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Traditional Poster
Weekend and Oral

Electronic Posters

Power Pitch Posters

Traditional Poster

Normal Brain

Exhibition Hall Monday, May 9, 2016: 10:45 - 12:45

1158
Impact of acquisition parameters on cortical thickness and volume derived from Multi-Echo MPRAGE scans
Ross W. Mair1,2, Martin Reuter2,3, and Andre J. van der Kouwe2

1Center for Brain Science, Harvard University, Cambridge, MA, United States, 2A.A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, United States, 3Department of Mechanical Engineering, Massachusetts Institute of Technology, Cambridge, MA, United States

The multi-echo MPRAGE (MEMPRAGE) sequence was implemented to reduce signal distortion by acquiring at a higher bandwidth and averaging multiple echoes to recover SNR while providing additional T2* information that can enhance cortical segmentation. A rapid 2-minute MEMPRAGE protocol has been implemented for large multi-center studies. Here, we investigate the impact on morphometric results for the cortex by systematically varying all the parameters modified between the rapid 2-minute scan and a conventional 6-minute structural scan. Small but significant differences in cortical thickness and gray matter volume result from a combination of the use of partial fourier acquisition and lowering the spatial resolution to 1.2mm.

1159
Quantitative comparison of MP2RAGE skull-stripping strategies
Pavel Falkovskiy1,2,3, Bénédicte Maréchal1,2,3, Shuang Yan4, Zhengyu Jin4, Tianyi Qian5, Kieran O'Brien6,7, Reto Meuli2, Jean-Philippe Thiran2,3, Gunnar Krueger2,3,8, Tobias Kober1,2,3, and Alexis Roche1,2,3

1Advanced Clinical Imaging Technology (HC CMEA SUI DI BM PI), Siemens Healthcare AG, Lausanne, Switzerland, 2Department of Radiology, University Hospital (CHUV), Lausanne, Switzerland, 3LTS5, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland, 4Department of Radiology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China, People's Republic of, 5MR Collaborations NE Asia, Siemens Helathcare, Beijing, China, People's Republic of, 6Centre for Advanced Imaging, University of Queensland, Brisbane, Australia, 7Siemens Healthcare Pty Ltd., Brisbane, Australia, 8Siemens Medical Solutions USA, Boston, MA, United States

The MP2RAGE pulse sequence exhibits higher grey-matter/white-matter contrast compared to standard MPRAGE acquisitions and provides images with greatly reduced B1 bias. In theory, these qualities of MP2RAGE should lead to more accurate morphometric results. However, a major hindrance to MP2RAGE morphometric processing is the salt-and-pepper noise in the background and cavities. This poses a major problem for the skull-stripping stage of most automated morphometry algorithms. We investigated three skull-stripping strategies using the MorphoBox prototype and FreeSurfer automated-morphometry software packages and compared them to results obtained using the gold-standard MPRAGE contrast.

1160
Synthetic Quantitative MRI through Relaxometry Modelling for Improved Brain Segmentation
Martina F Callaghan1, Siawoosh Mohammadi1,2, and Nikolaus Weiskopf1,3

1Wellcome Trust Centre for Neuroimaging, UCL Institute of Neurology, London, United Kingdom, 2Department of Systems Neuroscience, University Medical Center Hamburg-Eppendorf, Hamburg, Germany, 3Department of Neurophysics, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany

Here we exploit the inter-dependence of quantitative MRI (qMRI) parameters via relaxometry modelling to generate synthetic quantitative maps of magnetisation transfer saturation. The utility of the new concept of synthetic quantitative data is demonstrated by improving image segmentation of deep gray matter structures for neuroimaging applications.

1161
Evaluation of Pairwise and Groupwise Templates-based Approaches for Automated Segmentation of Structures in Brain MR Images
Subrahmanyam Gorthi1 and Srikrishnan Viswanathan1

1Samsung R&D Institute, Bangalore, India

This work presents a detailed investigation of two multiple-templates based fusion approaches for automated segmentation of structures in the brain MR images: (i) fusion based on direct pairwise registrations between each template and the target image, and (ii) fusion based on an intermediate groupwise template, requiring only a single onsite registration. The key finding from these evaluations is that, if computational time for automated segmentations is a major concern, then groupwise-template based registration followed by fusion is an optimal choice; if time is not a major constraint, then multiple pairwise registrations followed by fusion provides more accurate segmentations.

1162
DR-TAMAS: Diffeomorphic Registration for Tensor Accurate alignMent of Anatomical Structures
Mustafa Okan Irfanoglu1,2, Amritha Nayak1,2, Jeffrey Jenkins1,2, Elizabeth B Hutchinson1,2, Neda Sadeghi1, Cibu P Thomas1,3, and Carlo Pierpaoli1

1NICHD, NIH, Bethesda, MD, United States, 2Henry Jackson Foundation, Bethesda, MD, United States, 3CNRM, Bethesda, MD, United States

Spatial alignment of diffusion tensor MRI data is of fundamental importance for  voxelwise statistical anaysis and creation of population specific atlases of diffusion MRI metrics. In this work, we propose DR-TAMAS, a novel diffusion tensor imaging registration method which uses a spatially varying metric to achieve accurate alignment not in only in white matter but also in gray matter and CSF filled regions. Our tests indicate that  DR-TAMAS shows excellent overall performance in the entire brain, while being equivalent to the best existing methods in white matter.

1163
High resolution anatomical imaging of the human occipital lobe with a large ex-vivo 9.4T RF coil
Shubharthi Sengupta1, Ron Hellenbrand2, René Finger2, Chris Wiggins3, and Alard Roebroeck1

1Dept. of Cognitive Neuroscience, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, Netherlands, 2Lab Engineering & Instrumentation Department, Maastricht University, Maastricht, Netherlands, 3Scannexus, Maastricht, Netherlands

Small-bore animal scanners or spectroscopy systems have often been used for the investigation of small post-mortem human brain samples. These studies use the high field strengths and strong gradients, but are inherently limited to very small sample sizes. In this abstract, we discuss the acquisition of very high resolution anatomical images (100μm isotropic) of a full occipital sample as large as 80x80x80 mm3, using a customised RF receive coil-array in a large-bore 9.4 T human scanner.

1164
Cross-validation of a CSF MRI sequence for calculating brain volume by comparison with brain segmentation methods
Lisa A. van der Kleij1, Jeroen de Bresser1, Esben T. Petersen2, Jeroen Hendrikse1, and Jill B. De Vis1

1Department of Radiology, UMC Utrecht, Utrecht, Netherlands, 2Danish Research Centre for Magnetic Resonance, Centre for Functional and Diagnostic Imaging and Research, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark

We recently introduced a CSF MRI sequence to automatically measure intracranial volume (ICV) and brain parenchymal volume (BPV). This sequence with short imaging time (0:57 min) and fast post processing correlates well with qualitative brain atrophy scores. This study demonstrates that the low resolution and high resolution CSF MRI sequences perform well in the assessment of BPV and ICV, with a precision similar to the conventional brain segmentation methods FSL, Freesurfer and SPM. The CSF MRI sequence showed a good to very good correlation with the conventional segmentation methods for ICV and BPV. 

1165
A 7T Human Brain Microstructure Atlas by Minimum Deformation Averaging at 300μm
Andrew L Janke1, Kieran O'Brian2, Steffen Bollmann1, Tobias Kober3, and Markus Barth1

1Centre for Advanced Imaging, University of Queensland, Brisbane, Australia, 2Siemens Healthcare Pty Ltd, Brisbane, Australia, 3Advanced Clinical Imaging Technology, Siemens Healthcare AG, Lausanne, Switzerland

7T provides a method to see detailed image contrast in the human brain; the MP2RAGE sequence allows 500um acquisition resolution.

1166
Evaluating the variability of multicenter and longitudinal hippocampal volume measurements.
Stephanie Bogaert1, Michiel de Ruiter2, Sabine Deprez3,4, Ronald Peeters3, Pim Pullens5,6, Frank De Belder6, José Belderbos7, Sanne Schagen2, Dirk De Ruysscher8,9, Stefan Sunaert3,4, and Eric Achten1

1Radiology, Ghent University Hospital, Ghent, Belgium, 2Psychosocial Research and Epidemiology, Netherlands Cancer Institute, Amsterdam, Netherlands, 3Radiology, Leuven University Hospital, Belgium, 4Imaging and Pathology, KU Leuven, Belgium, 5Radiology, University of Antwerp, Belgium, 6Radiology, Antwerp University Hospital, Belgium, 7Radiation Oncology, Netherlands Cancer Institute, Amsterdam, Netherlands, 8Radiation Oncology, MAASTRO clinic Maastricht, Netherlands, 9Respiratory Oncology, Maastricht University Medical Center, Netherlands

Longitudinal multicenter MRI studies require stable and comparable measurements. We scanned two subjects in six different scanners (two vendors) at different time points and assessed hippocampal volumes manually and automatically. 

Intrascanner CV was <2.62% for both techniques; Freesurfer is a good alternative for manual delineation for longitudinal studies.

Intervendor variability was sometimes lower than intrascanner variability for the manual technique, which suggests only a modest effect of hardware differences across vendors. Freesurfer results were systematically higher for vendor B compared to A; it is not recommended to compare cross-sectional Freesurfer results between vendors in this multicenter study.

 

 

 

 

 

1167
Evaluation of 3D T1-weighted imaging at 3 T across scanner vendors and models
Sjoerd B Vos1,2, M Jorge Cardoso1, Marzena Wylezinska-Arridge3, David L Thomas1,3, Enrico De Vita3,4, Marios C Yiannakas5, David Carmichael6, John S Thornton3,4, Olga Ciccarelli5, John S Duncan2,7, and Sebastien Ourselin1

1Translational Imaging Group, University College London, London, United Kingdom, 2MRI Unit, Epilepsy Society, Chalfont St Peter, United Kingdom, 3Neuroradiological Academic Unit, Department of Brain Repair and Rehabilitation, UCL Institute of Neurology, London, United Kingdom, 4Lysholm Department of Neuroradiology, National Hospital for Neurology and Neurosurgery, London, United Kingdom, 5Department of Neuroinflammation, UCL Institute of Neurology, London, United Kingdom, 6Institute of Child Health, University College London, London, United Kingdom, 7Department of Clinical and Experimental Epilepsy, UCL Institute of Neurology, London, United Kingdom

Volumetric analyses of 3D T1-weighted images has become an integral part of the clinical work-up and research studies. Variation between scanners, in both vendors and models, is a major confound in combining imaging-derived biomarkers across sites. In this work, we analyse test-retest data from different days on six 3 T scanners from three vendors to quantify this inter-scanner variability compared to intra-scanner variability. Contrast-to-noise ratios as well as volumetric analyses are performed showing between-scanner variation in total brain volumes – indicating different scanner calibrations – but also tissue-specific differences – possibly arising from different effective contrasts.

1168
Basic MR sequence parameters systematically bias automated brain volume estimation
Sven Haller1,2,3,4, Pavel Falkovskiy5,6,7, Reto Meuli6, Jean-Philippe Thiran7, Gunnar Krueger8, Karl-Olof Lovblad1,9, Alexis Roche5,6,7, Tobias Kober5,6,7, and Bénédicte Maréchal5,6,7

1Faculty of Medicine of the University of Geneva, Geneva, Switzerland, 2Affidea Centre de Diagnostique Radiologique de Carouge CDRC, Geneva, Switzerland, 3Department of Surgical Sciences, Radiology, Uppsala University, Uppsala, Sweden, 4Department of Neuroradiology, University Hospital Freiburg, Freiburg, Germany, 5Advanced Clinical Imaging Technology (HC CMEA SUI DI BM PI), Siemens Healthcare AG, Lausanne, Switzerland, 6Department of Radiology, University Hospital (CHUV), Lausanne, Switzerland, 7LTS5, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland, 8Siemens Medical Solutions USA, Inc., Boston, ME, United States, 9University Hospitals of Geneva, Geneva, Switzerland

Standard MR parameters, notably spatial resolution, contrast and image filtering, systematically bias results of automated brain MRI morphometry by up to 4.8%. This is in the same range as early disease-related brain volume alterations, for example in Alzheimer's disease. Automated brain segmentation software packages should therefore require strict MR parameter selection or include compensatory algorithms to avoid MR-parameter-related bias of brain morphometry results.

1169
Distortion correction in diffusion weighted imaging of the brain: a quantitative comparison of four correction approaches
Ileana Hancu1, Ek Tsoon Tan1, Luca Marinelli1, Nathan White2, Dominic Holland2, Tim Sprenger3, and Jonathan Sperl3

1GE Global Research Center, Niskayuna, NY, United States, 2University of California San Diego, San Diego, CA, United States, 3GE Global Research Center, Munich, Germany

The performance of four distortion correction algorithms was investigated in a cohort of normal volunteers. While all approaches reduced distortion, it was found that the reversed polarity gradient methods were inherently better than registration or B0-mapping approaches. It was likely that the limited degrees of freedom of the registration approach could not account for localized magnetic field inhomogeneity. The extrapolation of B0 maps in the distorted EPI space introduced errors that decreased the overall performance of the B0-mapping method. 

1170
3D FLASH Optimization with Improved Contrast Efficiency and Image Inhomogeneity Correction
Jinghua Wang1, Lili He2, and Zhong-Lin Lu1

1The Ohio State Univeristy, Columbus, OH, United States, 2Center for Perinatal Research, Nationwide Children’s Hospital, Columbus, OH, United States

The 3D FLASH sequence is frequently used in structural imaging of the brain. Tissue contrast inhomogeneity, resulting from inhomogeneous transmit field and receiver sensitivity, significantly affects quantitative structural brain analyses such as classification and quantification of brain tissues in voxel-based morphometry and detection of pathological brain changes in clinical studies.  It is important to optimize the sequence to jointly improve contrast efficiency and image homogeneity.   In this work, we propose optimal imaging parameters and present methods to improve contrast efficiency and reduce or eliminate image inhomogeneity.   

1171
The Neural Basis of Visual Field Asymmetry in Human Visual System by Functional MRI
Caitlin O'Connell1, Leon Ho2,3, Matthew Murphy2, Yolandi van der Merwe1,2, Ian Conner1,2, Gadi Wollstein1,2, Joel Schuman1,2, Rakie Cham1, and Kevin Chan1,2

1Department of Bioengineering, University of Pittsburgh, Pittsburgh, PA, United States, 2UPMC Eye Center, Eye and Ear Institute, Ophthalmology and Visual Science Research Center, Department of Ophthalmology, University of Pittsburgh, Pittsburgh, PA, United States, 3Department of Electrical and Electronic Engineering, The University of Hong Kong, Pokfulam, Hong Kong

Human visual performance has been observed to exhibit superiority in the lower visual field and horizontal meridian compared to the upper visual field and vertical meridian, respectively, in response to many classes of stimuli, but the underlying neural mechanisms remain unclear. This study determines if processing of visual information is dependent on the location of stimuli in the visual field using functional MRI. The results show stronger brain responses and larger activation volumes upon flickering visual stimulation to the lower hemifield compared to upper hemifield, while only the activation size differed between visual presentations to the horizontal and vertical meridians.

1172
Synthetic MRI: an old concept becomes practical
Christina Andica1, Akifumi Hagiwara1,2, Misaki Nakazawa1,3, Masaaki Hori1, Saori Shiota1, Mariko Yoshida1, Kanako Sato1, Yuko Takahashi1, Kanako Kumamaru1, Michimasa Suzuki1, Atsushi Nakanishi1, Kouhei Tsuruta1,3, Ryo Ueda1,3, and Shigeki Aoki1

1Department of Radiology, Juntendo University School of Medicine, Tokyo, Japan, 2Department of Radiology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan, 3Department of Radiological Sciences, Graduate School of Human Health Sciences, Tokyo Metropolitan University, Tokyo, Japan

Synthetic magnetic resonance imaging (MRI) is a technique which can be used to synthesize contrast-weighted images based on quantification of the longitudinal T1 relaxation, the transverse T2 relaxation, the proton density (PD), and the amplitude of the local radio frequency B1 field. Synthetic MRI images were useful in the evaluation of brain disorders. With Synthetic MRI, echo time (TE), repetition time (TR), and inversion time (TI) of the contrast-weighted image can be freely adjusted retrospectively to optimize image quality. Limitation of synthetic MRI is the partial volume effect.

1173
Towards Higher Spatial Resolution Echo-Planar-Imaging With A Compact Head 3T System
Ek T Tan1, Seung-Kyun Lee1, Paul Weavers2, Matthew Middione3, Matt A Bernstein2, John Huston2, and Thomas KF Foo1

1GE Global Research, Niskayuna, NY, United States, 2Mayo Clinic, Rochester, MN, United States, 3GE Healthcare, Menlo Park, CA, United States

It is challenging to increase spatial resolution (≤1.5 mm) in whole-brain, single-shot echo-planar-imaging (ss-EPI) on conventional whole-body systems due to EPI distortion and limited SNR. A compact head 3T system with an asymmetric head gradient coil capable of high gradient amplitude and 3.5 times the slew rate of whole-body systems can enable ss-EPI acquisition with high spatial resolution and reduced spatial distortion, simultaneously. This work compares spin-echo and gradient-recalled-echo ss-EPI between the compact and whole-body systems, showing substantially reduced distortion and signal dropout, and shorter echo-times. Results with the high performance gradient were also demonstrated in multi-band-accelerated, high b-value diffusion-imaging.

1174
Susceptibility Weighted Imaging in Different Regions of Human Brain at 7T
Yeong-Jae Jeon1,2, Sang-Woo Kim1,2, Joo-Yeon Kim1, Young-Seok Park3, and Hyeon-Man Baek1,2

1Bio-Imaging Research Team, Korea Basic Science Institute, Ochang, Korea, Republic of, 2Bio-Analytical Science, University of Science & Technology, Daejeon, Korea, Republic of, 3College of Medicine, Chungbuk National University, Cheongju-si, Korea, Republic of

The purpose of this study was to investigate contrast enhancement difference of SWI from human brain regions at 7T, and to compare contrast enhancement between cortical, anterior septal, and hippocampal veins. Five healthy volunteers (mean±SD, 24.4±1.67 years) participating in this study were scanned on 7T. The observation in this work was the significant difference of contrast enhancement of cortical and other veins, and no significant contrast enhancement difference between anterior septal and hippocampal veins. In conclusion, contrast enhancement of human brain at 7T depends on the regions giving higher cortical vein contrast with respect to anterior septal and hippocampal veins. 


1175

The cerebrovascular response to a single session of exercise
Jessica Steventon1, Catherine Foster1, Daniel Helme2, Monica Busse3, and Kevin Murphy1

1CUBRIC, Cardiff University, Cardiff, United Kingdom, 2School of Medicine, Cardiff University, Cardiff, United Kingdom, 3School of Healthcare Sciences, Cardiff University, Cardiff, United Kingdom

Here we examine the acute effects of a single exercise session on cerebrovasculature using a multi-TI arterial spin labelling (ASL) sequence to measure cerebral blood flow (CBF), and a dual-echo ASL sequence with hypercapnia to measure cerebrovascular reactivity (CVR). We show that contrary to previous smaller studies, 20-minutes of aerobic exercise does not affect CBF or CVR in the 60-minute period after exercise. Despite this, changes in CBF after exercise were related to individually-determined systemic physiological changes associated with exercise intensity, informing on moderators of cerebral autoregulation.

1176
Vessel-size dependent response of human cerebral arteries to hyperoxia
Esther AH Warnert1, Ian D Driver1, Joseph Whittaker1, and Kevin Murphy1

1Cardiff University Brain Research Imaging Centre, Cardiff University, Cardiff, United Kingdom

Due to the potential of using hyperoxia as a treatment for cerebral ischemic diseases, including stroke, it is important to fully understand the effects of hyperoxia on the cerebrovasculature. Although it is known that breathing of 100% O2 leads to a decrease in cerebral blood flow, it is unclear where along the cerebral arterial tree vasoconstriction occurs. Here we show that, while there is expected constriction of the large arteries, smaller and more distal arteries actually show vasodilation upon hyperoxia.


Traditional Poster

Neuro: Clinical Studies

Exhibition Hall Monday, May 9, 2016: 10:45 - 12:45

1177
An Investigation of Lateral Geniculate Nucleus(LGN) Volume in Patients with Glaucoma using 7T MRI
Hye Jin Jeong1, Jong Yeon Lee2, Jong Hwan Lee2, Yu Jeong Kim2, Eung Yeop Kim3, Young Yeon Kim4, Zang-Hee Cho1, and Young-Bo Kim1

1Neuroscience Research Institute, Incheon, Korea, Republic of, 2Gil Hospital, Department of Ophthalmology, Incheon, Korea, Republic of, 3Gil Hospital, Department of Radiology, Incheon, Korea, Republic of, 4Korea University College of Medicine, Department of Ophthalmology, Seoul, Korea, Republic of

To investigate lateral geniculate nucleus (LGN) volume of glaucoma patients compared with age-matched normal controls using ultra-high field 7.0-T magnetic resonance imaging (MRI). On high-resolution 7.0-T MRI, LGN volumes in POAG patients are significantly smaller than those of healthy subjects. Furthermore, in patients, LGN volume was found to be significantly correlated with ganglion cell layer and inner plexus layer (GC–IPL) thickness of the contralateral eye.

1178
Regional Brain Iron Mapping in Patients with Obstructive Sleep Apnea Syndrome
Sudhakar Tummala1, Daniel W Kang2, Bumhee Park1, Ruchi Vig1, Mary A Woo3, Ronald M Harper4,5, and Rajesh Kumar1,5,6,7

1Anesthesiology, University of California at Los Angeles, Los Angeles, CA, United States, 2Medicine, University of California at Los Angeles, Los Angeles, CA, United States, 3UCLA School of Nursing, Los Angeles, CA, United States, 4Neurobiology, University of California at Los Angeles, Los Angeles, CA, United States, 5Brain Research Institute, University of California at Los Angeles, Los Angeles, CA, United States, 6Radiological Sciences, University of California at Los Angeles, Los Angeles, CA, United States, 7Bioengineering, University of California at Los Angeles, Los Angeles, CA, United States

OSA subjects show brain injury in multiple areas, which may contribute to accumulation of iron in those sites. Deposition of iron in OSA subjects is unclear. We examined regional iron deposition using T2*-relaxometry procedures; R2* values were significantly increased in insular, parietal, cingulate and cingulum bundle, temporal, and cerebellar areas. The increased iron depositions in OSA subjects may result from neural and white matter injury, including myelin and glial dysfunction, with iron potentially accelerating tissue degeneration. These data suggest that interfering with the iron action may reduce the exacerbation of injury in OSA.

1179
Measurement of Brain Asymmetry on 3D Magnetic Resonance (MR) Images Obtained for 16 Subjects with Situs Inversus
X. Li1, Neil Roberts1, M. Perrins1, and G. Vingerhoets2

1University of Edinburgh, Edinburgh, United Kingdom, 2Department of Experimental Psychology, Ghent University, Ghent, Belgium

The human brain is structurally asymmetric and typically described as if it has been subject to a rotational moment about the vertical axis of the body, the so-called “Yakovlevian Torque”. In subjects with situs inversus totalis (SI) the internal organs of the body are transposed and it has been obvious to question whether in these subjects brain torque is also reversed? We recruited 16 subjects with SI and 16 age, sex and education matched controls (SS) and applied state of the art image analysis techniques to investigate the extent to which brain asymmetry is reversed on 3D MR images in these subjects. Analysis of the frontal and occipital petalia has confirmed previous reports of significant reversal of the latter but not the former on average in SI, and has also shown that reversed asymmetry is not present in all individuals with SI. 

1180
QUANTITATIVE MEASURES OF BRAIN CHANGES IN CHILDREN WHO DO JUDO ON MRI
Tina Seah1, Tang Phua Hwee1, Toh Zhe Han1, Gu Qing Long2, and Wong Weng Hang2

1Diagnostic Imaging, KK women's and children's hospital, singapore, Singapore, 2singapore, Singapore

Quantitative study of the brain changes between young judo athletes and normal children who do not do judo, using diffusion tensor imaging (DTI) and magnetic resonance spectroscopy (MRS). Study shows significant increased fractional anisotropy (FA) of the major white matter tracks (corpus callosum, corticospinal tracks, superior longitudinal fasciculus) with slight increase in N-acetylaspartate to Creatine (NAA/Cr) ratio in the parietal white matter bilaterally.  The increased FA and NAA/Cr ratios support structural changes involving grey matter volumes in the cortical cerebral grey matter described in published literatures on athletes.

1181
Visualization of the pituitary gland region’s perforating branch artery before transsphenoidal surgery using a high-spatial-resolution three-dimensional fast spin echo sequence
Keiya Hirata1, Osamu Tachibana2, Chihiro Watari1, Tatsunori Kuroda1, Nanako Miyamoto1, Saeko Tomida1, Masaru Takahashi1, Tomokazu Oku1, Shigeo Miyazaki1, Masahiro Kawashima1, Naoko Tsuchiya3, Ichirou Toyota3, Mariko Doai3, and Hisao Tonami3

1Division of radiology, Kanazawa medical university, Uchinada, Japan, 2Department of neurosurgery, Kanazawa medical university, Uchinada, Japan, 3Department of radiology, Kanazawa medical university, Uchinada, Japan

Transsphenoidal surgery is performed in the surgery of the pituitary region. The perforating branch which performs a nutrient of optic nerve and a mamillary body is present in the cistern around the pituitary gland. We can reduce complications of the surgery if we can identify a perforating branch before surgery.We try to visualize the perforating branch as black blood MRA using the high spatial resolution 3D-FSE sequence. We examined the optimal conditions at phantoms and normal volunteers. The optimal condition was a combination of TR2400msec/2shots, and the imaging time was 20 min and 45 s.

1182
Subtractionless MR Angiography of the Neck Using Dixon-based MRI
Ivan E Dimitrov1,2, Qing Yuan3, Sepand Salehian3, Gaurav Khatri3, Marco Pinho3, and Ivan Pedrosa2,3

1Philips Medical Systems, Cleveland, OH, United States, 2Advanced Imaging Research Center, UT Southwestern Medical Center, Dallas, TX, United States, 3Radiology, UT Southwestern Medical Center, Dallas, TX, United States

We investigated the ability of dynamic contrast-enhanced (DCE) dual-echo multi-peak Dixon-based imaging to generate MR angiography of the neck, without the need of subtraction thus eliminating the possibility of errors due to motion. In six patients with multiple sclerosis, DCE MRA based on subtraction of pre-contrast from post-contrast images was compared with MRA generated solely from the post-contrast data where fat suppression was achieved using Dixon-based water imaging. While high levels of vessel-to-background contrast was observed in both methods, the subtractionless DIXON-MRA resulted in higher overall contrast for the aortic arch, the brachiocephalic arteries, and the carotid bifurcation. 

1183
Are Negative BOLD Responses Induced by Acupuncture Associated with Neural Inhibitive Effects? : an MRS & BOLD Functional MRI Study
Jiliang Fang1, Yanping Zhao1, Sinyeob Ahn2, Guiyong Liu1, Caixia Fu3, Jin Yang1, Xiaoling Wang1, Bo Hou4, Feng Feng4, and Tianyi Qian5

1Radiology, Guang An Men Hospital, China Academy of Chinese Medical Sciences, Beijing, China, People's Republic of, 2MR Collaboration, Siemens Healthcare, San Francisco, CA, United States, 3APPL, Siemens Shenzhen Magnetic Resonance Ltd., Shenzhen, China, People's Republic of, 4Radiology, Peking Union Medical College Hospital, Beijing, China, People's Republic of, 5MR Collaborations NE Asia, Siemens Healthcare, Beijing, China, People's Republic of

This study investigates the neurotransmitter basis of the negative response in the medial prefrontal cortex induced by acupuncture stimulus. The MEGA-PRESS 1H-MRS sequence was used to detect the gamma-aminobutyric acid (GABA) and Glutamine (Glu) concentration before and after acupuncture stimulation in normal subjects. The result showed that the GABA concentrations were decreased, while the Glu/Gln concentrations were increased. The task-fMRI data acquired during acupuncture stimulation showed deactivation in the same area. These results suggest that the deactivated BOLD response induced by acupuncture might be associated with the neural inhibition effects.

1184
MR and Proton MR Spectroscopy Findings of a Pediatric Case with Solitary Intracranial Rosai-Dorfman Disease in the Posterior Fossa
Sehnaz Tezcan1, Muhtesem Agildere1, Taner Sezer2, Ozge Ozturk1, and Aydın Sav3

1Radiology, Baskent University Hospital, Ankara, Turkey, 2Pediatrics, Division of Neurology, Baskent University Hospital, Ankara, Turkey, 3Pathology, Acıbadem Maslak Hospital, Istanbul, Turkey

Rosai-Dorfman disease (RDD) is a histioproliferative disorder, rarely affects central nervous system.  A 5-year old boy presented with ptosis, diplopia. MR revealed enhancing mass in the cerebellar pedincle and pons. MR Spectroscopy (MRS) of the lesion showed increased Choline/N-acetyl aspartate ratio and lactate peak.. Histopathology was compatible with RDD. Although intracranial RDD generally presents as dural based lesions and supratentorial in location, intraparencymal lesions may be seen.. In this case report a rare form of RDD, posterior fossa parenchyma involvement presented with particular interest to brain MR, MRS and diffusion findings.

1185
Cervical spondyloarthropathy due to the dialysis-related amyloidosis: magnetic resonance imaging findings
Hale Turnaoglu1, Kemal Murat Haberal1, Ozlem Isiksacan Ozen2, and Ahmet Muhtesem Agildere1

1Radiology, Baskent University, Faculty of Medicine, Ankara, Turkey, 2Pathology, Baskent University, Faculty of Medicine, Ankara, Turkey

Dialysis-related amyloidosis that occurs secondarily to the deposition of amyloid fibrils containing beta-2-microglobulin, is a type of amyloidosis affecting patients undergoing long-term hemodialysis. It involves the osteoarticular system predominantly. Destructive spondyloarthropathy, which frequently involves the cervical spine, have been reported only sporadically. CT is the best modality for detecting osseous erosion or small areas of osteolysis in cortical bone. MRI shows the extent and distribution of osseous, articular, spinal cord and soft-tissue involvement and indicates amyloid deposits in the intervertebral disk, synovium of apophyseal joints, and ligaments. The gold standart of the diagnosis is the histological identification of beta-2-microglobulin.

1186
Increased Glutamate in Frontal Lobe of HIV Infected Patients with CNS involvement: 3T MRS Study
Virendra Kumar1, Devender Bairwa2, Surabhi Vyas3, Achal Srivastava4, Bimal K Das5, R. M. Pandey6, S. K. Sharma2, Sanjeev Sinha2, and N. R. Jagannathan1

1Department of NMR, All India Institute of Medical Sciences, New Delhi, India, 2Department of Medicine, All India Institute of Medical Sciences, New Delhi, India, 3Department of Radiology, All India Institute of Medical Sciences, New Delhi, India, 4Department of Neurology, All India Institute of Medical Sciences, New Delhi, India, 5Department of Microbiology, All India Institute of Medical Sciences, New Delhi, India, 6Department of Biostatistics, All India Institute of Medical Sciences, New Delhi, India

We investigated the effect of HIV infection status on brain metabolites in HIV patients with CNS involvement and asymptomatic HIV patients. 71 subjects were studied including HIV patients with CNS involvement, asymptomatic HIV patients and healthy controls. Single voxel MRS was carried out at 3.0 Tesla MR scanner and metabolite concentrations were determined from three brain regions; left frontal, left basal ganglia and lesion in case of HIV patients with CNS involvement. Glx (Glu+Gln) and creatine were significantly increased in HIV patients in frontal region compared to healthy controls. The concentration of N-acetylaspartate in basal ganglia showed a significant decrease in HIV patients.

1187
Regional Brain Myelin Mapping in Patients with Obstructive Sleep Apnea
Sudhakar Tummala1, Bumhee Park1, Ruchi Vig1, Mary A Woo2, Daniel W Kang3, Ronald M Harper4,5, and Rajesh Kumar1,5,6,7

1Anesthesiology, University of California at Los Angeles, Los Angeles, CA, United States, 2UCLA School of Nursing, Los Angeles, CA, United States, 3Medicine, University of California at Los Angeles, Los Angeles, CA, United States, 4Neurobiology, University of California at Los Angeles, Los Angeles, CA, United States, 5Brain Research Institute, University of California at Los Angeles, Los Angeles, CA, United States, 6Radiological Sciences, University of California at Los Angeles, Los Angeles, CA, United States, 7Bioengineering, University of California at Los Angeles, Los Angeles, CA, United States

Obstructive sleep apnea (OSA) patients show gray matter injury in multiple brain areas based on various MRI techniques, which can accompany subcortical and white matter myelin integrity loss in the condition. However, the extent of regional myelin changes in OSA is unclear. We examined regional myelin integrity in newly-diagnosed, treatment-naive OSA patients, and found decreased values, probably resulting from hypoxic/ischemic processes, in critical autonomic, cognitive, respiratory, and mood control sites, functions that are deficient in the condition. These findings show that myelin mapping, based on the ratio of T1- and T2-weighted images, is useful in assessing regional myelin alterations.

1188
Investigation of 1H MRS changes in the brain of osteoarthritis patients in relation to perceived pain
Franklyn Arron Howe1, Olakunbi Harrison2, Thomas Richard Barrick1, and Nidhi Sofat2

1Neuroscience Research Centre, St George's, University of London, London, United Kingdom, 2Institute for Infection and Immunity, St George's, University of London, London, United Kingdom

Chronic pain from osteoarthritis (OA) may be aggravated by “central sensitisation”, whereby pain-processing pathways become sensitised by inflammatory and degenerative disease processes. 1H MRS was used to investigate biochemical changes in pain processing brain areas of hand OA patients (n=32) compared to controls (n=14). There were no differences between controls and patients in the anterior cingulate gyrus, nor age related changes. In the insula cortex mI/Glx correlated with the pain score (R2 = 0.52, p = 0.018) after co-varying for age. High mI/Glx in the insula cortex was associated with high pain and may reflect inflammatory effects or neurological changes.

1189
Brain bioenergetics as markers of vigilance failure in obstructive sleep apnoea
Caroline D Rae1, Haider Naqvi2, Andrew Vakulin2,3, Angela D'Rozario2, Michael Green1, Hannah Openshaw2, Keith Wong2,4, Jong-Won Kim5, Delwyn J Bartlett6, Doug McEvoy7, and Ronald R Grunstein6

1The University of New South Wales, Randwick, Australia, 2NHMRC Centers of Research Excellence, CIRUS and NeuroSleep, Woolcock Institute of Medical Research, The University of Sydney, Sydney, Australia, 33. Adelaide Institute for Sleep Health: A Flinders Centre of Research Excellence, School of Medicine, Flinders University, Adelaide, Australia, 4Sydney Medical School, The University of Sydney, Sydney, Australia, 5School of Physics, The University of Sydney, Sydney, Australia, 6NeuroSleep and Woolcock Institute of Medical Research, The University of Sydney, Sydney, Australia, 7Adelaide Institute for Sleep Health: A Flinders Centre of Research Excellence, School of Medicine, Flinders University, Adelaide, Australia

Here, we investigated the potential for MRS/MRI markers to differentiate between phenotypes of obstructive sleep apnea patients who are vulnerable, versus resistant to vigilance failure, an indicator of driving impairment and accident risk. Vulnerable patients (N = 15) and resistant patients (N = 30) were differentiated on the basis of left orbito-frontal glutamate and aspartate and also anterior cingulate glutathione levels. There was a trend towards lower orbitofrontal creatine levels in vulnerable OSA subjects, but no group differences in brain volumes.

1190
A Diffusional Kurtosis Imaging Study of the White Matter Abnormalities in Type-2 Diabetic Brain
YING XIONG1,2, Shun Zhang1, Qiang Zhang3, and Wenzhen Zhu1

1Radiology Department, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China, People's Republic of, 2Certer for MR Research, University of Illinois at Chicago, Chicago, IL, United States, 3Neurology Department, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China, People's Republic of

This study aims at investigating brain microstructural changes in white-matter (WM) of type 2 diabetes mellitus (T2DM) patients using diffusional kurtosis imaging (DKI), and making a comparison with diffusion tensor metrics. Thirty T2DM patients and 28 health controls were recruited and imaged on a 3 Tesla scanner. It was found that in the whole-brain and atlas-based analysis, mean kurtosis (MK) detected more regions with WM alterations than fractional anisotropy (FA), especially in some regions including crossing fibers. DKI can complement conventional DTI and provide more information to characterize and pinpoint brain microstructural changes in WM of T2DM patients.

1191
Hematopoietic stem cell transplantation in late-onset Krabbe disease halts demyelination and axonal loss: A 4 year longitudinal case study
Cornelia Laule1,2, Elham Shahinfard1, Burkhard Maedler1, Jing Zhang1, Irene Vavasour1, Ritu Aul3, David K.B. Li1,4, Alex L. MacKay1,5, and Sandra Sirrs6

1Radiology, University of British Columbia, Vancouver, BC, Canada, 2Pathology & Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada, 3Medical Genetics, North York General Hospital, Toronto, ON, Canada, 4Medicine (Neurology), University of British Columbia, Vancouver, BC, Canada, 5Physics & Astronomy, University of British Columbia, Vancouver, BC, Canada, 6Medicine (Endocrinology), University of British Columbia, Vancouver, BC, Canada

Late-onset Krabbe disease is a very rare demyelinating leukodystrophy. We found hematopoietic stem cell transplantation in Krabbe disease halts demyelination and axonal loss up to 4 years post-allograft. Abnormalities far beyond those visible on conventional imaging were detected, suggesting a global pathological process occurs in Krabbe disease with adult onset etiology, with myelin being more affected than axons. However, the degree of Krabbe abnormality did not increase over time for any advanced MR metrics, which supports hematopoietic stem cell transplantation as an effective treatment strategy for stopping progression associated with late-onset Krabbe disease.


Traditional Poster

Connectomics

Exhibition Hall Monday, May 9, 2016: 10:45 - 12:45

1192
Phase of quasi-periodic patterns in the brain predicts performance on psychomotor vigilance task in humans
Anzar Abbas1, Waqas Majeed2, Garth Thompson3, and Shella Keilholz4

1Neuroscience Program, Emory University, Atlanta, GA, United States, 2School of Science and Engineering, Lahore University of Management Sciences, Lahore, Pakistan, 3Radiology and Biomedical Imaging, Yale University, New Haven, CT, United States, 4Biomedical Engineering, Emory University and Georgia Institute of Technology, Atlanta, GA, United States

Functional organization of brain networks plays an important role in behavior. Analysis of the dynamics of two functional networks – the default mode (DMN) and task positive (TPN) networks – has shown a dependency of task performance on relative network activation. Fluctuations between these two networks have been seen to occur in humans in a continuous, quasi-periodic fashion. However, the nature of these quasi-periodic patterns (QPPs) and their effect on behavior is not well understood. We show that QPPs do not differ between resting state and task-based scans and that the phase of these QPPs can serve as predictors of performance on the psychomotor vigilance task (PVT).

1193
Reduced low frequency band power in resting state activity predicts symptom severity in mild traumatic brain injury (mTBI)
Radhika Madhavan1, Suresh E Joel1, Sumit Niogi2, John A Tsiouris2, Luca Marinelli3, and Teena Shetty2

1GE Global Research, Bangalore, India, 2Hospital for special surgery, New York, NY, United States, 3GE Global Research, Niskayuna, NY, United States

mTBI diagnosis is controversial since although the brain appears normal on CT/MRI scans,  a significant proportion of patients display persistent cognitive impairments up to 6 months post-injury. We recorded rs-fMRI in mTBI patients longitudinally over 3 months, to track functional changes in the brain as patients recovered. Symptom scores were negatively correlated with fractional power in the low-frequency band (0.01-0.1 Hz) of rs-fMRI, and this correlation was most significant in the higher visual, salience and sensorimotor networks. We suggest that low frequency power of rs-fMRI can be used as a biomarker for predicting severity of cognitive impairment in brain injury.

1194
Modular changes in functional connectivity associated with clinical symptoms in mild traumatic brain injury (mTBI)
Radhika Madhavan1, Hariharan Ravishankar1, Suresh E Joel1, Rakesh Mullick1, Sumit Niogi2, John A Tsiouris2, Luca Marinelli3, and Teena Shetty4

1GE Global Research, Bangalore, India, 2Weill Cornell Medical College, New York, NY, United States, 3GE Global Research, Niskayuna, NY, United States, 4Hospital for Special Surgery, New York City, NY, United States

Although most mTBI patients recover by 3-6 months, they suffer serious short and long term effects. Additionally, multiple mTBIs may have serious long-term consequences. Here, we correlated brain network-level connectivity features derived from resting state functional magnetic resonance imaging (rs-fMRI) with clinical symptoms, in order to identify neuroimaging biomarkers of mTBI as patients recover over 3 months. We used a machine-learning framework to select connectivity features associated with symptoms and identified functional regions with altered connectivity. These modular network-level features can be used as diagnostic tools for predicting disease severity and recovery profiles.

1195
Disruption of the Relationship between Default Mode Network Connectivity and Task-related Deactivation in Patients with Mild Traumatic Brain Injury
David Yen-Ting Chen1,2, Yi-Tien Li1,3, Chien-Yuan Eddy Lin4,5, Chi-Jeng Chen1, and Ying-Chi Tseng1

1Department of Radiology, Shuang-Ho Hospital, Taipei Medical University, New Taipei City, Taiwan, 2Brain and Consciousness Research Center, Taipei Medical University, Taipei City, Taiwan, 3Institute of Biomedical Engineering, National Taiwan University, Taipei City, Taiwan, 4GE Healthcare, Taipei City, Taiwan, 5MR Advanced Application and Research Center, GE Healthcare, Beijing City, China, People's Republic of

Mild traumatic brain injury (MTBI) may cause disruption of default mode network (DMN) in patients. We found differences in both resting state DMN connectivity and task-related deactivation between MTBI patients and healthy controls. Although no significant within-network difference was found in the DMN connectivity between patients and controls, there was increased extra-network connection to the left inferior frontal gyrus in the patients. Significantly more profound task-related deactivation was found in the patients, especially in bilateral IPCs. Increased task-related deactivation may imply the patients need more attention on performing the WM tasks. Furthermore, significant correlation between resting state connectivity and task-related deactivation of DMN was found in healthy controls and this rest-task correlation was disrupted in the patients.


1196
mTBI symptom severity is associated with functional connectivity of specific networks
Suresh Emmanuel Joel1, Radhika Madhavan1, Rakesh Mullick1, Sumit Niogi2, John A Tsiouris2, Luca Marinelli3, and Teena Shetty4

1Diagnostic Imaging and Biomedical Technologies, General Electric Global Research, Bangalore, India, 2Weill Cornell Medical College, New York, NY, United States, 3Diagnostic Imaging and Biomedical Technologies, General Electric Global Research, Niskayuna, NY, United States, 4Hospital for Special Surgery, New York, NY, United States

Patients who suffer from mild traumatic brain injury (mTBI) have cognitive and behavioral deficits though MR and CT appear normal. Functional neuroimaging has high promise to provide biomarkers which may enable better prognosis and therapy of mTBI. The work here shows in a large sample (78 mTBI patients and 26 controls in 3 sessions spanning 3 months from injury), significant correlation between functional connectivity in visual, motor and default mode networks and self-reported symptom scores. Given this association, functional connectivity stands to be an important contributor to predict mTBI outcome.

1197
Resting-state functional connectivity reveals age-related difference in Valproate-induced rat autism model
Hsin-Yi Lai1, Hui-Ching Lin2,3, Hui-Yu Wang4, Jun-Cheng Weng5, Han-Fang Wu2, and You-Yin Chen4

1Interdisciplinary Institute of Neuroscience and Technology (ZIINT), Zhejiang University, Hangzhou City, China, People's Republic of, 2Department and Institute of Physiology, National Yang-Ming University, Taipei, Taiwan, 3Brain Research Center, National Yang Ming University, Taipei, Taiwan, 4Department of Biomedical Engineering, National Yang-Ming University, Taipei, Taiwan, 5Department of Medical Imaging and Radiological Sciences, Chung Shan Medical University, Taichung, Taiwan

 This study demonstrates changes of functional connectivity in motor related brain areas and it is age-related different in Valproate-induced rat autism model. Our results indicate that the motor cortex and striatum may be crucial areas for treatment and evolution of ASD. rsfMRI has potential to explore functional connectivity in the brain and monitor functional plasticity changes in a specific neuroanatomical pathway in vivo. 

1198
The heritability of structural brain network
Xiaopei Xu1, Pek-Lan Khong1, Nichol M. L. Wong2,3, Rainbow T. H. Ho4, C. Mary Schooling5, Pui-sze Yeung6, Tatia M. C. Lee2,3,7,8, and Edward S Hui1

1Department of Diagnostic Radiology, The University of Hong Kong, Hong Kong, Hong Kong, 2Laboratory of Neuropsychology, The University of Hong Kong, Hong Kong, Hong Kong, 3Laboratory of Social Cognitive Affective Neuroscience, The University of Hong Kong, Hong Kong, Hong Kong, 4Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong, Hong Kong, 5School of Public Health, The University of Hong Kong, Hong Kong, Hong Kong, 6Faculty of Education, The University of Hong Kong, Hong Kong, Hong Kong, 7Institute of Clinical Neuropsychology, The University of Hong Kong, Hong Kong, Hong Kong, 8The State Key Laboratory of Brain and Cognitive Science, The University of Hong Kong, Hong Kong, Hong Kong

To better understand the importance of education, genetic, and environmental influences on brain structural connectivity, we used DTI-based tractography and brain network analysis to investigate the thereof in twin pairs.  The correlation between network properties and education was also studied in both twin and non-twin participants. We showed significant correlations between twin pairs for the topology of brain network and the nodal characteristics of brain hubs. Nodal characteristics of hubs were also significantly correlated with education level. These findings suggested that brain topology and cognitive capacity are heritable, and brain network analysis is of potential value in intelligence assessment.

1199
Impaired small-world structural brain network in patients with neuropsychiatric systemic lupus erythematosus
Xiaopei Xu1, Henry KF Mak1, MY Mok2, CS Lau2, and Edward S Hui1

1Department of Diagnostic Radiology, The University of Hong Kong, Hong Kong, Hong Kong, 2Department of Medicine, The University of Hong Kong, Hong Kong, Hong Kong

To better understand the underlying mechanisms for various neuropsychiatric symptoms in patients with neuropsychiatric systemic lupus erythematosus (NPSLE), we used DTI-based tractography and graph theory approaches to investigate the change in the global configuration and nodal characteristics of the structural brain network in NPSLE and SLE patients. Our results showed impaired small-world structural network and diminished role of several brain regions as hubs in NPSLE patients, indicating the disruption of brain architecture underlying multiple neuropsychiatric manifestations present in NPSLE. Our results demonstrated that brain network analysis is a reliable method to study systemic disease like NPSLE. 

1200
Tractography Study of Brain Asymmetries in a Genetic Mouse Model
Alexandra Petiet1,2, Gonçalo C Vilhais-Neto3,4, Daniel Garcia-Lorenzo1, Stéphane Lehéricy1,2, and Olivier Pourquié3,4,5,6,7

1Center for Neuroimaging Research, Brain and Spine Institute, Paris, France, 2UPMC/Inserm UMRS1127 / CNRS UMR7225, Paris, France, 3Institut de Génétique et de Biologie Moléculaire et Cellulaire, Illkirch, France, 4Stowers Institute for Medical Research, Kansas City, MO, United States, 5Howard Hughes Medical Institute, Kansas City, MO, United States, 6Department of Anatomy and Cell Biology, University of Kansas Medical Center, Kansas City, MO, United States, 7Department of Genetics, Harvard Medical School and Department of Pathology, Brigham and Woman’s Hospital, Boston, MA, United States

While humans show clear preference for right hand usage (90%), normal mice show consistent right or left paw usage (50%). We used a Rere-deficient mouse model (Rere+/om) that shows clear right paw usage preference (80%) compared to wild-type (WT) mice (40%) to evaluate structural connectivity changes in the cortico-spinal tract (CST) using diffusion-based tractography. Our results showed significantly reduced and more asymmetric FA along the CST of the dominant hemisphere in the dextral mutant group compared to the WT group. These results show Rere-dependent structural connectivity changes in the brain that could be clinically relevant to human pathologies.

