-ray fluoroscopy in the atrium or ventricle of the heart via the femoral vein. Heating tests were done in vivo and post-mortem with a high RF power imaging sequence using the coupling mode. Anatomical imaging was done using a combination of null modes optimized to produce a useable B1 field in the heart.Results: Anatomical imaging produced cine images of the heart comparable in quality to imaging with the quad mode (all channels with the same amplitude and phase). Maximum observed temperature increases occurred when insulation was stripped from the wire tip. These were 4.1℃ and 0.4℃ for the coupling mode and null modes, respectively for the in vivo case; increasing to 6.0℃ and 1.3℃, respectively for the ex vivo case, because cooling from blood flow is removed. Heating < 0.1℃ was observed when insulation was not stripped from guidewire tips. In all tests, the parallel transmit system managed to reduce the temperature at the guidewire tip.Conclusion: We have demonstrated the first in vivo usage of an auxiliary parallel transmit system employing active feedback-based current control for interventional MRI with a conventional MRI scanner