Bart Steensma1, Dennis Klomp1, Nico van den Berg1, Peter Luijten1, Abe van der Werf2, and Alexander Raaijmakers1
1University Medical Centre Utrecht, Utrecht, Netherlands, 2Machnet B.V., Maarn, Netherlands
Synopsis
The forward view antenna has been introduced
as a novel antenna for ultrahigh field imaging. This study has investigated its
potential for prostate imaging where the antenna is placed between the legs, to
contribute as an additional element of an existing dipole antenna transceiver array.
A significant increase in
signal-to-noise ratio is expected because of the generally smaller distance
towards the prostate from this side. Numerical simulations and in vivo scans
show that signal-to-noise ratio in the prostate region increases as a result
of adding the forward view antenna to the dipole antenna array. Purpose
The conventional setup for prostate imaging at 7 Tesla is using a transceive surface array
with the elements aligned in a belt-like fashion around the pelvis
1-6. The B
1+-signal is transmitted through
the transverse plane towards the prostate. A possible addition to this setup
can be made by positioning an antenna between the legs of a patient against the
perineum (figure 1). The distance from such an antenna towards the prostate is
lower than through the transverse plane. This decrease in distance is expected
to result in significantly larger sensitivity/efficiency. In contrast to
conventional RF coils and antennas, such an antenna needs to radiate B
1+-signal towards
the prostate along the longitudinal rather than the transverse axis (figure 1). Such
antennas have been explored by means of a simulation study
7,8. They are called ‘forward view antennas’. In this study we will
realize a dielectric waveguide forward view antenna for prostate imaging at 7 Tesla. The basic concept of this antenna is a
waveguide filled with dielectric material
9,10. In this waveguide a
circularly polarized wave is emitted towards the prostate by two dipole
antennas. We will evaluate the benefits
of such an antenna as an extra element in an existing array of fractionated
dipole antennas
5 for prostate imaging
at 7 Tesla.
Methods
Finite-difference time domain simulations have been
performed in Sim4Life (ZMT, Zurich, CH) to show potential benefits of the
forward view antenna. Two antenna setups are simulated on the Virtual Family
human model Duke. The first antenna setup consists of the fractionated dipole
antenna array only, in the second setup the forward view antenna is added. Both
simulations are evaluated and compared in terms of B
1+ field strength in the
prostate and 10g averaged spatial peak SAR.
A first prototype of the forward view antenna was built using basic lab
equipment (figure 2). The prototype consists of two orthogonally positioned dipole
antennas that are driven in quadrature, these antennas are used to transmit and
receive circularly polarized electromagnetic fields along the longitudinal axis.
The forward view antenna was tested in the scanner on two male volunteers. The
dipole array was used in transmit and receive mode, while the forward view
antenna was used in receive mode. Results were analyzed in terms of
signal-to-noise-ratio and image quality.
Results
Figure 3a
shows a sagittal slice of the voxelized Sim4Life model that was used in the
FDTD simulations. The forward view antenna is positioned between the legs, the
prostate is shown in blue. Figure 3b shows the B
1+-field distribution. Adding
the forward view antenna to the fractionated dipole antenna array leads to an
increase of average B
1+ in the prostate of 42% (figure 4a). However, the SAR of the forward
view antenna is 200% higher than the SAR of the dipole array (figure 4b). Figures 5a-c show
results of gradient echo scans on a male volunteer. The SNR in the prostate
region increases by an average of 19.6% when the forward view antenna was added
to the setup.
Discussion
Numerical simulations show that using the forward view
antenna in addition to the fractionated dipole antenna array can lead to a substantial
increase in B
1+ in the prostate. This implies that SNR can increase at the same
rate, because a similar increase is expected for B
1-. Because of the relatively
high SAR level of the forward view antenna, this antenna has been used in receive mode only during volunteer scans. Results from the volunteer scans show that the
forward view antenna enhances image quality in the perineum region. Already
with the first prototype and in the limited set of volunteers that were used in
this study, SNR is shown to be increased in the prostate region when the
forward view antenna is used. The SNR benefit that is reached in practice does
not yet compare to the SNR benefit that is shown in simulations. Further SNR increase
as shown in simulations may be anticipated when optimizing the dielectric layer
between the forward view antenna and the perineum that currently comprises a
large air gap. A subsequent version will need an adapted shape of the waveguide
ending to better adapt to the body curvature.
Conclusion
The forward view antenna provides a non-invasive
method of improving image quality of prostate MR images at 7 Tesla. It is shown
both theoretically and in practice that the forward view antenna can improve SNR
and image quality in the prostate region.
Acknowledgements
The forward view antenna has been developed and patented in collaboration with Machnet B.V. (Maarn, The Netherlands). References
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