1201
Thalamocortical network alteration in Children and Adolescents with Idiopathic Generalized Epilepsy
Tijiang Zhang1, Wuchao Li1, Quanzhong Zhou1, Ganjun Song1, Cong Tian1, Zhen Zeng1, and Xingyu Wang1

1Department of Radiology, Affiliated hospital of Zunyi Medical College, Zunyi, China, People's Republic of

The aim of this study is to investigate FC alterations of thalamocortical network using resting-state fMRI,and correlation FC alterations with Intelligence Quotient (IQ) . 19 patients and 19 healthy volunteers took part in this research. The thalamocortical FC seeding at the left thalamus in the IGE patients showed a significant increase in left inferior temporal gyrus and right supramarginal gyrus, but decrease in left anterior cingulate, bilateral posterior cingutate, bilateral dorsolateral frontal gyrus, whereas, seeding the right thalamus as seed showed increase in right cerebellum, right supramarginal gyrus, but decrease in bilateral dorsolateral frontal gyrus, bilateral PCC and right supramarginal gyrus. Correlation analysis revealed that IQ positively correlated with FC strength between thalamus and left anterior cingulate, left dorsolateral superior frontal gyrus. The alteration of  FC may reflect the progress of long-term destruction of functional architecture, and may be served as a potential biomarker to examine subtle brain abnormalities in children and adolescence with IGE.

1202
Network centrality insights into the effects of Dexamethasone on brain function in healthy subjects
Fatima Nasrallah1,2,3, Bernice OH4, Trina Kok2, Mary Stephenson2, Tony Chin-Ian Tay4, Edwin Kean-Hui Chiew4, Jiesen Wang5, Alexandre Schaefer5, Adriana Benzoic5, Johnson Fam4, and Allen Eng-Juh Yeoh4

1Clinical Imaging Research Centre, NUS/A*STAR, St Lucia, Australia, 2Clinical Imaging Research Centre, NUS/A*STAR, Singapore, Singapore, 3Queensland Brain Institute, Queensland, Australia, 4National University Hospital, Singapore, Singapore, 5Clinical Imaging Research Centre, NUS, Singapore, Singapore

Dexamethasone is a glucocorticoid which has demonstrated clinical improvement in acute lymphoblastic leukaemia patients but has been associated with diminished memory and executive function. Because it is normally administered as a cocktail of drugs during the treatment regimen, understanding its main mechanism of action has been hindered. We investigate the effect of dexamethasone on brain function in healthy volunteers using resting state fMRI connectivity

1203
Altered structural network connectivity in non-neuropsychiatric systemic lupus erythematosus: a graph theoretical analysis
Man Xu1, Xiangliang Tan2, Patrick Peng GAO3, Ed.X. Wu3,4, Yingjie Mei1,5, Xixi Zhao2, Yikai Xu2, and Yanqiu Feng1,3,4

1School of Biomedical Engineering and Guangdong Provincial Key Laboratory of Medical Image Processing, Southern Medical University, Guangzhou, China, People's Republic of, 2Department of Medical Imaging Center, Nanfang Hospital, Southern Medical University, Guangzhou, China, People's Republic of, 3Laboratory of Biomedical Imaging and Signal Processing, The University of Hong Kong, Hong Kong SAR, China, People's Republic of, 4Department of Electrical and Electronic Engineering, The University of Hong Kong, Hong Kong SAR, China, People's Republic of, 5Philips Healthcare, Guangzhou, China, People's Republic of

The character of the brain structural connectivity in patients with non-neuropsychiatric systemic lupus erythematosus (non-NPSLE) has not been well studied. The aim of the study was to investigate the alterations of the topological metrics in non-NPSLE networks and to identify the regions in which the metrics were significantly different. A structural connectivity matrix was constructed for each subject using PANDA toolbox. Then graph theoretical analysis was applied to investigate the alteration of the metrics. The results revealed that the non-NPSLE group exhibited a trend of decreased global network properties and changed betweenness and degree in several brain regions.

1204
White matter parcellation on the basis of probabilistic fiber pathway reconstructions
Patrick Schiffler1 and Jan-Gerd Tenberge1

1University of Münster, Münster, Germany

We present an approach that permits a fiber association based definition of white matter regions of interest, which offers region specific analysis of the white matter.

1205
Quality Control measures for Constrained Spherical Deconvolution MR diffusion tractography in clinical use.
Donald W McRobbie1,2 and Marc Agzarian1

1Medical Imaging, Flinders Medical Centre, Adelaide, Australia, 2Surgery, Imperial College, London, United Kingdom

Quality Control (QC) methods for clinical MR tractography using whole-brain Constrained Spherical Deconvolution (CSD) in individual patients are used to assess the quality of the acquired data. Clinical scoring of the resulting tractograms demonstrates robust depiction of anatomically realistic tracts over a range of MR scanners, acquisitions, and with varying raw image quality. Whole brain CSD shows potential for clinical use subject to suitable QC measures.

1206

Gray matter networks in the mouse brain
Marco Pagani1,2, Angelo Bifone1, and Alessandro Gozzi1

1Istituto Italiano di Tecnologia, Rovereto, Italy, 2Center for Mind and Brain Sciences, Rovereto, Italy

Structural covariance MRI (scMRI) has highlighted robust gray matter networks encompassing known neuroanatomical systems of the human brain. The application of scMRI in the mouse can provide insights on the elusive neurobiological determinants underlying the emergence of this phenomenon. We show that the mouse brain contains robust inter-hemispheric anatomical covariance networks recapitulating anatomical features observed in humans. Our findings pave the way to the use of mouse genetics to investigate the biological underpinnings of scMRI networks and their aberration in brain disorders.

1207
Altered Default Mode Network in Developmental Stages of ADHD Rats
Sheng-Min Huang1, Kun-I Chao1, Kung-Chu Ho2, and Fu-Nien Wang1

1Department of Biomedical Engineering and Environmental Sciences, National Tsing Hua University, Hsinchu, Taiwan, 2Division of Nuclear Medicine, Chang Gung Memorial Hospital, Taoyuan, Taiwan

We investigated the DMN in ADHD rats of different ages. A major difference of DMN between SHR and WKY rats was found in caudate putamen area. As age increasing, the striatal activation presented in the DMN of 6-week SHR started to decrease at 8-week and tend to fade out at 10-week. Since the volume difference of striatal region between SHR and WKY rats has been reported, our result may suggest that the structural development is followed by persisted functional network alteration. The correlation of development of striatal volume and striatal resting state activity both suggest that the timing is important. 

1208
Changes in brain Connectivity and Its Correlation with idiopathic complex partial seizures epilepsy Patients: Evidence from Resting-State fMRI
Peng-fei Qiao1, Guang-ming Niu1, Yang Gao1, and Ai-shi Liu1

1Affiliated Hospital of Inner Mongolia Medical University, HOHHOT, China, People's Republic of

     In order to detect the resting state fMRI (rfMRI) change of the complex partial seizures(CPS) epilepsy patients by employing the regional homogeneity(ReHo)、the amplitude of low frequency fluctuation (ALFF) and the functional connectivity(FC) techniques.And we found there were important values to study epilepsy using 3 above techniques at the resting state.

1209
Graph-Theoretical Analysis of BOLD-fMRI Using Nociceptive Stimuli Unravels Characteristics of Pain Chronification
Isabel Wank1, Silke Kreitz1, and Andreas Hess1

1Institute of Pharmacology and Toxicology, University of Erlangen-Nuremberg, Erlangen, Germany

Pain is a warning sign and a highly potent modulator of behavior. This naturally very useful mechanism evolves into a central healthcare problem, when pain becomes chronic and highly impacting the patient's daily life. By means of fMRI and modern graph theoretical analyses, we surveyed dynamic changes of functional connectivity within the mouse brain evoked within 7 sessions of noxious thermal stimulation of the hind paw. With no evidence of peripheral hyperalgesia, we found noticeable alterations of connectivity especially within cognitive and associative-evaluative brain structures. We hypothesize that these findings reflect profound changes that central sensitization impresses on the brain.


Traditional Poster

Traumatic Brain Injury

Exhibition Hall Monday, May 9, 2016: 10:45 - 12:45

1210
Quantitative sodium MRI in traumatic brain injury (TBI): Pilot study
Guillaume Madelin1, Jonathan M Silver2, Tamara Bushnik3, and Ivan I Kirov1

1Department of Radiology, New York University Langone Medical Center, New York, NY, United States, 2Department of Psychiatry, New York University Langone Medical Center, New York, NY, United States, 3Department of Rehabilitation Medicine, New York University Langone Medical Center, New York, NY, United States

In this pilot quantitative sodium MRI study, 4 patients in the chronic stage after traumatic brain injury (TBI) and 6 controls were scanned at 3 T. Intracellular sodium concentration (C1) and extracellular volume fraction (α2) were calculated in lesions, as well as in whole grey and white matters. Global C1 skewness and kurtosis showed significant differences between patients and controls, and regional measurements in lesions presented large increases of C1 and α2 compared to normal tissue. The results indicate that quantitative sodium MRI shows promise as an imaging biomarker of cell death in chronic TBI.

1211
GlucoCEST matches 18F-FDG PET on a pulse focus ultrasound induced traumatic brain injury
Tsang-Wei Tu1, Zsofia I. Kovacs1, George Z. Papadakis1, Neekita Jikaria1, William Reid1, Dima Hammoud 1, and Joseph A. Frank1

1Radiology and Imaging Sciences, National Institute of Health, Bethesda, MD, United States

18F-FDG positron emission tomography (PET) is  used to non-invasively measure the glucose metabolism in the brain. However PET imaging is also limited on the longitudinal monitoring of glucose due low spatial and anatomical resolution. This study compares the glucoCEST and 18F-FDG PET in detecting the glucose concentration in a new traumatic brain injury model using MRI guided pulsed focus ultrasound. Our data show that the glucoCEST could deliver comparable results with the 18F-FDG PET results in detecting the event of hypo-metabolism in the traumatized brain with greater higher image resolution as compared to PET scans.

1212
Therapeutic potential of mesenchymal stem cells after transplantation in traumatic brain injury mice: an in vivo 1H MRS and behavioural study
Sushanta Kumar Mishra1,2, Subash Khushu1, and Gurudutta Gangenahalli2

1NMR Research Centre, Institute of Nuclear Medicine and Allied Sciences, Delhi, India, 2Division of Stem Cell and Gene Therapy Research, Institute of Nuclear Medicine and Allied Sciences, Delhi, India

Mesenchymal stem cells have been shown to be effective against neuronal degeneration through mechanisms that include both the recovery of neurometabolites and behavioural activity. This study demonstrates that intravenous administration of MSCs in traumatic brain injury mice alter the neurometabolic concentration at lesion site and improve the behavioural functional outcome. The concentrations of metabolites like phosphocholine and inositol were increased, while other metabolites like NAA, GABA, Cr+PCr, Glu+Gln and taurine were decreased at injury site after MSCs transplantation and become its normal concentrations. The functional activities like stress level, grip strength and depression index were improved in transplanted TBI mice. 

1213
Effect of football position played on brain metabolite concentrations in retired NFL players
Alexander Lin1, Jeffery K Cooper1, Molly Charney1, Huijun Liao1, Benjamin C Rowland1, Martha E Shenton2, and Robert A Stern3

1Radiology, Brigham and Women's Hospital / Harvard Medical School, Boston, MA, United States, 2Psychology, Brigham and Women's Hospital / Harvard Medical School, Boston, MA, United States, 3Chronic Traumatic Encephalopathy Center, Boston University School of Medicine, Boston, MA, United States

Repetitive brain trauma (RBT) from playing American football places athletes at risk for chronic traumatic encephalopathy (CTE).  While all confirmed cases of CTE have had exposure to RBT, not all those exposed develop the disease, suggesting the importance of factors such as impact severity in its development.  In this study we utilize magnetic resonance spectroscopy to measure brain chemistry levels in retired NFL players and compare differences in neurochemistry of different player positions and their related concussion burden.  Results show significant changes in glutamate and creatine that provide a potential mode for understanding excitoxic changes as a result of RBT.

1214
Characterization of white matter changes in a mouse model of mild blast traumatic brain injury
Sujith Sajja1, Jiangyang Zhang1, Jeff W.M. Bulte1, Robert Stevens2, Joseph Long3, Piotr Walczak1,4, and Miroslaw Janowski1,5

1The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University, Baltimore, MD, United States, 2Departments of Anesthesiology/Critical Care Medicine, Neurology, Neurosurgery, and Radiology, Johns Hopkins University, Baltimore, MD, United States, 3Walter Reed Army Institute of Research, Silver Spring, MD, United States, 4Department of Radiology, University of Warmia and Mazury, Olsztyn, Poland, 5NeuroRepair Department, Mossakowski Medical Research Centre PAS, Warsaw, Poland

White matter abnormalities in veterans with behavioral symptoms following blast exposure have been detected with diffusion tensor imaging (DTI) without changes in T1/T2-weighted anatomical MRI. Our aim was to reproduce the battlefield scenario in a mouse model. We observed no focal anatomical changes, while diffuse white matter abnormalities were observed with DTI, and CEST MRI. They coincided with behavioral abnormalities and post-mortem neuropathological changes. The use of MRI may facilitate non-invasive and longitudinal monitoring of blast injury, and aid in developing therapeutics aimed to minimize further damage progression.

1215
Volumetric analysis of structural brain changes in acute and sub-acute mild traumatic brain injury
Tianhao Zhang1, Sumit Niogi2, John A. Tsiouris2, Luca Marinelli3, and Teena Shetty4

1GE Healthcare, Waukesha, WI, United States, 2Weill Cornell Medical Center, New York, NY, United States, 3GE Global Research, Niskayuna, NY, United States, 4Hospital for Special Surgery, New York, NY, United States

Mild traumatic brain injury (mTBI) is a heterogeneous disease with a variety of symptoms associated with brain function alterations after the trauma. There is still limited understanding of the relationship between physiological and structural changes and recovery rate. In this work, we aim to identify structural brain changes in a mTBI population at 4 time points. The analysis is in two folds: 1) correlation analysis between brain volumes and clinical scores; and 2) longitudinal analysis across different encounters.  The results revealed significant brain volume changes over time, and at 3 months post-injury, volumes demonstrated significant negative correlations with clinical scores.

1216
Distribution of brain sodium after mild traumatic brain injury
Yvonne W Lui1, Yongxian Qian1, Karthik Lakshmanan1, Jacqueline Smith1, Graham Wiggins1, Steven Flanagan2, and Fernando E Boada1

1Radiology, New York University, New York, NY, United States, 2Rehabilitation Medicine, New York University, New York, NY, United States

Mild traumatic brain injury (mTBI) is a growing public health problem with more than 1.5 million cases a year in the United States. The pathophysiological processes underlying mTBI are complex, including biomechanical injury induced stretching of the axons and depolarization of the normal resting voltage across the cell membrane. Sodium handling by the brain is critical to restore ionic homeostasis after injury and disordered handling is implicated in the long-term pathophysiology of concussion. With state-of-the-art sodium (23Na) MR imaging, one can obtain high quality sodium images in a clinical setting at 3T. Here we seek to observe patterns of total sodium distribution in brain in individuals with mTBI.

1217
Assessment of mild traumatic brain injury due to blast overpressure in breachers: A 31P MRS Study.
Mary C Stephenson1,2, Trina Kok1, Fatima A Nasrallah1, Pamela Boon Li Pun3, Melissa Ai Ling Teo3, Julie Su Li Yeo3, Lu Jia3, Benjamin A Thomas1, Mary K Enci3, and John J Totman1

1Clinical Imaging Research Centre, A*STAR-NUS, Singapore, Singapore, 2Department of Medicine, NUS, Singapore, Singapore, 3Defense Science Organization, Singapore, Singapore

Traumatic Brain Injury (TBI) is identified as the signature injury of soldiers involved in the Iraq and Afghanistan wars. Mild TBI (mTBI) often goes undetected, meaning vital opportunities for early treatment are missed. In this study we use 31P MRS to investigate whether changes in 31P metabolites can be identified in soldiers at risk of mTBI due to blast overpressure. Measurements of brain volumes and 31P MRS are made at baseline and 1, 3, 7 and 28 days following training with low level explosives. We show a tendency for decreases in Pi/PCr ratio which reach significance 28 days after training.

1218
Quantitative Tissue Specific R2* Measurements detect mTBI related damage in brain areas without evident anatomical changes
Jie Wen1, Serguei V. Astafiev2, Kristina L. Zinn2, Anne H. Cross2, Dmitriy A. Yablonskiy1, and Maurizio Corbetta2

1Radiology, Washington University, Saint Louis, MO, United States, 2Neurology, Washington University, Saint Louis, MO, United States

In this study we used quantitative tissue specific R2* measurements to detect brain abnormalities in chronic subjects with mild traumatic brain injury (mTBI). mTBI patients demonstrated decreased R2* values in frontal pole and hippocampus. Reduced R2* values in the white matter of the hippocampus were strongly related to the reported memory problems typical for mTBI. Importantly, this R2* value reduction was not accompanied by decreased volume of white matter and grey matter inside those regions, suggesting that R2* values may detect mTBI related abnormalities before detectable anatomical changes appear.

1219
Single-subject level inference for volumetry features in mild traumatic brain injury using machine learning methods
Venkata Veerendranadh Chebrolu1, Tianhao Zhang2, Hariharan Ravishankar1, Sumit Niogi3, John A Tsiouris3, and Luca Marinelli4

1GE Global Research, Bangalore, India, 2GE Healthcare, Waukesha, WI, United States, 3Weill Cornell Medical Center, New York, NY, United States, 4GE Global Research, Niskayuna, NY, United States

The purpose of this work is to derive single-subject level inferences for volumetry features in mild traumatic brain injury (mTBI) at multiple time points after initial trauma using machine learning methods. 78 uncomplicated mTBI subjects were scanned three days (32 subjects), seven days (61 subjects), one month (56) and three months (42 subjects) post injury to derive volumetery features. 23 controls were also scanned. Logistic-regression models were used to identify important volumetry features that jointly describe the mTBI effects at single-subject level. Pallidus, supratentorial and whole-brain volumetry features together provide single-subject level signature for mTBI at multiple time-points after injury. 


Traditional Poster

Neurodegeneration

Exhibition Hall Monday, May 9, 2016: 10:45 - 12:45

1220
Periventricular Longitudinal Neural Tracts Are Implicated in Postural Instability Gait Disorder
Shawn Tan1, Nicole Keong2, Ady Thien2, HuiHua Li1, Helmut Rumpel1, EK Tan2, and Ling Chan1

1Singapore General Hospital, Singapore, Singapore, 2National Neuroscience Institute, Singapore, Singapore

Postural instability gait disorder (PIGD) is associated with predominant gait dysfunction compared to typical tremor dominant Parkinson’s disease (PD). We evaluated the periventricular longitudinal neural tracts in PIGD using DTI compared to PD and controls, and examined their clinical correlates. We showed for the first time that these neural tracts are more affected in PIGD than PD or HC, and their DTI measures correlate with clinical gait severity. It has been postulated that disconnection of motor networks served by these tracts linking brain regions involved in executive function and visuoperception with those involved in gait control leads to gait decline.  

1221
1H NMR-based Metabolomics study of saliva samples in Patients with Parkinson’s disease
Sadhana Kumari1, Senthil S Kumaran1, Vinay Goyal2, Madhuri Behari2, S N Dwivedi3, Achal Srivastava2, and Naranamangalam R Jagannathan1

1Department of NMR and MRI Facility, All India Institute of Medical Sciences, New Delhi, India, 2Department of Neurology, All India Institute of Medical Sciences, New Delhi, India, 3Department of Biostatistics, All India Institute of Medical Sciences, New Delhi, India

NMR techniques play a major role in understanding the metabolic changes associated with neurological disorders.  We used 1H NMR spectra at 700 MHz for identification of biomarkers in PD from saliva samples. The data were processed using MestReNova software (version 10.0) and PLS-DA multivariate analysis using MetaboAnalyst (version 3.0) software. We observed significantly elevated level of butyrate, glycine, phenyl alanine, tyrosine and decreased level of lactate, which may be attributed to poor intestinal absorption in PD patients.

1222
Quantitative Susceptibility Mapping (QSM) detects iron deposition and demyelination in mouse model of Huntington Disease
Xuan Vinh To1, Hongjiang Wei2, Reshmi Rajendran1, Marta Garcia-Miralles3, Ling Yun Yeow1, Chunlei Liu2, Hong Xin1, Mahmoud A. Pouladi3, and Kai-Hsiang Chuang1

1Singapore Bioimaging Consortium, Agency for Science, Technology and Research (A*STAR), Singapore, Singapore, 2Brain Imaging and Analysis Center, School of Medicine, Duke University, Durham, NC, United States, 3Translational Laboratory in Genetic Medicine, Agency for Science, Technology and Research (A*STAR), Singapore, Singapore

This study looked at the potential for Quantitative Susceptibility Mapping (QSM) for longitudinal detection of demyelination and iron accumulation in YAC128 mouse model of Huntington disease. Control and YAC128 mice were scanned at 9, 12, and 15 months of age; with a number of mice sacrificed after each timepoint for histological validation and correlation (ongoing). Current results shows the potential for QSM in detecting demyelination is several white matter regions and iron accumulation in grey matter.

1223
Tract-based Spatial Statistics of DTI Metrics in Parkinson's Disease
Yong Zhang1, Hailong Luo2, Changzheng Shi2, and Li Guo3

1GE Healthcare MR Research China, Beijing, China, People's Republic of, 2Medical Imaging Center, the First Affiliated Hospital of Jinan University, Guangzhou, China, People's Republic of, 3Neurology, the First Affiliated Hospital of Jinan University, Guangzhou, China, People's Republic of

Tract-based spatial statistics of average and directional DTI-derived metrics were analyzed between the Parkinson's patients and age-matched healthy controls. It was found that MD increased and FA decreased across WM in accordance with previous studies. The more widespread change of MD compared with FA suggests higher sensitivity of MD to WM degenerations. Besides, it was observed that the change of perpendicular diffusivity was more profound compared with that of axial diffusivity, suggesting the existence of demyelination in PD patients

1224
Identifying Brain Connectomic Alterations Specific to Mild Cognitive Impairment and Depression Co-morbid with Parkinson’s Disease
Sinan Zhao1, Peipeng Liang2,3,4, and Gopikrishna Deshpande1,5,6

1AU MRI Research Center, Department of Electrical and Computer Engineering, Auburn University, Auburn, AL, United States, 2Department of Radiology, Xuanwu Hospital, Capital Medical University, Beijing, China, People's Republic of, 3Beijing Key Lab of MRI and Brain Informatics, Beijing, China, People's Republic of, 4Key Laboratory for Neurodegenerative Diseases, Ministry of Education, Beijing, China, People's Republic of, 5Department of Psychology, Auburn University, Auburn, AL, United States, 6Alabama Advanced Imaging Consortium, Auburn University and University of Alabama Birmingham, Auburn, AL, United States

Resting state fMRI has been used to investigate connectomic alterations in Parkinson’s disease (PD). These studies used conventional connectivity analysis where in connectivity is assumed to be stationary over time. However, recent work suggests that temporal variability of connectivity is sensitive to human behavior in health and disease. Therefore, we estimated static functional connectivity (SFC), dynamic FC (DFC) from: PD, PD subjects with mild-cognitive-impairment (PDMCI), Depressed PD subjects with MCI (DPDMCI) and Normal Controls (NC). We hypothesized that increased disease burden would lead to reduced strength of SFC and the variability of DFC. We provide evidence to support this hypothesis.

1225
Cerebral diffusion-weighted spectroscopy in Duchenne muscular dystrophy patients shows higher diffusion in all intra-cellular metabolites compared to controls
Nathalie Doorenweerd1,2, Ece Ercan1, Melissa T Hooijmans1, Jedrek Burakiewicz1, Andrew Webb1, Jos G.M. Hendriksen3,4, Jan J.G.M. Verschuuren2, Erik H Niks2, Hermien E. Kan1, and Itamar Ronen1

1C.J. Gorter Center for High Field MRI, Leiden University Medical Center, Leiden, Netherlands, 2Neurology, Leiden University Medical Center, Leiden, Netherlands, 3Neurological Learning Disabilities, Kempenhaeghe Epilepsy Center, Heeze, Netherlands, 4Neurology, Maastricht University Medical Centre, Maastricht, Netherlands

Patients with Duchenne muscular dystrophy (DMD) suffer from behavioural or neurocognitive problems in addition to muscle weakness. Using DTI, we previously showed reduced white matter FA and increased ADC, especially radial diffusivity, in DMD patients indicating microstructural alterations. We now apply diffusion weighted spectroscopy in temporo-parietal white matter to study if these alterations are likely intracellular or extracellular.  N-acetylaspartate, creatine and choline ADCs were higher in patients compared to controls. These results show higher diffusion both within cells and across membranes, irrespective of cell-type.

1226
Distinct atrophy of subcortical structures demonstrates gender-specific changes in ALS
Qiuli Zhang1, Ming Zhang1, Jingxia Dang2, Jiaoting Jin2, Fang Hu2, Haining Li1, Dandan Zheng3, and Yuchen Zhang4

1Medical Imaging, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China, People's Republic of, 2Department of Neurology, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China, People's Republic of, 3GE Healthcare, MR Research China, Beijing, China, People's Republic of, 4Zonglian College, Xi'an Jiaotong University, Xi'an, China, People's Republic of

Clinical heterogeneity is a feature in ALS. Here we analyzed subcortical structure volume and executive function between male and female ALS patients, compared with corresponding normal controls. Our results showed that male and female patients exhibited distinct subcortical structure atrophy. The linear regression results also indicated that compared with male patients, whose cognitive status was mostly related with age and education level, the executive dusfunction in female patients may be deteriorated by emotional disorder.

1227
The Association Between Structural Brain Connectivity With Plasma APO-A1 Levels In Parkinson Disease: Connectometry Approach
Farzaneh Rahmani1 and MohammadHadi Aarabi1

1Students'Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran

 The basis of Parkinson disease (PD) pathology is accumulation of α-synuclein particles (Lewy bodies) in the presynaptic terminal and perikaria of neocortex, cerebellum, thalamus and SN.

Features of the lipid profile specially cholesterol levels are association with PD risk. However no such data exists on the association of these plasma markers with structural brain changes in PD. The primary site of PD pathology is the nigrostriatal tract which then progresses to the cingulium. The nigrostriatal tract is extensively damaged prior to PD onset. Lower plasma levels of apoA-I is associated with earlier onset of PD and greater putaminal DAT deficit and a more rapid motor decline in PD . However apoA-I levels have never been investigated regarding changes in structural brain connectivity.  The our results show that apoA-I levels in drug_naïve patients are associated with structural changes in the even prior to pathologic involvement of cingulium.



1228
Direct visualization human pedunculopontine nucleus: validation and new coordinate establishing
Fei Cong1, Jiawei Wang2, Zhangyan Yang1, Bo Wang1, Yuqing Zhang2, and Yan Zhuo1

1Institute of Biophysics, Chinese Academy of Science, Beijing, China, People's Republic of, 2Functional neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China, People's Republic of

The pedunculopontine nucleus (PPN), as a potential Deep brain stimulation (DBS) target for the patients to improve gait and posture. Until now, only a few results of the location of PPN has been published. In this study, 7T ultra-high field MR system and high resolution MP2RAGE sequence were used to locate the PPN by a direct view, and a new coordinate designed for PPN location was introduced and test. The boundary of PPN was display and a more consistency coordinate used for localizing PPN was presented.

1229
Comparison of Thalamic GABA and Glx Levels in Patients with Essential Tremor and Parkinson's Disease
Ruoyun Ma1,2, Johnathan P Dyke3, Shalmali Dharmadhikari4, Nora Hernandez5, Elizabath Zauber6, Elan Louis5,7,8, and Ulrike Dydak1,2

1School of Health Sciences, Purdue University, West Lafayette, IN, United States, 2Department of Radiology and Imaging Sciences, Indiana University School of Medicine, Indianapolis, IN, United States, 3Department of Radiology, Weill Cornell Medical College, New York, NY, United States, 4Radiology and Imaging Sciences, Emory University, Atlanta, GA, United States, 5Department of Neurology, Yale School of Medicine, New Heaven, CT, United States, 6Department of Neurology, Indianapolis University School of Medicine, Indianapolis, IN, United States, 7Department of Chronic Disease Epidemiology, Yale School of Public Health, New Heaven, CT, United States, 8Center for Neuroepidemiology and Clinical Neurological Research, Yale School of Medicine, New Heaven, CT, United States

Essential tremor (ET) and Parkinson’s disease (PD) are two most prevalent movement disorders. It was suggested that tremors in both diseases, though of different types, may be modulated by neuropathways involving the thalamus. We found a significant trend of elevated thalamic GABA levels from controls to ET patients to PD patients, which may be related to the increased risk of ET patients to develop PD, and thus suggesting thalamic GABA as imaging marker of preclinical parkinsonism. However, thalamic GABA is not associated with tremor of either type.

1230
Associations between Brain Microstructural and Motor Severity of Parkinsonian Symptoms in Elderly Parkinson Diseases
MohammadHadi Aarabi1, Farzaneh Rahmani1, Ahmad Shojaei2, and Hamidreza Safabakhsh2

1Students'Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran, 2Basir Eye Health Research Center, Tehran, Iran., Tehran, Iran

Parkinson's Disease (PD) is a progressive neurodegenerative disorder assumed to involve different areas of CNS and PNS. Thus, Diffusion Tensor Imaging (DTI) is used to examine the areas engaged in PD neurodegeneration. We studied the relationship between local connectome alterations obtained by connectometry approach and motor severity of elderly PD as measured with Unified Parkinson's disease 3. Our findings demonstrate the fornix and cingulium fibers in limbic system have association with motor severity in elderly PD patients in onset.

1231
γ-aminobutyric acid spectroscopy of the thalamus in diabetic neuropathy
Iain D Wilkinson1, Pillai Shillo1, Marni Greig1, Solomon Tesfaye1, Richard A Edden2, and Dinesh Selvarajah1

1Academic Radiology, University of Sheffield, Sheffield, United Kingdom, 2Kennedy Krieger Institute, Baltimore, MA, United States

The sensory system is affected in diabetic neuropathy (DN), a common ailment associated with diabetes mellitus. The thalamus is part of the brain’s sensory pathway. This study applies MEGA-PRESS to assess thalamic GABA in-vivo in patients with and without DN. Differences in GABA/H20 ratios were identified between those with and without DN, demonstrating potential differences in the neuronal inhibitory status of the thalamus.

1232
Brain structural changes in type 2 diabetes mellitus: a DTI and VBM study
Qian Sun1, YuChuan Hu1, LinFeng Yan1, Ying Yu 1, Xin-tao Hu2, Yu Han1, DanDan Zheng3, Xu-Feng Liu 4, Wen Wang1, and GuangBin Cui1

1Department of Radiology, Tangdu Hospital, Fourth Military Medical University, Xi’an, China, People's Republic of, 2Northwestern Polytechnical University, Xi’an, China, People's Republic of, 3MR Research China, GE Healthcare China, Beijing, China, People's Republic of, 4Department of Endocrinology, Tangdu Hospital, Fourth Military Medical University, Xi’an, China, People's Republic of

More than 20.4% of the elderly population have diabetes in china, among which Type 2 Diabetes Mellitus (T2DM) accounts for 90%. T2DM is a major risk factor for cardiovascular disease and has been consistently associated with an increased risk of incident dementia, as well as with cognitive deficits and increased brain atrophy. T2DM related cognitive decline may be partly due to neuroanatomical alterations revealed by structural MR. Diffusion tensor imaging (DTI) has been used to quantify microstructural alterations in white matter that may also impact cognition. Fractional anisotropy (FA) and average diffusion coefficient( DCavg ) value derived from DTI reflect verall white matter health, maturation, and organization6.Voxel-based morphometry (VBM), which reflects brain volume, can be used in early detecting brain structural abnormalities in T2DM patients. Our research aims to detect brain microstructure changes in T2DM patients both in white matter (WM) and grey matter (GM) based on global DTI and VBM.

1233
Regeneration of olfactory performance after sinus surgery correlates with white matter changes in cingulum bundle
Daniel Güllmar1, Tabea Witting2, Thomas Bitter2, Orlando Guntinas-Lichius2, and Jürgen R Reichenbach1

1Medical Physics Group / IDIR, Jena University Hospital - Friedrich Schiller University Jena, Jena, Germany, 2Department of Otolaryngology and the Institute of Phoniatry and Pedaudiology, Jena University Hospital - Friedrich Schiller University Jena, Jena, Germany

In this study we have investigated neuronal changes in a longitudinal study using anatomical and structural MRI before and after pansinus surgery. Neuronal changes measured by means of DTI before and after surgery were compared to changes in olfactory performance. The analysis was carried out using a tract specific analysis involving probabilistic tractography and subsequent alignment of control points along the cingulum bundles. Patients, which showed an improvement >10 in olfactory performance measure, showed also a significant increase in radial diffusivity in the middle segment of the left cingulum bundle.

1234
Increased slow diffusion in cortical gray matter is related with cognitive decline in severe white matter hyperintensity
Yerfan Jiaerken1, Xinfeng Yu1, and Minming Zhang1

1Radiology, The second affiliated hospital of Zhejiang university school of medicine, Hangzhou, China, People's Republic of

We used MRI IVIM technique to investigate how is microstructure in cortical gray matter (CGM) affected by white matter hyperintensity (WMH), and how does it affect cognitive function. We found that diffusion in WMH is correlated with diffusion in CGM. And diffusion in CGM is connected with cognitive state, while diffusion in WMH isn’t. This may suggest that CGM damage is secondary to microstructural damage in WMH. And CGM damage may lead to cognitive dysfunction, while WMH can only affect cognitive state by damaging gray matter.

1235
Regional specificity of obesity-induced neurochemical modifications measured in vivo by proton MRS at 14.1 T
João M.N. Duarte1, Blanca Lizarbe1, Rolf Gruetter1,2,3, and Ana Francisca Soares1

1LIFMET, EPFL, Lausanne, Switzerland, 2UNIL, Lausanne, Switzerland, 3UNIGE, Geneva, Switzerland

Insulin resistance has deleterious effects on memory performance, brain morphology and the neurochemical profile of the cortex and hippocampus. We now investigated the neurochemical modifications in the hippocampus, cortex and hypothalamus of mice exposed to high-fat diet, a model of obesity-associated insulin resistance. In long-term high-fat diet-exposed mice, obesity-associated insulin resistance affects the neurochemical profiles of the hippocampus, cortex and hypothalamus in a region-specific manner.

1236
ΔADC in Idiopathic Normal Pressure Hydrocephalus After Shunt Surgery
Ryoko Yamamori1, Tosiaki Miyati1, Naoki Ohno1, Mitsuhito Mase2, Tomoshi Osawa2, Shota Ishida1, Hiroto Kan3, Nobuyuki Arai3, Harumasa Kasai3, and Yuta Shibamoto3

1Division of Health Sciences, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan, 2Department of Neurosurgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan, 3Department of Radiology, Nagoya City University Hospital, Nagoya, Japan

Apparent diffusion coefficient (ADC) in brain significantly changed during the cardiac cycle, and this change (ΔADC) in patients with idiopathic normal pressure hydrocephalus (iNPH) characterized by low intracranial compliance was significantly higher than those in control subjects. Shunt surgery is the most common treatment for iNPH. In this study, we determined and compared ΔADC values of the white matter in iNPH before and after shunt surgery. ΔADC in the frontal white matter decreases with the shunt surgery. ΔADC analysis makes it possible to noninvasively provide detailed information on change in the intracranial condition due to the shunt surgery.

1237
Magnetic susceptibility in primary motor cortex correlates with iron concentration and upper motor neuron impairment in amyotrophic lateral sclerosis
Mauro Costagli1, Graziella Donatelli2, Laura Biagi3, Elena Caldarazzo Ienco2, Gabriele Siciliano2, Michela Tosetti3, and Mirco Cosottini2

1Imago7, Pisa, Italy, 2University of Pisa, Pisa, Italy, 3IRCCS Stella Maris, Pisa, Italy

3D gradient-recalled multi-echo sequences were used on a 7 Tesla MR system for Quantitative Susceptibility Mapping (QSM) targeting M1 at high spatial resolution in patients with Amyotrophic Lateral Sclerosis (ALS) and Healthy Controls (HC). The magnetic susceptibility of the deep cortical layers of patients’ M1 subregions corresponding to Penfield's areas of the hand and foot significantly correlated with the clinical scores of UMN impairment. QSM might therefore prove useful in measuring M1 iron concentration, as a possible in vivo biomarker of UMN burden and neuroinflammation in ALS patients.

1238
7T MR spectroscopy reflects disease severity in a large animal model of neurologic disease and the effects of gene therapy
Heather Gray-Edwards1, Nouha Salibi2, Anne Maguire1, Taylor Voss1, Lauren Ellis1, Ashley Randle1, Ronald Beyers1, Miguel Sena-Esteves3, Thomas Denney1, and Douglas Martin1

1Auburn University, Auburn, AL, United States, 2Siemens Healthcare, Malvern, PA, United States, 3University of Massachusetts, Worcester, MA, United States

GM1 gangliosidosis is a fatal neurodegenerative disorder of children and currently only palliative care is available to patients.  Preclinical gene therapy experiments in the GM1 cat resulted in >5 fold increased lifespan, prompting human clinical trials, however objective markers are lacking.   7T MR spectroscopy reliably predicts feline GM1 neurodegeneration with several alterations occurring presymptomatically and worsening with disease progression.  Gene therapy results in partial correction of several parameters and changes correlate with clinical assessment scores.  Post-mortem analyses included assessment of microgliosis and demyelination, and these findings also correlated with MRS.

1239
White matter connectome in patients with genetic dystonia
Silvia Basaia1, Federica Agosta1, Alexandra Tomic2, Elisabetta Sarasso1, Nikola Kresojević2, Sebastiano Galantucci1, Marina Svetel2, Vladimir S. Kostic2, and Massimo Filippi1,3

1Neuroimaging Research Unit, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy, 2Clinic of Neurology, Faculty of Medicine, University of Belgrade, Belgrade, Yugoslavia, 3Department of Neurology, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy

We investigated structural neural pathways in asymptomatic and symptomatic mutation carriers with several dystonia (DYT) genotypes using a network approach. Both symptomatic and asymptomatic mutation carriers showed an alteration of structural connectivity compared to controls, beyond the basal ganglia/sensorimotor cortex regions. No differences were found between symptomatic and asymptomatic DYT subjects. The structural connectome offered the possibility of identifying genotype-related trait characteristics, even in the preclinical phase of the disease, providing new insights into understanding DYT generation.

1240
MEMRI Detects Neuronal Loss in MPTP-Intoxicated Mice.
Aditya N Bade1, Katherine Olson1, Charles Schutt1, Jingdong Dong2, R Lee Mosley1, Howard E Gendelman1, Michael D Boska1,3, and Yutong Liu1,3

1Department of Pharmacology and Experimental Neuroscience, University of Nebraska Medical Center, Omaha, Omaha, NE, United States, 2Second Affiliated Hospital, Dalian Medical University, Dalian, China, People's Republic of, 3Department of Radiology, University of Nebraska Medical Center, Omaha, Omaha, NE, United States

This study showed that neuronal loss in 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP) injected mice as confirmed by immunohistology caused signal change in manganese-enhanced MRI (MEMRI). Both gliosis and neuronal loss occur in the progress of neurodegenerative diseases. Previous studies have shown that MEMRI signal is associated with he gliosis in rodents. With the findings in this study, it is demonstrated the combined pathologic effects of neuronal damage and gliosis determine MEMRI results. The study suggested that MEMRI is an in vivo imaging tool to study the progress of neurodegenerative disease in rodents.

1241
Inline Morphometric Analysis of Temporal-Lobe Epilepsy Patients
Tianyi Qian1, Yi Shan2, Peipei Wang2, Bénédicte Maréchal3,4,5, Jie Lu2, and Kuncheng Li2

1MR Collaborations NE Asia, Siemens Healthcare, Beijing, China, People's Republic of, 2Radiology, Xuanwu Hospital, Capital Medical University, beijing, China, People's Republic of, 3Advanced Clinical Imaging Technology (HC CMEA SUI DI BM PI), Siemens Healthcare, Lausanne, Switzerland, 4Radiology, University Hospital (CHUV), Lausanne, Switzerland, 5LTS5, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland

Quantitative measurement of hippocampal volume using high-resolution MRI provides morphological and clinically relevant information in medial temporal lobe epilepsy with hippocampal sclerosis. In this study we applied an inline morphometry package in temporal-lobe HS epilepsy patients to investigate the degenerative patterns of this patient group. The volume computed by the inline segmentation tool could provide accurate information about the brain volume changes of temporal-lobe HS epilepsy patients. The tool also provided whole-brain structure volumetric information which was valuable for surgical or treatment planning.

1242
Clinical imaging at 7T: Initial results in epilepsy patients
Se-Hong Oh1, Irene Wang2, Stephen E. Jones1, and Mark J. Lowe1

1Imaging Institute, Cleveland Clinic Foundation, Cleveland, OH, United States, 2Epilepsy Center, Cleveland Clinic Foundation, Cleveland, OH, United States

This is an initial study of epilepsy patient scan using 7T. This study serves as a starting point toward 7T clinical scanning. In addition, it gives some insight as to current challenges and future work.

1243
Relationship between hippocampal volume, white matter and cognition in temporal lobe epilepsy
Amanda K.W. Buck1,2, Lauren M. Severence2, Benjamin N. Conrad1, Bennett A. Landman1,3, Adam W. Anderson1,2, Bassel Abou-Khalil4, Monica L. Jacobs5, and Victoria L. Morgan1,2

1Institute of Imaging Science, Vanderbilt University, Nashville, TN, United States, 2Biomedical Engineering, Vanderbilt University, Nashville, TN, United States, 3Electrical Engineering and Computer Science, Vanderbilt University, Nashville, TN, United States, 4Neurology, Vanderbilt University, Nashville, TN, United States, 5Psychiatry, Vanderbilt University, Nashville, TN, United States

Temporal lobe epilepsy (TLE) is associated with changes in regional brain structure, function, and cognition. This study demonstrates an indirect link between right hippocampal volume reductions and extratemporal cognition in right TLE. As hippocampal volume decreases, the right uncinated fasciculus (RUF) axial diffusivity (AD) increases.  This increase is correlated with verbal comprehension index (VCI) score decrease. Considering that VCI deficits are related to inferior frontal cortex lesions, these results imply that the RUF, which structurally connects the hippocampus to the frontal lobe, is the mediator of impairment between the seizure focus in the hippocampus and VCI deficits in right TLE.

1244
Arterial Spin Labelling perfusion measurements in Prion Disease: relation with restricted diffusion
Enrico De Vita1,2, Andrew Melbourne3, Marie-Claire Porter4,5, David L Thomas6, Sebastien Ourselin3, Tarek Yousry1,2, Xavier Golay2, Rolf Jager1,2, Simon Mead4,5, and John S Thornton1,2

1Lysholm Department of Neuroradiology, National Hospital for Neurology and Neurosurgery, London, United Kingdom, 2Academic Neuroradiological Unit. Department of Brain Repair and Rehabilitation, UCL Institute of Neurology, London, United Kingdom, 3Medical Physics and Biomedical Engineering, University College London, London, United Kingdom, 4National Prion Clinic, National Hospital for Neurology and Neurosurgery, London, United Kingdom, 5MRC Prion Unit, Department of Neurodegenerative Diseases, UCL Institute of Neurology, London, United Kingdom, 6Dementia Research Centre, UCL Institute of Neurology, London, United Kingdom

Perfusion in Prion disease has only been explored with SPECT, except in 2 single-case studies.

We aimed to evaluate perfusion abnormalities with ASL-MRI in prion patients and compare the findings with clinically diagnostic high b-value diffusion weighted MRI. We observed high correlation between diffusion abnormalities and hypoperfusion. ASL-MRI could help to shed light non-invasively on the neurovascular aspects of prion disease


1245
Superior sensitivity to focal cortical dysplasia obtained by a multivariate analysis of MRI and PET image features
Hosung Kim1, Yee-Leng Sung Tan2, Tarik Tihan3, Anthony James Barkovich1, Duan Xu1, and Robert C Knowlton2

1Radiology & Biomedical Imaging, University california San francisco, San Francisco, CA, United States, 2Neurology, University california San francisco, SAN FRANCISCO, CA, United States, 3Pathology, University california San francisco, SAN FRANCISCO, CA, United States

Focal cortical dysplasia (FCD) is an epileptogenic developmental malformation. Identification of this lesion can lead to a successful surgery.  We propose to analyze a combined feature-set extracted from MRI and PET. Studying 29 FCD patients and 23 controls, classification using the combined MRI and PET features demonstrated superior performance to the analysis of MRI as it resulted in a lower false positive (FP) rate in controls (1.3% lower) and a higher sensitivity in FCD (7% higher). Analysis of the combined MRI and PET revealed a larger FP rate in FCD compared to MRI-only, suggesting the presence of extralesional pathology.

1246
MR-based brain Morphometry Improves Localization of Focal Cortical Dysplasia at Individual Level
Xin Chen1, Tianyi Qian2, Bénédicte Maréchal3,4,5, Nan Chen1, and Kuncheng Li1

1Radiology, Xuanwu Hospital, Capital Medical University, Beijing, China, People's Republic of, 2MR Collaborations NE Asia, Siemens Healthcare, Beijing, China, People's Republic of, 3Advanced Clinical Imaging Technology (HC CMEA SUI DI BM PI), Siemens Healthcare AG, Lausanne, Switzerland, 4LTS5, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Swaziland, 5Radiology, University Hospital (CHUV), Lausanne, Switzerland

       In order to explore the potential of volume-based morphometry for computer-aided diagnosis on an individual level, we evaluated a volume-based morphometric MRI analysis prototype for detection of cortical abnormalities in individual focal cortical dysplasia (FCD) patients for whom no lesion was reported after routine MR exam. Using intracranial EEG as the gold standard, the results of a performed ROC analysis show good detection performance with AUC=0.882, sensitivity =93.88%, and specificity 79.57% at the optimal cut-off point. These results suggest that such automated methods provide additional value for MR-based diagnostics.

1247
High-quality MRS detects metabolic changes in mice at different stages of prion disease
Eleni Demetriou1, Mohamed Tachrount2, Karin Shmueli3, Mark Farrow4, and Xavier Golay1

1Brain Repair and Rehabilitation, Institute of Neurology, London, United Kingdom, 2Brain repair and rehabilitation, Institute of Neurology, London, United Kingdom, 3Medical Physics and Biomedical Engineering, University College of London, London, United Kingdom, 4MRC prion unit, University College of London, London, United Kingdom

The neurochemical profile of prion disease in mice at different disease stages was evaluated using high-quality MR spectra obtained in thalamus. Seven metabolites were measured in vivo and longitudinally providing substantial metabolic information.  Metabolic changes were obtained throughout the disease course, however only glutamate and myo-inositol were significantly different at all stages of the disease. We conclude that MR spectroscopy provides additional information over previous histological studies [1].

1248
Alterations Of Functional Connectivity in Resting-State Networks Following Medial Temporal Lobectomy in Patients With Unilateral Hippocampal Sclerosis
Arzu Ceylan Has1, Irsel Tezer2, Burcak Bilginer3, Serap Saygi2, and Kader Karli Oguz4

1National Magnetic Resonance Research Center (UMRAM), Bilkent University, Ankara, Turkey, 2Department of Neurology, Hacettepe University, Ankara, Turkey, 3Department of Neurosurgery, Hacettepe University, Ankara, Turkey, 4Department of Radiology, Hacettepe University, Ankara, Turkey

Temporal lobe epilepsy with unilateral hippocampal sclerosis patients benefit from the medial temporal lobectomy. Since the hippocampus is involved in many cognitive tasks, we hypothesized that resting-state(rs) network alterations would occur in these patients following temporal lobectomy. All patients had pre- and post-operative neurocognitive tests, rs-fMRI and structural T1-weighted imaging . Post-operative studies were performed at 1-year-follow-up. Following temporal lobectomy, left- and right-HS patients showed significantly decreased and increased activations in default-mode-network and fronto-parietal-network. A pre-operative extent of tissue damage or dominancy of the epileptic hemisphere may be responsible for the different patterns of adaptation/change of brain networks after lobectomy.

1249
Investigation of the Healthy Nigrosome-1 for the Diagnosis of Parkinson’s Disease using Multiple Susceptibility based MRI Techniques
Kyung Mi Lee1 and Hyug-Gi Kim2

1Radiology, Kyung Hee University Hospital, Seoul, Korea, Republic of, 2Biomedical Engineering, College of Electronic Information Engineering, Kyung Hee University, Gyeonggi-do, Korea, Republic of

Nigrosome-1 region that is affected to the loss of dopaminergic neurons is one of the important characteristics of Parkinson’s disease (PD). To evaluate the early stage of PD and investigate the main mechanisms of nigrosome degeneration using MR images, the susceptibility based MRI techniques were performed: R2* (=1/T2*) map, SWI and QSM map in seven elderly healthy subjects that are reference subjects for PD.

1250
Structural and Functional Reorganization of the Rat Brain in the 6-OHDA Model of Parkinson’s Disease
Vincent Perlbarg1,2, Benjamin Butler3, Justine Lambert3, Romain Valabrègue3, Anne-Laure Privat3, Chantal François3, Stéphane Lehéricy4,5, and Alexandra Petiet4,5

1Bioinformatics and Biostatistics Platform, Brain and Spine Institute, Paris, France, 2UPMC/Inserm UMRS1146 / CNRS UMR7371, Paris, France, 3Brain and Spine Institute, Paris, France, 4Center for Neuroimaging Research, Brain and Spine Institute, Paris, France, 5UPMC/Inserm UMRS1127 / CNRS UMR7225, Paris, France

Parkinson’s disease (PD) is characterized by neurodegeneration of the dopaminergic neurons in the substantia nigra pars compacta (SNc), which can be recapitulated in the 6-hydroxydopamine (6-OHDA) rat model. To evaluate structural and functional cerebral reorganization after induction of the lesion, we performed a longitudinal study up to 6 weeks using diffusion and resting-state functional MRI. Our results showed increased fractional anisotropy in the striatum ipsilateral to the lesion and increased bilateral functional connectivity between the striatum, the globus pallidus and the sensorimotor cortex in the 6-OHDA group. These results will help improve our understanding of cerebral alterations and reorganization in PD pathology.

1251
Towards Quantitation of Nerve Trauma Using SHINKEI Based MR Neurography of Brachial Plexus at 1.5T
Prashant Nair1, Lalit Gupta2, Rajagopal K.V.1, Praveen Mathew1, Rolla Narayana Krishna2, and Indrajit Saha3

1Radiodiagnosis and Imaging, KMCH, Manipal University, Manipal, India, 2Philips Healthcare, Bangalore, India, Bangalore, India, 3, Philips India Ltd., Gurgaon, India, Gurgaon, India

The purpose of this study was to make an image processing marker using 3D SHINKEI based MR Neurography images of brachial plexus to identify nerve conditions and establish the condition for normalcy and abnormality by extracting the contrast property from the second order gray level Co-occurrence Matrix. The images from fourteen healthy volunteers and three patients were studied. The contrast in perpendicular direction of nerve anatomy was twice as high as other contrasts among normal subjects, while in patients, there was no such difference. Our ongoing work has the potential to classify the severity of the detected nerve lesion.  

1252
Neuropsychological Measures of Parietal Lobe Thickness
Christopher Bird1, Sarah Banks1, and Dietmar Cordes1

1Cleveland Clinic Lou Ruvo Center For Brain Health, Las Vegas, NV, United States

We report relationships between cortical thickness as assessed with Freesurfer, and performance on three tests: Judgment of Line Orientation (JOLO), Brief Visuospatial Memory Test Copy Trial (BVMT-C), and Block Design (BD) in 122 consecutive memory clinic patients. Geometric construction tests (BD) was more sensitive to right sided thickness, while judgment of angles and simple construction of shapes was more sensitive to the left parietal lobe.

1253
Conformity between Brain structures and Neuropsychological tests in Methamphetamine Abusers
Artit Rodkong1, Nuttawadee Intachai1, Suwit Saekho1,2, Apinun Aramrattana3, Kanok Uttawichai4, Mekkla Thomson5, Bangorn Sirirojn6, Daralak Thavornprasit6, Sineenart Taejaroenkul6, Kamolrawee Sintupat6, Victor Valcour7, Robert Paul8, and Napapon Sailasuta9

1Radiological Technology, Chiang Mai University, Chiang Mai, Thailand, 2Biomedical Engineering Center, Chiang Mai University, Chiang Mai, Thailand, 3Family Medicine, Chiang Mai University, Chiang Mai, Thailand, 4Thanyarak Hospital, Chiang Mai, Thailand, 5Westat, Rockville, MD, United States, 6Research Institute for Health Sciences, Chiang Mai, Thailand, 7Neurology, University of California, San Francisco, San Francisco, CA, United States, 8Psychology, University of Missouri, St. Louis, MO, United States, 9Huntington Medical Research Institute, Pasadena, CA, United States

Magnetic resonance imaging (MRI) studies show evidence of brain alteration in Methamphetamine (MA) users. We compare brain structures including gray matter (GM), white matter (WM) and cortical thickness between MA abusers and Healthy control (HC) group, and explore relationship between brain structures and neuropsychological performance (NP) in MA compared with HC. The results demonstrated that MA group revealed poorer cognitive function and reduced volumetrics in critical brain regions that underlie cognitive performance compared to that of the HC group.

1254
Modifications of gray matter volume in migraine patients over four years: a tensor-based morphometry study
Elisabetta Pagani1, Maria Assunta Rocca1,2, Roberta Messina1, Bruno Colombo2, Giancarlo Comi2, Andrea Falini3, and Massimo Filippi1,2

1Neuroimaging Research Unit, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy, 2Department of Neurology, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy, 3Department of Neuroradiology, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy

Aim of the study was to explore longitudinal gray matter (GM) changes over a four-year follow up in migraine patients and their association with patients’ clinical characteristics and disease activity. Brain dual-echo and 3D T1-weighted scans were acquired from 25 patients with migraine and 25 healthy controls at baseline and after 4 years. At follow up, compared to controls, migraine patients had an increased volume of fronto-parietal regions, whereas they developed atrophy of the right thalamus and occipital areas. The migraine brain changes dynamically over time. Various pathophysiological mechanism might affect different brain regions in migraineurs after 4 years.


Traditional Poster

Neurodegeneration: Alzheimer's

Exhibition Hall Monday, May 9, 2016: 10:45 - 12:45

1255
3D Texture Analyses of Quantitative Susceptibility Maps to Differentiate Alzheimer’s Disease from Cognitive Normal and Mild Cognitive Impairment
Eo-Jin Hwang1, Hyug-Gi Kim1, Chanhee Lee1, Hak Young Rhee2, Chang-Woo Ryu1, Dal-Mo Yang1, Tian Liu3, Yi Wang3, and Geon-Ho Jahng1

1Department of Radiology, Kyung Hee University Hospital at Gangdong, Kyung Hee University, Seoul, Korea, Republic of, 2Department of Neurology, Kyung Hee University Hospital at Gangdong, Kyung Hee University, Seoul, Korea, Republic of, 3Biomedical Engineering and Radiology, Cornell University, New York, NY, United States

To investigate QSM textures in the subjects with cognitively normal (CN), mild cognitive impairment (MCI) and Alzheimer’s disease (AD) and to compare the QSM texture results with those of 3D T1W images, 18 elderly CN, 18 MCI, and 18 AD subjects were scanned both 3D multi-echo gradient-echo and 3D T1-weighted sequences. The 1st and 2nd ordered texture parameters of the QSMs and 3DT1W images were calculated and compared among the three subject groups to differentiate the subject groups. Our results suggest that the demyelination effect could be more dominant than the metal accumulations in AD progression.

1256
Longitudinal DTI detects ApoE isoforms dependent change in white matter
Ling Yun Yeow1, Xuan Vinh To1, Xin Hong1, Boon Seng Wong2, and Kai-Hsiang Chuang1,2

1Neuro Imaging Group, Singapore Bioimaging Consortium, A*STAR, Singapore, Singapore, 2Department of Physiology, National University of Singapore, Singapore, Singapore

To understand the genetic influence of ApoE isoforms on the brain aging, we conducted longitudinal diffusion tensor imaging (DTI) on transgenic mice expressing human ApoE3 (hApoE3) or hApoE4 gene. Mean FA showed a general trend of hApoE4 » WT > hApoE3 from 12 to 18 months of age. There was age-dependent reduction of FA in all the animals, which was due to increased radial diffusivity. The hApoE4 mice also showed larger increase of parallel diffusivity. These indicate ApoE isoform dependent axonal change with aging.  

1257
Assessment of metabolism, perfusion and diffusion changes in the hippocampal subfields of MCI and AD using simultaneous PET-MR
Maged Goubran1, Audrey Peiwan Fan1, Praveen Gulaka1, David Douglas1, Steven Chao2, Andrew 5 Graduates of Quon1, Greg Zaharchuk1, Minal Vasanawala1, and Michael Zeineh1

1Department of Radiology, Stanford University, Stanford, CA, United States, 2Department of Neurology, Stanford University, Stanford, CA, United States

Hippocampal subfields are selectively affected in AD, however the hippocampus is assessed as a whole in PET studies. In this work we investigate the metabolic, perfusion and diffusion changes within the subfields of patients with MCI and AD using a simultaneous PET-MR scanner. Our preliminary results demonstrate significant reduction in metabolism and perfusion that are appreciated on the subfield level but not when assessing the hippocampus as a whole. This work suggests that subfield assessment is potentially more sensitive to pathological changes in AD than whole hippocampus analysis, and highlights the utility of simultaneous PET-MR as a tool for discovering novel biomarkers in neurodegenerative diseases. 

1258
Brain iron accumulation in Alzheimer’s disease evaluated using susceptibility-weighted imaging
Amir Fazlollahi1,2, Pierrick Bourgeat1, Ashley I. Bush3,4, Fabrice Meriaudeau 2, David Ames4, Colin L. Masters3,4, Christopher C. Rowe4,5, Victor L. Villemagne3,4,5, and Olivier Salvado1

1Australian e-Health Research centre, CSIRO, Brisbane, Australia, 2University of Burgundy, Le Creusot, France, 3Florey Institute of Neuroscience & Mental Health, Melbourne, Australia, 4The University of Melbourne, Melbourne, Australia, 5Austin Health, Melbourne, Australia

MRI susceptibility weighted imaging (SWI) has shown a promising sensitivity in visualizing iron deposits, while less effort is made to establish a pseudo-quantitative estimate of iron. In this study, an image processing framework was employed to normalize the uncalibrated intensity of SWI with respect to the corresponding value of cerebrospinal fluid. After excluding large detectable veins, the resulting pseudo-quantitative image along with a standard brain atlas, were used to compute regional concentrations of iron in a cohort of Alzheimer’s disease. A group-wise analysis was then showed a stepwise increment in SWI-iron along the progression of the disease.

1259
Cerebral Blood Flow Measured by Arterial Spin Labeled MRI Predicts Longitudinal Hippocampal Atrophy in Mild Cognitive Impairment
Long Xie1,2, Sandhitsu R. Das1,3, Arun Pilania3,4, Molly Daffner3,4, Grace E. Stockbower3,4, Sudipto Dolui3,5,6, John A. Detre3,5,6, and David A. Wolk3,4

1Penn Image Computing and Science Laboratory (PICSL), Department of Radiology, University of Pennsylvania, Philadelphia, PA, United States, 2Department of Bioengineering, University of Pennsylvania, Philadelphia, PA, United States, 3Department of Neurology, University of Pennsylvania, Philadelphia, PA, United States, 4Penn Memory Center, University of Pennsylvania, Philadelphia, PA, United States, 5Center for Functional Neuroimaging, Department of Radiology, University of Pennsylvania, Philadelphia, PA, United States, 6Department of Radiology, University of Pennsylvania, Philadelphia, PA, United States

In this study, we compared regional cerebral blood flow (CBF) measured by arterial spin labeled perfusion MRI (ASL-MRI) with baseline hippocampal volume from structural MRI in predicting likely Alzheimer’s disease (AD) progression measured by longitudinal hippocampal atrophy. Stepwise linear regression analyses demonstrated that CBF measurements were significantly associated with longitudinal hippocampal atrophy in entire cohort, as well as just within the MCI patients, while baseline hippocampal volume does not provide complementary information. Our results indicate ASL-MRI could potentially have important utility in identifying candidates for AD related therapeutic intervention studies and clinical trials.

1260
Nested support vector machine applied to structural and diffusion MR features for Alzheimer's disease prediction
Giovanni Giulietti1, Mara Cercignani2, and Marco Bozzali1

1Neuroimaging Laboratory, Santa Lucia Foundation, Rome, Italy, 2Clinical Imaging Sciences Centre, Brighton and Sussex Medical School, University of Sussex, Brighton, United Kingdom

The current study is an application of nested support vector machine (SVM) to distinguish healthy subjects and patients with Alzheimer’s disease using very few features coming from structural (T1) and diffusion (DWI) MR. After having segmented the T1 images in GM, WM and CSF, mean values of fractional_anisotropy, mean_diffusivity, radial_diffusivity and axial_diffusivity were computed in GM and WM; volume of GM and WM as percentage of total_intracranial_volume were also assessed. Therefore we computed 1023 different SVMs, one for each possible combination of the 10 features. Surprisingly, the WM diffusion measures resulted to be the most specific of dementia status.

1261
Quantitative Susceptibility Mapping in Patients with Alzheimer's Disease and Mild Cognitive Impairment
Hyug-Gi Kim1, Chan-Hee Lee1, Chang-Woo Ryu2, Soonchan Park2, Hak Young Rhee3, Kyung Mi Lee4, Wook Jin2, Dal-Mo Yang2, Soo Yeol Lee1, Tian Liu5, Yi Wang5, and Geon-Ho Jahng2

1Biomedical Engineering, Kyung Hee University, Gyeonggi-do, Korea, Republic of, 2Radiology, Kyung Hee University Hospital at Gangdong, Seoul, Korea, Republic of, 3Neurology, Kyung Hee University Hospital at Gangdong, Seoul, Korea, Republic of, 4Radiology, Kyung Hee University Hospital, Seoul, Korea, Republic of, 5Biomedical Engineering and Radiology, Cornell University, New York, NY, United States

One of the important characteristics of Alzheimer’s disease (AD) is the iron accumulations in the brain. To estimate the quantitative susceptibility effects in AD brain, the susceptibility changes were investigated in subjects with 19 cognitive normal (CN), 19 mild cognitive impairment (MCI) and 19 AD. Seven-echo 3D gradient-echo images were obtained to map quantitative susceptibility mapping (QSM) and 3D T1-weighted images using the MPRAGE sequence were also obtained to map gray matter volume (GMV). Both voxel-based and ROI-based analyses were performed to evaluate the group differences. The result showed that QSM can be useful to evaluate the AD brain.

1262
Multilevel classification of Alzheimer’s and Mild Cognitive Impairment patients by using Diffusion Tensor Imaging data
Ranganatha Sitaram1, Josué Luiz Dalboni da Rocha2,3, Ivanei Bramati4, Gabriel Coutinho4, and Fernanda Tovar Moll4

1Institute for Medical and Biological Engineering and Department of Psychiatry, Pontificia Universidad Católica de Chile, Santiago, Chile, 2Biomedical Engineering, University of Florida, Gainesville, FL, United States, 3University of Florida, Gainesville, FL, United States, 4Instituto D'Or de Pesquisa e Ensino, Rio de Janeiro, Brazil, Rio de Janeiro, Brazil

The proposed novel approach is based on three levels of analyses of DTI data: 1) voxel level analysis of Fractional Anisotropy, 2) connection level based on fiber tracks between brain regions, and 3) network level based connections among multiple brain regions. This novel approach was applied to differentiate between AD, MCI and controls. We achieved accuracy of 93% between AD and controls, 90% between AD and MCI. Main discriminative areas were Hippocampal Cingulum and Parahippocampal Gyrus. The results suggest that our multilevel DTI analysis not only informs difference between brain conditions, but also shows strong potential as diagnostic tool.

1263
Correlation of 2-year longitudinal structural changes with basal CSF Alzheimer's Disease biomarkers in elderly cognitive healthy subjects
Carles Falcon1,2, Alan Tucholka1, Juan Domingo Gispert1,2, Gemma Cristina Monte-Rubio3, Lorena Rami3,4, and Jose Luis Molinuevo3,4

1BarcelonaBeta Brain Research Center. Pasqual Maragall Foundation, Barcelona, Spain, 2CIBER-BBN, Barcelona, Spain, 3Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS), Barcelona, Spain, 4Neurology, Hospital Clinic of Barcelona, Barcelona, Spain

We report the correlation of two-year gray matter (GM) changes with basal levels of Aβ42, p-tau and p-tau/Aβ42 in CSF on a sample of 62 cognitively normal subjects (18 Aβ42 positive and 26 p-tau positive), aged 60-80. GM volume decrease was correlated with Aβ42 in medial and orbital frontal, precuneus, cingulate, medial temporal regions and cerebellum. Correlations with p-tau were located in left hippocampus, parahippocampus and striatal nuclei and with p-tau/Aβ42 in ventral and medial temporal areas. We conclude that diverse pathological mechanisms in the preclinical stage could underpin atrophy rates in different regions known to be altered in AD

1264
Impact of image acquisition systems on Alzheimer's disease-related atrophy detection
Pavel Falkovskiy1,2,3, Bénédicte Maréchal1,2,3, Tobias Kober1,2,3, Philippe Maeder1, Reto Meuli1, Jean-Philippe Thiran3, and Alexis Roche1,2,3

1Department of Radiology, University Hospital (CHUV), Lausanne, Switzerland, 2Advanced Clinical Imaging Technology (HC CMEA SUI DI BM PI), Siemens Healthcare AG, Lausanne, Switzerland, 3LTS5, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland

We investigate the potentially confounding effect of using different image acquisition systems (field strength, manufacturers) on automated Alzheimer's disease detection using standardized Alzheimer's Disease Neuroimaging Initiative (ADNI) data. Disease classifiers based on brain volumetric markers computed by FreeSurfer and the MorphoBox prototype were evaluated with and without correcting for variations in acquisition systems. While the correction overall had limited impact on Alzheimer's disease detection, it enabled significant error reduction for the classification of mildly cognitively impaired patients versus both healthy controls and Alzheimer's patients.

1265
Regional CBF and Cognition in Longitudinal ADNI Disease Groups
Sudipto Dolui1,2, Long Xie3,4, David A. Wolk2, and John A. Detre1,2

1Department of Radiology, University of Pennsylvania, Philadelphia, PA, United States, 2Department of Neurology, University of Pennsylvania, Philadelphia, PA, United States, 3Penn Image Computing and Science Laboratory (PICSL), Department of Radiology, University of Pennsylvania, Philadelphia, PA, United States, 4Department of Bioengineering, University of Pennsylvania, Philadelphia, PA, United States

We evaluated longitudinal changes in regional cerebral blood flow (CBF) for patients at different stages of Alzheimer’s disease and correlated CBF with cognition assessed by the clinical dementia rating scale sum of boxes (CDR-SB). Mean CBF in precuneus, posterior cingulate cortex (PCC) and hippocampus were statistically significantly correlated with CDR-SB. However, longitudinal changes in CDR-SB only correlated with CBF change in PCC. There was a statistically significant group difference in baseline PCC-CBF between incipient Alzheimer’s patients whose cognitive function deteriorated versus those who didn’t, demonstrating that CBF can be used as a predictor of disease progression.

1266
The effect of the medical food Souvenaid on brain phospholipid metabolism in patients with mild Alzheimer’s disease: a randomised controlled 31P-MRS study
Anne Rijpma1,2, Marinette van der Graaf3,4, Olga Meulenbroek1,2, Marieke Lansbergen5, John Sijben5, Marcel Olde Rikkert1,2, and Arend Heerschap3

1Geriatric Medicine, Radboud university medical center, Nijmegen, Netherlands, 2Radboud Alzheimer Centre, Donders Institute for Brain, Cognition and Behaviour, Radboud university medical center, Nijmegen, Netherlands, 3Radiology and Nuclear Medicine, Radboud university medical center, Nijmegen, Netherlands, 4Paediatrics, Radboud university medical center, Nijmegen, Netherlands, 5Nutricia Research, Nutricia Advanced Medical Nutrition, Utrecht, Netherlands

Loss of neuronal membranes and synaptic integrity are major factors that contribute to the development of cognitive impairment in individuals with Alzheimer’s disease (AD). Membrane phospholipid metabolism can be investigated non-invasively using phosphorus Magnetic Resonance Spectroscopy (31P-MRS). Here we report on the results of a double-blind randomised controlled study investigating the effects of the medical food Souvenaid on brain phospholipid metabolism in patients with mild AD. 3D 31P-MRS imaging was performed at baseline and after 4 weeks intervention. 

1267
The Influence of Cerebrovascular Disease on Structural Covariance Networks in Prodromal and Early Stages of Alzheimer’s Disease
Joanna Su Xian Chong1, Yng Miin Loke1, Saima Hilal2,3, Mohammad Kamran Ikram3,4, Xin Xu2,3, Boon Yeow Tan5, Narayanaswamy Venketasubramanian6, Christopher Li-Hsian Chen2,3, and Juan Zhou1,7

1Centre for Cognitive Neuroscience, Neuroscience and Behavioural Disorders Programme, Duke-National University of Singapore Graduate Medical School, Singapore, Singapore, 2Department of Pharmacology, National University Health System, Clinical Research Centre, Singapore, Singapore, 3Memory Ageing & Cognition Centre, National University Health System, Singapore, Singapore, 4Duke-National University of Singapore Graduate Medical School, Singapore, Singapore, 5St. Luke's Hospital, Singapore, Singapore, 6Raffles Neuroscience Centre, Raffles Hospital, Singapore, Singapore, 7Clinical Imaging Research Centre, The Agency for Science, Technology and Research and National University of Singapore, Singapore, Singapore

Cerebrovascular disease (CVD) frequently co-occurs with Alzheimer’s disease (AD), however its effects on the organization of brain networks in AD patients remain unknown. This study aimed to examine the influence of CVD on grey matter (GM) structural covariance (SC) networks in prodromal and early AD patients. Divergent changes in GM volumes and SC of higher-order networks were found between CVD and non-CVD subtypes. Specifically, the default mode network showed changes in non-CVD subtypes but was spared in CVD subtypes. These findings highlight the different pathophysiology underlying AD patients with CVD and those without CVD.

1268
The joint effects of APOE genotype and age on functional network in non-demented old adults
Liang Gong1, Hao Su1, Cancan He1, Qing Ye1, Feng Bai1, Chunming Xie1, and Zhijun Zhang1

1Department of Neurology, Affiliated ZhongDa Hospital, School of Medicine, Southeast University, Nanjing, China, People's Republic of

A cross-sectional resting-state functional magnetic resonance imaging study was conducted with 84 aMCI subjects (including 9 APOE ε2, 45 ε3, 28 ε4 carriers) and well-matched 124 cognitively normal (CN) healthy elders (including 35 APOE ε2, 43 ε3, 46 ε4 carriers). The finding revealed that the ε2 carriers and ε4 carriers showed convergent effects on right AFC but divergent effects on left AFC network when CN compared to aMCI patients. Interactive effects of APOE genotypes and age on AFC network further revealed neural basis of ten years earlier on the age of onset in aMCI patients. Further, mediation analysis suggested that connectivity strength mediated the effects of APOE genotypes and age on the cognitive function in aMCI patients.

1269
Intrinsic Functional Connectivities of “Where” Visual Network in Patients with Mild Cognitive Impairment
Yanjia Deng1, Lin Shi2,3, Defeng Wang1,4,5, and ADNI Alzheimer’s Disease Neuroimaging Initiative6

1Imaging and Interventional Radiology, The Chinese University of Hong Kong, Hong Kong, China, People's Republic of, 2Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, China, People's Republic of, 3Chow Yuk Ho Technology Centre for Innovative Medicine, The Chinese University of Hong Kong, Hong Kong, China, People's Republic of, 4Shenzhen Research Institute, The Chinese University of Hong Kong, Shenzhen, China, People's Republic of, 5Research Center for Medical Image Computing, Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Hong Kong, China, People's Republic of, 6Los Angeles, CA, United States

In order to extend the knowledge on the impaired pattern of “where” visual perception in mild cognitive impairment (MCI) patients, we investigated the connectivity of the “where” visual networks in terms of intrinsic interaction in early and late MCI patients. Resting-state functional MRI data of late MCI, early MCI and matched healthy controls from Alzheimer’s Disease Neuroimaging Initiative dataset were analyzed to investigate the alterations of interregional connections of “where” visual networks. Significant increased interregional connectivties in late MCI patients were found, which may extend the current knowledge on the pattern of visual perceptual impairment in MCI patients.

1270
Estimation of Water Exchange across the Blood Brain Barrier using Contrast-enhanced ASL
Helen Beaumont1, Aimee Pearson2, Matthias J van Osch3, and Laura M Parkes1

1Centre for Imaging Sciences, University of Manchester, Manchester, United Kingdom, 2Dept of Physics, University of Manchester, Manchester, United Kingdom, 3C.J. Gorter Center for High Field MRI, Dept of Radiology, Leiden University Medical Centre, Leiden, Netherlands

This study investigates the possibility of estimating water exchange across the blood-brain barrier by manipulating the T1 of blood using a gadolinium-based contrast agent, together with pre- and post-contrast Arterial Spin Labelling measurements. Gadolinium lowers the T1 of blood, but not of tissue, allowing the proportions of label in intra- and extra-vascular tissue to be estimated. A Look-Locker readout was used to measure the temporal evolution of the ASL signal at four doses of contrast agent. Even with T1 of approximately 500ms, an ASL subtraction signal was still detected at an inversion time of 2s, indicating that labelled blood water has exchanged with tissue water.

1271
Profiling patterns of white matter injury in normal pressure hydrocephalus pre- and post-intervention using diffusion tensor imaging
Nicole Chwee Har Keong1,2, Alonso Pena3, Stephen J Price4, Marek Czosnyka4, Zofia Czosnyka4, Elise DeVito5, Charlotte Housden6, Jonathan H Gillard7, Barbara Sahakian6, and John D Pickard4

1Neurosurgery, National Neuroscience Institute, Singapore, Singapore, 2Neurosurgery, University of Cambridge, Cambridge, United Kingdom, 3SDA Bocconi School of Management, Milan, Italy, 4Neurosurgical Division, Dept of Clinical Neurosciences, University of Cambridge Hospitals NHS Foundation Trust, Cambridge, United Kingdom, 5Dept of Psychiatry, Yale University School of Medicine, New Haven, CT, United States, 6Department of Psychiatry and MRC/Wellcome Trust Behavioural and Clinical Neuroscience Institute, University of Cambridge, Cambridge, United Kingdom, 7Department of Radiology, University of Cambridge, Cambridge, United Kingdom

Normal pressure hydrocephalus (NPH) is a confounding condition of gait disturbance, cognitive decline and urinary incontinence remediable with surgical intervention.  We have used diffusion tensor imaging (DTI) to demonstrate patterns of white matter injury pre- and post-surgical intervention

1272
Quantifying the effects of age and the apolipoprotein E ε4 allele on Alzheimer’s disease progression
Hao Shu1, Guangyu Chen1, Gang Chen1, B. Douglas Ward1, Piero G. Antuono2, and Shi-Jiang Li1

1Department of Biophysics, Medical College of Wisconsin, Milwaukee, WI, United States, 2Department of Neurology, Medical College of Wisconsin, Milwaukee, WI, United States

Aging and the apolipoprotein E (APOE) ε4 allele are two established factors advancing Alzheimer’s disease (AD) progression; however, the extent to which these factors effect AD remains unclear. In this study, we employed the event-based probabilistic model to develop an index for characterizing Alzheimer’s disease risk event (CARE); we then used the CARE index to quantify the effects of age and the APOE ε4 allele on AD progression. This study demonstrated an aging-related increase in CARE index scores and its exacerbation by the APOE ε4 allele, thus providing a surrogate to quantitatively assess aging and the APOE ε4 allele modulations on AD progression.

1273
Dissecting the Role of Gender in Alzheimer's Disease: A 1H-[13C]-NMR Study in APP-PS1 Mice
Anant Bahadur Patel1, Niharika Rajnala1, and Kamal Saba1

1NMR Microimaging and Spectroscopy, CSIR-Centre for Cellular and Molecular Biology, Hyderabad, India

The population of Alzheimer's disease (AD) is increasing due to increased longevity in human. The dementing condition associated with AD is reported to be more in female than male. In this study, we explored the neurotransmitter metabolism in APP-PS1 female mice, and compared with age matched males, using 1H-[13C]-NMR spectroscopy following an administration of [1,6-13C2]glucose. The cerebral metabolic rates of glucose oxidation by glutamatergic and GABAergic neurons was found to be reduced in the cerebral cortex, striatum and hippocampus of the transgenic male mice. In contrary, transgenic female mice did not show change in metabolic rates when compared with wild type controls.

1274
Analysis of Functional Connectivity between Hippocampus Subfields and Perirhnial / Parahippocampal in patient with Mild Cognitive Impairment and Alzheimer’s Disease
Yafei Wang1, Yu Sun1, Lingyi Xu1, Yue Zhang1, Jiaming Lu2, Bing Liu3, Bing Zhang2, and Suiren Wan1

1The Laboratory for Medical Electronics, School of Biological Sciences and Medical Engineering, Southeast University, Nanjing, China, People's Republic of, 2Department of Radiology, The affiliated Drum Tower hospital of Nanjing University Medical School, Nanjing, China, People's Republic of, 3National Laboratory of Pattern Recognition, Institute of Automation, Chinese Academy of Science, Beijing, China, People's Republic of

The functional connectivity between hippocampus subfields and perirhnial cortices (PRC)/parahippocampal cortices (PHC) among normal cognition controls (NC), mild cognitive impairment (MCI) and Alzheimer’s disease (AD) was investigated in this study. The result shows the significant differences of functional connectivity in 3 pairs of ROIs among NC, AD and MCI. It may reveal that the difference of functional connectivity can be the marker to diagnosis AD and MCI.


Traditional Poster

Myelin Measurement

Exhibition Hall Monday, May 9, 2016: 10:45 - 12:45

1275

Analyzing Myelin Water Fraction using mcRISE
Fang Liu1, Andrew Alexander2, and Alexey Samsonov1

1Department of Radiology, University of Wisconsin-Madison, Madison, WI, United States, 2Department of Medical Physics, University of Wisconsin-Madison, Madison, WI, United States

Myelin, a thin layer of sheath-like cell, provides an important role in protecting nerve axon and accelerating neural impulse transmission. Myelin water fraction (MWF) mapping has been recently proposed for assessing myelin content in-vivo. One quantitative MR method called mcDESPOT has shown promising results for assessing myelin content. However, this method is lack of consideration of magnetization transfer (MT) effect leading to the complication of interpretation for MWF values. In this study, we proposed a method called mcRISE to account for MT effect and investigate the feasibility of assessing myelin content with MT-insensitive MWF as well as additional MT parameters.

1276

Quantification of Myelin by Solid-State MRI of the Lipid Matrix Protons
Cheng Li1, Alan C. Seifert2, Suzanne L. Wehrli3, and Felix W. Wehrli1

1Radiology, University of Pennsylvania, Philadelphia, PA, United States, 2Translational and Molecular Imaging Institute, Icahn School of Medicine at Mount Sinai, New York, NY, United States, 3NMR Core Facility, Children’s Hospital of Philadelphia, Philadelphia, PA, United States

Myelin is a lamellar liquid crystal consisting of a variety of phospholipids and cholesterol, water and proteins. So far quantitative information on myelin density has been obtained primarily indirectly via myelin water quantification or quantitative magnetization transfer. Here, we examined 3D UTE and ZTE methods at 400 MHz demonstrating the feasibility of MRI quantification of reconstituted myelin suspended in D2O as well as of myelin in lamb spinal cord in situ. Results show the magnitude signal amplitude to be linearly correlated with actual myelin content, allowing estimation to be made of myelin fraction in neural tissues. 

1277

Quantitative Estimates of Myelin Volume Fraction from T2 and Magnetization Transfer
Kathryn L West1,2, Nathaniel D Kelm1,2, Daniel F Gochberg2,3, Robert P Carson4, Kevin C Ess4, and Mark D Does1,2

1Biomedical Engineering, Vanderbilt University, Nashville, TN, United States, 2Vanderbilt University Institute of Imaging Science, Vanderbilt University, Nashville, TN, United States, 3Radiology and Radiological Sciences, Vanderbilt University, Nashville, TN, United States, 4Neurology, Vanderbilt University, Nashville, TN, United States

Multiexponential T2 and quantitative magnetization transfer experiments provide quantitative measures of myelin water fraction (MWF) and bound pool fraction (BPF), respectively. These measures are known to correlate with myelin content in white matter; however discrepancies between the two have been shown. We display that by correcting for all proton pools contributing to MWF and BPF in white matter, we are able to show similar absolute measures of myelin content from MWF and BPF that are nearly equal to each other and close to myelin content measured by quantitative histology.

1278

A Quantitative Evaluation of Normal Appearing White Matter in Multiple Sclerosis: ViSTa MWI and SE MWI.
Joon Yul Choi1, In Hye Jeong2, Se-Hong Oh3, Chang-Hyun Oh4,5, Ho Jin Kim2, and Jongho Lee1

1Laboratory for Imaging Science and Technology, Department of Electrical and Computer Engineering, Seoul National University, Seoul, Korea, Republic of, 2Department of Neurology, Research Institute and Hospital of National Cancer Center, Goyang, Korea, Republic of, 3Imaging Institute, Cleveland Clinic Foundation, Cleveland, OH, United States, 4Department of Electronics and Information Engineering, Korea University, Seoul, Korea, Republic of, 5ICT Convergence Technology Team for Health&Safety, Korea University, Seoul, Korea, Republic of

This study investigated the applicability of ViSTa-MWI for the detection of myelin damage in MS. The results show ViSTa-MWI sensitively detects normal appearing white matter damage with better reliability than SE-MWI. Additionally, ViSTa-MWI can discriminate T1 isointense lesions from T1 hypointense lesions.

1279
Clinical Feasibility of Myelin Water Fraction (MWF) Imaging Based on 3D Non-selective GRASE Sequence
Dushyant Kumar1,2, Patrick Borchert1, Jens Fiehler1, Susanne Siemonsen1,2, and Jan Sedlacik1

1Dept. of Diagnostic and Interventional Radiology, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany, 2Institute of Neuroimmunology and Multiple Sclerosis, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany

Problem: The clinical utility of myelin imaging based on “gold standard” multi echo spin echo (MESE) T2 relaxometry is currently impeded due to requirement of high SNR and need to account for contributions from stimulated pathways. We compare faster GRASE based myelin quantification against those from MESE. Methods: 3D non-selective GRASE and MESE were optimized. Implemented post processing method combines T2-decay model based extended phase graph with spatial regularization framework to improve on noise robustness and accurately account for B1-error. Results & Conclusions: Results demonstrate good consistency between MWF-maps from both sequences, except in left part of frontal brain.

1280
Water content changes in new multiple sclerosis lesions have minimal effect on myelin water fraction
Irene Vavasour1, Kimberley Chang2, Anna Combes3, Sandra Meyers4, Shannon Kolind2, Alexander Rauscher5, David Li1, Anthony Traboulsee2, Alex MacKay1,4, and Cornelia Laule1,6

1Radiology, University of British Columbia, Vancouver, BC, Canada, 2Medicine, University of British Columbia, Vancouver, BC, Canada, 3Neuroimaging, King's College London, London, United Kingdom, 4Physics and Astronomy, University of British Columbia, Vancouver, BC, Canada, 5Pediatrics, University of British Columbia, Vancouver, BC, Canada, 6Pathology and Laboratory Medicine, University of British Columbia, Vancouver, BC, Canada

Myelin water fraction (MWF) is a useful technique for measuring myelination changes in vivo. However, since MWF is the fraction of myelin water over the total water, changes in water content (WC) can influence this measurement. This is particularly relevant in new multiple sclerosis (MS) lesions which may have demyelination but also show significant increases in WC at first appearance that resolve at later times. We compared MWF and myelin water content (MWC=MWF×WC) in new MS lesions. Similar patterns of change were seen with both MWF and MWC indicating that changes in WC had minimal effect on the MWF.

1281
Using T1 and Quantitative Magnetization Transfer to Monitor Tissue Myelin Content in the Lysolecithin Model of Multiple Sclerosis
Raveena Dhaliwal1,2,3, Daniel J. Korchinski1,2,3, Samuel K. Jensen1,2, V. Wee Yong1,2, and Jeff F. Dunn1,2,3

1Neuroscience, University of Calgary, Calgary, AB, Canada, 2Hotchkiss Brain Institute, Calgary, AB, Canada, 3Radiology, University of Calgary, Calgary, AB, Canada

Multiple Sclerosis requires treatments that stimulate remyelination and reduce demyelination. Currently, both T1 and the quantitative magnetization transfer parameter bound pool fraction (f) have been found to correlate strongly with myelin content but little is known about the sensitivity of these techniques at different signal to noise ratios. This work demonstrates that T1 is highly sensitive to changes in myelin content but f can miss significant differences in tissue myelin content at a standard signal to noise. MS treatments should be developed using a multi-modal approach that combines techniques with high sensitivity (T1) and those that have high specificity (f).

1282
Longitudinal Observation of Individual Multiple Sclerosis White Matter Lesions Using Quantitative Myelin Imaging
Hagen H Kitzler1, Köhler Caroline1, Wahl Hannes1, Eisele C Judith2, Sean C Deoni3, Brian K Rutt4, Tjalf Ziemssen2, and Jennifer Linn1

1Neuroradiology, Technische Universität Dresden, Dresden, Germany, 2Neurology, Technische Universität Dresden, Dresden, Germany, 3Children's Hospital, Colorado, University of Colorado Medical School, Denver, CO, United States, 4Radiology, Stanford University, Stanford, CA, United States

Myelin Imaging is a potential tool to study demyelination and remyelination in inflammatory central nervous system diseases. This work presents a specific approach of tracking the individual myelination in single Multiple Sclerosis lesions and their pattern in Clinically Isolated Syndrome and early MS. Within n = 137 lesions of n = 15 patients we found 25% constant myelin loss, 14% permanent myelin regain, 56% fluctuating myelin content, and, 5% stable myelin reduction. These findings demonstrate an in vivo measurable highly dynamic individual lesion myelination status in inflammatory early disease. This method may facilitate to observe damage and reparative mechanism distribution in individual patients.

1283
Direct phase imaging of myelin: a validation study using ultrashort echo time (UTE) sequence and myelin phantoms
Qun He1,2, Vipul Sheth1, Hongda Shao1, Jun Chen1, Graeme Bydder1, and Jiang Du1

1University of California, San Diego, San Diego, CA, United States, 2Ningbo Jansen NMR Technology Co., Ltd., Cixi, Zhejiang, China, People's Republic of

Phase images have been a valuable source of contrast in applications such as venography and for depicting gray-white matter differences with high contrast in high field MR imaging. Phase differences evolve during typical TEs of 10 - 30ms in brain studies. It has been uncertain whether it would be possible to detect signal and obtain phase maps from ultrashort non-water protons in myelin which have typical mean T2s of 0.2 - 0.5 ms. In this study single and bicomponent T2* were measured in bovine myelin lipid, brain extract, and myelin basic proton and synthetic myelin and high quality phase maps were produced in each case.

1284
Direct IR-UTE imaging of myelin in healthy volunteers: the effect of T1 variation
Rong Luo1, Soorena Azam ZAnganeh1, Hongda Shao1, Jun Chen1, Graeme Bydder1, and Jiang Du1

1Radiology, University of California, San Diego, San Diego, CA, United States

MS is a disease that relatively specifically affects myelin which is invisible with conventional sequences. Adiabatic inversion recovery prepared ultrashort echo time (IR-UTE) sequences have been proposed to directly image myelin protons and suppress the long T2 water signal by adiabatic inversion and signal nulling. However, water signal contamination is a major challenge. T1 variation in long T2 white matter, and thus imperfect choice of TI is a potential source of error in direct myelin imaging. We aimed to investigate the T1 variation in long T2 white matter in volunteers, and the effects of this on IR-UTE imaging of myelin.

1285
RAFF4 MRI in detection of demyelinating lesions induced by lysophosphatidyl choline injections in rat
Lauri J Lehto1,2, Alejandra Sierra1, Aloma Albors1, Shalom Michaeli2, Antti Nurmi3, Laura Tolppanen3, Lynn E Eberly4, Silvia Mangia2, and Olli Gröhn1,2

1A. I. Virtanen Institute for Molecular Sciences, University of Eastern Finland, Kuopio, Finland, 2Center for Magnetic Resonance Research, University of Minnesota, Minneapolis, MN, United States, 3Charles River Laboratories, Kuopio, Finland, 4Division of Biostatistics, University of Minnesota, Minneapolis, MN, United States

An MRI contrast sensitive to demyelination would be invaluable in assessing a multitude of neurodegenerative diseases. Here, we demonstrate the benefits of a novel rotating frame method entitled Relaxation Along a Fictitious Field in the rotating frame of rank n (RAFFn) in detection of demyelinating lesions induced by lysophosphatidyl choline (LPC) injections in the rat corpus callosum (CC) and dorsal tegmental tract (DTG). RAFFn performed better than magnetization transfer in CC and DTG, and clearly outperformed diffusion tensor imaging in DTG, an area with heterogeneous fiber orientation distribution. Our results demonstrate high potential of RAFFn for imaging demyelinating lesions.

1286
Using diffusion MRI to study demyelination in cortex and deep gray matter in animal model of multiple sclerosis
Tina Pavlin1,2, Vanja Flatberg3, Renate Gruner2,4, Erlend Hodneland5,6, and Stig Wergeland7,8

1Molecular Imaging Center, Department of Biomedicine, University of Bergen, Bergen, Norway, 2Department of Radiology, Haukeland University Hospital, Bergen, Norway, 3Department of Physics, University of Bergen, Bergen, Norway, 4Department of Physics and Technology, University of Bergen, Bergen, Norway, 5Christian Michelsen Research, Bergen, Norway, 6MedViz Research Cluster, Bergen, Norway, 7KG Jebsen Centre for MS-Research, Department of Clinical Medicine, University of Bergen, Bergen, Norway, 8The Norwegian Multiple Sclerosis Competence Centre, Department of Neurology, Haukeland University Hospital, Bergen, Norway

We have applied a biophysical model of diffusion to study dendrite density and diffusion in cortex and deep gray matter in an animal model of MS. We have performed DTI on mice brains ex-vivo at baseline, after 3 and 5 weeks of cuprizone exposure, and 4 weeks after termination of exposure. We observed a significant drop in neurite density and an increase in intra-axonal diffusion at 3 and 5 weeks of exposure, and a recovery to baseline values after remyelination. Our study shows the potential of DTI to detect subtle changes in myelin content in gray matter, thereby improving out understanding of the disease.  

1287
The reproducibility and statistical power of brain T2 mapping at 7 tesla in naïve rats in vivo
Serguei Liachenko1

1National Center for Toxicological Research, US FDA, Jefferson, AR, United States

The baseline behavior of T2 relaxation at 7 tesla in different parts of the rat brain was studied to provide the foundation for possible biomarker performance evaluation.

1288
High-resolution myelin water imaging using Direct Visualization of Short Transverse Relaxation Time Component (ViSTa) at 7T
Se-Hong Oh1 and Mark J. Lowe1

1Imaging Institute, Cleveland Clinic Foundation, Cleveland, OH, United States

Recently, a new high quality myelin water imaging method, direct visualization of short transverse relaxation time component (ViSTa) has been developed. The ViSTa signal is primarily from short T2* in the range of myelin water. In this study, we assessed 3D ViSTa sequence for 7T MR imaging which can cover the whole brain. Taking advantage of higher SNR at 7T, ViSTa using 7T MRI provided high-resolution and high-quality myelin water images generating a whole brain volume in clinically reasonable time. And the method successfully detected demyelinated MS lesions.


Traditional Poster

Multiple Sclerosis: Techniques

Exhibition Hall Monday, May 9, 2016: 10:45 - 12:45

1289
Longitudinal automated detection of white-matter and cortical lesions in relapsing-remitting multiple sclerosis
Mário João Fartaria1,2, Guillaume Bonnier1,2, Tobias Kober1,2,3, Alexis Roche1,2,3, Bénédicte Maréchal1,2,3, David Rotzinger2, Myriam Schluep4, Renaud Du Pasquier4, Jean-Philippe Thiran2,3, Gunnar Krueger2,3,5, Reto Meuli2, Meritxell Bach Cuadra2,3,6, and Cristina Granziera1,4,7

1Advanced Clinical Imaging Technology (HC CMEA SUI DI BM PI), Siemens Healthcare AG, Lausanne, Switzerland, 2Department of Radiology, Centre Hospitalier Universitaire Vaudois (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland, 3Signal Processing Laboratory (LTS 5), Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland, 4Neuroimmunology Unit, Neurology, Department of Clinical Neurosciences, Centre Hospitalier Universitaire Vaudois (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland, 5Siemens Medical Solutions USA, Inc., Boston, MA, United States, 6Signal Processing Core, Centre d'Imagerie BioMédicale (CIBM), Lausanne, Switzerland, 7Martinos Center for Biomedical Imaging, Massachusetts General Hospital and Harvard Medical School, Boston, MA, United States

Magnetic Resonance Imaging(MRI) plays an important role for lesion assessment in early stages of Multiple Sclerosis(MS). This work aims at evaluating the performance of an automated tool for MS lesion detection, segmentation and tracking in longitudinal data, only for use in this research study. The method was tested with images acquired using both a "clinical" and an "advanced" imaging protocol for comparison. The validation was conducted in a cohort of thirty-two early MS patients through a ground truth obtained from manual segmentations by a neurologist and a radiologist. The use of the "advanced protocol" significantly improves lesion detection and classification in longitudinal analyses.

1290
New insight in perivenular lesion formation in multiple sclerosis on weekly susceptibility weighted images
Simon Mure1, Charles Guttmann2, Thomas Grenier1, Hugues Benoit-Cattin1, and François Cotton3

1CREATIS, Villeurbanne cedex, France, 2Center for Neurological Imaging, Brigham and Women's Hospital, Boston, MA, United States, 3CREATIS - HCL, Villeurbanne cedex, France

In this paper, we take advantage of a unique longitudinal MRI dataset acquired at weekly intervals on untreated multiple sclerosis patients. We study the signal dynamics of relapsing-remitting multiple sclerosis lesions on SWI MRI and show, thanks to an unsupervised spatiotemporal clustering algorithm, that specific signal intensity behaviors exist between the veins and the lesions that are synchronous with contrast enhancement on gadolinium-enhanced T1-weighted MRI. Our study shows that vein narrowing depicted on SWI is an early event that appears to precede blood-brain barrier disruption signified by contrast-enhancement.

1291
Lobule-wise quantitative T1 and T2* analysis of cerebellar grey matter in multiple sclerosis patients at 7T MRI
Yohan Boillat1, Kieran O'Brien2,3, Mário João Fartaria de Oliveira4,5, Guillaume Bonnier1,5,6, Gunnar Krueger5,7, Wietske van der Zwaag1,8, and Cristina Granziera1,5,6,9

1Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland, 2Siemens Healthcare Pty Ltd., Brisbane, Australia, 3University of Queensland, St-Lucia, Australia, 4University of Lausanne, Lausanne, Switzerland, 5Advanced Clinical Imaging Technology Group, Siemens, Lausanne, Switzerland, 6Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland, 7Healthcare Sector IM&WS S, Siemens Schweiz AG, Lausanne, Switzerland, 8Spinoza Centre for Neuroimaging, Amsterdam, Switzerland, 9Massachusetts General Hospital and Harvard Medical School, Charlestown, MA, United States

We compared ultra-high field, high resolution quantitative T1 and T2* measurements in the cerebellum of MS patients to that of healthy controls. A correlation between the multiple sclerosis functional scale scores and local T2* values was found for several motor and cognitive related lobules. No significant differences between groups were found.

1292
Edema-Correction is Essential for Monitoring Brain Atrophy with BPF
Marcel Warntjes1,2, Anders Tisell1,3, Irene Håkansson4, and Peter Lundberg1

1Center for Medical Imaging Science and Visualization, Linköping, Sweden, 2SyntheticMR AB, Linköping, Sweden, 3Department of Medical and Health Sciences, Radiation Physics, Linköping, Sweden, 4Department of Clinical and Experimental Medicine, Neurology, Linköping, Sweden

The rate of brain atrophy in neuro-degenerative diseases is monitored using the brain parenchymal fraction (BPF, the ratio of brain volume and intracranial volume). The true atrophy, however, may be obscured by the simultaneous brain swelling due to inflammatory processes, disease activity and medication. Measurement of the average relaxation rates and proton density of the brain allows correction for the presence of edemic water. The edema-corrected BPF showed a higher rate of atrophy, 0.495%/year (p = 0.003), in comparison to the uncorrected BPF, 0.175%/year (p = 0.12), in a group of early-onset Multiple Sclerosis patients.

1293
T1ρ MRI Demonstrates Increased Contrast-to-Noise-Ratio in MS Lesions Compared to T2
Jay V Gonyea1, Richard Watts1, Angela Applebee2, Trevor Andrews1,3, Scott Hipko1, Joshua P Nickerson1, Lindsay Thornton4, and Christopher G Filippi5

1Radiology-MRI Center for Biomedical Imaging, University of Vermont College of Medicine, Burlington, VT, United States, 2Neurological Sciences, University of Vermont College of Medicine, Burlington, VT, United States, 3Philips Health Tech, Cleveland, OH, United States, 4Radiology, University of Florida, Gainesville, FL, United States, 5Radiology, North Shore University Hospital-Long Island Jewish, New York, NY, United States

Quantitative MRI measures such as T2 are limited in their ability of staging MS progression. Tmay be sensitive to low-frequency chemical exchange between proteins and extracellular water. A 3D TSE with whole-brain coverage, spin-lock times of 0, 20, 40, 60, 80, and 100 ms spin-lock times was acquired at 500 Hz. We found that T provides better contrast-to-noise-ratio (CNR) than T2.

1294
Assessment of whole brain blood flow changes in multiple sclerosis: phase contrast MRI versus ASL
Yulin Ge1, Olga Marshall1, Ilya Kister1, Jean-Christophe Brisset1, Louise Pape1, Jacqueline Smith1, and Robert I Grossman1

1Radiology, New York University School of Medicine, New York City, NY, United States

Cerebral blood flow (CBF) is an important characteristic of the brain since it reflects the availability of blood to enable healthy neuronal function. Previous studies in multiple sclerosis (MS) have shown regional hemodynamic changes indicating a state of both increased or decreased perfusion, which may reflect underlying neuroinflammatory activity and impaired vascular perfusion of the disease, respectively. However, it is still unclear how the whole brain blood supply or blood flow changes in MS. This study was to investigate whether global CBF levels are effected in MS compared to controls, while evaluating with two different imaging techniques to confirm the findings.
 

1295
Focal cerebellar pathology in early relapsing-remitting multiple sclerosis patients: a MP2RAGE study at 3T and 7T MRI
Mário João Fartaria1,2, Guillaume Bonnier1,2, Tobias Kober1,2,3, Kieran O'Brien4,5, Alexis Roche1,2,3, Bénédicte Maréchal1,2,3, Reto Meuli2, Jean-Philippe Thiran2,3, Gunnar Krueger6, Meritxell Bach Cuadra2,3,7, and Cristina Granziera1,7,8,9

1Advanced Clinical Imaging Technology (HC CMEA SUI DI BM PI), Siemens Healthcare AG, Lausanne, Switzerland, 2Department of Radiology, Centre Hospitalier Universitaire Vaudois (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland, 3Signal Processing Laboratory (LTS 5), Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland, 4Centre for Advanced Imaging, University of Queensland, Brisbane, Queensland, Australia, 5Siemens Healthcare Pty Ltd., Brisbane, Queensland, Australia, 6Siemens Medical Solutions USA, Inc., Boston, Switzerland, 7Signal Processing Core, Centre d'Imagerie BioMédicale (CIBM), Lausanne, Switzerland, 8Martinos Center for Biomedical Imaging, Massachusetts General Hospital and Harvard Medical School, Boston, MA, United States, 9Neuroimmunology Unit, Neurology, Department of Clinical Neurosciences, Centre Hospitalier Universitaire Vaudois (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland

In this work, we assessed the sensitivity of MP2RAGE at 7T MRI to detect focal cerebellar pathology, both in grey and white matter. To do this, we compared cerebellar lesion count in 7T and 3T MP2RAGE images in a cohort of MS patients. Lesion detection rate at 7T MRI was higher than the one at 3T, yet the total lesion volume was comparable at different field strengths. Lesion volumes calculated on 7T MP2RAGE images showed higher correlations with clinical scores than the ones at 3T, pointing at a clinical value of 7T MRI for complex regions such as cerebellum.

1296
Phosphorus MR Spectroscopy as a biomarker of improved tissue metabolism after aerobic exercise in Multiple Sclerosis at 7T
Manoj K Sammi1, Rebecca Spain2, Bharti Garg3, Kerry Kuehl3, and William D Rooney1

1Advanced Imaging Research Center, Oregon Health & Science University, Portland, OR, United States, 2Department of Neurology, Oregon Health & Science University, Portland, OR, United States, 3Department of Medicine, Oregon Health & Science University, Portland, OR, United States

Moderate exercise has been shown to benefit several aspects of brain health.  We investigate the feasibility of aerobic exercise in subjects with Multiple Sclerosis and use of 31P MR spectroscopic imaging as a biomarker.

1297
Exploring Sodium MRI Contrast Beyond Concentration in Multiple Sclerosis Lesions
Robert Stobbe1, Penny Smyth2, Roxane Billey2, Leah White2, Fabrizio Giuliani2, Derek Emery3, and Christian Beaulieu1

1Biomedical Engineering, University of Alberta, Edmonton, AB, Canada, 2Neurology, University of Alberta, Edmonton, AB, Canada, 3Radiology, University of Alberta, Edmonton, AB, Canada

Two different relaxation-weighted 23Na sequences were compared to density-weighted 23Na imaging in the context of multiple sclerosis (MS) and the lesion contrast produced by each sequence was significantly different, thus identifying the presence of substantial 23Na relaxation change. Given that macromolecular density and structure directly influence the electric field gradients driving orientation of the nuclear electric quadrupole moment and 23Na relaxation, exploration of 23Na relaxation change may help in the assessment of MS including axonal loss and demyelination. The use of relaxation-weighted sequences and their relative combination to eliminate sodium concentration dependence is a starting point for 23Na relaxation exploration.              


Traditional Poster

Multiple Sclerosis: Studies

Exhibition Hall Monday, May 9, 2016: 10:45 - 12:45

1298
MRI detects the effects of demyelination and remyelination on hippocampal structure and function
Harsha Battapady1, Jacqueline Chen1, and Bruce D Trapp1

1Neurosciences, Cleveland Clinic, Cleveland, OH, United States

Multiple sclerosis (MS) features demyelination of the brain and spinal cord, resulting in impaired and eventual loss of neuronal function. Approximately 65% of MS patients experience cognitive impairment and memory dysfunction. Postmortem analyses reveal hippocampal demyelination and glutamate receptor loss in MS patients, suggesting impaired synaptic function in this brain region critical for memory and learning. Using a mouse model of reversible demyelination, we demonstrate that MRI can detect the loss and restoration of myelin and neuronal function in the hippocampus. Our results suggest that MRI is a powerful pre-clinical tool for testing neuroprotective and reparative therapies targeting the hippocampus.

1299
Cerebellar contribution to motor and cognitive impairment in multiple sclerosis patients: a sub-regional structural MRI analysis
Elisabetta Pagani1, Maria Assunta Rocca1,2, Alessandro D'Ambrosio1,3, Gianna Carla Riccitelli1, Bruno Colombo2, Mariaemma Rodegher2, Andrea Falini4, Giancarlo Comi2, and Massimo Filippi1,2

1Neuroimaging Research Unit, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy, 2Department of Neurology, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy, 3I Division of Neurology, Department of Medical, Surgical, Neurological, Metabolic and Aging Sciences, Second University of Naples, Naples, Italy, 4Department of Neuroradiology, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy

Aim of the study was to assess the role of cerebellar global and sub-regional involvement on motor and cognitive impairment in multiple sclerosis (MS) patients. Cerebellar segmentation and lobular parcellation was performed on T1 weighted images from 95 MS patients and 32 healthy controls using SUIT tool. The Nine Hole Peg Test was obtained as a measure of motor performance; patients also underwent cognitive evaluation. Cerebellar posterior-inferior volume accounted for variance in cognitive measures in MS patients, whereas anterior cerebellar volume accounted for variance in motor performance, supporting a critical contribution of regional cerebellar damage to clinical manifestations of MS.

1300
Cross-modal plasticity among sensory networks in neuromyelitis optica spectrum disorders
Paola Valsasina1, Maria Assunta Rocca1, Filippo Savoldi1, Marta Radaelli2, Paolo Preziosa1, Giancarlo Comi2, Andrea Falini3, and Massimo Filippi1

1Neuroimaging Research Unit, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy, 2Department of Neurology, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy, 3Department of Neuroradiology, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy

This study gives a comprehensive description of sensory and motor resting state functional connectivity abnormalities in patients with neuromyelitis optica spectrum disorders (NMOSD) fulfilling the new 2015 diagnostic criteria. Functional connectivity abnormalities found in these patients were compared with isolated optic neuritis and myelitis. Our results suggest different mechanisms of brain reorganization in NMOSD vs isolated optic neuritis and myelitis, with a more evident cross-modal plasticity between sensory systems in NMOSD patients. This result might help to better characterize the different pathophysiological mechanisms occurring in these conditions.

1301
Correlation of transcallosal motor network resting state connectivity with motor performance after 12 months of Fingolimod treatment
Pallab K Bhattacharyya1, Robert Fox2, Jian Lin1, Ken Sakaie1, and Mark Lowe1

1Imaging Institute, Cleveland Clnic, Cleveland, OH, United States, 2Neurological Institure, Cleveland Clnic, Cleveland, OH, United States

Resting state functional connectivity (fcMRI) between left and right primary motor cortices in  MS patients on Fingolimod treatment was studied at baseline (just before the start of the treatment), 6 months and 12 months after start of treatment. Since such fcMRI metric has been previously reported to be reduced, changes in fcMRI over every 6 months  interval were correlated with changes in clinical score as measured by 9 hole peg test duing the treatment course. A significant difference in the correlation was observed between dominant and non-dominant hand performance in between 6 and 12 months. 

1302
Contribution of cortical lesion volume detected with 7T MRI to cortical thinning, thalamic and callosal atrophy in multiple sclerosis
Tobias Granberg1,2,3,4, Russell Ouellette1,2, Constantina Andrada Treaba1,2, Celine Louapre1,2, Sindhuja T Govindarajan1,2, Costanza Giannì1,2, Elena Herranz1,2, Revere P Kinkel5, and Caterina Mainero1,2

1Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, MA, United States, 2Harvard Medical School, Boston, MA, United States, 3Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden, 4Department of Radiology, Karolinska University Hospital, Stockholm, Sweden, 5Department of Neurosciences, University of California, San Diego, CA, United States

Grey matter pathology contributes to disability in multiple sclerosis (MS), but in vivo sensitivity for cortical lesions is low with conventional MRI. The role of cortical pathology in the dynamic atrophy processes in MS is, therefore, uncertain. Using 7T MRI and longitudinal 3T imaging (mean follow-up 1.9 years), we showed, in a small MS cohort, that cortical lesion volumes at follow-up correlated with cortical thinning in areas known to be predilection sites for cortical demyelination in MS, while thalamic atrophy was more strongly associated with white matter lesions. No effect of cortical lesions was found on corpus callosal atrophy. 

1303
Regional analysis of diffusion MRI (DKI/DTI) in patients with multiple sclerosis: Correlation with cognitive function and clinical measures
Phil Lee1,2, Peter Adany1, Douglas R. Denney3, Abbey J. Hughes3, Sharon G. Lynch4, and In-Young Choi1,2,4

1Hoglund Brain Imaging Center, University of Kansas Medical Center, Kansas City, KS, United States, 2Molecular & Integrative Physiology, University of Kansas Medical Center, Kansas City, KS, United States, 3Psychology, University of Kansas, Lawrence, KS, United States, 4Neurology, University of Kansas Medical Center, Kansas City, KS, United States

Diffusion kurtosis imaging (DKI) and diffusion tensor imaging (DTI) techniques were used to evaluate microstructure changes multiple brain regions as well as gray and white matter in patients with multiple sclerosis at various disease stages and types. DKI/DTI parameters in various brain regions were able to distinguish MS subtypes, and to discriminate patients from controls. Microstructure alterations measured by DKI/DTI were region-specific and correlated with cognitive function and clinical status of patients, providing promising metrics in clinical applications to assess disease status and progression. 

1304
Investigating Cerebrovascular Reactivity in MS with BOLD, ASL and EEG
Mark J Lowe1, Wanyong Shin1, Balu Krishnan2, Lael Stone2, and Andreas Alexopoulos2

1Imaging Institute, Cleveland Clinic, Cleveland, OH, United States, 2Neurlogic Institute, Cleveland Clinic, Cleveland, OH, United States

Recent reports indicate that cerebrovascular reactivity (CR) may be impaired in multiple sclerosis (MS). Here we report initial studies to use simultaneous measurements of electroencephalography (EEG), regional cerebral blood flow, and BOLD during performance of a motor task. We show that it is possible to produce EEG estimators of a healthy control subject that correlate very highly with BOLD measurements, while the same measurements in an age and gender matched MS patient have a much lower correspondence. Although inconclusive due to the small sample, the methodology shows promise for helping to understand possible CR issues in MS.

1305
Blood brain barrier alterations precede ventriculomegaly in experimental autoimmune encephalomyelitis
Sonia Waiczies1, Laura Boehmert1, Jason M. Millward2, Stefanie Kox1, Joao dos Santos Perquito1, Till Huelnhagen1, Carmen Infante-Duarte2, Andreas Pohlmann1, and Thoralf Niendorf1,3

1Berlin Ultrahigh Field Facility (B.U.F.F.), Max Delbrück Center for Molecular Medicine in the Helmholtz Association, Berlin, Germany, 2Institute for Medical Immunology, Charité - Universitätsmedizin Berlin, Berlin, Germany, 3Experimental and Clinical Research Center (ECRC), a joint cooperation between the Charité Medical Faculty and the Max Delbrück Center for Molecular Medicine in the Helmholtz Association, Berlin, Germany

Previously, we observed an enlargement of cerebral ventricles, prior to clinical disease manifestation, in experimental autoimmune encephalomyelitis (EAE). In this study we investigated the kinetics of blood brain barrier (BBB) leakage in relation to changes in ventricle size during EAE progression using pre- and post-contrast T1-weighted imaging and T1-mapping. We show that BBB integrity is compromised even earlier than ventriculomegaly, which already occurs prior to the occurrence of neurological symptoms. Furthermore, a partial renormalization and reappearance of BBB disruptions was observed throughout the disease course and these changes appear to occur prior to the normalization and re-expansion of ventricle size. 

1306
Investigating the Correlation between Cognitive Fatigue and Brain Iron Deposition in Basal Ganglia in Multiple Sclerosis
Sarah Wood1, Emilyrose Havrilla1,2, Ekaterina Dobryakova3, Zhiguo Jiang4, and Bing Yao1,5

1Rocco Ortenzio Neuroimaging Center, Kessler Founadation, West Orange, NJ, United States, 2Department of Psychology, Montclair State University, Montclair, NJ, United States, 3Traumatic Brain Injury Laboratory, Kessler Founadation, West Orange, NJ, United States, 4Human Performance Engineering Laboratory, Kessler Founadation, West Orange, NJ, United States, 5Department of Physical Medicine & Rehabilitation, Rutgers, the State University of New Jersey, Newark, NJ, United States

Basal ganglia play important roles in cognitive fatigue, which is one of the most common symptoms in multiple sclerosis. This study examined the correlation between brain iron concentration measured by MR susceptibility contrast imaging in the basal ganglia and the severity of fatigue in the individuals with multiple sclerosis. 

1307
Disruption of functional connectivity of M1 and cerebellum in Multiple sclerosis: a long-range functional dysconnection?
Adnan A.S. Alahmadi1,2, Carmen Tur1, Matteo Pardini1,3, Peter Zeidman4, Rebecca S. Samson1, Egidio D'Angelo5,6, Ahmed T. Toosy1,7, Karl J. Friston4, and Claudia Angela Michela Gandini Wheeler-Kingshott1,6

1NMR Research Unit, Queen Square MS Centre, Department of Neuroinflammation, UCL Institute of Neurology, London, United Kingdom, 2Department of Diagnostic Radiology, Faculty of Applied Medical Science, KAU, Jeddah, Saudi Arabia, 3Department of Neurosciences, Ophthalmology and Genetics, University of Genoa, Genoa, Italy, 4Wellcome Centre for Imaging Neuroscience, UCL, Institute of Neurology, London, United Kingdom, 5Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy, 6Brain Connectivity Center, C.Mondino National Neurological Institute, Pavia, Italy, Pavia, Italy, 7NMR Research Unit, Department of Brain Repair and Rehabilitation, Queen Square MS Centre, UCL Institute of Neurology, London, United Kingdom

This study investigated changes in functional and effective connectivity with M1 and anterior cerebellum using psychophysiological interaction (PPI) and resting-state fMRI (rsfMRI), applied to a motor task fMRI dataset in healthy subjects and multiple sclerosis (MS) patients.  Results show that M1 in MS patients has reduced long-range connectivity to the contra-lateral hemisphere and the cerebellum and vice versa. Furthermore, MS patients lose visuo-motor integration with parietal areas. This is in contrast to rsfMRI functional connectivity, where connectivity of M1 to areas identified by the PPI network is increased. Results indicate a task-specific disconnection reflecting increased disability, associated also with low frequency maladaptive increased rsfMRI connectivity. 

1308
Functional response to a complex visuo-motor task supports local compensatory mechanisms in Multiple Sclerosis
Adnan A.S. Alahmadi1,2, Matteo Pardini1,3, Rosa Cortese1, Niamh Cawley1, Rebecca S. Samson1, Egidio D'Angelo4,5, Karl J. Friston6, Ahmed T. Toosy1,7, and Claudia Angela Michela Gandini Wheeler-Kingshott1,5

1NMR Research Unit, Queen Square MS Centre, Department of Neuroinflammation, UCL Institute of Neurology, London, United Kingdom, 2Department of Diagnostic Radiology, Faculty of Applied Medical Science, KAU, Jeddah, Saudi Arabia, 3Department of Neurosciences, Ophthalmology and Genetics, University of Genoa, Genoa, Italy, 4Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy, 5Brain Connectivity Center, C.Mondino National Neurological Institute, Pavia, Italy, Pavia, Italy, 6Wellcome Centre for Imaging Neuroscience, UCL, Institute of Neurology, London, United Kingdom, 7NMR Research Unit, Department of Brain Repair and Rehabilitation, Queen Square MS Centre, UCL Institute of Neurology, London, United Kingdom

We investigated simple and complex (non-linear) relationships between BOLD signals and different applied grip forces in multiple sclerosis (MS) patients and healthy volunteers (HV). Using a power grip event-related paradigm and modelling BOLD responses with a polynomial expansion of force, we show profound and distributed functional network reorganizations in sensorimotor, associative and cerebellar areas, probably indicating compensatory mechanisms in MS.

1309
Patterns of Regional Gray Matter and White Matter Atrophy Progression Contributing to Clinical Deterioration in MS: A 5-Year Tensor-Based Morphometry Study
Elisabetta Pagani1, Maria Assunta Rocca1,2, Paolo Preziosa1, Sarlota Mesaros3, Jelena Drulovic3, and Massimo Filippi1,2

1Neuroimaging Research Unit, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy, 2Department of Neurology, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy, 3Clinic of Neurology, Faculty of Medicine, University of Belgrade, Belgrade, Yugoslavia

In this study we investigated the regional patterns of atrophy progression over a five year follow-up in multiple sclerosis (MS) patients and their association with clinical and cognitive deterioration. Clinical (EDSS and phenotype changes), neuropsychological (Rao’s battery) and brain MRI assessment were performed at baseline and after 5 years from 66 MS patients. Compared to stable MS patients, those with clinical and cognitive worsening showed a left-lateralized pattern of atrophy. A different vulnerability of the two brain hemispheres to irreversible structural damage may be among the factors contributing to clinical and cognitive worsening in these patients.

1310
Age at disease onset influences gray matter and white matter damage in adult multiple sclerosis patients
Elisabetta Pagani1, Maria Assunta Rocca1,2, Laura Vacchi1, Bruno Colombo2, Mariaemma Rodegher2, Lucia Moiola2, Angelo Ghezzi3, Giancarlo Comi2, Andrea Falini4, and Massimo Filippi1,2

1Neuroimaging Research Unit, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy, 2Department of Neurology, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy, 3Multiple Sclerosis Study Center, Hospital of Gallarate, Gallarate, Italy, 4Department of Neuroradiology, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy

Aim of the study was to explore the extent and distribution of brain gray matter (GM) atrophy and white matter (WM) microstructural abnormalities in adult multiple sclerosis (MS) patients according to their age at disease onset. High-resolution T1-weighted and diffusion tensor MRI scans were acquired from 58 pediatric-onset MS patients, 58 age-matched and 58 disease duration-matched adult-onset MS patients, and 58 healthy controls. The distribution of atrophy and microstructural WM damage were assessed using voxel-wise approaches. Neurodegenerative and inflammatory-demyelinating processes seemed less pronounced in pediatric-onset MS patients. However, with increasing disease duration, an accelerated normal appearing WM damage occurred.

1311
Quantitative T2 and atrophy in multiple sclerosis: A retrospective 7-year study using standard clinical brain images
Md. Nasir Uddin1, Kelly C. McPhee2, Gregg Blevins3, and Alan H. Wilman1

1Department of Biomedical Engineering, University of Alberta, Edmonton, AB, Canada, 2Department of Physics, University of Alberta, Edmonton, AB, Canada, 3Division of Neurology, Department of Medicine, University of Alberta, Edmonton, AB, Canada

Proton density and T2-weighted images are frequently used in clinical MS exams.  These two images can be used to obtain accurate T2 by fitting them with prior knowledge of RF pulse shapes and refocusing flip angles in order to compensate for indirect and stimulated echo contributions.  After demonstrating feasibility in healthy controls, we investigate 7-year changes in T2 in subcortical grey matter in 14 relapsing remitting MS patients and related these with disease severity and brain atrophy.

1312
MRI of Cuprizone Induced Demyelination in Rat Brain
Wendy Oakden1, Nicholas A Bock2, Alia Al-Ebraheem3, Michael J Farquharson3, and Greg J Stanisz1,4,5

1Physical Sciences, Sunnybrook Research Institute, Toronto, ON, Canada, 2Psychology, Neuroscience and Behavior, McMaster University, Hamilton, ON, Canada, 3Medical Physics and Applied Radiation Sciences, McMaster University, Hamilton, ON, Canada, 4Medical Biophysics, University of Toronto, Toronto, ON, Canada, 5Neurosurgery and Pediatric Neurosurgery, Medical University of Lublin, Lublin, Poland

The cuprizone mouse model of demyelination is widely used. While initial histological studies in rats reported only spongiform encephalopathy, more recent work has also demonstrated demyelination. In this study we use a high-resolution myelin-contrast optimized MRI protocol to identify regions of altered myelin content in the rat brain. Wistar rats were imaged after 2, 4, and 6 weeks on a cuprizone diet. Luxol fast blue was used to assess demyelination, and X-Ray fluorescence for quantification of transition metals which also affect MRI contrast.  This study demonstrates that cuprizone-induced demyelination in the rat brain can be observed in vivo using MRI.

1313
In vivo white matter development of Fmr1 knockout mice
Da Shi1, Jiachen Zhuo1, Su Xu1, Mary C. McKenna2, and Rao P. Gullapalli1

1Diagnostic Radiology, University of Maryland Baltimore, Baltimore, MD, United States, 2Department of Pediatrics, University of Maryland Baltimore, Baltimore, MD, United States

Fragile X syndrome is the most common genetic cause of autism and is modeled with the Fmr1 knockout mouse. To investigate recent report of myelination delay in Fragile X, this study used translational imaging techniques including T2 mapping and magnetization transfer imaging to determine myelination changes in the developing Fmr1 knockout mouse. Age-related trajectory changes in regional white matter development were observed between the genotypes and may provide insights into the pathophysiology of Fragile X.

1314
Induction of Experimental Autoimmune Encephalomyelitis (EAE) in cynomolgus monkey: a valuable model of auto-immune demyelinating diseases
Julien Flament1,2, Claire-Maëlle Fovet1,3, Lev Stimmer1,3, Philippe Hantraye1,2,4, and Ché Serguera1,2

1CEA/DSV/I2BM/MIRCen, Fontenay-aux-Roses, France, 2INSERM UMS 27, Fontenay-aux-Roses, France, 3INSERM UMR 1169, Fontenay-aux-Roses, France, 4CNRS Université Paris-Saclay UMR 9199, Fontenay-aux-Roses, France

Acquired demyelinating diseases are a major cause of neurological disabilities. If Experimental Autoimmune Encephalomyelitis (EAE) model has been widely used in rodents, it does not recapitulate disease variability observed in humans. We propose for the first time a primate model of EAE without immunomodulatory treatment in Macaca fascicularis which exhibited a more developed immune system than rodents. All monkeys developed MRI visible lesions that were significantly correlated to clinical signs onset. Our longitudinal follow up allows a precise monitoring of lesions and may offer the opportunity to better understand biological and physiological processes underlying the pathology of demyelinating diseases. 

1315
Spatial and temporal characterization of blood brain barrier permeability with disease progression in the NOD-EAE mouse model using MRI and histology
Mohammed Salman Shazeeb1, Nellwyn Hagan2, Xiaoyou Ying1, and Andrea Edling2

1DSAR Bioimaging, Sanofi, Framingham, MA, United States, 2Neuroimmunology, Sanofi, Framingham, MA, United States

Blood brain barrier (BBB) dysregulation is one of the earliest signs of multiple sclerosis (MS) and the mechanism underlying BBB breakdown in not completely understood. The non-obese diabetic experimental allergic encephalomyelitis (NOD-EAE) mouse model of secondary progressive MS offers a preclinical tool to understand BBB breakdown and explore potential therapeutics. MRI is capable of quantifying BBB permeability using gadolinium contrast agent. In this study we quantified the spatial and temporal characterization of BBB permeability in NOD-EAE mice with progressing disease using MRI. These quantifying parameters can potentially be used to test the effect of therapeutic agents on BBB breakdown.

1316
Fluctuations in Ventricle Size during the Progression of Experimental Autoimmune Encephalomyelitis
Laura Boehmert1, Henning Reimann1, Stefanie Kox1, Andreas Pohlmann1, Thoralf Niendorf1,2, and Sonia Waiczies1

1Berlin Ultrahigh Field Facility (B.U.F.F.), Max Delbrück Center for Molecular Medicine in the Helmholtz Association, Berlin, Germany, Berlin, Germany, 2Experimental and Clinical Research Center (ECRC), a joint cooperation between the Charité Medical Faculty and the Max Delbrück Center for Molecular Medicine in the Helmholtz Association, Berlin, Germany, Berlin, Germany

Multiple sclerosis is an autoimmune condition that involves immune cell infiltration through the blood brain barrier, during the initial stages of disease. In the experimental autoimmune encephalomyelitis animal model, we previously observed an increase in ventricle size prior to neurological manifestation. In this study we extended these findings by showing a dynamic fluctuation in ventricle size, with successive re-normalization and re-expansion. Fluctuations in ventricle size commonly ran ahead of clinical relapses and remissions during disease progression. We could identify these findings by following ventricle size for a long period of time (64 days) during the progression of encephalomyelitis.

1317
Whole-Brain Ex-Vivo Imaging of Demyelination in the Cuprizone Mouse with mcDESPOT and DTI
Tobias C Wood1, Camilla Simmons1, Joel Torres1, Flavio Dell' Acqua1, Anthony Vernon2, Samuel A Hurley3, Steve CR Williams1, and Diana Cash1

1Neuroimaging, IoPPN, King's College London, London, United Kingdom, 2Basic and Clinical Neuroscience, IoPPN, King's College London, London, United Kingdom, 3FMRIB Centre, University of Oxford, Oxford, United Kingdom

We demonstrate the feasibility of full-brain high-resolution ex-vivo imaging and analysis of demyelination in the Cuprizone mouse model using multi-component DESPOT and DTI. We found evidence of demyelination in the Cerebellum as well as the Corpus Callosum.

1318
Longitudinal characterization of the Theiler's Murine Encephalomyelitis Virus (TMEV) mouse model using a cryogenic brain coil at 9.4T
Nicola Bertolino1, Claire M Modica1,2, Michael G Dwyer1, Paul Polak1, Trina Ruda1, Marilena Preda1,3, Jacqueline C Krawiecki1,4, John M Barbieri1,5, Michelle L Sudyn1,2, Danielle M Siebert1,6, Robert Zivadinov1,3, and Ferdinand Schweser1,3

1Buffalo Neuroimaging Analysis Center, Department of Neurology, Jacobs School of Medicine and Biomedical Sciences, The State University of New York at Buffalo, Buffalo, NY, United States, 2Neuroscience Program, Jacobs School of Medicine and Biomedical Sciences, The State University of New York at Buffalo, Buffalo, NY, United States, 3MRI Molecular and Translational Research Center, Jacobs School of Medicine and Biomedical Sciences, The State University of New York at Buffalo, Buffalo, NY, United States, 4Department of Geology, The State University of New York at Buffalo, Buffalo, NY, United States, 5Department of Biological Sciences, The State University of New York at Buffalo, Buffalo, NY, United States, 6Department of Exercise and Nutritional Sciences, School of Public Health and Health Professions, The State University of New York at Buffalo, Buffalo, NY, United States

Theiler's Murine Encephalomyelitis Virus (TMEV) infection is a mouse model of multiple sclerosis (MS) with a similar disease course to human MS. In susceptible breeds TMEV infections gives way to a progressive demyelinating course and a chronic, immune-mediated, demyelinating, neurodenegerative condition that persists for the remainder of the natural life of the animal.  

While post mortem tissue and motor disability are well-characterized in TMEV, structural and metabolite tissue damage associations are not thoroughly understood. In this work, we studied the TMEV model over 2 months after the infection using advanced MRI with a cryogenic brain coil at 9.4 Tesla. 


1319

Lesion Distribution Probability in Japanese Macaque Encephalomyelitis: A Comparison to Human Demyelinating Diseases
Ian Tagge1, Steven Kohama2, Dennis Bourdette3, Randy Woltjer3, Scott Wong2, and William Rooney1

1Advanced Imaging Research Center, Oregon Health & Science University, Portland, OR, United States, 2Oregon National Primate Research Center, Oregon Health & Science University, Beaverton, OR, United States, 3Neurology, Oregon Health & Science University, Portland, OR, United States

Japanese Macaque Encephalomyelitis bears marked clinical and pathological similarities to multiple sclerosis (MS), acute disseminated encephalomyelitis (ADEM), and neuromyelitis optica. Here, we describe lesion topography typical of JME. This represents an important step in not only understanding this disease, but also in making meaningful comparisons to human demyelinating diseases. Animals most commonly presented with lesions in the cerebellum, followed by the brainstem, internal capsule, and upper cervical spinal cord, most similarly to pediatric MS or ADEM. JME is a novel and exciting non-human primate model of MS-like disease that may help elucidate pathomechanisms of human disease.

1320
Volume differences on quantitative susceptibility map and T2-weighted image of multiple sclerosis lesions at different disease stages and indication for iron activity
Yan Zhang1,2, Dong Zhou2, Ajay Gupta2, Susan A. Gauthier3, and Yi Wang2

1Radiology, Tongji hospital, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, China, People's Republic of, 2Radiology, Weill Cornell Medical College, New York, NY, United States, 3Neurology, Weill Cornell Medical College, New York, NY, United States

 In this study, we examed different multiple sclerosis (MS) lesion patterns using quantitative susceptibility map (QSM) and compared lesion volumes on T2-weighted (T2w) and QSM images at different lesion stages. The relative lesion QSM/T2w volume increases over 1 year of the lesion onset indicates the participation of iron in chronic active lesions.


Traditional Poster

Head & Neck

Exhibition Hall Monday, May 9, 2016: 10:45 - 12:45

1321
Non-invasive Assessments of Biomechanical and Biochemical Properties in Animal and Human Eyes using Multi-modal MRI
Leon C. Ho1,2, Ian A. Sigal1,3, Ning-juan Jan1,3, Chan Hong Moon4, Xiaoling Yang1, Yolandi van der Merwe1,3, Tao Jin4, Ed X. Wu2, Seong-Gi Kim4,5, Gadi Wollstein1,3, Joel S. Schuman1,3, and Kevin C. Chan1,3

1UPMC Eye Center, Eye and Ear Institute, Ophthalmology and Visual Science Research Center, Department of Ophthalmology, University of Pittsburgh, Pittsburgh, PA, United States, 2Department of Electrical and Electronic Engineering, The University of Hong Kong, Pokfulam, Hong Kong, 3Department of Bioengineering, Swanson School of Engineering, University of Pittsburgh, Pittsburgh, PA, United States, 4Department of Radiology, School of Medicine, University of Pittsburgh, Pittsburgh, PA, United States, 5Center for Neuroscience Imaging Research, Institute for Basic Science, Suwon, Korea, Republic of

The microstructural organization and compositions of the corneoscleral shell are central to ocular biomechanics, and are important in diseases such as glaucoma and myopia. In this study, we showed that T2-weighted MRI, diffusion tensor MRI and magnetization transfer MRI can be used to detect and differentiate microstructural and macromolecular changes in freshly prepared ovine eyes under different abnormal conditions including intraocular pressure loading, cross-linking and glycosaminoglycans depletion. We also demonstrated the feasibility of assessing the human sclera with in vivo MRI. Multi-modal MRI may be useful for evaluating the biomechanical and pathophysiological mechanisms in the corneoscleral shell non-invasively and quantitatively. 

1322
SHINKEI Quant: Simultaneous Acquisition of MR Neurography and T2 Mapping for Quantitative Evaluation of Chronic Inflammatory Demyelinating Polyneuropathy
Masami Yoneyama1, Osamu Togao2, Akio Hiwatashi2, Yuriko Ozawa3, Makoto Obara1, Tomoyuki Okuaki4, and Marc Van Cauteren4

1Philips Electronics Japan, Tokyo, Japan, 2Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan, 3Yaesu Clinic, Tokyo, Japan, 4Philips Healthcare Asia Pacific, Tokyo, Japan

MR neurography achieves selective depiction of peripheral nerves and detects pathological changes related to neuropathies as a signal abnormality. Recently, we proposed a novel MR neurography sequence (SHINKEI) that provides high-quality MR neurography in the brachial plexus and the lumbosacral plexus. However, SHINKEI could not quantitatively assess the nerve pathology. In this study, we developed a new sequence (SHINKEI-Quant) to simultaneously acquire MR neurography and T2 mapping by further optimizing the iMSDE preparation. SHINKEI-Quant could simultaneously provide both MR neurography and T2 maps without prolongation of acquisition time compared with the conventional SHINKEI sequence. This quantitative sequence may be helpful to quantitatively assess the nerve pathology such as chronic inflammatory demyelinating polyneuropathy.

1323
Development of a dedicated solenoidal ring-based RF Coil for MRI of the Larynx
Christoph Leussler1, Christian Findeklee1, Peter Mazurkewitz1, Jürgen Gieseke2, and Peter Börnert1

1Philips GmbH Innovative Technologies, Hamburg, Germany, 2Philips Deutschland GmbH, Hamburg, Germany

A dedicated solenoidal RF coil for imaging of the larynx was developed for cylindrical MRI systems using a static magnetic field in axial direction. The coil consists of two flexible solenoidal windings entangling the cervix anatomy. Numerical and experimental evaluation demonstrates higher SNR for the region of the larynx compared with conventional neck coil designs.

1324
Non-Gaussian diffusion weighted imaging in the head and neck; how we can improve the clinical diagnostic accuracy beyond ADC
Mami Iima1,2, Akira Yamamoto1, Shigeru Hirano3, Ichiro Tateya3, Morimasa Kitamura3, and Kaori Togashi1

1Department of Diagnostic Imaging and Nuclear Medicine, Graduate Schoolof Medicine, Kyoto University, Kyoto, Japan, 2The Hakubi Center for Advancer Research, Kyoto University, Kyoto, Japan, 3Department of Otolaryngology, Graduate Schoolof Medicine, Kyoto University, Kyoto, Japan

The usefulness of non-Gaussian diffusion parameters for the clinical diagnostic ability in the head and neck was evaluated. 135 (62 malignant/63 benign/10 inflammation) patients were prospectively recruited, and non-Gaussian DWI and IVIM parameters as well as synthetic ADC, which comprises both Gaussian and non-Gaussian effect, were estimated from the DWI datasets with multiple b values. Significant difference in each parameter was observed between malignant and benign lesions. There was a significant difference between inflammation or lymphatic vascular malformation and tumors in K or fIVIM values, providing the potential to improve the DWI diagnostic accuracy by complementing their diagnostic abilities.

1325
Improving Visualization of Superficial Temporal Artery Using Segmented TOF MR Angiography at 7T
Zihao Zhang1,2, Ning Wei1,2, Xiaofeng Deng3, Dehe Weng4, Jing An4, Yan Zhuo1, Xiaohong Joe Zhou5, and Rong Xue1,6

1State Key Laboratory of Brain and Cognitive Science, Beijing MR Center for Brain Research, Institute of Biophysics, Chinese Academy of Sciences, Beijing, China, People's Republic of, 2Graduate School, University of Chinese Academy of Sciences, Beijing, China, People's Republic of, 3Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China, People's Republic of, 4Siemens Shenzhen Magnetic Resonance Ltd., Shenzhen, China, People's Republic of, 5Center for MR Research and Department of Radiology, University of Illinois at Chicago, Chicago, IL, United States, 6Beijing Institute for Brain Disorders, Beijing, China, People's Republic of

    Time-of-Flight MR Angiography (TOF-MRA) can benefit from better contrast and higher spatial resolution using ultra-high field 7T MRI. In a segmented TOF technique at 7T, the Specific Absorption Rate (SAR) of saturation pulses was reduced to enable the suppression of venous blood signal. In this study, the TOF technique was successfully used to discriminate between the superficial temporal artery (STA) and vein (STV), and depict blood flow in tiny vessels, facilitating future applications in pre-operative assessment for STA-MCA bypass surgery.

1326
Multiparametric MR neurographic orthopantomogram of the mandibular bone and nerve using ultra-short echo-time imaging, simultaneous multi-slice readout-segmented echo planar imaging and 3D reversed fast imaging with steady state free procession
Andrei Manoliu1, Michael Ho1, Daniel Nanz1, Marco Piccirelli2, Evelyn Dappa1, Lukas Filli1, Andreas Boss1, Gustav Andreisek1, and Felix Pierre Kuhn1

1Institute for Diagnostic and Interventional Radiology, University Hospital Zurich, University of Zurich, Zurich, Switzerland, 2Department of Neuroradiology, University Hospital Zurich, University of Zurich, Zurich, Switzerland

We propose a new technique for ‘MR neurographic orthopantomograms' using ultra-short echo-time imaging of bone and teeth with morphological and functional neurography. Ten healthy volunteers were scanned at 3.0T. Bone images were acquired using a ultra-short TE sequence. Morphological neurography was performed using dedicated PSIF and SPACE STIR sequences. Functional neurography was accomplished using readout-segmented EPI with simultaneous multi-slice excitation. Image acquisition and post-processing were feasible in all volunteers. All mandibular bones and nerves were assessable and considered normal. Fiber tractography yielded physiological diffusion properties. The presented technique allowed robust assessment of osseous and neuronal structures in a single examination. 

1327
One-Second 3-D-Imaging of the Vocal Tract to Measure Dynamic Articulator Modifications
Michael Burdumy1,2, Matthias Echternach2, Jan Gerrit Korvink3, Bernhard Richter2, Jürgen Hennig1, and Maxim Zaitsev1

1Medical Physics, University Medical Center Freiburg, Freiburg, Germany, 2Institute of Musicians' Medicine, University Medical Center Freiburg, Freiburg, Germany, 3Institute of Microstructure Technology, Karlsruhe Institute of Technology, Karlsruhe, Germany

To accelerate dynamic 3-D imaging of the vocal tract during articulation, a stack-of-stars sequence with golden angle rotation and iterative reconstruction was implemented. Phase correction, peripheral under-sampling, temporal and spatial regularization were applied to reach an acquisition time of 1.3 seconds. The vocal tract modifications of one subject could be successfully analyzed at discrete time steps during phonation of a long note.

1328
The pointwise encoding time reduction with radial acquisition (PETRA) sequence: visualization of intracranial arteries and facial nerve canals
Sachi Okuchi1, Yasutaka Fushimi1, Tomohisa Okada1,2, Akira Yamamoto1, Tsutomu Okada1, Takuya Hinoda1, Yutaka Natsuaki3, and Kaori Togashi1

1Diagnostic Imaging and Nuclear Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan, 2Human Brain Research Center, Kyoto University Graduate School of Medicine., Kyoto, Japan, 3Siemens Medical Solutions USA, Inc., Huntington Beach, CA, United States

The PETRA sequence provided good image quality. We compared the visualization of the intracranial arteries between TOF-MRA and PETRA-MRA, and evaluated the visualization of the facial nerve canal among PETRA and other 3D sequences (MPRAGE and SPACE). PETRA-MRA was less visualized at the peripheral artery, but PETA-MRA was as well as TOF-MRA at the main trunk. In the visualization of the facial nerve canal, PETRA was better than MPRAGE at all segments and best at labyrinthine. PETRA would be useful for the visualization of intracranial artery and facial nerve canal.

1329
Alterations of resting-state fMRI measurements in individuals with cervical dystonia
Zhihao Li1,2, Cecília N Prudente3,4, Randall Stilla3, Krish Sathian5,6, Hyder A Jinnah7, and Xiaoping Hu2

1Affective and Social Neuroscience, Shenzhen University, Shenzhen, China, People's Republic of, 2Biomedical Engineering, Emory University and Georgia Institute of Technology, Atlanta, GA, United States, 3Neurology, Emory University, Atlanta, GA, United States, 4Physical Medicine and Rehabilitation, University of Minnesota, Minneapolis, MN, United States, 5Neurology, Rehabilitation Medicine, Psychology, Emory University, Atlanta, GA, United States, 6Rehabilitation R&D Center for Visual & Neurocognitive Rehabilitation, Atlanta VA Medical Center, Decatur, GA, United States, 7Neurology, Human Genetics and Pediatrics, Emory University, Atlanta, GA, United States

Cervical dystonia (CD) is a neurological movement disorder where the pathophysiology remains to be characterized. The present rfMRI study explored CD-associated brain alterations of (i) functional connectivity (FC), (ii) fractional amplitude of low frequency fluctuation (fALFF), and (iii) regional homogeneity (ReHo). The results revealed 25 significant regional alterations that confirm and extend existing knowledge. Additionally, using these regional alterations as diagnostic features, a support vector machine classifier identified 8 features that together yielded a maximum classification accuracy of 97%.

1330
Reduced Field-of-View Diffusion Tensor Imaging of the Optic Nerve in Retinitis Pigmentosa at 3T
Yanqiu Zhang1, Dapeng Shi1, Xirang Guo2, Meiyun Wang1, and Dandan Zheng3

1Radiology, Zhengzhou University People's Hospital (Henan Provincial People's Hospital), Zhengzhou, China, People's Republic of, 2Ophthalmology, Zhengzhou University People's Hospital (Henan Provincial People's Hospital), Zhengzhou, China, People's Republic of, 3GE Healthcare, MR Research China, Beijing, China, People's Republic of

DTI can provide in vivo information about the pathology of optic nerve (ON) disease, but the ability of DTI to evaluate alterations of ON in retinitis pigmentosa (RP) has not been explored so far.  In this work, we demonstrate that reduced field-of-view DTI is very helpful for the diagnosis of optic neuropathy in patients with RP in vivo, which is very critical to connect radiology and ophthalmology together in RP.

1331
PET/MR versus PET/CT in the Initial Staging of Head and Neck Cancer
Tetsuro Sekine1,2, Felipe Barbosa1, Felix Kuhn1, Irene A Burger1, Paul Stolzmann1, Gaspar Delso3, Edwin ter Voert1, Miguel Porto1, Geoffrey Warnock1, Gerhard Huber1, Spyros Kollias1, Gustav Von Schulthess1, Patrick Veit-Haibach1, and Martin Huellner1

1University Hospital Zurich, Zurich, Switzerland, 2Nippon Medical School, Tokyo, Japan, 3GE Healthcare, Waukesha, WI, United States

Head and neck cancer is supposed to be one field where PET/MR might offer benefits over PET/CT. Our study revealed that whole-body staging with PET/MR yields at least equal diagnostic accuracy as PET/CT in determining the stage of head and neck cancer.

1332
Resectability assessment of head and neck cancer – PET/MR versus PET/CT
Tetsuro Sekine1,2, Felipe Barbosa1, Gaspar Delso3, Irene A Burger1, Paul Stolzmann1, Edwin ter Voert1, Gerhard Huber1, Spyros Kollias1, Gustav Von Schulthess1, Patrick Veit-Haibach1, and Martin Huellner1

1University Hospital Zurich, Zurich, Switzerland, 2Nippon Medical School, Tokyo, Japan, 3GE Healthcare, Waukesha, WI, United States

Head and neck cancer is supposed to be one field where PET/MR might offer benefits over PET/CT. Our study revealed that there was an insignificant trend towards higher accuracy of PET/MR than PET/CT for the resectability assessment of head and neck cancer.

1333
The impact of shimming on fat suppression in head-and-neck MRI: current practice vs an image based approach
Tim Schakel1, Jeroen C.W. Siero2, Hans Hoogduin2, and Marielle Philippens1

1Radiotherapy, UMC Utrecht, Utrecht, Netherlands, 2Radiology, UMC Utrecht, Utrecht, Netherlands

In the head-and-neck region, off resonance effects due to magnetic field inhomogeneities can lead to poor fat suppression. In this study we compare the current clinical practice of shimming (volume shim) with the gain of an image based approach. B0 field maps are analyzed using water/fat segmented Dixon images to estimate the fat suppression. Diffusion weighted images are used to verify the estimates for fat suppression. An image based shimming optimization was performed to simulate 1st and 2nd order shim field. Image based shimming is a promising technique to improve subject specific shimming and fat suppression in the head-and-neck region.


1334
Improved MR neurography of the brachial plexus using high permittivity pads
Paul de Heer1, Jos Oudeman2, Aart J Nederveen2, and Andrew G Webb1

1CJ Gorter Center, Radiology, Leiden University Medical Center, Leiden, Netherlands, 2Radiology, Amsterdam Medical Center, Amsterdam, Netherlands

Imaging the brachial plexus can be challenging due to the large variations in the B0 and transmit B1 fields in the area of the neck and shoulders. These variations can result in poor background tissue and fat suppression as well as reduction in the received signal from the nerves. We wanted to study if the application of high permittivity pads could increase signal/contrast in plexus brachialis imaging. By applying the pads the signal intensity of the nerves increased from 25 to 50 while the background signal stays similar resulting in a greater contrast of the brachial plexus.

1335
Visualization of Auditory Ossicles and Facial Nerve Canal: Comparison between Ultrashort TE MR and CT.
Takao Kumazawa1, Yasutaka Fushimi1, Tomohisa Okada1,2, Takuya Hinoda1, Tsutomu Okada1, Akira Yamamoto1, Yutaka Natsuaki3, and Kaori Togashi1

1Kyoto University Graduate School of Medicine, Kyoto, Japan, 2Human Brain Research Center, Kyoto University Graduate School of Medicine, Kyoto, Japan, 3Siemens Medical Solutions USA, Inc., Huntington Beach, CA, United States

The visualization of the inner ear and facial nerve canal was compared between PETRA and CT in this study. The total 24 patients who underwent MRI including PETRA and whole brain CT were enrolled, and visualization of auditory ossicles, semicircular canals, and facial nerve canal are evaluated. All of auditory ossicles, semicircular canals, and facial nerve canal were more visible on CT than PETRA, however, facial nerve canal and semicircular canals were commonly recognized, and auditory ossicles were occasionally visualized on PETRA.

1336
Improved banding removal for high resolution bSSFP imaging of the inner ear using SENSE
Eliana NessAiver1, Dan Zhu1, Ari Meir Blitz2, and Daniel Herzka1

1Biomedical Engineering, The Johns Hopkins University School of Medicine, Baltimore, MD, United States, 2Radiology, The Johns Hopkins Hospital, Baltimore, MD, United States

High resolution imaging of the inner ear is a desirable tool for the diagnosis and treatment of inner ear pathologies. In particular, balanced steady state free precession images have a good balance of high SNR, fast imaging times, and novel tissue contrast which yields satisfactory differentiation of inner ear structures. However, it suffers from banding artifacts in areas of field inhomogeneity. While common clinical practice is to combine two images that are 180º phase cycled from one another, which shifts the bands to different locations in each image, this yields only partial mitigation of the artifact.  This study applies parallel imaging techniques to acquire four phase cycled images in a similar timeframe to the original two-image acquisition, in order to produce a combined volume with superior banding removal at little to no extra cost over current clinical practice.

1337
Simultaneous brain and spinal-cord fMRI using slice-based shimming and a reduced FOV
Haisam Islam1, Christine Law2, Sean Mackey3, and Gary Glover4

1Bioengineering, Stanford University, Stanford, CA, United States, 2Stanford University, Stanford, CA, United States, 3Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Stanford, CA, United States, 4Radiology, Stanford University, Stanford, CA, United States

Simultaneous functional imaging of the brain and spinal cord would provide valuable understanding of neural information processing. However, this is challenging due to the poor field homogeneity of the spinal cord as well as the typically high spatial resolution desired for it. The higher-order shims available on most scanners are static, and thus cannot switch rapidly between brain and spinal cord acquisitions Here, we use a dynamic slice-based shim for brain slices and a volume-based shim + reduced FOV acquisition for a neck volume to perform simultaneous functional imaging of both structures of interest.

1338
Diffusion Method to Image Normal Human Optic Nerve
Lazar Fleysher1, Matilde Inglese1,2,3, Mark J Kupersmith, MD2,4, and Niels Oesingmann5

1Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, United States, 2Neurology, Icahn School of Medicine at Mount Sinai, New York, NY, United States, 3Neuroscience, Icahn School of Medicine at Mount Sinai, New York, NY, United States, 4Ophthalmology, Icahn School of Medicine at Mount Sinai, New York, NY, United States, 5Siemens Healthcare, USA, New York, NY, United States

 In this work we demonstrate an application of a single-shot EPI diffusion sequence with outer-volume suppression to optic nerve imaging. The advantage of this approach is that it is simple and is available on clinical systems. This paves a way to a routine diffusion-encoded clinical examinations of the optic nerve

1339
Relationships between intratumoral heterogeneity parameters using diffusion, perfusion MRI, and FDG PET in head and neck cancer
Su Jin Lee1, Jin Wook Choi2, and Miran Han2

1Nuclear Medicine, Ajou University School of Medicine, Suwon, Korea, Republic of, 2Radiology, Ajou University School of Medicine, Suwon, Korea, Republic of

MRI and PET can provide tumor biology information noninvasively. ADC from DWI can represent cellularity, DCE-MRI can provide microcirculation, and FDG PET can provide tumor metabolism. Intratumoral heterogeneity is often associated with adverse tumor biology and it can be assessed by these imaging parameters. Tumor heterogeneity on DWI can be simply evaluated by the difference between minimum and maximum ADC value. Metabolism to perfusion ratio can be calculated using DCE-MRI and FDG PET. Texture analysis of PET can be used to evaluate tumor heterogeneity. Thus we investigated the relationships between intraheterogeneity parameters derived from multimodality imaging.

1340
T1 weighted 3D Cube with Dixon water-fat separation for imaging of the orbits
Ken-Pin Hwang1, Jingfei Ma1, Ping Hou1, Ho-Ling Anthony Liu1, Kang Wang2, and T. Linda Chi3

1Department of Imaging Physics, The University of Texas M.D. Anderson Cancer Center, Houston, TX, United States, 2MR Applications and Workflow, General Electric Healthcare, Waukesha, WI, United States, 3Department of Diagnostic Radiology, The University of Texas M.D. Anderson Cancer Center, Houston, TX, United States

2-point Dixon water-fat separation is implemented in a Cube (3D FSE) sequence. It is compared with IR-FSPGR and Cube with fat saturation for post-contrast T1-weighted high resolution imaging of the orbits. Dixon water-fat separation provided even fat suppression through the imaging volume and maintained the signal efficiency of the other techniques. Optic nerve was well delineated even through areas of high susceptibility, and large vessels were well suppressed relative to nearby structures. We thus demonstrate a promising new technique for evaluating disease in a challenging area with fine structures and high susceptibility.

1341
The value of combining conventional, diffusion-weighted and dynamic contrast-enhanced MR imaging for the diagnosis of parotid gland tumors
Xiaofeng Tao1, gongxin yang1, Yingwei Wu2, huimin shi1, pingzhong wang1, yongming Dai3, wenjing zhu1, Weiqing gao1, and qiang yu1

1Shanghai Ninth People’s Hospital, School of Medicine, Shanghai Jiao Tong University, shanghai, China, People's Republic of, 2Shanghai Ninth People’s Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China, People's Republic of, 3PHLIPS healthcare China, shanghai, China, People's Republic of

The aim of this study was to determine the value of combining conventional MR imaging (MRI), diffusion-weighted (DW-MRI) and dynamic contrast enhanced MRI (DCE-MRI) in diagnosing solid neoplasms in the parotid gland. Materials and Methods:A total of 148 subjects (101 with benign and 47 with malignant tumors) were evaluated with conventional MRI, DW-MRI and DCE-MRI prior to surgery and pathologic verification. The items observed with conventional MRI included the shape, capsule and signal intensity of parotid masses. The apparent diffusion coefficient (ADC) was calculated from DW-MRI that was obtained with a b factor of 0 and 1000 s/mm2. A time-intensity curve (TIC) was obtained from DCE-MRI. Results:There were significant differences (p<0.01) in the shape, capsule, ADC and TIC between benign and malignant parotid tumors. Irregular neoplasms without capsule, ADC < 1.12×10-3mm2/s, and a plateau enhancement pattern were valuable parameters for predicting malignant neoplasms. A combination of all of these parameters yielded sensitivity, specificity, accuracy, and positive and negative predictive values of 85.1%, 94.1%, 91.2%, and 87.0% and 93.1%, respectively. Conclusion:A combined analysis using conventional MRI, DW-MRI and DCE-MRI is helpful to distinguish benign from malignant tumors in the parotid gland. 

1342
Diffusivity of Intraorbital Lymphoma vs. Inflammation: Comparison of Single Shot Turbo Spin Echo and Multishot Echo Planar imaging Techniques
Akio Hiwatashi1, Osamu Togao1, Koji Yamashita1, Kazufumi Kikuchi1, and Hiroshi Honda1

1Clinical Radiology, Kyushu University, Fukuoka, Japan

Diffusion-weighted imaging is useful to characterize orbital lesions. Various techniques were advocated to overcome image degradation in head and neck regions. We compared single shot TSE and multishot EP DWI and concluded that the ADC derived from TSE DWI, not from multishot EP DWI, might help to differentiate orbital lymphoma from inflammation.

1343
Usefulness of solid type stimulator in MR Sialography-Comparison with liquid type stimulator
Kim Sang Min1 and Kwon Hye Yin1

1Pungnap 2-dong, Asan Medical Center, Seoul, Korea, Republic of

A study on alternative to vitamin C Juice in sialography MRI.


Traditional Poster

Brain Tumours: Pre-Clinical & Clinical Applications

Exhibition Hall Monday, May 9, 2016: 10:45 - 12:45

1344
Effect of measured Hematocrit value on Glioma grading using Dynamic contrast enhanced  derived MR perfusion parameter
Prativa Sahoo1, Pradeep Kumar Gupta2, Ashish Awasthi3, Chandra Mani Pandey3, Rana Patir4, Sandeep Vaishya5, and Rakesh Kumar Gupta2

1Healthcare, Philips India ltd, Bangalore, India, 2Radiology and Imaging, Fortis Memorial Research Institute, Gurgaon, India, 3Biostatistics, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India, 4Neuorsurgury, Fortis Memorial Research Institute, Gurgaon, India, 5Neuorsurgury, Fortis Memorial Research Institute, Lucknow, India

Quantification of  DCE-MRI assumes a constant blood hematocrite (Hct ) of 45% for adult human papulation. However Hct varies with disease condition and more with chemotherapy. Correction of the measured signal for blood Hct level is important as blood T1, quantification of contrast agent and arterial input function is dependent on it. Purpose of this study was to investigate the influence of Hct values on glioma grading using DCE-MRI derived perfusion parameters. Study suggest that even though grading of glioma not influenced by Hct values it does affect the kinetic parameters and  might be important for monitoring serial assessment of disease progressions.

1345
Can dynamic contrast enhanced MR perfusion metrics accurately discriminate different grades of Gliomas?
Jitender Saini 1, Pradeep Kumar Gupta2, Prativa Sahoo3, Rana Patir4, Sandeep Vaishya5, Arun Kumar Gupta1, Amey Savarderkar6, and Rakesh Kumar Gupta2

1Neuroimaging & Interventional Radiology, National Institute of Mental Health and Neurosciences, Bangalore, India, 2Radiology and Imaging, Fortis Memorial Research Institute, Gurgaon, India, 3Healthcare, Philips India ltd, Bangalore, India, 4Neuorsurgury, Fortis Memorial Research Institute, Gurgaon, India, 5Neuorsurgury, Fortis Memorial Research Institute, Lucknow, India, 6Neuorsurgury, National Institute of Mental Health and Neurosciences, Bangalore, India

Dynamic contrast enhanced MRI perfusion is a useful technique for assessment of glioma grading. This technique has been used in the past for discrimination of low from high grade gliomas. This study investigates the ability of DCE perfusion MRI to discriminate Grade II from Grade III and Grade III from Grade IV gliomas. Various DCE pharmacokinetic parameters were also analysed for their ability to distinguish the various grades of gliomas. 

1346
Investigation of hypoxia conditions using oxygenation enhance (OE)-MRI measurements in C6 glioma models
Yingwei Wu1, Yongming Dai2, Qi Fan1, and Xianfeng Tao1

1Shanghai Ninth People’s Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China, People's Republic of, 2Philips Healthcare, Shanghai, China, People's Republic of

We used oxygenation enhancement (OE)-MRI measurements to investigate hypoxia conditions of gliomas and to evaluate relationship between histopathology measurements and PSC. Oxygen amplitude maps of C6 glioma models were derived. ROI max and ROI non-max were defined. Time-SI curve from ROI areas was obtained and tissues from ROI areas was evaluated for microvessel density and expression of HIF-1a. We found that microvessel density in ROI non-max area were lower than those in ROI max area and expression of HIF-1α in ROI non-max area were higher than that in ROI max area. PSC had a linear positive correlation with vessel density.

1347
Quantitative DTI-FA Mapping in Prediction of Meningioma fibrous content, Consistency and grade.
Shanker Raja1,2, Wafa AlShawkeer3, Lama Mohammed Almudaimeegh3, Sadeq Al Dandan4, and Sharad P George5

1Radiology, Baylor College of Medicine, Bellaire, TX, United States, 2Radiology, KFMC, Riyadh, Saudi Arabia, 3King Khalid University Hospital, Riyadh, Saudi Arabia, 4King Fahad Medical City, Riyadh, Saudi Arabia, 5Baylor College of Medicine, Houston, TX, United States

We utilized quantitative FA-maps derived from DTI to evaluate the fibrous content  consistency and  grade of meningioma.  Our results suggest that, quantitative FA mapping is promising in pre-operative prediction of  meningioma consistency pre-operatively, but only modestly correlates with histologic grading

1348
Imaging Angiogenesis Genotype of Glioblastoma by Radiomic Features of Multi-modality MRI
Chia-Feng Lu1,2,3, Fei-Ting Hsu4, Li-Chun Hsieh4, Yu-Chieh Jill Kao1,2, Hua-Shan Liu4,5, Ping-Huei Tsai2,4, Pen-Yuan Liao4, and Cheng-Yu Chen1,2,4

1Translational Imaging Research Center, College of Medicine, Taipei Medical University, Taipei, Taiwan, 2Department of Radiology, School of Medicine, Taipei Medical University, Taipei, Taiwan, 3Department of Biomedical Imaging and Radiological Sciences, National Yang-Ming University, Taipei, Taiwan, 4Department of Medical Imaging, Taipei Medical University Hospital, Taipei, Taiwan, 5Graduate Institute of Clinical Medicine, Taipei Medical University, Taipei, Taiwan

The multi-modality and multi-radomic-feature MRI may provide a more efficient regression model for imaging gene expressions than the conventional radiogenomic approach. 

1349
Optimization of glioma biopsy targeting applying T1-DCE MRI parameter maps – A double-blinded prospective study
Vera Catharina Keil1, Bogdan Pintea2, Gerrit H. Gielen3, Matthias Simon2, Juergen Gieseke1,4, Hans Heinz Schild1, and Dariusch Reza Hadizadeh1

1Department of Radiology, Universitätsklinikum Bonn, Bonn, Germany, 2Clinic for Neurosurgery and Stereotaxy, Universitätsklinikum Bonn, Bonn, Germany, 3Department of Neuropathology, Universitätsklinikum Bonn, Bonn, Germany, 4Philips Healthcare, Best, Netherlands

Many centers refrain from implementing semi-quantitative MRI techniques, such as T1w contrast-enhanced MRI (T1-DCE MRI), as a benefit for the patient is questioned. To elucidate if T1-DCE MRI has a benefit, we compared the standard neurosurgical biopsy target selection method (based on T1w contrast-enhanced or FLAIR maps) with a selection based on “hot spots” on Ktrans maps in a double-blinded, prospective setting with 27 glioma patients. 87 tissue samples were taken (55 Ktrans-based, 32 standard). Ktrans-based selection showed a strong tendency to be the more successful targeting method (glioblastoma: n=20/39 vs. n=11/20; p=0.085; WHO III/II: n=12/13 vs. n=6/11; p=0.061).

1350
Cerebrospinal fluid compression in cerebellum on treatment-naïve MRI might be an early indicator of poor survival in Glioblastoma: A preliminary study
Gavin Hanson1, Prateek Prasanna1, Jay Patel1, Anant Madabhushi1, and Pallavi Tiwari1

1Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, United States

Glioblastoma Multiforme (GBM) is very aggressive form of primary brain tumor, and a key part of GBM pathogenesis is the mass effect of the tumor within the ridge container of the brain vault. Mass effect is strongly associated with mortality in patients with GBM. In this work, we seek to quantify the extent of mass effect throughout the brain volume as manifested on MRI to predict patient survival in GBM patients. We use a MRI-driven tensor based morphometry approach, combined with statistical mapping to allow the identification of regions where the deformation associated with mass effect is correlated with overall survival after diagnosis. 

1351
Gadolinium-DTPA-enhanced MR imaging of brain tumors: comparison with T1-Cube and 3D fast spoiled gradient recall acquisition in steady state sequences
Mungunkhuyag Majigsuren1,2, Takashi Abe2, and Masafumi Harada2

1Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia, 2The University of Tokushima, Tokushima, Japan

We compared the gadolinium enhancement characteristics of a heterogeneous population of brain tumors imaged by T1-Cube and 3D FSPGR at 3T MRI with time-dependent changes. A totally 91 lesions from 52 patients with brain tumors in 3T MRI. Fifty-one of the 91 lesions (56.04%) were depicted with T1-Cube first, and 40 lesions (43.96%), with 3D FSPGR first. 3D FSPGR images would be expected to exhibit greater enhancement than T1-Cube images. However, the overall mean CNR values were higher on T1-Cube images with both order sequences. We suggest the superiority of T1-Cube to 3D FSPGR for the detection of metastatic lesions.

1352
An MRS and PET guided biopsy tool for ultrasound-based intra-operative neuro-navigational systems.
Matthew Grech-Sollars1,2, Babar Vaqas3, Gerard Thompson4, Tara Barwick2,5, Lesley Honeyfield2, Kevin S O'Neill3, and Adam D Waldman1,2

1Division of Brain Sciences, Imperial College London, London, United Kingdom, 2Department of Imaging, Imperial College NHS Healthcare Trust, London, United Kingdom, 3Department of Neurosurgery, Imperial College NHS Healthcare Trust, London, United Kingdom, 4Department of Neuroradiology, Salford Royal NHS Foundation Trust, Salford, United Kingdom, 5Department of Surgery and Cancer, Imperial College London, London, United Kingdom

Glioma heterogeneity and the limitations of conventional structural MRI to identify agrressive tumour components limits targeting of stereotactic biopsy, and hence tumour characterisation. In vivo MR spectroscopy and PET allow for physiological characterisation of tumour and we here present a method for representing MRS and PET defined regions to biopsy using an ultrasound based neuronavigational system. Our method involves using colour-coded hollow spheres to represent the target biopsy regions, which can be easily identified during the surgery. This approach can be applied to target the most aggressive regions of a tumour and as a tool for imaging biomarker validation.

1353
Translation of 2-hydroxyglutarate MR spectroscopy into clinics
Zhongxu An1, Sandeep Ganji1, Vivek Tiwari1, Edward Pan2,3,4, Bruce Mickey2,4,5, Elizabeth A. Maher2,3,5,6, and Changho Choi1,2,7

1Advanced Imaging Research Center, University of Texas Southwestern Medical Center, Dallas, TX, United States, 2Harold C. Simmons Cancer Center, University of Texas Southwestern Medical Center, Dallas, TX, United States, 3Department of Neurology and Neurotherapeutics, University of Texas Southwestern Medical Center, Dallas, TX, United States, 4Department of Neurological Surgery, University of Texas Southwestern Medical Center, Dallas, TX, United States, 5Annette Strauss Center for Neuro-Oncology, University of Texas Southwestern Medical Center, Dallas, TX, United States, 6Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX, United States, 7Department of Radiology, University of Texas Southwestern Medical Center, Dallas, TX, United States

2-hydroxyglutarate (2HG) is an important biomarker for IDH-mutated gliomas. Thus in vivo measurement of 2-hydroxyglutarate can provide important information for brain tumor diagnosis and prognosis. Several techniques for in-vivo detection of 2HG were reported recently. However, due to limited access to scan parameters in clinical setup, translation of such techniques into clinics is limited. We report the reproducibility of a recently developed clinically-available PRESS-based 1H MRS method, for in vivo 2HG measurement at research and clinical scanners. 

1354
Tumor Classification Using Blood Arrival Histogram Obtained by Resting-state fMRI
Tianyi Qian1, Yinyan Wang2,3, Kun Zhou4, Yuanyuan Kang4, Shaowu Li2,5, and Tao Jiang2,5

1MR Collaborations NE Asia, Siemens Healthcare, Beijing, China, People's Republic of, 2Neurosurgery, Tiantan Hospital, beijing, China, People's Republic of, 3Beijing Neurosurgical Institute, Capital Medical University, Beijing, China, People's Republic of, 4Siemens Shenzhen Magnetic Resonance Ltd., APPL, Shenzhen, China, People's Republic of, 5Beijing Neurosurgical Institute, Capital Medical University, beijing, China, People's Republic of

In this study, a new post-processing pipeline of resting-statefMRI (rs-fMRI)was proposed for glioma grading, with the feasibility of extracting the timing information of brain perfusion from BOLD signal. The blood arrival time obtained from rs-fMRI shows unevenly distributed perfusion patterns in tumors. A histogram-based analysis method was employed to analyze the non-uniform distribution that could extract the patterns better than the routine method. The proposed pipeline was able to classify between low- and high-grade gliomas.

1355
Mapping of brain tumor oxygen metabolism in native MRI
Patrick Borchert1, Lasse Dührsen2, Div S. Bolar3, Nils-Ole Schmidt2, Jan-Hendrik Buhk1, Jens Fiehler1, and Jan Sedlacik1

1Neuroradiology, UKE, Hamburg, Germany, 2Neurosurgery, UKE, Hamburg, Germany, 3Martinos Center, MGH, Boston, MA, United States

The QUIXOTIC method was tested in conjunction with ASL to map tumor oxygen metabolism in glioma patients. A higher oxygen extraction fraction was found for low grade gliomas, whereas lower cerebral blood flow was found for high grade gliomas. Both parameters were stable in healthy gray matter. These findings suggest, that the QUIXOTIC method is able to map tumor oxygen metabolism in conjunction with ASL. Furthermore, these findings may suggest, that low grade gliomas may maintain a more aerobic metabolism than high grade gliomas and that the uncontrolled tumor angiogenesis of high grade gliomas may cause hindered tumor perfusion.

1356
Validation of a semi-automatic coregistration of MRI scans in brain tumor patients during treatment follow-up
Jiun-Lin Yan1,2,3, Anouk van der Hoorn4,5, Timothy J Larkin6, Natalie R Boonzaier6, Tomasz Matys5, and Stephen J Price6

1Clinical Neuroscience, University of Cambridge, Cambridge, United Kingdom, 2Neurosurgery, Chang Gung Memorial Hospital, Keelung, Taiwan, 3Department of neurosurgery, Chang Gung University College of Medicine, Taoyuan, Taiwan, 4Department of radiology (EB44), University Medical Centre Groningen, Groningen, Netherlands, 5Department of radiology, University of Cambridge, Cambridge, United Kingdom, 6Brain tumour imaging laboratory, University of Cambridge, Cambridge, United Kingdom

Coregistration of lesional brain MRI between different time points is challenging. We aimed to propose a two staged semi-automatic coregistration methods to overcome the difficulty. Firstly, we calculated the transformation between presurgical tumor and postsurgical resection cavity by using the linear FLIRT co-registration. This creates a transformation matrix used for the progression and pseudoprogression area with optimal correction of variable brain shift. Then we applied this transformation matrix to a non-linear FNIRT transformation to coregister the brain. Validation by using registration target error showed smaller deviation can be achieved by using this method compared to direct non-linear registration. 

1357
Contrast-Enhanced Synthetic MRI for the Detection of Brain Metastases: Comparison Between Synthetic T1-weighted Inversion-recovery Image, Synthetic T1-weighted Image, and Conventional T1-weighted Inversion-recovery Fast Spin-Echo Image.
Misaki Nakazawa1,2, Akifumi Hagiwara2,3, Masaaki Hori2, Christina Andica2, Koji Kamagata2, Hideo Kawasaki2, Nao Takano2, Shuji Sato2, Nozomi Hamasaki2, Kouhei Tsuruta1,2, Sho Murata1,2, Ryo Ueda1,2, Shigeki Aoki2, and Atsushi Senoo1

1Graduate School of Human Health Sciences, Tokyo Metropolitan University, Tokyo, Japan, 2Department of Radiology, Juntendo University School of Medicine, Tokyo, Japan, 3Graduate School of Medicine, The University of Tokyo, Tokyo, Japan

The purpose of this study was to assess whether contrast-enhanced synthetic MRI is suitable for detecting brain metastases by comparing the lesion-to-white matter contrast, contrast-to-noise ratio, and number of brain metastases detected in synthetic and conventional magnetic resonance images. Synthetic T1IR images had better contrast compared with synthetic T1W or conventional T1IR images. Synthetic T1IR images enabled detection of more metastases than did synthetic T1W and conventional T1IR images even though statistical significance was not detected. Contrast-enhanced synthetic T1IR is useful for detecting brain metastases. Further optimization of contrast weighting is needed to maximize the ability to detect brain metastases. The purpose of this study was to assess whether contrast-enhanced synthetic MRI is suitable for detecting brain metastases by comparing the lesion-to-white matter contrast, contrast-to-noise ratio, and number of brain metastases detected in synthetic and conventional magnetic resonance images. Synthetic T1IR images had better contrast compared with synthetic T1W or conventional T1IR images. Synthetic T1IR images enabled detection of more metastases than did synthetic T1W and conventional T1IR images even though statistical significance was not detected. Contrast-enhanced synthetic T1IR is useful for detecting brain metastases. Further optimization of contrast weighting is needed to maximize the ability to detect brain metastases.

1358
Bayesian Estimation of Microstructural Parameters in Glioma Patients and Comparison with Genetic Analysis
Elias Kellner1, Marco Reisert1, Ori Staszewski2, Bibek Dhital1, Valerij G Kiselev1, Karl Egger3, Horst Urbach3, and Irina Mader3

1Department of Radiology, Medical Physics, University Medical Center Freiburg, Freiburg, Germany, 2Freiburg, Germany, 3Department of Neuroradiology, University Medical Center Freiburg, Freiburg, Germany

In a recent study, we proposed a method for fast and direct estimation of mictrostructural tissue parameters such as intra/extraaxonal volume fraction and diffusivities based on multishell DWI. In this study, we report the first method application to human gliomas and demonstrate connections of microstructural parameters with genetic markers IDH and 1p19q in a group of 32 patients.

1359
In Vivo Detection of 2-Hydroxyglutarate in Low-Grade Glioma Patients
Elizabeth D Phillips1, Llewellyn E Jalbert1, Yan Li1, Marisa M Lafontaine1, and Sarah J Nelson1

1Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA, United States

While the feasibility of utilizing 2HG as a magnetic resonance biomarker has been established ex vivo, several different approaches to obtaining in vivo data have been presented. This project aims to assess the concordance of 2HG detection using asymmetric echo PRESS MRSI with IDH1R132H mutation as identified via antibody staining in patients with LGG, and to investigate the relationship of other metabolites detected with this sequence to IDH status.  Further research is required before routine clinical implementation of these methods is recommended.

1360
1H Echo Planar Spectroscopic Imaging of 2-hydroxyglutarate in Gliomas at 7T in vivo
Zhongxu An1, Sandeep Ganji1, Vivek Tiwari1, Marco C. Pinho1,2, Edward Pan3,4,5, Bruce E. Mickey3,5,6, Elizabeth A. Maher3,4,6,7, and Changho Choi1,2,3

1Advanced Imaging Research Center, University of Texas Southwestern Medical Center, Dallas, TX, United States, 2Department of Radiology, University of Texas Southwestern Medical Center, Dallas, TX, United States, 3Harold C. Simmons Cancer Center, University of Texas Southwestern Medical Center, Dallas, TX, United States, 4Department of Neurology and Neurotherapeutics, University of Texas Southwestern Medical Center, Dallas, TX, United States, 5Department of Neurological Surgery, University of Texas Southwestern Medical Center, Dallas, TX, United States, 6Annette Strauss Center for Neuro-Oncology, University of Texas Southwestern Medical Center, Dallas, TX, United States, 7Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX, United States

2-hydroxyglutarate (2HG) is the first imaging biomarker for IDH-mutated gliomas. High-spatial resolution spectroscopic imaging of 2HG is clinically important. We propose a new EPSI read-out scheme to overcome the conventional limitation of EPSI spectral bandwidth at high field. With SNR and linewidth benefit at 7T, we demonstrated the in vivo feasibility of this new EPSI method in mapping of 2HG and other important brain metabolites in normal subject and glioma patients at 7T.

1361
Hybrid PET MRI of brain tumours: spatial relationship of tumour volume in FET PET and 3D MRSI
Jörg Mauler1, Karl-Josef Langen1,2, Andrew A. Maudsley3, Omid Nikoubashman4, Christian Filss1, Gabriele Stoffels1, and N. Jon Shah1,5

1Forschungszentrum Jülich, Jülich, Germany, 2Department of Nuclear Medicine, Faculty of Medicine, RWTH Aachen University, Aachen, Germany, 3Miller School of Medicine, University of Miami, Miami, FL, United States, 4Department of Neuroradiology, RWTH Aachen University, Aachen, Germany, 5Department of Neurology, Faculty of Medicine, JARA, RWTH Aachen University, Aachen, Germany

Gliomas are characterised by an elevated expression of amino acid transporters and cell turnover. The spatial overlap of the corresponding volumes was analysed in 46 subjects, based on O-(2-[18F]fluoroethyl)-L-tyrosine (FET) uptake, measured with PET and by means of the choline to N-acetyl-aspartate (Cho/NAA) ratio, determined by simultaneously acquired, 3D spatially resolved MR spectroscopic imaging data. The overlap between the respective volumes averaged out to (30±23) % with tumour volumes of (14±15) cm3 and (39±28) cm3 in case of FET uptake and increased Cho/NAA-ratio, respectively. Thus the imaging modalities may represent different metabolic properties of gliomas.

1362
Apparent diffusion coefficient in preoperative grading of gliomas: a comparison between ultra-high and conventional mono-b value diffusion-weighted MR imaging
YuChuan Hu1, LinFeng Yan1, ZhiCheng Liu1, YingZhi Sun1, DanDan Zheng2, TianYong Xu2, Wen Wang1, and GuangBin Cui1

1Department of Radiology, Tangdu Hospital, Fourth Military Medical University, Xi’an, China, People's Republic of, 2MR Research China, GE Healthcare China, Beijing, China, People's Republic of

The preoperative grading of gliomas, which is critical for determination of the most appropriate treatment, remains unsatisfactory. As an improved MRI technique, diffusion-weighted imaging (DWI) is considered the most sensitive for early pathological changes and therefore can potentially be useful in evaluating the glioma grades. Recently, apparent diffusion coefficient (ADC) values derived from the high (3000 sec/mm2) b values DWI were reported to improve the diagnostic performance of DWI in differentiating high- from low-grade gliomas5. But a mono-exponential model and relatively lower high-b values were used in this study.We used a tri-component model to calculate ultra-high ADC (ADCuh) in our research, aiming to retrospectively compare the efficacy of ultra-high and conventional mono-b value DWI in the glioma grading.

1363
18F-methylcholine PET/CT and magnetic resonance spectroscopy imaging and tissue biomarkers of cell membrane turnover in primary brain gliomas – a pilot study
Matthew Grech-Sollars1,2, Katherine Ordidge1,2, Babar Vaqas3, Lesley Honeyfield2, Sameer Khan2, Sophie Camp3, David Towey2, David Peterson3, Federico Roncaroli4, Kevin S O'Neill3, Tara Barwick2,5, and Adam D Waldman1,2

1Division of Brain Sciences, Imperial College London, London, United Kingdom, 2Department of Imaging, Imperial College NHS Healthcare Trust, London, United Kingdom, 3Department of Neurosurgery, Imperial College NHS Healthcare Trust, London, United Kingdom, 4Department of Neuropathology, Imperial College NHS Healthcare Trust, London, United Kingdom, 5Department of Surgery and Cancer, Imperial College London, London, United Kingdom

Choline elevation has been reported as a marker of aggressive glioma phenotype in numerous in vivo MRS studies, and more recently 18F-methylcholine-PET has been applied to glioma characterisation. This study examines the relationship between MRS and PET choline measures in defined tumour regions, in order to validate these against tissue biomarkers of choline metabolism and proliferation. Our initial results raise the possibility that imaging markers of choline metabolism are influenced by inflammatory and reactive processes for low grade tumours. 

1364
Assessment of Anti-EGFRvIII Chimeric Antigen Receptor (CAR) T cell Therapy for Patients with Glioblastomas using Diffusion, Perfusion and MR Spectroscopy
Sumei Wang1, Donald M O’Rourke2, Sanjeev Chawla1, Gaurav Verma1, Gabriela Plesa3, Carl H June3, Marcela V Maus4, Steven Brem2, Eileen Maloney2, Jennifer JD Morrissette5, Maria Martinez-Lage5, Arati Desai6, Ronald L Wolf1, Harish Poptani1,7, and Suyash Mohan1

1Radiology, University of Pennsylvania, Philadelphia, PA, United States, 2Neurosurgery, University of Pennsylvania, Philadelphia, PA, United States, 3Pathology and Laboratory Medicine, Center for Cellular Immunotherapies, University of Pennsylvania, Philadelphia, PA, United States, 4Center for Cancer Immunology, Massachusetts General Hospital Cancer Center, Charlestown, MA, United States, 5Pathology and Laboratory Medicine, University of Pennsylvania, Philadelphia, PA, United States, 6Hematology-Oncology, University of Pennsylvania, Philadelphia, PA, United States, 7Cellular and Molecular Physiology, University of Liverpool, Liverpool, United Kingdom

Chimeric Antigen Receptor (CAR) T cell therapy is a novel method of treating tumors. Since EGFRvIII is expressed in some glioblastomas, we evaluated the efficacy of anti-EGFRvIII CART for treating these tumors. Treatment response was assessed via serial MRI scans at 1 and 2 months after CAR-T cell therapy. The rCBVmax and Cho/Cr ratio decreased whereas MD and FA stayed relatively stable for most patients, indicating a positive response that can be assessed by these methods.

1365
Fast Imaging Employing Steady-State Acquisition of Brain Metastasis: from mouse to woman
Donna H Murrell1,2, Keng Yeow Tay3, Eugene Wong2,3, Ann F Chambers2,3, Francisco Perera3, and Paula J Foster1,2

1Imaging Research Laboratories, Robarts Research Institute, London, ON, Canada, 2Department of Medical Biophysics, Western University, London, ON, Canada, 3London Health Sciences Centre, London, ON, Canada

Brain metastatic burden may be underestimated in the clinic because some tumors are impermeable to Gadolinium (Gd). Preclinical studies by our group demonstrated that fast imaging employing steady-state acquisition (FIESTA) was advantageous for detecting small Gd-impermeable tumors. Here, we show clinical translation of this imaging strategy. We present FIESTA images of human brain metastasis alongside standard clinical MRI and illustrate potential clinical utility of this sequence. Initial data suggests FIESTA can visualize intra-tumor heterogeneity where standard clinical MRI could not. Additional lesions were observed in FIESTA; we hypothesize some may be arachnoid cysts, though metastasis cannot be ruled out. 

1366
Distinguishing the Chemical Signature of Different IDH Mutations in Brain Tumor Patients at 7 Tesla
Uzay E Emir1, Sarah Larkin2, Nick de Pennington2, Puneet Plaha3, Natalie Voets1, James Mccullagh4, Richard Stacey3, Peter Jezzard1, Stuart Clare1, Christopher Schofield4, Tom Cadoux-Hudson3, and Olaf Ansorge2

1FMRIB Centre, University of Oxford, Oxford, United Kingdom, 2Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom, 3Department of Neurosurgery, John Radcliffe Hospital, Oxford University Hospitals NHS Trust, Oxford, United Kingdom, 4Department of Chemistry, University of Oxford, Oxford, United Kingdom

In this study, we show a proton magnetic resonance spectroscopy (1H-MRS) acquisition scheme at 7T, enabling discernible 2-HG in the spectra of IDH-mutant patients  acquired within 20s and quantify metabolic changes associated with the IDH mutation. Due to the increased sensitivity and specificity of this scheme at 7T, we demonstrate elevated 2-HG and Lactate accumulation in IDH2 R172K (mitochondrial) compared to the IDH1 R132H (cytosolic) mutant tumors in human brains noninvasively.

1367
Developing a Semi-Automatised Tool for Grading Brain Tumours with Susceptibility-Weighted MRI
Maria Duvaldt1 and Tomas Jonsson1

1Dept. of Medical Physics, Karolinska University Hospital, Stockholm, Sweden

In order to make an adequate decision on the further treatment of a glioma cancer patient a tissue sample from the tumour is microscopically analysed and classified on a malignancy scale set by the WHO. In this project a software program with a graphical user interface is developed, where the malignancy grade of a tumour could be found by image analysis of susceptibility-weighted MR images. The parameters examined are the local image variance and intratumoural susceptibility signal and the results show the possibility of distinguishing high grade from low grade astrocytoma by image analysis only.

1368
Non-Gaussian measurements of water diffusion in glioma as a tool for probing tumor heterogeneity and grade.
Fulvio Zaccagna1, Frank Riemer1, Mary McLean2, Andrew N. Priest3, James T. Grist1, Joshua Kaggie1, Sarah Hilborne1, Tomasz Matys1, Martin J. Graves1, Jonathan H. Gillard1, Stephen J. Price4, and Ferdia A. Gallagher1

1Department of Radiology, University of Cambridge, Cambridge, United Kingdom, 2Cancer Research UK Cambridge Institute, University of Cambridge, Cambridge, United Kingdom, 3Radiology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom, 4Neurosurgery Unit, Department of Clinical Neurosciences, University of Cambridge, Cambridge, United Kingdom

Glioma grade and extent of local infiltration are used to guide surgical tumor management. Heterogeneity imaging is a way of assessing the tumor microenvironment, which may improve diagnosis and therapy planning. Diffusion Kurtosis Imaging (DKI) is a novel promising technique that estimates non-Gaussian water diffusion as a measure of heterogeneity. We investigate the use of DKI in glioma as a tool to improve tumor grading and to estimate infiltration. Our preliminary results show a mean kurtosis of 0.56±0.02 in glioblastoma and 1.14±0.07 in normal-appearing white matter. DKI may thus represent a useful tool for estimation of tumor heterogeneity in glioma.

1369
Impact of semi-automatic delineation of hotspots of contrast enhancing region in predicting the outcome of GBM patients after brain surgery
Adrian Ion-Margineanu1,2, Sofie Van Cauter3,4, Diana M Sima1,2, Frederik Maes2,5, Stefan Sunaert3, Stefaan Van Gool6, Uwe Himmelreich7, and Sabine Van Huffel1,2

1ESAT - STADIUS, KU Leuven, Leuven, Belgium, 2Medical IT, iMinds, Leuven, Belgium, 3Department of Radiology, University Hospitals of Leuven, Leuven, Belgium, 4ZOL - Ziekenhuis Oost-Limburg, Genk, Belgium, 5ESAT - PSI, KU Leuven, Leuven, Belgium, 6Department of Pedriatic Neuro-Oncology, University Hospitals of Leuven, Leuven, Belgium, 7Department of Imaging and Pathology, Biomedical MRI / MoSAIC, Leuven, Belgium

Delineating contrast enhancing (CE) tissue is an integral part of the RANO criteria for therapy response assessment in high-grade gliomas. We propose a semi-automatic delineation of hotspots of CE (HCE) in brain tumour follow-up of 29 glioblastoma multiforme patients after surgery. Based on multi-parametric magnetic resonance data we predict the post-operative evolution of the brain tumour by labelling each patient at each time point as responsive or progressive. The results obtained with our semi-automatic method are better in most of the cases than the results obtained with the original manual delineations. Moreover, our method can efficiently impute missing data.

1370
Automatic normalization of DCE-MRI derived cerebral blood volume (CBV) may improve glioma grading
Prativa Sahoo1, Indrajit Saha2, and Rakesh Kumar Gupta3

1Healthcare, Philips India ltd, Bangalore, India, 2Philips Healthcare, Philips India ltd, Gurgaon, India, 3Radiology and Imaging, Fortis Memorial Research Institute, Gurgaon, India

DCE-MRI derived relative blood volume (rCBV) correlates excellently with grade of glioma. Traditionally rCBV is calculated by dividing CBV value of tumor region with the CBV value from the corresponding contra-lateral region by identifying and placing region of interest (ROI). This technique is tedious needs user expertise.  The main aim of this study was to develop an automatic method to normalize CBV so that the user-induced biasness in glioma grading due to ROI placement can be reduced. Normalized CBV provides a better contrast between tumor and normal region

1371
The Value of CBF Combined With Temporal Information in Grading High-Grade Astrocytomas: A Multi-Inversion-Time Arterial-Spin-Labeling Magnetic Resonance Study
Shuang Yang1, Tianyi Qian2, Jianwei Xiang1, Yingchao Liu3, Fei Gao1, Peng Zhao3, Josef Pfeuffer4, Guangbin Wang1, and Bin Zhao1

1Shandong Medical Imaging Research Institute, Shandong University, Jinan, China, People's Republic of, 2MR Collaborations NE Asia, Siemens Healthcare, Beijing, China, People's Republic of, 3Shandong provincial Hospital, Shandong University, Jinan, China, People's Republic of, 4Application Development, Siemens Healthcare, Erlangen, Germany

This study aimed to demonstrate the feasibility of multi-inversion-time arterial spin labeling (mTI-ASL) for differentiating between WHO III and WHO IV grade astrocytomas, as well as the added value of bolus arrival time (BAT) information in evaluating tumor perfusion. In the first part of this study, we evaluated the reproducibility of mTI-ASL in healthy subjects, and then mTI-ASL was used to evaluate 45 astrocytoma patients. There was no major variation between two consecutive mTI-ASL measurements in healthy volunteers. Furthermore, mTI-ASL provided valuable information for the classification of astrocytomas, while BAT added relevant information for grading by estimating the temporal dynamics of local tumor-mass perfusion.

1372
The effect of prophylactic cranial irradiation on brain diffusion and magnetization transfer
Mary A McLean1, Nicola L Ainsworth1,2, Anna M Brown1, Susan V Harden2, and John R Griffiths1

1CRUK Cambridge Institute, University of Cambridge, Cambridge, United Kingdom, 2Oncology, Addenbrooke's Hospital, Cambridge, United Kingdom

We investigated the effect of prophylactic cranial irradiation (PCI: 25 Gy in 10 fractions) on brain MRI at 3T. Six patients with small cell lung cancer were scanned at 4-month intervals: at diagnosis, following chemotherapy, and following PCI. Paired t-tests before and after PCI in right frontal white matter showed increased ADC and decreased FA and MTR following treatment. However, the parameters did not differ significantly from the scan at diagnosis, and other brain regions showed no significant changes on repeated-measures ANOVA. These observations are consistent with previous reports of more marked changes following higher-dose radiotherapy treatment.

1373
Differentiation of Glioblastoma Multiforme and Primary Cerebral Lymphoma with Diffusion-Weighted MR Imaging
Ching Chung Ko1,2, Yu Chang Lee3, Ming Hong Tai2, Tai Yuan Chen1, Yu Ting Kuo1, and Jeon Hor Chen3,4

1Department of Medical Imaging, Chi Mei Medical Center, Tainan, Taiwan, 2Institute of Biomedical Science, National Sun Yat-Sen University, Kaohsiung, Taiwan, 3Department of Radiology, I-Shou University and Eda Hospital, Kaohsiung, Taiwan, 4Center for Functional Onco-Imaging, University of California, Irvine, CA, United States

Atypical glioblastoma multiformes (GBMs) with solid enhancing tumor and without visible necrosis may mimic primary cerebral lymphomas (PCLs), and atypical PCLs with visible necrosis may mimic GBMs. This study aimed to differentiate these two brain tumors using qualitative DWI signals and quantitative ADC values acquired in tumoral necrosis, the most enhanced tumor area, and the peritumoral edema. The results showed GBMs tended to have significantly higher ADC in the enhanced tumor area, and lower ADC in the peritumoral edema area than PCLs.

1374
IDH-1 Mutation and Non-Enhancing Component of Glioblastoma
Daniel M Fountain1, Timothy J Larkin2, Natalie R Boonzaier2, Jiun-Lin Yan2, and Stephen J Price2

1The Brain Tumour Imaging Laboratory, Division of Neurosurgery, University of Cambridge, Cambridge, United Kingdom, 2Division of Neurosurgery and Wolfson Brain Imaging Centre, The Brain Tumour Imaging Laboratory, Cambridge, United Kingdom

IDH-1 mutated glioblastoma is associated with improved survival, and greater sensitivity to further resection of non-enhancing disease than IDH-1 wild-type. We used structural, diffusion tensor, perfusion and spectroscopic imaging data in a mixed model across the peritumoral region in 54 patients. Applying a mixed model methodology across three levels of data resolution, we demonstrated that IDH-1 mutated tumors demonstrated raised choline and lowered glutamate and glutamine compared to IDH-1 wild-type. The findings provided an AUC of 0.943 when combined with age. We hypothesised this results in greater sensitivity to treatment and reduced excitotoxicity, thus explaining their relatively superior prognosis.

1375
Evaluation of 7T MRI for endoscopic surgical planning and guidance for skull base tumors - preliminary experience
Hadrien A Dyvorne1, Thomas F Barrett2, Bradley N Delman3, Raj K Shrivastava2, and Priti Balchandani1

1Translational and Molecular Imaging Institute, Icahn school of Medicine at Mount Sinai, New York, NY, United States, 2Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, NY, United States, 3Radiology, Icahn school of Medicine at Mount Sinai, New York, NY, United States

Skull based tumors pose some of the most complex challenges in neurosurgery owing to their proximity to important structures such as optic nerves and arteries. For this reason, surgical planning heavily depends on high quality MR images. In this study we evaluated the performance of 7T imaging against standard scans at 3T and 1.5T for delineating such structures. Furthermore, the high-resolution scans were integrated in the neurosurgical workflow in order to evaluate improvements in surgical time and confidence of surgical decision-making.

1376
Semi-automatic segmentation of medulloblastoma using active contour method
Ka Hei Lok1, Lin Shi2,3, Queenie Chan4, and Defeng Wang5,6

1Department of Imaging and Intenvntional Radiology, The Chinese University of Hong Kong, Sha Tin, Hong Kong, 2Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Sha Tin, Hong Kong, 3Chow Yuk Ho Technology Centre for Innovative Medicine, The Chinese University of Hong Kong, Sha Tin, Hong Kong, 4Philips Healthcare, Hong Kong, Hong Kong, 5Research Center for Medical Image Computing, Department of Imaging and Intenvntional Radiology, The Chinese University of Hong Kong, Sha Tin, Hong Kong, 6Shenzhen Research Institute, The Chinese University of Hong Kong, Shenzhen, China, People's Republic of

Brain tumours are the second commonest form of childhood malignancy while medulloblastoma is the most common brain tumor in children. Accurate Segmentation of medulloblastoma is necessary for maximum tumor surgical removal. We proposed a novel method to segment medulloblastoma by modifying signed pressure function (SPF) function in Gaussians Filtering Regularized Level Set (SBGRLS) method. Quantitative validation is performed in this project. The method is proved to be clinical-oriented which is fast, robust, accurate with minimal user interaction.

1377
Withdrawn - Value of Amide Proton Transfer Imaging in Correlation with Histopathological Grades of Adult Diffuse Gliomas : Comparison and Incremental Value with Dynamic Susceptibility Contrast-Enhanced MRI and Diffusion Weighted Imaging
Seung-Koo Lee1, Yoon Seong Choi2, Sung Soo Ahn1, Ho-Joon Lee1, and Jinna Kim1

1Seoul, Korea, Republic of, 2Radiology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea, Republic of

We investigated the difference in APT values according to histopathological grades, and compared the diagnostic value of APT with relative cerebral blood volume (rCBV) from dynamic susceptibility contrast-enhanced (DSC) MRI and apparent diffusion coefficient (ADC) from diffusion weighted imaging (DWI) for histopathological grades in adult diffuse gliomas. We optimized APT imaging protocol for clinical setting and found that APT values were increased along with glioma grades, and APT values has incremental values over ADC values for glioma grading. We suggest that APT imaging can be a useful noninvasive imaging biomarker for glioma grading, in combination with ADC.

1378
Time-signal curves analysis of dynamic contrast-enhanced magnetic resonance imaging used in differential diagnosis of pituitary lesions.
shiyun tian1, Weiwei Wang1, and yanwei miao1

1Radiology Department, the First Affiliated Hospital of Dalian Medical University, Dalian, China, People's Republic of

Pituitary microadenomas are commonly visualized as well-defined lesions that enhance less than the normal pituitary gland, but it is not clear about the enhancement pattern of microadenomas. Our work is to evaluate the TIC type and the five parameters extracted from time-signal curves of DCE-MRI in the normal pituitary gland, microadenoma and the Rathke’s cleft cyst.

1379
MR based texture and location analysis of lower grade gliomas combined with genetic mutation information
Manabu Kinoshita1, Hideyuki Arita2, Mio Sakai3, Naoki Kagawa2, Yonehiro Kanemura4, Yasunori Fujimoto2, Katsuyuki Nakanishi3, and Toshiki Yoshimine2

1Neurosurgery, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, Japan, 2Neurosurgery, Osaka University Graduate School of Medicine, Suita, Japan, 3Radiology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, Japan, 4National Hospital Organization Osaka National Hospital, Osaka, Japan

Extensive genetic analysis of WHO grade 2 and 3 gliomas (lower grade glioma) revealed that they comprise of several disease subtypes with different genetic or molecular backgrounds. The present investigation was conducted to elucidate the differences revealed on MR images including textures and locations of the tumors according to genetic mutation status (IDH and TERT promoter mutation) of lower grade gliomas. T2-entropy, a newly introduced image texture metric revealed that tumor heterogeneity is different depending on genetic status. Furthermore, classic oligodendroglial tumors located at the mid-base frontal lobe while astrocytic tumors occupied much lateral side of the brain.

1380
RADIOMICS  of advanced multiparmetric MRI in posterior fossa tumors is supreme to the domain wizards! A pilot study
Shanker Raja1, Sarah Farooq2, William Plishker3, Ali Daghriri4, Sadeq Wasil Al-Dandan5, Abdullah Ali Alrashed4, Muhammad Usman Manzoor6, and Sharad George7

1Baylor College of Medicine, Bellaire, TX, United States, 2King Fahad Medical City, Riyadh, Saudi Arabia, 3IGI Technologies, College Park, MD, United States, 4Medical Imaging, King Fahad Medical City, Riyadh, Saudi Arabia, 5Pathology and Laboratory Medicine, King Fahad Medical City, Riyadh, Saudi Arabia, 6Radiology, King Fahad Medical City, Riyadh, Saudi Arabia, 7Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia

We uniquely  extracted textural features from multiple sequences of advanced FMRI  to preoperatively differentiate posterior fossa tumor histology.  Furthermore, as opposed to  recently published work (1,3,4) we found that in our series, textural feature subset derived from perfusion images is slightly superior to those of ADC maps. In addition, as expected, the  observations from this work concurs that RADIOMICS is definitely on par and probably  surpasses  domain experts in this endevour.  

1381
Evaluation of vascular permeability in gliomas by using parameter K2 from dynamic susceptibility contrast data-sets and histogram analysis.
Toshiaki Taoka1, Hisashi Kawai1, Toshiki Nakane1, Toshiteru Miyasaka2, and Shinji Naganawa1

1Radiology, Nagoya University, Nagoya, Japan, 2Radiology, Nara Medical University, Kashihara, Japan

 Permeability images can provide additional information to perfusion images in the clinical practice of brain tumors. However, permeability imaging by dynamic contrast enhancement methods requires a long acquisition time. K2 is an index that represents permeability and can be calculated from the dataset of perfusion images with the dynamic susceptibility contrast method, which requires a short acquisition time. In the current study, we calculated K2 for various grades of gliomas and found that K2 showed a significantly higher 20th percentile value in Grade IV compared to Grade III gliomas, providing useful information for grading of gliomas.

1382
Characterising tumour progression and pseudoprogression on preoperative multimodal MRI imaging
Jiun-Lin Yan1,2,3, Anouk van der Hoorn4, Timothy J Larkin5, Natalie Rosella Boonzaier5, Tomasz Matys6, and Stephen J Price5

1Clinical Neuroscience, University of Cambridge, Cambridge, United Kingdom, 2Department of neurosurgery, Chang Gung Memorial Hospital, Keelung, Taiwan, 3Department of neurosurgery, Chang Gung University College of Medicine, Taoyuan, Taiwan, 4Department of radiology (EB44), University of Groningen, Groningen, Netherlands, 5Brain tumour imaging laboratory, University of Cambridge, Cambridge, United Kingdom, 6Department of radiology, University of Cambridge, Cambridge, United Kingdom

Glioblastoma is a highly malignant tumor which recur mostly within 2 cm around the resected contrast enhancement. However, it is difficult to identify tumor invasiveness pre-surgically especially in non-enhanced area. Thus, we aimed to identify possible imaging characteristics preoperatively using multimodal MR techniques in the peritumoral regions that eventually leads to tumor recurrence or progression. Our study showed lower isotorpic p, anisotopic q and ADC for progression compared to non-progression regions. In addition, MRS showed a not statistically significant trend of higher choline/NAA, higher choline and lower NAA in these progression area.

1383
Radiogenomic Mapping of Dysregulated Angiogenesis in Glioblastoma.
Kevin, Li-Chun Hsieh1, Fei-Ting Hsu1, Chia-Feng Lu1, and Cheng-Yu Chen1

1Translational Imaging Research Center, Taipei Medical University, Taipei, Taiwan

In this TCGA study, we identified several qualitative and quantitative radiomics imaging surrogates in glioblastoma, which can be used to differentiate whether this tumor have dysregulated angiogenesis at the molecular level. These features can also be used to predict disease survival.

1384
Differentiation of glioblastoma multiforme and single brain metastasis by the distribution pattern of intratumoral susceptibility sign derived from susceptibility-weighted imaging
Hyunkoo Kang1 and Keuntak Roh1

1Department of Radiology, Seoul Veterans Hospital, Seoul, Korea, Republic of

Susceptibility-weighted imaging (SWI) is an emerging magnetic resonance imaging (MRI) technique that exploits the susceptibility differences between the tissues. SWI provides the enhancement of small vessels and microhemorrhages and detection of iron in the brain. These characteristics permit SWI to show anatomical and functional heterogeneity of brain tumors by exquisite sensitivity to the blood products and venous vasculature. The aim of this study is to determine whether the distribution pattern of intratumoral susceptibility sign (ITSS) derived from SWI could differentiate glioblastoma multiforme (GBM) and single brain metastasis. We investigated the distribution patterns of ITSS of the tumors and applied an ITSS grading system based on the degree of the ITSS. Then, we compared the grade of the visibility of ITSS in the central portion of tumors (CITSS) and in the tumor capsular area (PITSS) on SWI in consensus. In clinical use, SWI is also useful for differentiating GBMs from metastases.

1385
Differentiating contrast-enhanced glioma from peritumoral edema using the intravascular fraction derived from IVIM MRI - a comparative study with DSC MRI
Yen-Shu Kuo1,2, Han-Min Tseng3, and Wen-Chau Wu4

1Graduate Institute of Biomedical Electronics and Bioinformatics, National Taiwan University, Taipei, Taiwan, 2Radiology, Cathay General Hospital, Taipei, Taiwan, 3Neurology, National Taiwan University Hospital, Taipei, Taiwan, 4Graduate Institute of Oncology, National Taiwan University, Taipei, Taiwan

In this study, we performed intravoxel incoherent motion (IVIM) MRI in 25 patients with histologically proven gliomas, and compared the intravascular fraction f with the cerebral blood volume derived from dynamic susceptibility-contrast (DSC) MRI (CBVDSC). Results showed that f was able to differentiate contrast-enhanced glioma from peritumoral edema by detecting elevated vascularity. Cross-modal comparison indicated that f correlated better with contrast-leakage-corrected CBVDSC than uncorrected value.

1386
Normalization of Multi-contrast MRI and Prediction of Tumor Phenotypes
Yong Ik Jeong1, Charles Cantrell1, David Manglano1, Thomas Gallagher1, Jeffery Raizer1, Craig Horbinski1, and Timothy J Carroll1

1Northwestern University, Chicago, IL, United States

Genetic profiling of cancers has the potential to identify epigenetic changes that predict response to treatments. In this study, we try to overcome the limitations posed by heterogeneity of tumor phenotypes by using normalized quantitative MRI to predict local gene expression. We report the findings of retrospectively comparing T1, T1 post Gd, T2 and ADC to Verhaak subtypes and pMGMT methylation status in histologically confirmed GBM patients.

1387
Intra- and inter-individual association of FET-PET- and MR-Perfusion-parameters in untreated glioma
Jens Goettler1, Anne Kluge1, Mathias Lukas2, Stephan Kaczmarz1, Jens Gempt3, Florian Ringel3, Mona Mustafa2, Markus Schwaiger2, Claus Zimmer1, Stefan Foerster2, Christine Preibisch1,4, and Thomas Pyka2

1Department of Neuroradiology, Technische Universität München, Munich, Germany, 2Clinic for Nuclear Medicine, Technische Universität München, Munich, Germany, 3Clinic for Neurosurgery, Technische Universität München, Munich, Germany, 4Clinic for Neurology, Technische Universität München, Munich, Germany

18F-fluoroethyltyrosine (FET) PET and dynamic susceptibility contrast (DSC) perfusion weighted imaging are useful imaging techniques to diagnose glioma and to delineate tumor extension. However it is still unclear whether static and dynamic parameters of FET-PET and DSC are associated with each other. In this study we examined 45 patients with glioma in a hybrid PET-MR 3T scanner assessing FET time-activity-curves and DSC-parameters simultaneously. Static as well as dynamic PET-measures highly correlated with DSC-parameters such as relative cerebral blood volume (rCBV) and relative peak height (rPH). Results point to a complementary role of both modalities pre-therapeutically.

 


 
 

1388
Estimating damage to the blood-brain barrier from radiotherapy treatment
Magne Kleppestø1, Christopher Larsson1, and Atle Bjornerud1,2

1The Intervention Centre, Oslo University Hospital, Oslo, Norway, 2Department of Physics, University of Oslo, Oslo, Norway

Brain tumors are usually subjected to radiation therapy upon diagnosis. In this work, it is made an attempt at investigating if this therapy might cause injury to the non-cancerous parts of the brain. To this end dynamic contrast-enhanced MRI was used to estimate leakage across the blood-brain barrier.22 patients were imaged before and after undergoing a treatment schedule, and findings from the two examinations were compared to uncover any change. The data shows no significant variation in either permeability or blood plasma volume.

1389
MR appearance of Primary central nervous system lymphoma: as prognostic factors influencing the response to clinical treatment
jing Liu1 and shuixing Zhang1

1Radiology, Department of Radiology, Guangdong Academy of Medical Sciences/Guangdong General Hospital, Guangzhou, Guangzhou, China, People's Republic of

Currently, the treatment response in primary central nervous system lymphoma (PCNSL) is monitored by serial contrast-enhanced anatomic MR imaging, which often showing characteristic radio-morphological features such as lesion location, strong and homogenous contrast-enhancement, moderate edema and absence of necrosis. The purpose of our study was to investigate the objective response rate (ORR) and identify MR findings as predictors to evaluate the therapeutic response in PCNSL. Our result shows that tumor size, number, location, homogenous enhancement and the planned therapeutic strategy were independent factors correlated with treatment response in patients of PCNSL.


Traditional Poster

Psychiatric Disorders: Major Depression

Exhibition Hall Monday, May 9, 2016: 10:45 - 12:45

1390
Neural basis of the association between anxiety and depression symptoms in unmedicated major depressive disorder patients
Cancan He1, Liang Gong1, Chunming Xie1, and Yingying Yin1

1Department of Neurology, Affiliated ZhongDa Hospital, School of Medicine, Southeast University, Nanjing, China, People's Republic of

In this study, 75 unmedicated MDD patients and 42 cognitively normal(CN) subjects underwent the resting-state functional magnetic resonance imaging (R-fMRI) scan. We found that the MDD patients showed dysfunctional connectivity in wide-spread amygdala functional connectivity(AFC) networks, and these abnormal amygdala connectivity were influenced the trait property in MDD. Further analysis revealed that MDD patients with lower HAMA scores showed milder depressive symptom and greater AFC strength while MDD patients with higher HAMA scores showed more severe depressive s­­­­­ymptom and lower AFC strength. Beyond that, the mediation effects of AFC networks on the association between anxiety and depression all reached a significant level in MDD patients.

1391
Corpus callosum morphology and microstructure in late-life depression
Louise Emsell1,2, Christopher Adamson3, Filip Bouckaert1, Thibo Billiet2, Daan Christiaens4, Francois-Laurent De Winter1, Marc Seal3, Pascal Sienaert1, Stefan Sunaert2, and Mathieu Vandenbulcke1

1UPC-KU Leuven, Leuven, Belgium, 2Translational MRI, KU Leuven, Leuven, Belgium, 3Developmental Imaging, Murdoch Childrens Research Institute, Melbourne, Australia, 4ESAT/PSI, KU Leuven, Leuven, Belgium

Differences in corpus callosum (CC) morphology and microstructure have been implicated in late-life depression (LLD), however it is not clear to what extent microstructural alterations result from partial volume effects arising from macrostructural differences. Here we combined T1 morphological measures (thickness and area) with multiple diffusion MRI measures (fractional anisotropy, radial diffusivity and apparent fibre density (AFD)) to investigate the mid-sagittal CC in 51 patients with LLD and 52 healthy controls. LLD was associated with subtle, independent regional macro- (reduced area) and microstructural (reduced AFD) differences in the corpus callosum, unrelated to depression subtype or illness severity.

1392
7 T MRS Investigation of the Glutamatergic System in Depression
Clark Lemke1,2, Charles Masaki1, Uzay Emir2, Beata Godlewska1, and Phil Cowen1

1Department of Psychiatry, University of Oxford, Oxford, United Kingdom, 2FMRIB, University of Oxford, Oxford, United Kingdom

The glutamatergic system is believed to play a significant role in depression pathology. While many magnetic resonance spectroscopy (MRS) studies of depression have targeted the glutamatergic system, they have all been performed at magnetic field strengths of 4 T or lower – limiting their ability to differentiate between glutamate and glutamine. This study presents the first investigation of the glutamatergic system in depressed subjects at 7 T. Voxels were placed in the occipital cortex, anterior cingulate cortex, and putamen and metabolites were quantified using LCModel. Results indicate a significant decrease in glutamate in the occipital cortex and a significant increase of glutamine in the putamen.

1393
Disrupted reward circuits is associated with cognitive deficits, depression severity, and trait property in unmedicated major depressive disorder
Liang Gong1, Yingying Yin1, Cancan He1, Chunming Xie1, Yonggui Yuan1, Zhijun Zhang1, and Hongxing Zhang2

1Department of Neurology, Affiliated ZhongDa Hospital, School of Medicine, Southeast University, Nanjing, China, People's Republic of, 2Department of Psychiatry, Henan Provincial Mental Hospital, XingXiang, China, People's Republic of

we employed the resting-state fMRI technique with voxelwise multivariate regression analysis to identify that the disrupted topological organization within reward circuits was significantly associated with cognitive deficits, depression severity, and trait property in major depressive disorder (MDD) patients. Importantly, distinct and common neural pathways underlying cognitive deficit and depression were identified, and implied the independent and synergistic effects of cognitive deficits and depression severity on reward circuits in MDD patients.

1394
Brain grey matter volume alterations in treatment resistant depression -- systematic review and meta-analysis
Xin Xu1, Jia Liu2, and Qiyong Gong2

1Department of Psychiatry, Huaxi MR Research Center(HMRRC),West China Hospital of Sichuan Universityl, Chengdu, China, People's Republic of, 2Department of Radiology, Huaxi MR Research Center(HMRRC),West China Hospital of Sichuan Universityl, Chengdu, China, People's Republic of

To our knowledge, this is the first study to pool VBM studies for a meta-analysis of grey matter differences among the treatment-sensitive depression (TSD), treatment-resistant depression (TRD) and health control (HC) by using anisotropic effect-size signed differential mapping (AES-SDM). Although both TRD and TSD groups showed abnormal grey matter in frontal and temporal cortex, the exact brain regions were mostly different in both groups except the left inferior frontal gyrus (IFG). Furthermore, grey matter volume reductions in the bilateral cingulate cortex were only observed in the TRD group.

1395
DTI-based connectome analysis of adolescent depression reveals hypoconnectivity of the right caudate
Olga Tymofiyeva1, Colm G Connolly1, Tiffany C Ho1, Matthew D Sacchet2, Eva Henje Blom1,3, Kaja Z LeWinn1, Duan Xu1, and Tony T Yang1

1UCSF, San Francisco, CA, United States, 2Stanford University, Stanford, CA, United States, 3Karolinska Institutet, Stockholm, Sweden

The goal of this study was to perform DTI-based connectome analysis in a cohort of depressed adolescents and matched non-depressed controls. Our findings highlight the role of right caudate connectivity, in particular to frontal gyri, insula, and anterior cingulate, in this population.

1396
Dysfunction of the Cingulo-Opercular Network in First-Episode, Medication-Naive Patients with Major Depressive Disorder
xiaoping wu1, yanjun gao1, Pan Lin2, Junle Yang1, Rui Yang3, and Jian Yang4

1Department of Radiology, the Affiliated Xi’an Central Hospital of Xi’an Jiaotong University, Xi’an, China, People's Republic of, 2Key Laboratory of Biomedical Information Engineering of Education Ministry, Institute of Biomedical Engineering, Xi’an Jiaotong University, Xi’an, China, People's Republic of, 3Department of Psychiatry, the Affiliated Xi’an Central Hospital of Xi’an Jiaotong University, Xi’an, China, People's Republic of, 4Department of Radiology, the First Affiliated hospital of Xi’an Jiaotong University, Xi’an, China, People's Republic of

Patients with MDD showed abnormalities in the connectivity of the CON. We found abnormal connectivity in MDD patients between the dACC and the bilateral middle frontal gyrus (MFG) and between the middle temporal gyrus (MTG) and precentral gyrus. Moreover, regression analysis showed that depression symptom severity (measured with the Hamilton Depression Rating Scale (HDRS), Hamilton Anxiety Scale (HAMA) and Automatic Thoughts Questionnaire scores (ATQ)) was significantly correlated with the FC values of the CON.

1397
Gray and white matter volume changes and the correlation with depression and anxiety in obese patients revealed by voxel-based morphometry
Jun-Cheng Weng1,2, Chi-Ju Lai1, Hse-Huang Chao3, Ming-Chou Ho4, and Vincent Chin-Hung Chen5

1Department of Medical Imaging and Radiological Sciences, Chung Shan Medical University, Taichung, Taiwan, 2Department of Medical Imaging, Chung Shan Medical University Hospital, Taichung, Taiwan, 3Tiawan Center for Metabolic and Bariatric Surgery, Jen-Ai Hospital, Taichung, Taiwan, 4Department of Psychology, Chung Shan Medical University, Taichung, Taiwan, 5Department of Psychiatry, Chang Gung Memorial Hospital, Chiayi, Taiwan

Obesity is an important health issue in modern society. The prevalence of obesity has been increasing in these years and morbid obesity is related to cardiovascular disease and overall mortality. Past reviews regarded binge eating as a manifestation of dysfunctional reward system and disinhibition. Some authors considered binge eating as a kind of addiction. Recent study demonstrated the more extensive involvement of brain pathways other than reward system. The mechanism of change is not clear. There is scanty of research regarding correlation between change of activation pattern in brain areas in functional MRI, binge eating and psychiatric illness. To gain insight into the correlation of physiological alteration and psychiatric illness and to develop subsequent detectable biomarker are crucial. The goal of our study was to investigate the morphological changes in gray and white matter between obese patients and healthy subjects using voxel-based morphometry (VBM). Our results suggested the changes of the volume in the brain structures may closely linked to the symptom and behavior of obese patients.  Apply these novel markers to monitoring and improving cormorbid psychiatric illness will be an essential part of multidiscipline integral care for obese patients.

1398
MR Imaging of Major Depressive Disorder: Effects of Sertraline Treatment
Hung-Wen Kao1,2, Chien-Yuan Eddy Lin3,4, Chu-Chung Huang5, Yi-Hui Lin6, I-Ling Chung7, Yu-Chuan Chang8, Guo-Shu Huang1, and Ching-Po Lin2,5,6,9

1Department of radiology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, 2Department of Biomedical Imaging and Radiological Sciences, National Yang-Ming University, Taipei, Taiwan, 3GE Healthcare, Taipei, Taiwan, 4GE Healthcare MR Research China, Beijing, China, People's Republic of, 5Institute of Neuroscience, National Yang-Ming University, Taipei, Taiwan, 6Institute of Brain Science, National Yang-Ming University, Taipei, Taiwan, 7Institute of Biomedical Science, Academia Sinica, Taipei, Taiwan, 8Graduate Institute of Biomedical Electronics and Bioinformatics, National Taiwan University, Taipei, Taiwan, 9Brain Research Center, National Yang-Ming University, Taipei, Taiwan

We hypothesized that a predictive MR imaging model of sertraline treatment could be established to help treatment planning for patients with Major depressive disorder (MDD). The voxel-based morphometry analysis showed increase volume of the lingual and occipital gyri in patients with MDD as compared with those in healthy controls and the size of the occipital gyrus decreased after 6-week treatment of sertraline. The findings support that patients with MDD might have a functional abnormality of visual areas and antidepressant treatment might shift the abnormal activity in the antidepressant-susceptible brain region to a normal level.

1399
Simultaneous Real-time fMRI and EEG Neurofeedback for Emotion Regulation Training in Depressed Patients
Vadim Zotev1, Raquel Phillips1, Masaya Misaki1, Ahmad Mayeli1,2, and Jerzy Bodurka1,3

1Laureate Institute for Brain Research, Tulsa, OK, United States, 2Electrical and Computer Engineering, University of Oklahoma, Tulsa, OK, United States, 3College of Engineering, University of Oklahoma, Tulsa, OK, United States

We have performed an exploratory study of emotion self-regulation training in major depressive disorder (MDD) patients using simultaneous real-time fMRI and EEG neurofeedback (rtfMRI-EEG-nf). MDD patients learned to upregulate two fMRI and two EEG target measures, relevant to MDD, using rtfMRI-EEG-nf during a happy emotion induction task.  The target measures included fMRI activities of the left amygdala and left rACC, as well as frontal EEG asymmetries in the alpha and high-beta bands. Our results demonstrate that MDD patients can learn to successfully upregulate all four measures simultaneously. These findings may lead to development of more efficient neurotherapies for MDD.


Traditional Poster

Pediatrics

Exhibition Hall Monday, May 9, 2016: 10:45 - 12:45

1400
Development of a new prototype body holder for MR examination in unanesthetized neonates
Iichiro Osawa1, Takako Aoki1, Takashi Ushimi1, Kaiji Inoue1, Junji Tanaka1, and Mamoru Niitsu1

1Radiology, Saitama Medical University Hospital, Saitama, Japan

To avoid motion artifacts, neonates often require anesthesia during MRI scans. However, this procedure increases the risk of adverse events such as respiratory depression. We developed a body holding device to minimize motion without anesthesia and examined nine low-birth-weight neonates, comparing MR image quality between unanesthetized and anesthetized conditions. The device is based on a modified spinal immobilizer and is easily handled with a short setup time. We obtained structural images during natural sleep uneventfully, preserving the image quality. In summary, the body holder can reduce the motion of neonates safely and improve image quality.  

1401
Adaptive Tissue Cluster Tracking on Quantitative MRI for Fully Automatic Brain Segmentation on Young Children
Marcel Warntjes1,2, Suraj Serai3, James Leach3, and Blaise Jones3

1Center for Medical Imaging Science and Visualization, Linköping, Sweden, 2SyntheticMR AB, Linköping, Sweden, 3Department of radiology, Cincinnati, OH, United States

Brain tissue properties change rapidly during the first few years of life. This poses a problem for brain segmentation algorithms since adult tissue definitions for white matter and grey matter do not apply for young children. An automatic tissue cluster tracking algorithm was developed to determine WM and GM cluster positions in a 3-dimensional search-space of quantitative R1 relaxation rate, R2 relaxation rate and proton density. These positions are then used to segment the brain, independent of age.

1402
Distinctive microstructural changes of association white matter tracts during preterm human brain development
Minhui Ouyang1, Austin Ouyang2, Qiaowen Yu2, Lina Chalak3, and Hao Huang1,4

1Department of Radiology, Children's Hospital of Philadelphia, Philadelphia, PA, United States, 2Advanced Imaging Research Center, University of Texas Southwestern Medical Center, Dallas, TX, United States, 3Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX, United States, 4Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States

Association white matter tracts connecting different cortical regions underlie initial brain circuit formation from mid-fetal to normal time of birth. We examined the microstructure changes of association tracts and compare them to those of commissural, limbic and projection tracts with high resolution diffusion MRI of 10 fetal brains specimens at 20 postmenstrual weeks, 19 in vivo preterm brains at 35 weeks and 17 in vivo brains at 40 weeks. Distinctive microstructural developmental patterns were found in association tract groups compared to other tract groups during 35-40 weeks with DTI-derived metrics (including fractional anisotropy, mean, axial and radial diffusivity measurements). 

1403
Measuring Longitudinal Changes in Cerebral Blood Flow and Blood Volume in Neonates with the Intravoxel Incoherent Motion Method
Alex Cerjanic1,2, Ellen Grant3, Borjan Gagoski3, Marie Drottar3, Thea Francel3, Alana Matos3, Clarissa Carruthers3, Jonathan Litt4, Ryan Larsen2, and Bradley P Sutton1,2

1Bioengineering, University of Illinois at Urbana-Champaign, Urbana, IL, United States, 2Beckman Institute, University of Illinois at Urbana-Champaign, Urbana, IL, United States, 3Boston Children's Hospital, Boston, MA, United States, 4Beth Israel Deaconness, Boston, MA, United States

Diffusion weighted MRI was used on a cohort of 5 neonates to quantify cerebral blood flow and cerebral blood volume through the intravoxel incoherent motion (IVIM) model. Data at two time points, approximately 2 weeks and 14 weeks, were obtained. The obtained pseudodiffusion coefficient and the perfusion fractions were examined across white matter, gray matter, and the basal ganglia for all subjects. A significant longitudinal decrease in the perfusion fraction (-1.12%) was noted in the white matter between 2 and 14 weeks while the static diffusion coefficient of tissue decreased for all tissue classes between those time points. 

1404
Quantitative MR relaxometry reveals subcortical T1 differences in very preterm children and adolescents
Ruth L O'Gorman1, Flavia Wehrle2, Tobias C Wood3, Andreas Buchmann4, Beatrice Latal4, Reto Huber4, Sean Deoni5, Gareth J Barker3, and Cornelia Hagmann2

1Center for MR Research, University Children's Hospital, Zurich, Switzerland, 2Neonatology, University Hospital, Zurich, Switzerland, 3Institute of Psychiatry, King's College London, London, United Kingdom, 4Developmental Pediatrics, University Children's Hospital, Zurich, Switzerland, 5University of Colorado, Denver, CO, United States

Very preterm infants are at an increased risk of neurodevelopmental impairment later in life. This study investigates cerebral microstructural differences in 31 very preterm children and adolescents relative to their term-born peers, using quantitative MR relaxometry. The very preterm group showed significantly increased T1 in the caudate and thalamus and decreased T1 in insula and amygdala/hippocampus, but no significant differences in caudate, thalamus, or total brain volume. These results highlight the vulnerability of basal ganglia, thalamic and cortical structures to neonatal brain injury and underscore the role that quantitative relaxometry may play in evaluating microstructural changes associated with prematurity.

1405
Cortical thinning in young adolescents born preterm with very low birth weight
Tsung-Han Wu1, Tzu-chao Chuang1, Ming-Ting Wu2,3, and Pinchen Yang4

1Electrical Engineering, National Sun Yat-Sen University, Kaohsiung, Taiwan, 2School of Medicine, National Yang-Ming University, Taipei, Taiwan, 3Radiology, Kaohsiung Veteran General Hospital, Kaohsiung, Taiwan, 4Psychiatry, Kaohsiung Medical University and Kaohsiung Medical University Hospital, Kaohsiung, Taiwan

By using a surface-based method (FreeSurfer), the cortical thickness measurement was performed on young adolescents born preterm with very low birth weight (n = 15, birth weight < 1500 g) and age-matched term born controls (n = 17).  The preterms, who present no brain injuries, showed a thicker cortex in parietal, occipital, and temporal regions compared to the controls, suggesting the delay of cortical thinning.

1406
Perfusion and diffusion in the extremely preterm young adult thalamus
Andrew Melbourne1, Zach Eaton-Rosen1, Eliza Orasanu1, Joanne Beckmann2, Alexandra Saborowska3, David Atkinson3, Neil Marlow2, and Sebastien Ourselin1

1Medical Physics and Biomedical Engineering, University College London, London, United Kingdom, 2Institute for Women's Health, University College London, London, United Kingdom, 3University College Hospital, London, United Kingdom

This work investigates the appearance of the thalamus using multiple MR imaging contrasts between a population of extremely-preterm born adolescents and their term-born peers.

1407
Characterizing microstructure and shape of the extremely preterm 19 year-old corpus callosum
Andrew Melbourne1, Eliza Orasanu1, Zach Eaton-Rosen1, Joanne Beckmann2, Alexandra Saborowska3, David Atkinson3, Neil Marlow2, and Sebastien Ourselin1

1Medical Physics and Biomedical Engineering, University College London, London, United Kingdom, 2Institute for Women's Health, University College London, London, United Kingdom, 3University College Hospital, London, United Kingdom

This work investigates the appearance of the corpus callosum using multiple MR imaging contrasts between a population of extremely-preterm born adolescents and their term-born peers.

1408
Deformation-based morphometry identifies brain structural damages in 6 month-old infants with neonatal encephalopathy and predicts their developmental outcome
Hosung Kim1, Kevin Shapiro2, Maria Luisa Mandelli2, Hannah Clanley Glass2, Dawn Gano2, ELIZABETH Rogers3, Donna M Ferriero2, Anthony James Barkovich1, and Duan Xu1

1Radiology & Biomedical Imaging, University california San francisco, San Francisco, CA, United States, 2Neurology, University california San francisco, San Francisco, CA, United States, 3Pediatrics, University california San francisco, San Francisco, CA, United States

Neonatal encephalopathy (NE) is a major cause of mortality and permanent neurological disabilities in term infants.  Using t1w MRI and DBM, we found that neonatal seizure was related to WM atrophy in multiple locations.  Larger birth weight was associated with increased overall GM and WM volumes. A significant association was identified between language ability at 2 years old and increase in GM volume in Wernicke’s area.  This DBM approach has the potential for predicting early developmental outcome in infants with NE, as the volume of Wernicke’s area significantly correlated with the scores of language ability evaluated in early childhood.

1409
Tract-based spatial statistics to assess the effect of histologic chorioamnionitis on white matter development in preterm infants
Devasuda Anblagan1,2, Rozalia Pataky2, Margaret J Evans3, Sarah Sparrow2, Chinthika Piyasena4, Emma J Telford2, Scott I Semple4,5, Alastair Graham Wilkinson6, Mark E Bastin1, and James P Boardman1,2

1Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, United Kingdom, 2MRC Centre for Reproductive Health, University of Edinburgh, Edinburgh, United Kingdom, 3Department of Pathology, University of Edinburgh, Edinburgh, United Kingdom, 4Centre for Cardiovascular Sciences, University of Edinburgh, Edinburgh, United Kingdom, 5Clinical Research Imaging Centre, University of Edinburgh, Edinburgh, United Kingdom, 6Department of Radiology, Royal Hospital for Sick Children, Edinburgh, United Kingdom

Chorioamnionitis is associated with preterm birth in around 40% of cases. There are uncertainties about its contribution to diffuse white matter injury associated with preterm birth, and its importance in relation to other injurious exposures experienced by preterm infants. 90 preterm infants, 26 born with histopathological evidence of chorioamnionitis, were scanned at term equivalent age using a whole brain diffusion MRI protocol, and TBSS analysis was run. We found that chorioamnionitis is associated with lower fractional anisotropy, indicative of diffuse white matter injury in preterm infants, and this is independent of known predictors for abnormal brain development after preterm birth.

1410
Synchronous Aberrant Cerebellar and Opercular Development in Fetuses and Neonates with Congenital Heart Disease (CHD)
Alexandra Wong1, Thomas Chavez2, Jodie Votava-Smith2, David Miller2, Hollie Lai2, Sylvia delCastillo2, Lisa Paquette3, and Ashok Panigrahy2

1New York Medical College, Valhalla, NY, United States, 2Los Angeles, CA, United States, 3University of Southern California, Los Angeles, CA, United States

Children with congenital heart disease (CHD) demonstrate problems with multi-domain cognitive control of unknown etiology. Cingo-opercular and cerebellar brain networks are known to be critical in multi-domain cognitive control including language function. Little is known about the comparative structural growth trajectories of the cerebellum and operculum in CHD patients. To our knowledge, the literature only describes fetal opercular measurements by ultrasound.1 And, data from the neonatal period is scant, gathered from children suffering from “temporary neurologic dysfunction” or from cadaveric specimens.2,3 The fetal cerebellum has been described on MRI mostly in terms of its volume4,5 or area,6 although a few have used linear measurements as the basis of their fetal cerebellar growth illustration.7,8,9

1411
Disrupted Resting State Connectivity in Term Neonates with Complex CHD
Vincent Kyu Lee1,2, Vincent Schmithorst2, Shahida Sulaiman1, Lisa Paquette3, Jodie Votava-Smith3, and Ashok Panigrahy1,2

1Radiology, University of Pittsburgh, Pittsburgh, PA, United States, 2Radiology, Children's Hospital of Pittsburgh, Pittsburgh, PA, United States, 3Cardiology, Children's Hospital of Los Angeles, Los Angeles, CA, United States

The last trimester of brain development in fetuses with complex congenital heart disease (CHD) is abnormal.  In this study, we use ICA analysis on resting BOLD of CHD patients to characterize the neuronal activity and compare it to healthy controls.  A total of 117 BOLD images from CHD and healthy neonates were analyzed using Temporal concatenation ICA with MELODIC FSL.  Both CHDs and Controls exhibited common RSNs, but CHDs lacked additional RSNs observed in controls.  CHD group exhibited ICAs with less complexity than controls, which maybed due to global brain dysmaturation with disruption of cortical to subcortical connectivity.

1412
Maternal Obesity Affects Offspring’s Brain Resting-State Functional Connectivity
Xuehua Li1,2, Yilu Zhang2, Aline Andres1, R.T. Pivik1, Charles Glasier2, Raghu Ramakrishnaiah2, Thomas Badger1, and Xiawei Ou1,2,3

1Arkansas Children's Nutrition Center, Little Rock, AR, United States, 2Radiology, University of Arkansas for Medical Sciences, Little Rock, AR, United States, 3Arkansas Children's Hospital Research Institute, Little Rock, AR, United States

Recent studies have reported negative associations between maternal obesity during pregnancy and cognitive/neurodevelopmental outcome of children. It is speculated that neuro-programming differs in offspring of obese and normal weight women. In this study, we evaluated and compared the resting-state functional connectivity in 2-week-old infants born to normal weight or obese mothers, and we observed significant differences in brain connectivity associated with maternal obesity.

1413
Preliminary evaluation of altered brain microstructural in the emotion-cognitive region of children with hemophilia A: a diffusional kurtosis imaging study
Di Hu1, Ningning Zhang1, Huiying Kang1, Xiaolu Tang1, Yanqiu Lv1, Kaining Shi2, and Yun Peng1

1Beijing Children's hospital, Beijing, China, People's Republic of, 2Imaging Systems Clinical Science of Philips Healthcare, Beijing, China, People's Republic of

Our study is the first to evaluate relationship between emotion disorders and cognitive change in microstructure with hemophilia A, suggesting that the assessment of non-Gaussian directional diffusion using DKI provides more sensitive information about tissue microstructural changes than conventional image method and traditional psychological test. 

1414
BRAIN METABOLITE DIFFERENCES IN ONE-YEAR-OLD PRETERM INFANTS WITH INTRAUTERINE GROWTH RESTRICTION: ASSOCIATION WITH STRUCTURAL CHANGES AND NEURODEVELOPMENTAL OUTCOME
Rui Vasco Simoes1,2,3, Emma Muñoz-Moreno4, Nuria Bargallo5,6, Magdalena Sanz-Cortes7, and Eduard Gratacos1,2,3

1Fetal Medicine Research Center, BCNatal (Hospital Clinic and Hospital Sant Joan de Deu), Barcelona, Spain, 2Fetal Medicine Research Center, Institut d’Investigacions Biomediques August Pi i Sunyer (IDIBAPS), Barcelona, Spain, 3Center for Biomedical Research on Rare Diseases (CIBER-ER), Barcelona, Spain, 4Experimental MRI 7T Unit, Institut d’Investigacions Biomediques August Pi i Sunyer (IDIBAPS), Barcelona, Spain, 5Medical Image platform, Institut d’Investigacions Biomediques August Pi i Sunyer (IDIBAPS), Barcelona, Spain, 6Dept. Radiology, Hospital Clinic, Barcelona, Spain, 7Dept. Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, United States

It is difficult to address the differential effects of Intrauterine growth restriction (IUGR)  and prematurity, as they represent two independent problems occurring simultaneously and can both contribute to impaired neurodevelopment. We have studied one-year-old preterm-IUGR infants and preterm and term appropriate for gestational age (AGA) infants, by MRI/MRS at 3T. Preterm-IUGR infants present metabolite profile changes in the frontal lobe, which are associated with brain structural and biophysical alterations, and poorer neurodevelopmental outcome at two years.

1415
Longitudinal metabolite trajectories in the midfrontal gray matter in normally developing South African children
Martha J Holmes1, Frances C Robertson1, Francesca Little2, Mark F Cotton3, Els Dobbels3, Andre JW van der Kouwe4,5, Barbara Laughton3, and Ernesta M Meintjes1

1MRC/UCT Medical Imaging Research Unit, Department of Human Biology, University of Cape Town, Cape Town, South Africa, 2Department of Statistical Sciences, University of Cape Town, Cape Town, South Africa, 3Children’s Infectious Diseases Clinical Research Unit, Department of Paediatrics & Child Health, Tygerberg Children’s Hospital and Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa, 4A.A. Martinos Centre for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, MA, United States, 5Department of Radiology, Harvard Medical School, Boston, MA, United States

Magnetic resonance spectroscopy (MRS) measures changes in localized brain metabolism that occur alongside structural and functional development. Well-described trajectories of major metabolites with age provide a benchmark of normal brain maturation. In a longitudinal study, we examined the trajectories of NAA, choline and creatine in normally developing South African children at 5, 7 and 9 years. We found age-related increases in NAA and creatine levels, and constant choline levels in the midfrontal gray matter.  Since no gender or ethnicity effects were observed, these results are generalizable to a wide pediatric population against which pathology and abnormal development may be compared.


Traditional Poster

Perfusion in Health & Disease

Exhibition Hall Monday, May 9, 2016: 10:45 - 12:45

1416
Arterial Spin Labeling Measured Choroidal Blood Flow is Reduced in Age-Related Macular Degeneration and Correlates with Severity Level
Weiying Dai1,2, Lauren O’Loughlin1, Gina Yu3, Li Zhao1, David Alsop1, and Jorge Arroyo3

1Radiology, Beth Israel Deaconess Medical Center & Harvard Medical School, Boston, MA, United States, 2Computer Science, State University of New York at Binghamton, Binghamton, NY, United States, 3Opthalmology, Beth Israel Deaconess Medical Center & Harvard Medical School, Boston, MA, United States

Age-related macular degeneration (AMD) has been associated with reduced choroidal blood flow.  However, current methods do not provide spatial location of reduced choroidal blood flow. Here we explored the feasibility and capability of arterial spin labeling (ASL) magnetic resonance imaging (MRI) in observing reduced choroidal blood flow in AMD patients and the association with their severity levels. Choroidal blood flow was significantly reduced in patients with AMD compared to controls. Most importantly, choroidal blood flow was significantly correlated with the severity levels of AMD. This suggests that ASL may be a useful tool to study the role of choroidal blood flow in the pathogenesis of AMD.

1417
Physiological Fluctuations in the White Matter of Children with Sickle Cell Disease
Jackie Leung1, Zahra Shirzadi2, Bradley MacIntosh2,3, and Andrea Kassner1,4

1Physiology and Experimental Medicine, The Hospital for Sick Children, Toronto, ON, Canada, 2Medical Biophysics, University of Toronto, Toronto, ON, Canada, 3Sunnybrook Health Sciences Centre, Toronto, ON, Canada, 4Medical Imaging, University of Toronto, Toronto, ON, Canada

The pulsatility of the brain has been previously shown to be associated with cerebrovascular dysfunction. Recently, the use resting state BOLD imaging has been proposed to non-invasively assess this pulsatility by calculating the temporal variance in the white matter. This measure is known as physiological fluctuation in the white matter (PFwm). In this study, we compared PFwm acquired in children with sickle cell disease to healthy controls. The results show increased pulsatility in the disease group, providing evidence that this approach has the potential to be a clinically relevant tool in the assessment of cerebrovascular diseases.

1418
Cine Phase-contrast MRI in Pediatric Patients Undergoing Sedation: A Comparative Study With Combined Ketamine-Propofol vs Propofol.
Malek I Makki1, Philip Buhler2, Olivier Baledent3, Christian Kellenberger4, Ruth L O'Gorman5, Carola Sabandal2, Volker Ressel5, Markus Weiss2, Ianina Scheer4, and Achim Scmidt2

1MRI Research, University Children Hospital, Zurich, Switzerland, 2Anesthesia, University Children Hospital Zurich, Zurich, Switzerland, 3BioFlow Image, Universite de Picardie Jules Verne, Amiens, France, 4Radiology, University Children Hospital Zurich, Zurich, Switzerland, 5MRI Research, University Children Hospital Zurich, Zurich, Switzerland

The purpose of this investigation was to measure the brain blood flow differences between 2 MRI sedation techniques commonly used in pediatric radiology: propofol-based sedation technique and the combination of ketamine and propofol.  We performed retrospectively gated 2D cine phase-contrast MRI in 58 pediatric patients and measured the arterial and jugular blood flows and compared these values between the 2 groups.


1419
Non-Contrast Hybrid Arterial Spin Labeled (NoHASL) Imaging of the Intracranial Arteries
Farah Al-Rawi1, Elena Trajcevska1, Dinesh Gooneratne1, Windell Ang1, Yuliya Perchyonok1,2, Greg Fitt1, Andrew Kemp1, Shivraman Giri3, Davide Piccini4, Amy Brodtmann5, Helen Dewey6, Ioannis Koktzoglou7, and Ruth P Lim1,2

1Radiology, Austin Health, Melbourne, Australia, 2The University of Melbourne, Melbourne, Australia, 3Siemens Healthcare, Chicago, IL, United States, 4Siemens Healthcare, Lausanne, Switzerland, 5Neurology, Austin Health, Melbourne, Australia, 6Neurology, Eastern Health, Melbourne, Australia, 7Radiology, NorthShore University HealthSystem, Evanston, IL, United States

A Non-enhanced Hybrid Arterial Spin Labeling MRA (NoHASL) technique for assessment of the intracranial arteries was evaluated. 30 patients with known/suspected cerebral ischemia underwent time of flight MRA (TOF), NoHASL, and contrast enhanced MRA (CE-MRA). 21 arterial segments per patient were assessed by 2 neuroradiologists for image quality and haemodynamically significant stenosis. Overall image quality scores were diagnostic for all three sequences, with NoHASL and CE-MRA performing better for proximal intracranial segments, and TOF MRA performing better for smaller caliber arteries.

1420
Flow-Related Artifacts and Pitfalls in Magnetic Resonance Imaging/Angiography in Neuroradiology
Jae W Song1

1Radiology and Biomedical Imaging, Yale University, New Haven, CT, United States

Artifacts related to flow are common and can be a diagnostic pitfall for the interpreting neuroradiologist, if it is not recognized accurately. It is critical for the interpreting neuroradiologist to have a fundamental understanding of the physics that underlie image formation and the types of artifacts that emerge from magnetic resonance imaging and angiography.  We present a pictorial essay of commonly encountered flow-related artifacts and pitfalls in magnetic resonance imaging and angiography in neuroradiology and discuss the physics behind the formation of the artifact as well as how to minimize the artifact. Knowledge of these artifacts and pitfalls is essential to arrive at accurate diagnoses. 

1421
Preliminary application of arterial spin labeling and intravoxel incoherent motion in crossed cerebellar diaschisis
Hailong Luo1, Yong Zhang2, Xueying Ling1, Ying Wang1, and Li Huang1

1Medical Imaging Center, the First Affiliated Hospital of Jinan University, Guangzhou, China, People's Republic of, 2GE Healthcare MR Research China, Beijing, China, People's Republic of

In patients with crossed cerebellar diaschisis (CCD), the blood flow and glucose metabolism in the cerebellar was reduced. In this study, arterial spin labeling (ASL) and intravoxel incoherent imaging (IVIM) techniques were used to assess the micro-perfusion change in patients with CCD.

1422
Blood T1 and CBF Quantification in ASL MRI
Hua-Shan Liu1,2,3,4, Abbas F Jawad5, Nina Laney6, Erum A Hartung7, Allison M Port8, Ruben C Gur9, Stephen Hooper10, Jerilynn Radcliffe11, Susan L Furth6,12, and John A Detre13

1Department of Neurology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States, 2Graduate Institute of Clinical Medicine, Taipei Medical University, Taipei, Taiwan, 3Department of Medical Imaging, Taipei Medical University Hospital, Taipei, Taiwan, 4Translational Imaging Research Center, Taipei Medical University, Taipei, Taiwan, 5Department of Pediatrics, Children’s Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States, 6Division of Nephrology, Children’s Hospital of Philadelphia, Philadelphia, PA, United States, 7Division of Nephrology, Department of Pediatrics, Children’s Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States, 8Brain Behavior Laboratory, Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, United States, 9Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, United States, 10Department of Allied Health Sciences, University of North Carolina School of Medicine, Chapel Hill, NC, United States, 11Division of Developmental and Behavioral Pediatrics, Department of Pediatrics, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States, 12Division of Nephrology, Departments of Pediatrics and Epidemiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States, 13Departments of Neurology and Radiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States

We evaluated three different approaches to blood T1 used to model ASL CBF measurements in a cohort of children with chronic kidney disease and controls. We observed significant changes in blood T1 depending on the approach used, leading to different results for both sex and group differences in CBF. Our results highlight the importance of blood T1 in ASL CBF quantification and suggest that hematocrit-based T1 may be the optimal approach if hematocrit can be measured at the time of the scan, especially for studies in patients with anemia.

1423

Automated extraction of arterial and venous function from time-resolved multiphasic MR angiography
Yoonho Nam1, Jinhee Jang1, Song Lee1, Bumsoo Kim1, and Myeong Im Ahn1

1Department of Radiology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea, Republic of

Time-resolved multiphasic MR angiography (TRMRA) has been suggested as a useful tool for assessment of anatomical and hemodynamic information of vascular structure. Although TRMRA with contrast agent injection gives huge amount of 4D data, most previous reports have been relied on visual inspection of time series of projection images. Hence, proper processing of acquired 4D data is required to enhance clinical utility of TRMRA. At this point, we propose an automatic extraction algorithm for arterial input function and venous output function in the neck region from 4D TRMRA data.

1424
ASL derived CBF Post Carotid Intervention Predicts Post-Operative Cognitive Impairment
Salil Soman1, Weiying Dai2, Elizabeth Hitchner3,4, Payam Massaband5,6, David Alsop1, Allyson C Rosen7,8, and Wei Zhou3,9

1Radiology, Harvard Medical School / BIDMC, Boston, MA, United States, 2Computer Science, State University of New York at Binghamton, Binghamton, NY, United States, 3Vascular Surgery, Stanford University, Stanford, CA, United States, 4Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, United States, 5Radiology, Stanford University, Stanford, CA, United States, 6Radiology, Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, United States, 7Psychology, Stanford University, Stanford, CA, United States, 8Psychology, Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, United States, 9Vascular Surgery, Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, United States

Carotid stenosis significantly increases the risk for stroke. Carotid revascularization surgeries have been shown to reduce this risk, but can also be associated with cognitive impairment that is not clearly linked to cardiovascular risk factors or perioperative complications. We performed baseline, 24 hours and 6 month post-surgery ASL brain CBF imaging, with baseline and 1 month post-operative neuropsychological testing to evaluate if CBF change patterns can predict cognitive impairment post-surgery. We found patterns of CBF change from baseline to 24 hours and 6 months post-surgery that predict decline in verbal learning and memory at 1 month.

1425
DCE derived kinetic perfusion indices predict seizure control in single calcified Neurocysticercosis
Alok Kumar Singh1, Ravindra Kumar Garg1, Prativa Sahoo2, Hardeep S Malhotra1, Pradeep Kumar Gupta3, Nuzhat Husain4, and Rakesh Kumar Gupta3

1Department of Neurology, KG Medical University, Lucknow, India, 2Healthcare, Philips India ltd, Bangalore, India, 3Radiology and Imaging, Fortis Memorial Research Institute, Gurgaon, India, 4Pathology, Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India

The purpose of this study was to investigate the utility of DCE derived  kinetic parameters  and serum MMP-9 in predicting the control of  seizures in patients with calcified NCC while these are on AED therapy. We found that during follow up, Kep and Ktrans values decreased significantly in no recurrence group while increased in recurrence group. The serum MMP-9, a marker of BBB breakdown also supported the DCE derived kinetic metrics. Our results suggest that DCE derived kinetic parameters, might be able to predict the control of seizures in patients with single calcified NCC while these are on AED therapy

1426
Silent Magnetic Resonance Angiography with hybrid Arterial Spin Labeling Techniques
Jianxun Qu1, Bing Wu1, and Zhenyu Zhou1

1MR Research China, GE Healthcare, Beijing, China, People's Republic of

Continuous ASL (cASL) combined with zero TE readout is a promising MRA technique, immune to susceptibility, superb artery selectivity, and being silent. One drawback however, is with cASL along, hollowing artifacts or flow void is likely to appear. In this work, we incorporate and compare different hybrid ASL strategies to eliminate this effect, while keeping the silent nature of zTE MRA.

1427
Altered baseline cerebral blood flow and neurotransmitter levels in episodic and chronic migraine
Lars Michels1, Franz Riederer2,3, Jeanette Villanueva1, Andreas Gantenbein4, Peter Sandor4, Roger Luechinger5, Martin Wilson6, and Spyros Kollias1

1University Hospital Zurich, Zurich, Switzerland, 2Neurological Center Rosenhuegel and Karl Landsteiner Institute for Epilepsy Research and Cognitive Neurology, Vienna, Austria, 3University of Zurich, Zurich, Switzerland, 4RehaClinic, Bad Zurzach & Baden, Switzerland, 5Swiss Federal Institute of Technology, Zurich, Switzerland, 6University of Birmingham, Birmingham, United Kingdom

Although it has been described that cerebral blood flow and cortical excitability is altered in migraineurs, it is unknown if these processes may be differentially involved in chronic and episodic forms of the disease. We used arterial spin labeling MRI und magnetic resonance spectroscopy (GABA-editing) to address this problem. We found lower levels of combined glutamate and glutamine in chronic and episodic migraineurs relative to controls. Chronic patients showed hypoperfusion relative to controls and episodic migraineurs. Our results might indicate severe signs of cortical spreading depression in chronic migraineurs. The MRS findings suggest a disturbed excitation-inhibition balance in migraineurs.


Traditional Poster

Neurovascular Disease & Stroke

Exhibition Hall Monday, May 9, 2016: 10:45 - 12:45

1428 13:45
Disruptions of resting state functional MRI networks in comatose cardiac arrest patients
Ona Wu1, Brian L. Edlow2, Katherine Mott1, Gaston Cudemus-Deseda3, Ming Ming Ning2, Marjorie Villien1, William A. Copen4, James L. Januzzi5, Joseph T. Giacino6, Eric S. Rosenthal2, and David M. Greer7

1Athinoula A Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, MA, United States, 2Department of Neurology, Massachusetts General Hospital, Boston, MA, United States, 3Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, United States, 4Department of Radiology, Massachusetts General Hospital, Boston, MA, United States, 5Department of Cardiology, Massachusetts General Hospital, Boston, MA, United States, 6Department of Psychiatry, Spaulding Rehabilitation Hospital, Charlestown, MA, United States, 7Department of Neurology, Yale School of Medicine, New Haven, CT, United States

Cardiac arrest patients who were comatose for more than 24 hours were prospectively studied to determine whether changes in the default mode network (DMN) and thalamocortical network (TCN) can be used to predict recovery of arousal. Arousal recovery was defined as either spontaneous eye opening or eye opening in response to stimuli prior to discharge. All patients had significantly altered DMN and TCN networks compared to healthy controls, with patients who failed to demonstrate eye opening having significantly greater disruption. Resting-state functional MRI may play an important role in predicting recovery and patient management decisions in comatose cardiac arrest patients.

1429 13:45
Can Resting-State fMRI Distinguish Healthy Tissues from Perfusion and Diffusion Lesions in Patients with Cerebrovascular Disease?
Thomas Christen1, Samantha Holdsworth1, Hesamoddin Jahanian1, Michael Moseley1, and Greg Zaharchuk1

1Radiology, Stanford University, Stanford, CA, United States

In this work, we acquired whole brain, high-temporal resolution resting-state BOLD fMRI in 10 healthy volunteers, 10 stroke patients, and 8 Moyamoya patients. Using information from co-registered perfusion and diffusion-weighted images, we defined 4 classes of tissue (healthy tissue, chronic perfusion deficit, acute diffusion core, and mismatch) and examined the spontaneous BOLD fluctuation patterns in these different regions. The results suggest that a single, short rs-fMRI sequence contains enough information to distinguish different tissue types in patients with cerebrovascular diseases, obviating the need for gadolinium and potentially dramatically shortening the duration of an acute stroke MR study. 

1430 13:45
Early extravasation of the experimental contrast agent GadoflurineM in ischemic stroke predicts infarct severity
Angelika Hoffmann1, Xavier Helluy1, Tassilo Dege1, Reiner Kunze2, Hugo Marti2, Sabine Heiland1, Martin Bendszus1, and Mirko Pham1

1Neuroradiology, University of Heidelberg, Heidelberg, Germany, 2Physiology and Pathophysiology, University of Heidelberg, Heidelberg, Germany

Very early post ischemic blood-brain barrier disruption has been difficult to detect in vivo. In this study we show that the experimental contrast agent Gadofluorine M visualizes very early blood-brain barrier disruption in a mouse model of ischemic stroke at 9.4T. Contrast agent leakage occurs multifocally along cortical and subcortical microvessels. The degree of leakage predicts final infarct severity and could therefore serve as a new predictive marker in ischemic stroke.  

1431 13:45
An analysis of fast and slow Neurite Orientation Dispersion and Density Index (NODDI) models
Kyler K. Hodgson1, Edward DiBella1, and Ganesh Adluru1

1University of Utah, Salt Lake City, UT, United States

This abstract reports on our analysis of two methods for computing the Neurite Orientation Dispersion and Density Index (NODDI). One method is markedly faster than the other and we demonstrate that the methods are highly similar in both normal and stroke studies. We perform statistical comparisons to draw conclusions regarding the data. Additionally, we report on our findings concerning the tuning of the faster NODDI method to reduce computation time and improve accuracy for specific microstructure maps. 

1432 13:45
Quantitative Perfusion, Oxygenation, and CMRO2 Imaging in Post-Acetazolamide Moyamoya Disease Patients
Wendy Ni1,2, Thomas Christen2, and Greg Zaharchuk2

1Department of Electrical Engineering, Stanford University, Stanford, CA, United States, 2Department of Radiology, Stanford University, Stanford, CA, United States

The acetazolamide challenge can be used to assess cerebrovascular reserve and oxygenation in patients with steno-occlusive diseases such Moyamoya, thus enabling evaluation of the quantitative blood oxygen-level dependent (qBOLD) approach of modeling tissue oxygenation.  In this study, we mapped post-acetazolamide oxygenation (with transverse relaxation rate R2’), CBF with arterial spin labeling (ASL), and CBV with dynamic susceptibility contrast (DSC).  We found that angiographically abnormal tissues are relatively hypoperfused and hypoxic.  Finally, we investigated a qBOLD biophysical model for quantitative tissue oxygenation which suggested no difference in the cerebral metabolic rate of oxygen consumption (CMRO2) between normal and affected regions.

1433 13:45
Non-parametric acute ischemic stroke penumbra delineation from dynamic DSC-MRI data with convex source separation
Sudhanya Chatterjee1, Dattesh D Shanbhag1, Uday Patil1, Venkata Veerendranadh Chebrolu1, and Rakesh Mullick1

1GE Global Research, Bangalore, India

In acute ischemic stroke (AIS), stroke volume is determined by DWI and volume at risk is identified by thresholding deconvolved Tmax map (> 6s). Tmax map is itself influenced by quality of AIF, its location, laterality and deconvolution algorithm. This can potentially impact estimation of "volume at risk”. In this work, we describe a CAMNS based source separation method with DSC concentration data to identify perfusion patterns without explicit parametrization of PWI data. We demonstrate that "volume at risk" estimation derived with CWSE may overcome the variability associated with the current methods based on Tmax maps only.

1434 13:45
Zero TE continuous ASL MRA in the characterization of cerebral aneurysm: a feasibility study
Song'an Shang1, Jianxun Qu2, Bing Wu2, Yingkui Zhang2, Xianfu Luo1, and Jingtao Wu1

1Department of Radiology, Subei People's Hospital of Jiangsu Province, Yangzhou, China, People's Republic of, 2MR Research China, GE Healthcare, Beijing, China, People's Republic of

Cerebral aneurysm is a high risk factor for cerebrovascular events. Although DSA is the standard reference, MRA is an alternative and repeatable technique for patients, especially those who are renal dysfunction. Hence, we introduce a novel MRA technique using zero TE and continuous ASL sequence on a clinical 3.0T MR scanner. 10 patients were recruited receiving zTE and TOF MRA acquisitions. Image quality and delineation of aneurysm were compared between two techniques. The results indicated that zTE possesses superiority than TOF, and shows a promise as being a replacement for TOF in imaging of cerebral aneurysm.

1435 13:45
Analysis Methods for Breath-Hold Based Cerebrovascular Reactivity in an Intraoperative Setup
Marco Piccirelli1, Christiaan Hendrik Bas van Niftrik2, Oliver Bozinov2, Athina Pangalu1, Antonio Valavanis1, Luca Regli2, and Jorn Fierstra2

1Department of Neuroradiology, University Hospital Zurich, Zurich, Switzerland, 2Department of Neurosurgery, University Hospital Zurich, Zurich, Switzerland

For the first time during neurosurgery, we determinate intraoperative CVR with Blood Oxygen-Level Dependent (BOLD) fMRI measurements with three cycles of apnea (mimicking BH) in mechanically ventilated neurosurgical patients.
BOLD fMRI datasets of five neurovascular patients with unilateral hemispheric hemodynamic impairment were processed with various BH CVR analysis methods. Temporal lag (Phase), percent BOLD signal change (CVR) and explained variance (Coherence) maps were calculated using three different Sine models and two novel “Optimal Signal” model-free methods.
Our analysis methods make the intraoperative determination of CVR possible, and increase sensitivity and reproducibility of BH derived BOLD fMRI CVR.

1436 13:45
Co-existing Atherosclerotic Plaques in Intra- and Extra-cranial Arteries and Recurrent Stroke Risk: A 3D MR Vessel Wall Imaging Study
Yilan Xu1, Zechen Zhou2, Le He2, Donghua Mi3, Rui Li2, Chun Yuan2,4, and Xihai Zhao2

1Department of Radiology, Beijing Tsinghua Changgung Hospital, Beijing, China, People's Republic of, 2Center for Biomedical Imaging Research, Department of Biomedical Engineering, Tsinghua University, Beijing, China, People's Republic of, 3Department of Neurology, Beijing Tiantan Hospital, Beijing, China, People's Republic of, 4Department of Radiology, University of Washington, Seattle, WA, United States

This study investigated the characteristics of co-existing intra- and extra-cranial atherosclerotic plaques and their relationships with recurrent stroke by using 3D multicontrast vessel wall imaging techniques. We found that 77.6% of stroke patients had co-existing intra- and extra-cranial plaques. The number of co-existing plaques was significantly associated with recurrent stroke before (OR=2.42; 95% CI, 1.04-5.64; p=0.040) and after adjusted for traditional risk factors (OR=3.31; 95% CI, 1.09-10.08; p=0.035). Our findings suggest that the co-existing intra- and extra-cranial plaques are prevalent in stroke patients and the number of co-existing plaques might be an independent indicator for risk of recurrent stroke.  

1437 13:45
Intracranial aneurysm wall permeability: a potential risk predictor for rupture
Qi Haikun1, Peng Liu2, and Huijun Chen1

1Center for Biomedical Imaging Research, School of Medicine, Tsinghua University, Beijing, China, People's Republic of, 2Department of Neurosurgical, Beijing Neurosurgical Institute and Beijing Tiantan Hospital, Beijing, China, People's Republic of

The rupture risk prediction of unruptured intracranial aneurysm (IA) is very important in clinical practice and increased knowledge of predictors for IA rupture is needed. IA wall permeability has great potential for aneurysm rupture risk prediction, and can be quantified by DCE-MRI. In this study, we measured IA wall permeability using DCE-MRI, and compared it with established clinical/imaging risk metrics. We found IA wall permeability may be independent of aneurysm size and IA wall enhancement providing distinctive information for IA rupture risk prediction.

1438 13:45
Characterizing diffusion heterogeneity changes after acute ischemic stroke
Ona Wu1, Arne Lauer2, Gregoire Boulouis2, Lisa Cloonan2, Mark Etherton2, Abigail S. Cohen2, Pedro T. Cougo-Pinto2, Katherine Mott1, William A. Copen3, and Natalia S. Rost2

1Athinoula A Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, MA, United States, 2Department of Neurology, Massachusetts General Hospital, Boston, MA, United States, 3Department of Radiology, Massachusetts General Hospital, Boston, MA, United States

Diffusion kurtosis imaging (DKI) has been suggested to be a more sensitive marker for microstructural injury than diffusion tensor imaging (DTI). To investigate this hypothesis, we analyzed DKI data from acute ischemic stroke patients enrolled in a prospective serial MRI study (N=18). Axial diffusivity and axial kurtosis values within the ischemic core were significantly correlated with time-to-MRI. Regional differences in both diffusivity and kurtosis were observed as a function of tissue outcome suggesting DKI may provide complementary information to that obtained from DTI.

1439 13:45
Magnetic Resonance Imaging Detection of Multiple Ischemic Injury Produced by a Mild Transient Cerebral Ischemia Preceded by an Experimental Minor Stroke
Ursula I. Tuor1,2, Min Qiao1, David Rushforth2, and Tadeusz Foniok2

1Physiology and Pharmacology, University of Calgary, Calgary, AB, Canada, 2Experimental Imaging Centre, University of Calgary, Calgary, AB, Canada

A mild photothrombosis elicited an initial ischemic insult consisting of a small cortical infarct overlying a peri-infarct region of scattered necrosis.  One, 2 or 7 days later a relatively short transient middle cerebral artery occlusion was produced.  Peri-infarct regions were observed to be susceptible to the second (1 or 2 day later) ischemic event appearing as enhanced T2 increases and increased tissue damage.  With one week between insults, there was no T2 increase and less ischemic damage in the peri-infarct region. The results are relevant for improving diagnosis and management of patients with recurrent transient ischemic insults. 

1440 13:45
A marker for hyperacute ischemic stroke at ultra-low magnetic field
Mathieu Sarracanie1,2,3, Fanny Herisson4, Najat Salameh1,2,3, Cenk Ayata4, and Matthew Rosen1,2,3

1MGH/HST Athinoula A. Martinos Center for Biomedical Imaging, Charlestown, MA, United States, 2Harvard Medical School, Boston, MA, United States, 3Department of Physics, Harvard University, Cambridge, MA, United States, 4Department of Radiology, MGH/Neurovascular Research Lab, Boston, MA, United States

Ischemic stroke treatment with a thrombolytic agent given in the hyperacute phase can greatly impact the outcome for stroke patients, however stroke status monitoring with CT and MRI is generally only possible once patients are admitted to a hospital. Here, we demonstrate T1 contrast at ultra-low magnetic field strength in a rat model of stroke, with subtle changes noticeable as early as t=20min, and more clearly at t=3h and t=24h following stroke onset. We believe that the use of portable, ultra-low field MRI scanners as an early-detection methodology could have great impact on the treatment and monitoring of ischemic stroke.

1441 13:45
Dynamic Changes of Amide Proton Transfer (APT) and Multi-parametric MRI Signals in Transient Focal Ischemia in Rats
Dong-Hoon Lee1, Xuna Zhao1, Hye-Young Heo1, Yi Zhang1, Shanshan Jiang1, and Jinyuan Zhou1

1Department of Radiology, Johns Hopkins University School of Medicine, Baltimore, MD, United States

APT MRI is a novel imaging technique to provide in vivo image contrasts related with the changes of endogenous mobile amide proton concentration and/or tissue pH. In this abstract, based on the quantified APT signals and multi-parametric MR images, we attempted to evaluate signal changes in transient focal ischemia in rat models. Our results clearly showed that the APT imaging can be a useful technique to predict the ischemia reperfusion status, and to provide the quantitative results more accurately.

1442 13:45
Quantitative in vivo MRI study of Dahl and Sprague-Dawley rat brains in response to salt loading
Kenneth W Fishbein1, Mikayla L Hall1, Mustapha Bouhrara1, Yulia Grigorova1, Jeffrey Long1, Christopher A Morrell1, Edward G Lakatta1, Peter Rapp1, Alexei Y Bagrov1, Richard G Spencer1, and Olga V Fedorova1

1National Institute on Aging, National Institutes of Health, Baltimore, MD, United States

Dahl salt-sensitive rats are a common preclinical model for hypertension. We compared brain morphology and MRI contrast parameters (T2, T2*, MTR and diffusion) in Dahl and Sprague-Dawley rats on low-salt and high-salt diets. Two of five Dahl rats on a high-salt diet exhibited stroke lesions on T2 and diffusion-weighted images. Dahl rats had smaller brain and hippocampus volumes and larger percent ventricular volume relative to Sprague-Dawley rats, regardless of diet. Dahl rats on the high-salt diet had thinner cortex, and longer T2 and shorter T2* in whole brain (excluding lesions and ventricles). Dahl rat brains therefore exhibit distinct morphological and contrast features on MRI, some of which are independent of salt loading.

1443 13:45
High resolution MRI and DTI in a Genetic Mouse Model of Neonatal Hypoxia-Ischemia Injury
Cynthia Yang1, Daniele Procissi1, and Maria L Dizon2,3

1Radiology, Northwestern University, Chicago, IL, United States, 2Pediatrics, Northwestern University, Chicago, IL, United States, 3Neonatology Division, Prentice Women's Hospital, Chicago, IL, United States

White matter injury in the neonatal brain is characterized by lifelong abnormalities in motor control and plasticity.  In vivo assessment of experimental interventions are necessary for the development of novel preventive therapies which are currently lacking. We tested multi direction (64 directions) and multiple b-values (0, 900, 1800 sec/mm2) DTI as a means to monitor changes and progression of neurological disorders and reorganization following HI injury  in a mouse model overexpressing microRNA-21.

1444 13:45
Relaxation-normalized fast diffusion kurtosis imaging for semi-automatic segmentation of acute stroke lesion
Iris Yuwen Zhou1, Yingkun Guo1,2, Yu Wang3, Emiri Mandeville4, Suk-Tak Chan1, Mark Vangel1, Eng H Lo4, Xunming Ji3, and Phillip Zhe Sun1

1Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Charlestown, MA, United States, 2Department of Radiology, Key Laboratory of Obstetric & Gynecologic and Pediatric Diseases and Birth Defects of Ministry of Education, West China Second University Hospital, Sichuan University, Chengdu, China, People's Republic of, 3Cerebrovascular Diseases Research Institute, Xuanwu Hospital of Capital Medical University, Beijing, China, People's Republic of, 4Neuroprotection Research Laboratory, Department of Radiology and Neurology, Massachusetts General Hospital and Harvard Medical School, Charlestown, MA, United States

Kurtosis augments DWI for defining irreversible ischemic injury. However, long acquisition time of conventional DKI limits its use in the acute stroke setting. Moreover, the complexity of cerebral structure/composition makes kurtosis map heterogeneous, limiting the specificity of kurtosis hyperintensity to acute ischemia. With strongest correlation found between mean kurtosis and R1, we proposed the relaxation-normalized fast DKI approach to mitigate the kurtosis heterogeneity in normal brain with substantially reduced scan time. We further demonstrated that this approach enabled semi-automatic lesion segmentation and enhanced stratification of the heterogeneous DWI lesion, aiding the translation of fast DKI to the acute stroke setting.

1445 13:45
Diffusion and Multi-delay Arterial Spin Labeling Imaging of Cerebral Blood Flow, Cerebrovascular Reserve, and Transit Time in Moyamoya Disease Before and After Acetazolamide Challenge
Christian Federau1, Soren Christensen1, Zungho Zun2, Sun-Won Park3, Wendy Ni1, Michael Moseley1, and Greg Zaharchuk1

1Stanford University, Stanford, CA, United States, 2Children's National Medical Center, Washington, DC, United States, 3Seoul National University, Seoul, Korea, Republic of

We assessed the changes in arterial spin labeling cerebral blood flow (CBF) and arterial transit time (ATT), as well as in apparent diffusion coefficient (ADC), before and after acetazolamide challenge in preoperative Moyamoya patients as function of the severity of feeding vessel stenosis. We found a significant increase after acetazolamide challenge in CBF (mL/min/100g) in territories of normal (50.9±19.0 to 66.8±19.3, p<0.0001) and mildly stenosed (52.9±18.8 to 66.2±23.4, p < 0.0001) vessels, but not in severely stenosed/occluded vessels (57.8±31.7 to 58.1±23.4, NS). ATT significantly decreased but no change in ADC was identified after acetazolamide.

1446 13:45
High lesion-to-wall contrast ratio in intracranial arterial wall imaging using whole-brain IR-SPACE: A potential approach to stroke etiology assessment without the need for MR contrast media
Zhaoyang Fan1, Qi Yang1,2, Shlee Song3, Xiuhai Guo4, Wouter Schievink5, Xiaoming Bi6, Gerhard Laub6, Patrick Lyden3, and Debiao Li1,7

1Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, CA, United States, 2Radiology, Xuanwu Hospital, Beijing, China, People's Republic of, 3Neurology, Cedars-Sinai Medical Center, Los Angeles, CA, United States, 4Neurology, Xuanwu Hospital, Beijing, China, People's Republic of, 5Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA, United States, 6MR R&D, Siemens Healthcare, Los Angeles, CA, United States, 7Bioengineering, University of California, Los Angeles, CA, United States

Variable-flip-angle 3D fast spin-echo (SPACE) has emerged as a promising imaging technique to assess intracranial wall abnormalities. Gadolinium-based MR contrast medium is usually used to highlight wall lesions which are sometimes unclear on pre-contrast vessel wall images in part due to suboptimal lesion-to-wall contrast. A whole-brain inversion-recovery-prepared SPACE sequence has recently been developed to improve vessel wall delineation by substantially enhanced T1 contrast weighting and cerebrospinal fluid attenuation. To test the hypothesis that the sequence may be used for noncontrast wall evaluation, we evaluated the lesion-to-wall contrast on pre-contrast images from a group of stroke and transient ischemic attack patients.

1447 13:45
Whole-Brain CBF and BAT Template Measured by Multi-TI Arterial Spin-Labeling Technique and Its Application in Cerebellar Infarction
Yelong Shen1, Bin Zhao1, Guangbin Wang1, Shuang Yang1, Shan Li2, Josef Pfeuffer3, and Tianyi Qian4

1Shandong Medical Imaging Research Institute, School of Medicine, Jinan, China, People's Republic of, 2Department of Neurology, Provincial Hospital Affiliated to Shandong University, Jinan, China, People's Republic of, 3Siemens Healthcare, Application Development, Erlangen, Germany, Erlangen, Germany, 4Siemens Healthcare, MR Collaborations NE Asia, Beijing, China, People's Republic of

Single-TI ASL usually underestimates the cerebral blood flow in areas with longer blood arrival time, especially in the cerebellum. In this study, we built a template of whole-brain cerebral blood flow and blood arrival time based on multi-inversion time-ASL (mTI-ASL). No significant differences were found when comparing young vs. old groups and female vs. male groups. The application in cerebellar infarction patients demonstrates that mTI-ASL performs better than sTI-ASL especially in areas with longer BAT. The CBF/BAT template created based on normal subjects could be used to better identify perfusion deficits.


Traditional Poster

Spine, MRA & Other Clinical Neuro Applications

Exhibition Hall Monday, May 9, 2016: 10:45 - 12:45

1448
4D Spiral Flow in MR compatible Spinal Canal Phantom with and without Occlusion
Matthew Lee Dobson1, Bryan Gootee1, Michael Kendrick2, Robert Bert3, MJ Negahdar1, and Amir Amini1

1Electrical and Computer Engineering, University of Louisville, Louisville, KY, United States, 2VA Medical Center, Louisville, KY, United States, 3Department of Radiology, University of Louisville, Louisville, KY, United States

A 3’ clear polycarbonate tube together with a dowel rod extending the entire length of the tube, centered in the middle of the tube, were used to model the spinal canal and the spinal cord. Normal saline solution was used to mimic the Cerebrospinal (CSF) fluid.  The dowel rod was centered with winged support structures that were 3D printed from a CAD model. A spinal canal occlude was also 3D printed. 4D flow MR imaging was performed and results indicate that the flow phantom has utility for validation and testing of MR methods for measurement of CSF flow.

1449
A probabilistic framework to learn average shaped tissue templates and its application to spinal cord image segmentation
Claudia Blaiotta1, Patrick Freund1,2, Armin Curt2, Jorge Cardoso3, and John Ashburner1

1Wellcome Trust Centre for Neuroimaging, University College London, London, United Kingdom, 2Spinal Cord Injury Center Balgrist, University of Zurich, Zurich, Switzerland, 3Centre for Medical Image Computing, University College London, London, United Kingdom

Magnetic resonance imaging of the spinal cord has a pre-eminent role for understanding the physiopathology of neurological disorders; nevertheless it is confronted with numerous technical challenges, which currently limit its applicability. In this work we focus on the problem of automatically extracting and segmenting the cord, a crucial processing step for neuroimaging studies. We present a novel computational framework that allows delineating structures within the cord, thus providing a reliable and fast alternative to manual segmentation. We test the method on a data set of high-resolution cervical scans and demonstrate the consistency of our results with expert manual annotation.

1450
Diffusional Kurtosis Tractography of Cervical Spinal Cord White Matter with Multi-band EPI Technique
Masaaki Hori1,2, Ryuji Nojiri2, Yasuaki Tsurushima2, Katsutoshi Murata3, Keiichi Ishigame2, Kouhei Kamiya4, Yuichi Suzuki4, Koji kamagata1, and Shigeki Aoki1

1Radiology, Juntendo University School of Medicine, Tokyo, Japan, 2Tokyo Medical Clinic, Tokyo, Japan, 3Siemens Japan, Tokyo, Japan, 4Radiology, The University of Tokyo, Tokyo, Japan

We investigate the effect of multi-band reduction factor (MBf) on tractography methods, diffusional kurtosis tractography (DKI) -based and diffusion tensor imaging (DTI) –based, and quantitative diffusion metrics in the cervical spinal cord white matter in vivo. The numbers of WM tracts increased in DKI tractography, compared with DTI tractography for the same position. Moreover, the numbers of WM tracts decreased in MBf of 3 data, compared with MBf of 2. Unchanged diffusion metrics values were observed on any conditions. DKE-based method seem to be preferable and MBf of 2 is recommended for spinal cord WM tractography.

1451
Quantification and Visualization of CSF flow in the Cervical Spine using 4D Spiral flow MRI
MJ Negahdar1, Robert Bert2, and Amir Amini1

1Electrical and Computer Engineering, University of Louisville, Louisville, KY, United States, 2Department of Radiology, University of Louisville, Louisville, KY, United States

To determine feasibility of 4D spiral flow in measurement and visualization of CSF flow in the cervical spine, 5 normal volunteers underwent both a 4D spiral flow and a 4D conventional flow. Results indicate that 4D spiral flow achieved highly accurate flow waveforms with a substantial reduction in total scan time. 

1452
Regional measures of water diffusion associated with impairment in chronic SCI
Ann S Choe1,2,3, Cristina L Sadowsky3,4, Seth A Smith5,6, Peter C.M. van Zijl1,2, Visar Belegu3,7, and James J Pekar1,2

1Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 2F.M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Institute, Baltimore, MD, United States, 3International Center for Spinal Cord Injury, Kennedy Krieger Institute, Baltimore, MD, United States, 4Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 5Radiology and Radiological Sciences, Vanderbilt University, Nashville, TN, United States, 6Vanderbilt University Institute of Imaging Science, Vanderbilt University, Nashville, TN, United States, 7Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, United States

Prior studies have shown that DTI allows for noninvasive assessment of the severity of spinal cord injury (SCI). The present study investigated whether subject-specific demarcation of injury (vs. anatomically-driven ROI placement) could enhance the specificity of diffusion measures, specifically, fractional anisotropy (FA). Results showed that FA averaged over the region inferior to the injury epicenter demonstrated significant associations with impairment, suggesting that FA measures in the region are sensitive to Wallerian degeneration in the descending ventrolateral motor columns. We conclude that in chronic SCI, regional analysis of water diffusion using subject-specific injury demarcation may be more specific to impairment.

1453
Quality assessment of a semi-automated spinal disc volume segmentation method
Johanna Kramme1, Michael Diepers2, Matthias Günther1,3, Simone Steinert4, and Johannes Gregori1

1mediri GmbH, Heidelberg, Germany, 2Kantonsspital Aarau, Aarau, Switzerland, 3Fraunhofer MeVis, Bremen, Germany, 4TETEC AG, Reutlingen, Germany

Quality assessment of a semi-automated spinal disc volume segmentation method for use in lumbar herniated disc studies. To demonstrate reliability of an interpolation method which relies on a reduced number of delineated regions of interest (ROI), thereby reducing time and effort by up to 65%.

1454
Assessing neurodegeneration across the spinal axis using high-resolution MRI
Gergely David1, Eveline Huber1, Armin Curt1, Nikolaus Weiskopf2,3, Siawoosh Mohammadi3,4, and Patrick Freund1,2,3

1Spinal Cord Injury Center, Balgrist, University Hospital Zurich, University of Zurich, Zurich, Switzerland, 2Department of Neurophysics, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany, 3Wellcome Trust Centre for Neuroimaging, UCL Institute of Neurology, London, United Kingdom, 44Department of Systems Neuroscience, University Medical Center Hamburg-Eppendorf, Hamburg, Germany

Traumatic spinal cord injury (SCI) affects both grey and white matter and may result in atrophy due to anterograde/retrograde degeneration of the motor and sensory tracts. Several studies have investigated the cervical spinal cord in SCI patients, but little is known about the degeneration occurring below the lesion site. In this study, we utilize high-resolution magnetic resonance imaging to demonstrate the feasibility of measuring spinal cord, grey matter and dorsal column area at the cervical and lumbar enlargement. Investigating volumetric differences at both spinal levels allows for a more comprehensive assessment of neurodegeneration in SCI patients.

1455
Improvement of visualization of intracranial blood vessel uniformity on MR angiography using a Silent scan
Yasuhiro Fujiwara1 and Yoshiyuki Muranaka2

1Department of Medical Imaging, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan, 2Radiological Center, Fukui Prefectural Hospital, Fukui, Japan

We evaluated the uniformity of the intracranial vascular signal using a Silent MR angiography (MRA). Experiments with phantoms and healthy subjects revealed that this sequence improved the uniformity of the vascular signal under the condition of complex flow. Silent MRA improved contrast, coefficient of variation, and accuracy for intracranial blood vessels with turbulent flow compared with time-of-flight MRA. The signal intensities obtained by Silent MRA were independent of flow conditions. Although it has limited spatial resolution and requires additional imaging time, this sequence may have the potential to improve the image quality of intracranial blood vessels.

1456
Combing fMRI and probabilistic DTI tractography to improve corticospinal tract visualization in patients with brain tumor
Chen Niu1, Xin Liu2, Pan Lin2, Zhigang Min1, Wenfei Li1, Liping Guo1, Maode Wang1, Qi Li1, and Ming Zhang1

1Department of Medical Imaging, The First Affiliated Hospital of Xi'An Jiaotong University, Xi'an, China, People's Republic of, 2Institute of Biomedical Engineering, Xi'an Jiaotong University, Xi'an, China, People's Republic of

we evaluated a combinatorial approach that used functional activation and anatomical landmark data to define multiple ROIs for CST fiber tracking in patients with a brain tumor. Our results suggest that a combination of fMRI and DTI fiber tracking may provide a more comprehensive analysis of the CST pathway, which would be beneficial for characterizing spatial relationships between the CST pathway and the tumor. A dual ROI CST fiber tracking approach has the potential to play a critical role in preoperative planning to optimize surgical treatment and improve post-surgical outcome.

1457
Accelerated 3D black blood imaging using quadruple inversion recovery technique
Kohei Yuda1, Takashige Yoshida1, Yuki Furukawa1, Masami Yoneyama2, Seishi Takoi1, and Nobuo Kawauchi3

1Radiology, Tokyo Metropolitan Police Hospital, Tokyo, Japan, 2MR Clinical Scientist, Philips Electronics Japan,Ltd, Tokyo, Japan, 3Radiology of division, Tokyo Metropolitan Police Hospital, Tokyo, Japan

Black blood imaging (BBI) for atherosclerotic plaque compartment usually have evaluated by pre-pulse sequence such as dual inversion recovery(DIR) turbo spin echo (TSE) with cardiac synchronization. This study aimed to evaluate the scan time reduction sequence of zoomed imaging quadruple inversion recovery using VISTA (zQIR-VISTA) in black blood MR imaging of cerebral artery and compare with a conventional VISTA.


Traditional Poster

Neuroimaging Animal Models

Exhibition Hall Monday, May 9, 2016: 10:45 - 12:45

1458
Diffusion Tensor Imaging sheds light on microstructural brain changes related to the process of vocal learning in juvenile zebra finches.
Julie Hamaide1, Geert De Groof1, Johan Van Audekerke1, Marleen Verhoye1, and Annemie Van der Linden1

1Bio-Imaging Lab, University of Antwerp, Antwerp, Belgium

Vocal learning in songbirds has until now mainly been studied by invasive methods such as histology and molecular testing. Here we use in vivo Diffusion Tensor Imaging to map the structural development of the zebra finch brain which might help unveil brain areas implicated in the process of song learning and brain areas subject to a downregulation of plasticity characterizing the end of the critical periods which results in song crystallization.

1459 0:15
Comparative Analysis by Magnetic Resonance Imaging of Extracellular Space Diffusion in the Young and Adult Rats
Shuangfeng Yang1, Hongbin Han2,3, Yan Wang1, and Yun Peng1

1Imaging Center, Beijing Children's Hospital, Beijing, China, People's Republic of, 2Department of Radiology, Peking University Third Hospital, Beijing, China, People's Republic of, 3Beijing Key Lab of Magnetic Resonance Imaging Device and Technique, Beijing, China, People's Republic of

The brain extracellular space is an irregular and tortuous space among neural cells and capillaries. Its normal development is important to maintain electrical signal conduction between cells, material transport and so on, especially in the early stage after birth, during which angiogenesis is not yet complete. ECS may provide the main pathway for metabolites. In the present study, gadolinium-diethylenetriaminepentaacetic acid tracer-based magnetic resonance imaging was employed to realize dynamic imaging and quantitative analysis of the diffusion and clearance of substances in the rat brain in vivo. With this method the differences of diffusion parameters in the young and adult rats can be detected.

1460 0:30
In vivo longitudinal 1H MRS comparison of hippocampal and cerebellar changes due to Chronic Hepatic Encephalopathy, a rat model study
Veronika Rackayova1, Olivier Braissant2, Corina Berset3, Jocelyn Grosse4, Rolf Gruetter1,3, Valérie A. McLin5, and Cristina Cudalbu3

1Laboratory of Functional and Metabolic Imaging, Center for Biomedical Imaging, Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Vaud, Switzerland, Lausanne, Switzerland, 2Service of Biomedicine, University Hospital of Lausanne, Lausanne, Vaud, Switzerland, Lausanne, Switzerland, 3Center for Biomedical Imaging, Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Vaud, Switzerland, Lausanne, Switzerland, 4Laboratory of behavioral genetics, Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Vaud, Switzerland, Lausanne, Switzerland, 5Swiss Center for Liver Disease in Children, Department of Pediatrics, University Hospitals Geneva, Geneva, Switzerland, Geneva, Switzerland

Chronic liver disease leads to Hepatic Encephalopathy - spectrum of neuropsychiatrical disorders. We investigated potential neurometabolic differences between two key brain regions (hippocampus and cerebellum). Cerebellum shows similar increase of glutamine but lower tNAA, Tau, Cr, Asc and different osmotic response indicating that these regions are influenced unequaly.

1461 0:45
In Vivo Imaging of Rapid Structural Brain Plasticity Following Environmental Enrichment in Mice
Jan Scholz1, Kaitlyn Easson2, and Jason P Lerch1,3

1Mouse Imaging Centre, Hospital for Sick Children, Toronto, ON, Canada, 2Department of Biomedical and Molecular Sciences, Queen's University, Toronto, ON, Canada, 3Department of Medical Biophysics, University of Toronto, Toronto, ON, Canada

The time course of the MRI changes associated with learning and experience is still unclear. Here we show with rapid in vivo imaging that brief periods of environmental enrichment of 24-48 h are associated with volumetric increases in a network of distinct brain areas. For the first time we show that the size of these changes is directly related to the length of the enrichment. Our results indicate that the volumetric increases might plateau after about 48 h. This suggests that studies of human brain plasticity, which have often imaged after several weeks of training, might have underestimated the speed of these structural changes.

1462 1:00
Neuroanatomical abnormalities in a PAX6 deficient mouse model studied by Voxel Based Morphometry
Khan Hekmatyar1, Anastasia M Bobilev2, Kenji K Johnson2, and James D Lauderdale2

1BioImaging Research Center, University of Georgia, Athens, GA, United States, 2Department of Genetics, University of Georgia, Athens, GA, United States

Heterozygous PAX6 mutations confines not only defects in eye, but also in the brain.  Our MRI study reveals the structural abnormalities in the brain of mouse model of Small EyeNeu (PAX6 Sey Neu/+) and compare with clinical form of this disease using voxel based morphometry using magnetic resonance imaging.

1463 1:15
3D Map of Perivascular Network in the Rat Brain
Magdoom Kulam1, Alec Brown2, Michael A King3, Thomas H Mareci2,4,5, and Malisa Sarntinoranont1,5

1Department of Mechanical & Aerospace Engineering, University of Florida, Gainesville, FL, United States, 2Department of Physics, University of Florida, Gainesville, FL, United States, 3Department of Pharmacology & Therapeutics, University of Florida, Gainesville, FL, United States, 4Department of Biochemistry & Molecular Biology, University of Florida, Gainesville, FL, United States, 5Department of Biomedical Engineering, University of Florida, Gainesville, FL, United States

In the absence of lymphatic vessels in the brain, metabolic wastes were known to be cleared out of the brain along perivascular spaces which are annular gaps between blood vessels and the parenchyma. Abnormalities in the perivascular transport have been implicated in neurodegenerative disorders such as Alzheimer’s and syringomyelia. In this study, we have obtained a high resolution 3D reconstruction of the perivascular network in the rat brain for the first time. Combining the reconstructed vascular and perivascular networks using the current method with physical models may shed light into mechanisms underlying perivascular transport in normal and pathological states. 

1464 1:30
Effects of High-Fat Diet on White Matter Integrity: A Diffusion Tensor Imaging Study in Wistar Rats.
Andrzej R. Gaździński1, Yu Zhang2, Jarosław Orzeł3,4, Bartosz Kossowski5, Piotr Bogorodzki5, Zuzanna Setkowicz6, and Stefan P. Gazdzinski7

1Military Institute for Aviation Medicine, Warsaw, Poland, 2University of California San Francisco, San Francisco, CA, United States, 3Faculty of Electronics and Information Technology, Warsaw University of Technology, Warsaw, Poland, 4Mossakowski Medical Research Centre Polish Academy of Sciences, Warsaw, Poland, 5Warsaw University of Technology, Warsaw, Poland, 6Neuroanatomy, Jagiellonian University, Krakow, Poland, 7CNS Lab, Military Institute for Aviation Medicine, Warsaw, Poland

Human DTI studies have demonstrated lower fractional anisotropy and higher mean diffusivity in obese humans. In animal models, high-fat diet is commonly used to induce obesity. However, we observed increase in hippocampal volumes and hippocampal metabolite concentrations in our study of long term effects of high fat diet on brain morphology, function, and behavior in Wistar rats. The rusults of this DTI study are partially consistent with our previous results. Unchanged or increasing mean diffusivity in certain brain regions likely reflects increased concentration of water. It would lead to lower concentration of metabolites, which is contradictory to our earlier findings.

1465 1:45
In vivo Parametric T 1/R 1 Imaging Correlation with Myelin Density and Microstructure Properties of Rat Corpus Callosum
Xiao Wang1,2,3, Xiao-hong Zhu1, Yi Zhang1, and Wei Chen1

1Center for Magnetic Resonance Research, University of Minnesota Medical School, Minneapolis, MN, United States, 2Diagnostic Radiology, University of Minnesota Medical School, Minneapolis, MN, United States, 3Transitional Year Residency Program, Hennepin County Medical Center, Minneapolis, MN, United States

Corpus callosum (CC) is a prominent white matter commissure of the brain bridging two cerebral hemispheres and communicating between the cortical and subcortical neurons. It is known that the fiber composition and microstructure of CC varies anteriorly to posteriorly (1, 2). Due to different spatial scale, co-register of macro-morphologic MR image with micro-morphologic histology transmission electron microscopy (TEM) of CC is extremely strenuous and challenging yet necessary and important. In the present study, we performed an extensive and near point to point comparison between MR T1/R1 imaging in vivo and histological TEM of the entire CC in normal rat. It shows that there is a significantly positive correlation between R1 and myelin density and negative correlation between R1 and the axon diameter in normal rat corpus callosum. The overall results indicate that T1/R1 images are tightly correlated to myelin density and provide robust assessment of myelin density and  axon size in vivo, thus,  should provide valuable information of the microstructure properties of the tissue.  Moreover, all measures are highly inhomogeneous in CC.

1466 2:00
Longitudinal MRI characterizes the impact of prenatal irradiation on ageing
Tine Verreet1,2, Janaki Raman Rangarajan3,4,5, Kristof Govaerts5,6, Frederik Maes3,4, Sarah Baatout1, Lieve Moons2, Mohammed A Benotmane1, and Uwe Himmelreich5,6

1Radiobiology Unit, Molecular and Cellular Biology, Belgian Nuclear Research Centre, SCK•CEN, Mol, Belgium, 2Laboratory of Neural Circuit Development and Regeneration, University of Leuven (KU Leuven), Leuven, Belgium, 3Electrical Engineering (ESAT-PSI), University of Leuven (KU Leuven), Leuven, Belgium, 4Medical IT, iMinds, Leuven, Belgium, 5Molecular Small Animal Imaging Center (MoSAIC), Faculty of Medicine, University of Leuven (KU Leuven), Leuven, Belgium, 6Biomedical MRI Unit, Department of Imaging and Pathology, Faculty of Medicine, University of Leuven (KU Leuven), Leuven, Belgium

Prenatal exposure to ionising radiation can severely compromise brain development, leading to functional impairment of the brain. Behavioral deficits and/or morphological alterations have been reported, but the consequences of prenatal irradiation at older age remains unexplored. We irradiated pregnant mice with different doses (0.05 to 1.0Gy) at embryonic day 11 and investigated structural sequelae at an old age using in vivo longitudinal MRI. Apart from small brain size, we noticed predominant regional changes and increase in brain volume as the mice aged (unlike humans). Hippocampus seems to be affected by exposure to even low-doses and relates to impaired spatio-cognitive performance.

1467 2:15
Gd-enhanced Susceptibility Weighted Imaging in Neonatal Rats
Yu-Chieh Jill Kao1,2, Chia-Feng Lu1,2,3, Hua-Shan Liu4,5, Fei-Ting Hsu4, Ping-Huei Tsai2,4, Li-Chun Hsieh4, Pen-Yuan Liao4, and Cheng-Yu Chen2,4

1Translational Research Imaging Center, College of Medicine, Taipei Medical University, Taipei, Taiwan, 2Department of Radiology, School of Medicine, Taipei Medical University, Taipei, Taiwan, 3Department of Biomedical Imaging and Radiological Sciences, National Yang-Ming University, Taipei, Taiwan, 4Department of Medical Imaging, Taipei Medical University Hospital, Taipei, Taiwan, 5Graduate Institute of Clinical Medicine, Taipei Medical University, Taipei, Taiwan

Gd-enhanced susceptibility weighted imaging in neonatal rats, which highlights the penetrating vessels in the neonatal brain, may provide a new imaging protocol to investigate pediatric neurological disorders.

1468 2:30
Developing a Rat Model of Brainstem Coma: Initial MRI and MRA Investigations of Basilar Artery Occlusion
Patricia Pais Roldán1, Brian Edlow2, and Xin Yu1

1Translational Neuroimaging and Neural Control Research Group, High Field Magnetic Resonance Department, Max Planck Institute for Biological Cybernetics, Tübingen, Germany, 2Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States

The ascending reticular activating system (ARAS) of the brainstem mediates arousal, which is an essential component of consciousness. In order to infarct the ARAS and induce an unarousable state in rats, we performed a two-point basilar artery (BA) occlusion.  We used high resolution MRI to map the neuroanatomical distribution of the resulting brainstem infarction and MRA to map the penetrating branches of the BA.  BA occlusion reproducibly caused medial-ventral brainstem infarction but did not create an unarousable state, suggesting that a larger region of ARAS infarction will be needed to create a rat model of brainstem coma.

1469 5:45
Detection of neuronal activities concerning the retrieval of the conditioned taste aversion with lipopolysaccharide
Chizuko Inui-Yamamoto1, Fuminori Sugihara1, Yuki Mori1, Ting Chen1, Zhenyu Cheng1, Yutaka Komai2, and Yoshichika Yoshioka1

1Biofunctional Imaging, WPI IFReC, Osaka University, Suita, Japan, 2Single Molecule Imaging, WPI IFReC, Osaka University, Suita, Japan

It is well known lipopolysaccharides (LPS) is produced by infected bacteria and triggers several acute phase responses after infection. Some reports show that rodents can acquire aversion to the taste stimulus paired with LPS. However, the brain mechanisms in the conditioned taste aversion (CTA) with LPS and in its retrieval remain obscure. To elucidate the brain mechanism in the retrieval of CTA with LPS (LPS-CTA), we tried to visualize the brain activities by using the manganese enhanced MRI (MEMRI). In consequence, we found the activation of DMH in relation with the regulation of body temperature in the retrieval of LPS-CTA cause body.


Traditional Poster

Young Investigator Awards

Exhibition Hall Monday, May 9, 2016: 14:15 - 16:15

36 10:45
Music-Based Magnetic Resonance Fingerprinting to Improve Patient Comfort During MRI Examinations
Dan Ma1, Eric Y. Pierre2, Yun Jiang 2, Mark D. Schluchter3, Kawin Setsompop4, Vikas Gulani1, and Mark Griswold1

1Radiology, Case Western Reserve University, Cleveland, OH, United States, 2Biomedical Engineering, Case Western Reserve University, Cleveland, OH, United States, 3Epidemiology & Biostatistics, Case Western Reserve University, Cleveland, OH, United States, 4A.A Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Boston, MA, United States

An acquisition method named MRF-Music is proposed to mitigate the acoustic noise during MRI scans by producing musical sounds directly from the switching magnetic fields while simultaneously quantifying multiple important tissue properties. MP3 music files were converted to arbitrary encoding gradients, which were then used with varying flip angles and TRs in both 2D and 3D MRF exam to generate T1, T2 and proton density maps. The MRF-Music scans were shown to significantly improve patients’ comfort. T1 and T2 measured from phantom and in vivo scans were also in good agreement with those from the standard measurements and reported values. 

37 11:05
Simultaneous assessment of cardiac metabolism and perfusion using co-polarized [1-13C]pyruvate and 13C-urea
Angus Zoen Lau1,2, Jack Miller2,3, Matthew D Robson1, and Damian J Tyler1,2

1Cardiovascular Medicine, University of Oxford, Oxford, United Kingdom, 2Department of Physiology, Anatomy, and Genetics, University of Oxford, Oxford, United Kingdom, 3Department of Physics, Clarendon Laboratory, Oxford, United Kingdom

Assessment of cardiac metabolism and perfusion using hyperpolarized 13C substrates enables discrimination between viable, hibernating, and non-viable tissue, but current methods require two separate injections of pre-polarized [1-13C]pyruvate and 13C-urea, respectively. We propose to use an infusion of co-polarized [1-13C]pyruvate/13C-urea combined with a flow-sensitized pulse sequence to simultaneously assess both of these parameters in a single injection. Perfusion and metabolic state are modulated using specific interventions, and subsequently detected using the new scan. This probe of both myocardial perfusion and metabolism is anticipated to enable metabolic study of the heart in acute scenarios.

38 11:25
xSPEN: Single-shot magnetic resonance imaging with exceptional resilience to field heterogeneities
Zhiyong Zhang1, Amir Seginer1, and Lucio Frydman1

1Chemical Physics, Weizmann Institute of Science, Rehovot, Israel

Single-shot MRI has been constrained to acquisitions in quality magnets and homogeneous tissues. The present study introduces a methodology that can deliver such images with good SNR, under much poorer field and/or multiple shift conditions. These capabilities are achieved based on new principles whereby images are read using field gradients that are not applied along the direction being encoded. This enables one to accommodate shifts/inhomogeneities into the single-scan image generation protocol, without suffering from miss-registrations, without requiring a priori information for post-acquisition corrections, and without demanding specialized instrumentation. This enables new single-shot investigations that have hitherto escaped from MRI’s scope.

39 11:45
Evaluation of Upper Airway Collapsibility Using Simultaneous Multi-Slice Real-Time MRI
Ziyue Wu1,2, Weiyi Chen1, Michael C.K. Khoo1, Sally L. Davidson Ward3, and Krishna S. Nayak1

1University of Southern California, Los Angeles, CA, United States, 2Alltech Medical Systems, Solon, OH, United States, 3Children's Hospital Los Angeles, Los Angels, CA, United States

We present a method for simultaneous multi-slice airway collapsibility measurement based on sparse golden-angle radial CAIPIRINHA, with acceleration factor up to 33.3. We present data from patients with obstructive sleep apnea and normal controls.  One interesting finding is that a narrower airway site does not always correspond to higher collapsibility. This finding may be of interest to sleep surgeons. Our results also suggest that both compliance and Pclose were significantly different between healthy controls and OSA patients (P<0.001), and both measures can potentially serve as biomarkers.

40 12:05
Interstudy repeatability of self-gated quantitative myocardial perfusion MRI
Devavrat Likhite1, Promporn Suksaranjit2, Ganesh Adluru1, Nan Hu3, Cindy Weng3, Eugene Kholmovski1, Chris McGann2, Brent Wilson2, and Edward DiBella1

1Utah Center for Advanced Imaging Research, Department of Radiology, University of Utah, Salt Lake City, UT, United States, 2Division of Cardiovascular Medicine, University of Utah, Salt Lake City, UT, United States, 3Department of Internal Medicine, University of Utah, Salt Lake City, UT, United States

Dynamic contrast enhanced MRI is maturing as a tool in contemporary cardiovascular medicine. A self-gated method that avoids the use of ECG-gating signal has been validated by us for quantitative myocardial perfusion. Our most recent study looks at the inter-study repeatability of this quantitative self-gated method. Our findings show that the multi-slice self-gated (near-systole) approach has a comparable or better repeatability than published ECG-gated single slice studies. The purpose of this abstract is to summarize these findings from our recent work, highlighting the simplicity, ease of use and reliability of the self-gated method for quantitative myocardial perfusion.

41 12:25
Neurovascular uncoupling in resting state fMRI demonstrated in patients with primary brain gliomas
Shruti Agarwal1, Haris I. Sair1, Noushin Yahyavi-Firouz-Abadi1, Raag Airan1, and Jay J. Pillai1

1Division of Neuroradiology, Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, United States

One of the most important potential limitations of presurgical mapping using blood oxygen level dependent functional magnetic resonance imaging (BOLD fMRI) is the phenomenon of neurovascular uncoupling (NVU). NVU can lead to erroneous interpretation of clinical fMRI examinations. The effects of brain tumor-related NVU on task-based BOLD fMRI have been previously published. The purpose of this study is to demonstrate that the problem of brain tumor-related NVU is a significant issue with respect to resting state BOLD fMRI similar to task-based BOLD fMRI, in which signal detectability can be compromised by breakdown of normal neurovascular coupling.


Traditional Poster

Perfusion & Permeability: Contrast Agent Methods

Exhibition Hall Monday, May 9, 2016: 16:30 - 18:30

1470
3D CMRO2 mapping in human brain with direct 17O-MRI and proton-constrained iterative reconstructions
Dmitry Kurzhunov1, Robert Borowiak1,2, Marco Reisert1, Philipp Wagner1, Axel Krafft1,2, and Michael Bock1

1University Medical Center Freiburg, Dept. of Radiology - Medical Physics, Freiburg, Germany, 2German Cancer Research Center (DKFZ), German Cancer Consortium (DKTK), Heidelberg, Germany

This work presents a comparison analysis of different reconstruction techniques for quantification of 3D maps of the cerebral metabolic rate of oxygen consumption (CMRO2) in human brain. Several 17O-MR 3D data sets of a healthy volunteer’s brain were acquired at a clinical 3 Tesla MR system with inhalation of 70%-enriched 17O2 gas. Iterative image reconstruction procedures, e.g. where different co-registered 1H MR image data sets of high spatial resolution act as edge-preserving constraints, are compared and used to improve the image quality and the precision of CMRO2 mapping. Anisotropic Diffusion as non-Homogeneous Constraint (ADHOC) is shown to be superior.

1471
Hyperemic Blood-Oxygen Level Dependent MRI of the foot for identifying perfusion defects in those with peripheral arterial disease
Tomoki Fujii1, Krishna R. Singh2, Bill Bordeau3, Joao A. Lima1, and Bharath Ambale-Venkatesh1

1Johns Hopkins University, Baltimore, MD, United States, 2Prairie Vascular Institute, Springfield, IL, United States, 3Zimmer Biomet Biologics, Warsaw, IN, United States

Peripheral artery disease is a major public health concern particularly among the elderly. Although measures such as ankle-brachial index and segmental pressures have been used to characterize disease severity, MRI techniques allow us to assess subclinical vascular function and morphology and may help improve our understanding of vascular adaptations. In a small pilot study, we test whether hyperemia-induced BOLD oxygenation changes are a viable measure of tissue oxygenation in the foot and if they represent the reduced oxygenation seen in PAD.

1472
Contrast Enhanced MRI Reveals Perplexing T2 effect of Aggregate Forming Compounds In the Murine Placenta
Marina Lysenko1, Noam Ben-Eliezer1, Inbal E Biton2, Joel R Garbow3, and Michal Neeman1

1Biological Regulation, Weizmann Institute of Science, Rehovot, Israel, 2Veterinary Resources, Weizmann Institute of Science, Rehovot, Israel, 3Biomedical Magnetic Resonance Laboratory, Mallinckrodt Institute of Radiology, Washington University, St. Louis, MO, United States

The murine placenta is a complex organ, consisting of different cell compartments that greatly influence its blood-flow pattern. Dynamic contrast enhanced (DCE) MRI of murine placental perfusion has been reported previously using both low and high MW contrast media. In this study, we used high-MW, albumin-based macromolecular contrast agent that does not cross the placental barrier, but, instead, forms contrast-based aggregates that accumulate in the maternal vasculature simultaneously with active contrast internalization by trophoblast cells in the labyrinth .To interpret the observed data, we suggest a novel model for describing feto-maternal processing and aggregate formation of labeled albumin in placental DCE-MRI experiments.

1473
Tissue Partial Volume Correction of Perfusion Maps in Dynamic Susceptibility Contrast MRI
André Ahlgren1, Ronnie Wirestam1, Freddy Ståhlberg1,2,3, and Linda Knutsson1

1Department of Medical Radiation Physics, Lund University, Lund, Sweden, 2Department of Diagnostic Radiology, Lund University, Lund, Sweden, 3Lund University Bioimaging Center, Lund University, Lund, Sweden

Partial volume effects (PVE) can significantly affect parameter estimates in perfusion MRI. In contrast to arterial spin labeling (ASL), the impact of PVEs in dynamic susceptibility contrast MRI (DSC-MRI) has not yet been well established. In this work, we assess and compare partial volume correction (PVC) of DSC-MRI and ASL data in 20 healthy subjects. PVC reduced the tissue volume dependence of perfusion estimates in DSC-MRI and ASL. White matter perfusion maps were of higher quality for DSC-MRI. However, for PVC of DSC-MRI we used several assumptions which need further evaluation.

1474
Improved Vascular Transport Function Characterization in DSC-MRI via Deconvolution with Dispersion-Compliant Bases
Marco Pizzolato1, Rutger Fick1, Timothé Boutelier2, and Rachid Deriche1

1Athena Project-Team, Inria Sophia Antipolis - Méditerranée, Sophia Antipolis, France, 2Olea Medical, La Ciotat, France

Bolus dispersion phenomena affect the residue function computed via deconvolution of DSC-MRI data. Indeed the obtained effective residue function can be expressed as the convolution of the true one with a Vascular Transport Function (VTF) that characterizes the dispersion. The state-of-the-art technique CPI+VTF allows to estimate the actual residue function by assuming a model for the VTF. We propose to perform deconvolution representing the effective residue function with Dispersion-Compliant Bases (DCB) without assumptions on the VTF, and then apply the CPI+VTF on DCB results. We show that DCB improve robustness to noise and allow to better characterize the VTF.

1475
Feasibility and Value of Quantitative Dynamic Contrast Enhancement MR imaging in Evaluation of Orbital Masses in Adults
Liyuan Song1, Lizhi Xie2, and Junfang Xian1

1Department of Radiology,Beijing Tongren Hospital,Capital Medical Universityy, Beijing, China, People's Republic of, 2GE Healthcare, MR Research China, Beijing, Beijing, China, People's Republic of

This work assessed the feasibility of quantitative parameters derived from dynamic contrast enhanced MR imaging (DCE-MRI) and evaluate the value of quantitative dynamic contrast enhanced MR imaging in the diagnosis and differential diagnosis of orbital masses in adults. From the result we can see that it is feasible that quantitative parameters of orbital masses can be derived from DCE-MRI. ROI onf the earliest and most enhanced area was optimal for distinguishing benign masses from malignant masses in orbit.

1476
Assessing the repeatability and reproducibility of contrast time courses from a dynamic MRI flow phantom: initial results and experiences
Jacob M. Johnson1, Leah C. Henze Bancroft2, James H. Holmes3, Edward F. Jackson1,2, Frank R. Korosec1,2, Courtney K. Morrison2, Roberta M. Strigel1, Kang Wang3, and Ryan J. Bosca1

1Radiology, University of Wisconsin, Madison, WI, United States, 2Medical Physics, University of Wisconsin, Madison, WI, United States, 3GE Healthcare, Madison, WI, United States

The recent development of a multi-modality, commercially available, dynamic flow phantom has provided a means of assessing the repeatability, reproducibility, and fidelity of contrast concentration time courses. In this work, we aimed to develop and evaluate a methodology for assessing the repeatability and reproducibility contrast concentration time courses derived from dynamic contrast-enhanced MR images of this dynamic flow phantom.

1477
Improved Image Quality when estimating Perfusion Parameters using Bayesian Fitting Algorithm
Irene Klærke Mikkelsen1, Anna Tietze1,2, Lars Ribe1, Anne Obel3, Mikkel Bo Hansen1, and Kim Mouridsen1

1CFIN, Aarhus University, Aarhus, Denmark, 2Dept. of Neuroradiology, Aarhus University Hospital, Aarhus, Denmark, 3Neuroradiology, Aarhus University Hospital, Aarhus, Denmark

Dynamic Contrast Enhanced Perfusion Imaging (DCE) allows for quantification of the blood-brain barrier integrity in tumor patients. A key post-processing step is to fit a hemodynamic model to DCE data. The fitting procedure can, however, cause spurious voxels and image degradation. We compared the widely used Levenberg-Marquardt fitting algorithm to a Bayesian algorithm. Image quality was assessed in 42 tumor patients. The Bayesian approach provided the highest image quality scores. This was confirmed in simulated data with fewer outliers (spurious voxels) when using the Bayesian approach. The hemodynamic two-compartment model that separates cerebral blood flow and leakage, provides reliable Ve images, when the robust Bayesian fitting algorithm is used.

1478
DCE-MRI at high temporal resolution using undersampled radial FLASH: A phantom study
Jost Michael Kollmeier1, Volkert Roeloffs1, and Jens Frahm1

1Biomedizinische NMR Forschungs GmbH, Max-Planck-Institut für biophysikalische Chemie, Göttingen, Germany

We present a DCE-MRI experiment using a commercial perfusion flow phantom for quantitative analysis of image series with high spatial and high temporal resolution (107 ms). Both can be obtained by current real-time MRI methods, i.e. radial undersampled radial FLASH and image reconstruction by nonlinear inversion (NLINV). Contrast agent bolus tracking with high CNR and quantitative parameter maps are presented.

1479
Dynamic contrast-enhanced MRI in primary rectal cancer: correlation with histologic prognostic factors
Zhe Han1,2, Juan Chen2, Min Chen2, Chen Zhang2, and Dandan Zheng3

1Chinese Academy of Medical Science and Peking Union Medical College, Beijing, China, People's Republic of, 2Department of Radiology, Beijing Hospital, Beijing, China, People's Republic of, 3GE Healthcare, MR Research China, Beijing, China, People's Republic of

In this study we compared the association of dynamic contrast-enhanced (DCE)-derived quantitative parameters with the histologic grade, N-stage, epidermal growth factor receptor (EGFR) expression and K-RAS gene mutation of primary rectal cancer.Significant correlations were found between Ktrans values and N-stage, Ktrans values and EGFR expression, Kep values and EGFR expression. DCE-derived quantitative parameters may be a promising imaging biomarker of tumor aggressiveness and prognosis.

1480
Temporal resolution improvement of calibration-free dynamic contrast-enhanced MRI with compressed sensing optimized turbo spin echo: The effects of replacing turbo factor with compressed sensing accelerations
SoHyun Han1 and HyungJoon Cho1

1Biomedical Engineering, Ulsan National Institute Science and Technology, Ulsan, Korea, Republic of

In vivo estimation of Gd-concentration in dynamic contrast enhanced (DCE)-MRI are often compromised from non-negligible T2* effect and limited temporal resolution. In this study, we introduce compressed sensing assisted turbo spin echo (CS-TSE) acquisition to provide accurate Gd-concentration estimation without the need of additional signal calibration, and to achieve a sub-second temporal resolution with extended slice coverage. Phantom verification followed by in vivo arterial input function (AIF) studies validated the faithful concentration estimation of CS-TSE. Robust measurement of first-pass kidney feeding AIF with increased temporal resolution was demonstrated with sub-second temporal resolution.

1481
Gradient optimization using active contour for rapid breast DCE-MRI
Pavan poojar1, Bikkemane Jayadev Nutandev2, Nithin N Vajuvalli1, C.K. Dharmendra Kuman2, Ramesh Venkatesan3, and Sairam Geethanath1

1Medical Imaging Research Centre, Dayananda Sagar College of Engineering, Bangalore, India, 2Bangalore, India, 3Wipro-GE Healthcare, Bangalore, India

In dynamic scans, the significant values of k-space dependent on the shape of the organ which leads to arbitrary k-space trajectories. Gradient optimization for arbitrary k-space trajectory using active contour is a new acquisition technique that has been applied on six DCE breast data. The arbitrary k-space trajectory was obtained by active contour and gradients are optimized by employing convex optimization based on hardware constraints. Image reconstruction was performed using Fourier transform with density compensation.  $$$K^{trans}$$$ and Ve maps were generated for different acceleration factors (1x, 2x, 3x, 4x and 10x) on tumor region to demonstrate utility of the method.

1482
Dictionary based approach for accelerated determination of Pharmacokinetic maps using Partial Least Square regression
Nithin N Vajuvalli1, Shivaprasad Ashok Chikop1, and Sairam Geethanath1

1Medical Imaging Research Centre, Dayananda Sagar Institutions, Bangalore, India

This study is of relevance to MR researchers interested in DCE-MRI. Tofts model is a well-established two compartment model to determine the PharmacoKinetic (PK) maps, which is time consuming due to the presence of iterative curve fitting for each voxel. Current work focuses on the application of Partial Least Square (PLS) regression modelling to determine PK maps. PLS is a statistical method based on PCA and linear regression that provides the relationship between the predictor and response variables. We report 95-98% reduction in time as compared to curve fitting approaches for in silico phantoms and in vivo breast DCE data.


Traditional Poster

Arterial Spin Labeling

Exhibition Hall Monday, May 9, 2016: 16:30 - 18:30

1483

Reproducibility and Variability of a Look-Locker FAIR ASL Sequence for Quantitative Measurement of Myocardial Blood Flow in Healthy Human Volunteers at 3T
Graeme A Keith1, Christopher T Rodgers1, Michael A Chappell2, and Matthew D Robson1

1Oxford Centre for Clinical Magnetic Resonance Research, University of Oxford, Oxford, United Kingdom, 2Institute of Biomedical Engineering, University of Oxford, Oxford, United Kingdom

A previously presented arterial spin labelling (ASL) method was tested for reproducibility and variability. These measures are important to consider when planning a clinical study. The results presented show that the method has the sensitivity required to detect changes in MBF in pathology and under stress. The variation in individuals is shown to be less than across the sample as a whole. This knowledge will be useful in the planning of future clinical research studies.

1484
T2 Relaxation of Human Blood  at 3T Revisited:  In Vivo and In Vitro Meaurement using TRUST MRI
Adam Bush1, Jon Detterich2, Thomas Coates3, Herbert Meiselman4, and John Wood1

1Biomedical Engineering/ Cardiology, University of Southern California/ Children's Hospital Los Angeles, Los Angeles, CA, United States, 2Cardiology, Children's Hospital Los Angeles, Los Angeles, CA, United States, 3Hematology, Children's Hospital Los Angeles, Los Angeles, CA, United States, 4Physiology and Biophysics, University of Southern California, Keck School of Medicine, Los Angeles, CA, United States

Precise knowledge of the T2 of blood (T2b) is required for spin-echo based blood oxygenation determination methods such as TRUST (T2 Relaxation Under Spin Tagging).  In this study we measure the T2b in vivo and vitro using TRUST MRI.  After correcting for physiologic variable we found that our model of T2b is statistically significantly different from the models used by other groups.  We conclude those model lead to errors in derived parameters including oxygen saturation, oxygen extraction fraction and cerebral metabolic rate.

1485
Reproducibility of abdominal perfusion imaging using velocity selective arterial spin labeling
Marijn van Stralen1, Esben Thade Petersen1,2, Jeroen Hendrikse1, and Clemens Bos1

1University Medical Center Utrecht, Utrecht, Netherlands, 2Danish Research Center for MR, Hvidovre, Denmark

Abdominal perfusion imaging using contrast media injection is potentially nephrotoxic. Arterial spin labeling (ASL), employing endogenous contrast, was shown using spatially selective labeling strategies. We investigated the reproducibility of velocity selective ASL (VS-ASL), which eliminates delicate label planning and possibly improves perfusion SNR by labeling closer to the target tissue. We show that abdominal VS-ASL is feasible in healthy volunteers and overcome labeling artifacts by pacing and triggering the acquisition with good temporal SNR. However, VS-ASL is sensitive to motion during readout, deteriorating reproducibility. It could benefit from outlier rejection techniques and retrospective motion correction.  

1486
Whole brain volumetric perfusion imaging with high spatial resolution using simultaneous multi-slab (SMSB) 3D GRASE pCASL
Yi Wang1, Xingfeng Shao1, Steen Moeller2, and Danny JJ Wang1

1Neurology, UCLA, Los Angeles, CA, United States, 2Center of Magnetic Resonance Research, University of Minnesota, Minneapolis, MN, United States

The temporal SNR of simultaneous multi-slice (SMS) 2D EPI ASL has been shown to be inferior to that of 3D background suppressed GRASE. In this work, we present a novel simultaneous multi-slab (SMSB) 3D GRASE sequence for volumetric pCASL imaging with high spatial resolution. The image quality of SMSB-GRASE was evaluated and compared to a standard 3D GRASE pCASL sequence. Preliminary results demonstrated the feasibility for whole-brain volumetric perfusion imaging at a high spatial resolution, although the drop in RF slice profiles in the overlapped boundary slices still needs to be addressed in future work.

1487
A Perfusion Phantom for Arterial Spin Labeled MRI
Hyo Min Lee1,2, Marta Vidorreta3,4, Yulin Vince Chang3, and John Alan Detre3,4

1Bioengineering, University of Pennsylvania, Philadelphia, PA, United States, 2Institute for Biomedical Engineering, University and ETH Zürich, Zürich, Switzerland, 3Radiology, University of Pennsylvania, Philadelphia, PA, United States, 4Neurology, University of Pennsylvania, Philadelphia, PA, United States

ASL MRI is an appealing biomarker for clinical research and management, but ASL MRI sequences are difficult to calibrate because a reliable phantom for simulating tissue-specific perfusion has yet to be developed. In this work, we describe a prototype perfusion phantom based on 3D printed vessels and mock parenchyma that may allow reliable, ex-vivo assessments of ASL sequences.

1488
Improved Pseudo Continuous Arterial Spin Labeling Efficiency Robustness to Off Resonance and High Velocity
Li Zhao1 and David C Alsop1

1Radiology, Beth Israel Deaconess Medical Center, Boston, MA, United States

Pseudo continuous arterial spin labeling (pCASL) studies can be degraded by magnetic field variations at the labeling plane. We demonstrate through simulations that high velocity efficiency is particularly vulnerable to field offsets. By changing labeling parameters from published recommendations and/or introducing a new RF pulse, the off-resonance sensitivity and peak systolic velocity sensitivity of pCASL can be reduced. Preliminary experimental comparisons of parameters are reported.

1489
3D Arterial Spin Labeling in breast cancer: A case study.
Thorsten Honroth1, Suzan Vreemann2, Marco Vicari1, Hendrik Laue1, Ritse Mann2, and Matthias Günther1,3,4

1Fraunhofer MEVIS, Bremen, Germany, 2Radboud University Medical Center, Nijmegen, Netherlands, 3University of Bremen, Bremen, Germany, 4mediri GmbH, Heidelberg, Germany

A single-shot 3D arterial spin labeling (ASL) sequence has been developed and optimized for breast cancer imaging. In a case study, its ability to measure the perfusion of a tumor without contrast agents is demonstrated. The resulting ASL perfusion-weighted image of the tumor shows high correspondence with the subtraction image of the contrast-enhanced measurement.

1490
Priors-guided adaptive outlier cleaning for arterial spin labeling perfusion MRI
Ze Wang1,2

1Hangzhou Normal University, Hangzhou, China, People's Republic of, 2Psychiatry and Radiology, University of Pennsylvania, PHILADELPHIA, PA, United States

ASL CBF signal is derived from the difference between successive labeling and no-labeling images. The low signal-to-noise-ratio and the pairwise subtraction can then result in outliers, which can significantly degrade CBF quantification quality in a typical several minutes scan. A priors-guided adaptive outlier cleaning algorithm was verified in this study. Our results showed that the proposed method improved both CBF quantification quality and CBF measurement stability.

1491
Improving SNR in pulsed arterial spin labeling using multiple inversion modules (MM-PASL)
Jia Guo1, Richard B. Buxton1, and Eric C. Wong1,2

1Radiology, UC San Diego, La Jolla, CA, United States, 2Psychiatry, UC San Diego, La Jolla, CA, United States

The bolus duration in pulsed arterial spin labeling (PASL) is typically short, resulting in low SNR. We propose using multiple inversion pulses to increase the total bolus duration for improved SNR. In this study, a wedge-shaped inversion was combined with a regular slab inversion and a QUIPSS II pulse to lengthen the total bolus duration while keeping the ASL signal quantitative. The preliminary in vivo results showed an SNR improvement of 54% in gray matter, in good agreement with theory, compared to a regular PASL scan. The mean GM CBF values were consistent with PCASL reference scans. This new labeling method should benefit studies using PASL. 

1492
A simple and reliable perfusion phantom to measure precise and repeatable arterial spin labeled quantitative perfusion
Joshua S. Greer1,2, Keith Hulsey2, Robert E. Lenkinski2,3, and Ananth J. Madhuranthakam2,3

1Bioengineering, University of Texas at Dallas, Richardson, TX, United States, 2Radiology, UT Southwestern Medical Center, Dallas, TX, United States, 3Advanced Imaging Research Center, UT Southwestern Medical Center, Dallas, TX, United States

Arterial spin labeling (ASL) is a rapidly growing area of interest, primarily because of its ability to provide quantitative perfusion maps non-invasively. But, for the technique to be adopted for clinical use, these quantitative measurements need to be accurate and robust, which will require a quality controlled perfusion phantom to ensure consistency for different magnet strengths and manufacturers. In this study, we demonstrate a simple perfusion flow phantom that can be used to test the precision and repeatability of ASL perfusion measurements.

1493
Considerations of cardiac phase can improve ASL quality in multiple settings
Yang Li1,2, Deng Mao1,2, Zhiqiang Li3, Michael Schär1, James G. Pipe3, and Hanzhang Lu1

1Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University, Baltimore, MD, United States, 2Graduate School of Biomedical Sciences, University of Texas Southwestern Medical Center, Dallas, TX, United States, 3Imaging Research, Barrow Neurological Institute, Phoenix, AZ, United States

Recent studies have identified a cardiac-pulsation induced signal modulation in recommended ASL implementation (pseudocontinuous labeling 1.8s/post-labeling delay 1.8s/background-suppression/3D acquisition). In pCASL with single-shot readout, the ASL signal fluctuation could be reduced by cardiac-triggering scheme. Here is this study, we aim to extend the scope and provide possible solutions to other pCASL settings that suffer from pulsation effect, such as pCASL with 3D segmented readout, perfusion change detecting in CBF manipulations (e.g. hypercapnia), and regular pCASL when cardiac-triggering sequence is not available. We have demonstrated that considerations of cardiac phase can improve ASL data quality in multiple settings.

1494
Assessment of Readout Performance in Arterial Spin Labeling Using Statistical 3D Mapping.
Jalal B. Andre1, Swati Rane1, Zhiqiang Li2, James G. Pipe2, Michael N. Hoff1, Donna J. Cross1, and Satoshi Minoshima3

1Radiology, University of Washington, Seattle, WA, United States, 2Imaging Research, Barrow Neurological Institute, Phoenix, AZ, United States, 3Radiology, University of Utah, Salt Lake City, UT, United States

In this pilot project, we evaluated the effect of various readout schemes on specific ASL imaging metrics assessed by statistical 3D stereotactic surface projection, and applied to a pseudocontinuous labeling scheme that was conserved across all evaluated sequences. We conclude that descriptive statistical 3D mapping can offer insight into the performance of the five differing readout methods. 

1495
SAR comparison between CASL and pCASL at high magnetic field (9.4T). Evaluation of the benefit of a separate labeling coil.
Lydiane Hirschler1,2, Jérome Voiron2, Sascha Köhler2, Nora Collomb1,3, Emmanuel L. Barbier1,3, and Jan M. Warnking1,3

1Université Grenoble Alpes, Grenoble Institute of Neuroscience, Grenoble, France, 2Bruker Biospin, Ettlingen, Germany, 3Inserm, U836, Grenoble, France

Arterial Spin Labeling (ASL) is a non-invasive technique to obtain quantitative maps of perfusion. At higher magnetic fields, it benefits from both higher signal-to-noise ratio and longer T1 but could suffer from higher RF power deposition and thus temperature increase. The latter issue has however not been characterized in animals. In this study, the specific absorption rate (SAR) delivered to a rat was measured in vivo at 9.4T using continuous ASL (CASL) and pseudo-continuous ASL (pCASL) with and without a dedicated labeling coil.

1496
Deformation and resolution issues in partial volume correction of 2D arterial spin labeling data
Jan Petr1, Henri JMM Mutsaerts2, Enrico De Vita3,4, Jens Maus1, Jörg van den Hoff1, and Iris Asllani5

1Institute of Radiopharmaceutical Cancer Research, Helmholtz-Zentrum Dresden-Rossendorf, Dresden, Germany, 2Sunnybrook Research Institute, Toronto, ON, Canada, 3Lysholm Department of Neuroradiology, National Hospital for Neurology and Neurosurgery, London, United Kingdom, 4Academic Neuroradiological Unit, Department of Brain Repair and Rehabilitation, UCL Institute of Neurology, London, United Kingdom, 5Department of Biomedical Engineering, Rochester Institute of Technology, Rochester, NY, United States

Partial volume (PV) effects are a well-recognized confounder in arterial spin labeling due to its limited spatial resolution. Several algorithms exist to correct for these errors. Nevertheless, PV-correction is rarely used, mainly because the PV maps obtained from segmented T1-weighted images are regarded as not being sufficiently reliable when transformed into ASL space. Here, we show the impact of spatial deformation and resolution in the PV-maps used for PV-correction in the calculation of mean total gray matter (GM) cerebral blood flow (CBF). We also show how the deformations affect the calculation of PV-uncorrected mean GM CBF.

1497
Multiphase pCASL for imaging blood flow in rodent brains
James R Larkin1, Manon A Simard1, Alexandre A Khrapitchev1, Kevin J Ray1, James A Meakin2, Paul Kinchesh1, Sean Smart1, Peter Jezzard2, Michael A Chappell3, and Nicola R Sibson1

1CRUK and MRC Oxford Institute for Radiation Oncology, Department of Oncology, University of Oxford, Oxford, United Kingdom, 2FMRIB Centre, University of Oxford, Oxford, United Kingdom, 3Institute of Biomedical Engineering, Department of Engineering, University of Oxford, Oxford, United Kingdom

Arterial spin labelling perfusion imaging in the rodent brain is easily confounded by off-resonance effects at the tagging plane. These effects are a consequence of the higher field strengths used pre-clinically and the nearby air cavities in the rodent head and neck, something not as problematic in the clinic. By implementing a multiphase pCASL sequence with eight phases spaced at 45° and lying between 0 and 315°, it is possible to obtain data to allow fitting thereby accounting for any off-resonance effects. This process dramatically improves image quality without excessively affecting acquisition time. 

1498
Does cardiac triggering improve pCASL signal stability? Isolation of the effect of the last labeled spins by end-of-labeling triggering and extremely long labeling durations
Jasper Verbree1 and Matthias J.P. van Osch1

1Radiology Department; Leiden Institute for Brain and Cognition; C.J. Gorter Center for High-field MRI, Leiden University Medical Center, Leiden, Netherlands

In pCASL, the blood tagged at the end-of-labeling period is expected to contribute most to the perfusion signal due to T1 recovery of the labeled spins. The influence on PCASL of cardiac triggering at the end-of-labeling was assessed with simulations and subsequently applied in volunteers. Simulations predict a 9% variation in ASL-signal over the cardiac cycle. In-vivo measurements were unable to show the predicted effect nor a difference in tSNR. Combining with earlier findings concerning cardiac triggering, neither triggering start- or end of labeling triggering improves signal stability, suggesting that cardiac triggering is not beneficial for pCASL.

1499
Neurophysiological effects and dose response curve of tDCS stimulation assessed by pseudo-continuous Arterial Spin Labeling
Mayank V Jog1, Kay Jann2, Lirong Yan2, and Danny JJ Wang2

1Biomedical Engineering, University of California Los Angeles, Los Angeles, CA, United States, 2Neurology, University of California Los Angeles, Los Angeles, CA, United States

Transcranial Direct Current Stimulation (tDCS) is one of such neuromodulation techniques that applies a small current (1-2mA) using scalp electrodes. Though tDCS has been shown to improve cognition as well as clinical symptoms, the mechanism of action is still unclear.

In this study, we sought to evaluate the neurophysiological effects of tDCS in a typical bilateral motor montage through concurrent Cerebral Blood Flow (CBF) measurements using arterial spin labeling (ASL). We were able to reliably detect increased blood flow under the anode as well as CBF changes in brain-wide networks.



Traditional Poster

Endogenous CEST & MT

Exhibition Hall Monday, May 9, 2016: 16:30 - 18:30

1500
REGIONAL AND STRUCTURAL CHANGES OF THE SPINAL CORD TISSUE ENCOUNTERED IN AMYOTROPHIC LATERAL SCLEROSIS (ALS): A PRELIMINARY AND PROMISING CHARACTERIZATION USING DTI and ihMT.
Henitsoa Rasoanandrianina1,2,3,4, Aude-Marie Grapperon5, Manuel Taso1,2,3,4, Olivier M. Girard1,2, Guillaume Duhamel1,2, Elisabeth Soulier1,2, Lauriane Pini1,2, Audrey Rico6, Bertrand Audoin6, Maxime Guye1,2, Jean-Philippe Ranjeva1,2, and Virginie Callot1,2,3

1CRMBM UMR 7339, Aix-Marseille Université, CNRS, Marseille, France, 2CEMEREM, AP-HM, Pôle d'Imagerie Médicale, Hopital de La Timone, Marseille, France, 3iLab-Spine International Associate Laboratory, Marseille/Montréal, France, 4LBA UMR T 24, Aix-Marseille Université, IFSTTAR, Marseille, France, 5Service de Neurologie et Maladies neuro-musculaires, AP-HM,Hopital de La Timone, Marseille, France, 6Service de Neurologie et Unité NeuroVasculaire, AP-HM,Hopital de La Timone, Marseille, France

In this study, regional alteration of the spinal cord (SC) tissue encountered in amyotrophic lateral sclerosis (ALS) were investigated using dedicated SC templates and 3T-multiparametric MRI techniques, in particular diffusion tensor imaging (DTI) and the emerging myelin-specific inhomogeneous magnetization transfer (ihMT) technique. Results collected on 9 patients showed significant alteration of the DTI metrics compared to age-matched controls. They also demonstrated impairment of the MT metrics in the bilateral corticospinal tracts, as well as in the dorsal sensory tracts and the anterior gray matter horns. Combined with reduced ihMT metric variations, this suggests increase of the macromolecular pool, without pronounced demyelination. The structural changes we observed suggest a complex chrono-physiopathology that need to be further investigated. 

1501
Mapping the myelin g-ratio: promises and pitfalls
Jennifer SW Campbell1, Ilana R Leppert1, Mathieu Boudreau1, Sridar Narayanan1, Julien Cohen-Adad2,3, G B Pike1,4, and Nikola Stikov2,5

1Montreal Neurological Institute, Montreal, QC, Canada, 2Ecole Polytechnique, University of Montreal, Montreal, QC, Canada, 3Functional Neuroimaging Unit, University of Montreal, Montreal, QC, Canada, 4Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada, 5Montreal Heart Institute, Montreal, QC, Canada

The aggregate myelin g-ratio is a function of the myelin volume fraction (MVF) and the fiber volume fraction (FVF).  While this relationship holds in theory, obtaining precise and accurate MRI measures of the MVF and FVF remains a challenge.  Most MVF mapping techniques have been linearly correlated with histology, but the literature suggests that the slope and intercept are acquisition dependent. In this work, we focus on three magnetization transfer (MT) derived MVF metrics (MTR, MT_sat and qMT) and explore how improper calibration of the MVF estimates propagates to the aggregate g-ratio.   The result of an incorrect MVF calibration is not simply loss in sensitivity to g-ratio changes, but rather g-ratio trends that are statistically significant, incorrect, and highly dependent on the fiber volume fraction changes.

1502
Measurement of the Resonance Frequency of Macromolecular Protons in Brain
Xu Jiang1,2, Peter van Gelderen1, and Jeff H. Duyn1

1AMRI, LFMI, NINDS, NIH, Bethesda, MD, United States, 2Physics, University of Maryland, College Park, MD, United States

Studying the spectral asymmetry in Magnetization Transfer (MT) is essential for precise estimation of MT-related parameters from off-resonance MT experiments. Measurement of the delay-dependent water proton saturation following composite MT pulses was used to determine parameters for a 2-pool exchange model. These parameters were further used to calculate saturation levels of macromolecular protons (MPs) following off-resonance MT pulses. The off-resonance frequency for MPs is found to be -2.7ppm from water for fixed marmoset brain, and -2.56ppm for human brain. This is consistent with previous studies.

1503
Validation of Provotorov theory of RF saturation to describe inhomogeneous magnetization transfer (ihMT)
Scott D. Swanson1

1Department of Radiology, University of Michigan, Ann Arbor, MI, United States

This study shows that Provotorov theory of RF saturation provides an accurate description of inhomogeneous MT (ihMT) in model systems. These results help understand how long proton T1D times lead to large ihMT signals in model systems and in tissues.

1504
Ultrashort Echo Time Magnetization Transfer (UTE-MT) Imaging: Two-Pool vs Three-Pool Modeling
Yajun Ma1, Graeme Bydder1, and Jiang Du1

1Department of Radiology, UCSD, San Diego, CA, United States

Conventional MT modeling can only be applied to long T2 tissues since short T2 tissues such as cortical bone show little or no signal with clinical sequences. Ultrashort echo time magnetization transfer (UTE-MT) imaging is likely to help with this difficulty. In this study we aimed to develop and utilize UTE-MT imaging and compare two-pool with three-pool modeling of bovine cortical bone samples using a clinical 3T scanner.

1505
Estimation of the bound proton pool involved in MT using spin and stimulated echoes
Lukas Pirpamer1 and Stefan Ropele1

1Neurology, Medical University of Graz, Graz, Austria

We here present a proof of concept for a new quantitative MT mapping sequence using spin and stimulated echoes. The approach is based on the fact, that the labeled magnetization of the STEAM signal follows an double-exponential decay due to MT. With the help of a T1 map, a single acquisition with just one mixing time and an integrated spin echo allows to map the fraction of the bound proton pool.

1506
3D Clinical APTw MRI with Improved Contrast Homogeneity
Jochen Keupp1, Jinyuan Zhou2, and Osamu Togao3

1Philips Research, Hamburg, Germany, 2Department of Radiology, Johns Hopkins University, Baltimore, MD, United States, 3Clinical Radiology, Kyushu University Hospital, Fukuoka, Japan

APTw MRI is an emerging technique for sensitive tissue characterization, in particular in oncology  (e.g. tumor grading). Fast-spin-echo(FSE)-Dixon acquisition techniques allow efficient and simultaneous acquisition of APT weighted (APTw) and ΔB0 information. An improved FSE-Dixon APTw acquisition protocol with intrinsic ΔB0 correction was implemented on a clinical MRI scanner, using multiple averages with saturation at the amide chemical shift (Δω=+3.5ppm). Contrast homogeneity was evaluated in a volunteer study and is presented together with initial clinical results on brain tumor patients.

1507
In vivo application of lactate chemical exchange saturation transfer imaging: human exercise study
Catherine DeBrosse1, Ravi Nanga1, Puneet Bagga1, Mohammad Haris2, Hari Hariharan1, and Ravinder Reddy1

1Center for Magnetic Resonance and Optical Imaging, University of Pennsylvania, Philadelphia, PA, United States, 2Research Branch, Sidra Medical and Research Center, Doha, Qatar

Metabolic regulation is disrupted in many diseases. As a result, the levels of lactate present in the body are often affected and implicated in disease progression and clinical outcome. To better understand lactate metabolism, an imaging technique with high sensitivity and spatial resolution is required. In this study, a chemical exchange saturation transfer (CEST) magnetic resonance imaging method, based on the exchange between lactate hydroxyl proton and bulk water protons was used to image lactate. As proof-of-principle, LATEST was implemented in vivo in exercising human skeletal muscle to image the increased lactate that results from intense exercise. 

1508
Amide Proton Transfer (APT) imaging of brain tumors at 7T: the role of tissue water T1-relaxation properties
Vitaliy Khlebnikov1, Daniel Polders2, Jeroen Hendrikse1, Pierre A Robe1, Eduard H Voormolen1, Peter R Luijten1, Dennis WJ Klomp1, and Hans Hoogduin1

1Radiology, University Medical Center Utrecht, Utrecht, Netherlands, 2Philips Healthcare, Best, Netherlands

The purpose of this study was to provide insight into the effect of water-T1-relaxation (T1w) on Amide Proton Transfer (APT) contrast in tumors. To this end, three different metrics of APT contrast, (mainly novel magnetization transfer ratio (MTRRex), relaxation-compensated MTRRex (AREX) and traditional asymmetry (MTRasym)) were compared in normal and tumor tissues in a variety of intracranial tumors at 7T. The strong correlation of MTRRex and MTRasym with T1w and the absence thereof in AREX suggests that much of APT contrast in tumors at 7T originates from the inherent tissue water-T1-relaxation  properties.


1509
Monitoring therapeutic response on medullary thyroid carcinoma in chemotherapy by amide proton transfer (APT) imaging in an orthotopic mouse model
Keisuke Ishimatsu1, Karine Pozo2, Shanrong Zhang1, Koji Sagiyama1, Osamu Togao1, James Bibb3, and Masaya Takahashi1

1Advanced Imaging Research Center, University of Texas Southwestern Medical Center, Dallas, TX, United States, 2Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX, United States, 3Department of Psychiatry / Harold C. Simmons Comprehensive Cancer Center / Department of Neurology and Neurotherapeutics, University of Texas Southwestern Medical Center, Dallas, TX, United States

The objective is to investigate whether amide proton transfer (APT) imaging is useful for evaluation of anticancer treatment responses in chemotherapy. We compared the temporal changes of APT signal with the different treatment strategies using two new drugs, administered individually or in combination, in a mouse model of medullary thyroid carcinoma.


1510
A Study on CrCEST Mapping in Human Brain at 7T MRI
Anup Singh1,2, Mohammad Haris3, Kejia Cai4, Hari Hariharan5, and Ravinder Reddy5

1Centre for Biomedical Enineering, Indian Institute of Technology Delhi, New Delhi, India, 2Biomedical Engineering, AIIMS Delhi, New Delhi, India, 3Research Branch, Sidra Medical and Research Center, Doha, Qatar, 4Department of Radiology, University of Illinois at Chicago, Chicago, IL, United States, 5Department of Radiology, University of Pennsylvania, Philadelphia, PA, United States

Creatine(Cr) is a significant brain metabolite and its alterations has been reported in various disease conditions. In this study, chemical-exchange-saturation-transfer (CEST) MRI of Creatine(CrCEST) was performed in human brain at 7T MRI scanner. Numerical simulations were also carried out for evaluating contributions from other brain metabolites to CrCEST and a method to reduce this contamination was proposed based upon simulated data observations. Using, conventional CESTasy method, CrCEST has ~50% contribution from Cr. Using proposed subtraction based approach it is feasible to reduce contaminations from other metabolites/molecules and hence making CrCEST more specific to Cr.

1511
Quantitative analysis of the evolution of Multiple Sclerosis (MS) lesion MT and NOE pool concentrations using CEST analysis via MR fingerprinting
Nicolas Geades1, Amal Samaraweera2, William Morley1, Matthew Cronin3, Nikos Evangelou2, Penny Gowland1, and Olivier Mougin1

1Sir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, United Kingdom, 2Division of Clinical Neuroscience, Queen’s Medical Centre, University of Nottingham, Nottingham, United Kingdom, 3Brain Imaging and Analysis Centre, Duke University, Durham, NC, United States

This study presents a method of acquiring quantitative MT and NOE concentration percentages of MS lesions over a period of 30 weeks. MT and NOE mean percentages were compared for WM lesion ROIs and NAWM ROIs, showing a clear drop of both MT and NOE when a lesion appears, followed by a gradual increase in concentrations in the following weeks, indicating remyelination. The fitting results are backed by a parallel repeatability study which shows the repeatability of the method and its noise levels. The results indicate that NOE fitting is very robust against variations in B1 compared to fitting MT.


Traditional Poster

CEST: Agents & Methods

Exhibition Hall Monday, May 9, 2016: 16:30 - 18:30

1512
Early cancer signs detected by glucoCEST
Francisco Torrealdea1, Marilena Rega1, Sebastian Brandner1, David Thomas1, and Xavier Golay1

1Brain Repair & Rehabilitation, UCL Institute of Neurology, London, United Kingdom

In this work, the feasibility of using glucoCEST as a tool for early detection of primary brain tumours is explored. Mice bearing xenograft glioblastoma tumours were scanned longitudinally using a glucoCEST protocol. The results suggest the intriguing possibility that glucoCEST contrast may be able to detect the presence of cancer at very early stage.

1513
­ Injectable alginate hydrogel for supporting neural stem cells and imaging of survival using chemical exchange saturation transfer (CEST)
Antje Arnold1,2, Yuguo Li1,3, Guanshu Liu1,3, Peter C.M. van Zijl1,3, Jeff W.M. Bulte1,2, Piotr Walczak1,2, and Kannie WY Chan1,3

1Radiology, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 2Cellular Imaging Section and Vascular Biology Program, Institute for Cell Engineering, Baltimore, MD, United States, 3FM Kirby Research Center, Kennedy Krieger Institute, Baltimore, MD, United States

Cell therapy is showing promise in treating neurological disorders, but cell survival after transplantation is usually low, which is a major limiting factor for achieving therapeutic efficacy. One of the major hurdles in translating cell therapies to patients is the lack of non-invasive approaches to monitor the cells and their microenvironment after transplantation. We developed an injectable alginate hydrogel that supports cell survival and allows monitoring of cell status using liposomes as the nanosensors after transplantation into the brain. Hydrogel embedded cells survived better as compared to the cells without the hydrogel, and cells transplanted using the nanosensor-labeled hydrogel could be imaged using CEST-MRI.

1514
Chemical exchange-sensitive spin-lock MRI of glucose and deoxyglucose in brain tumors
Tao Jin1, Bistra Iordanova1, Ping Wang1, and Seong-Gi Kim2,3

1University of Pittsburgh, Pittsburgh, PA, United States, 22Center for Neuroscience Imaging Research, Institute for Basic Science, Suwon, Korea, Republic of, 3Department of Biomedical Engineering, Sungkyunkwan University, Kuwon, Korea, Republic of

Glucose uptake and metabolism are important biomarkers for tumor diagnosis and prognosis. Recent studies showed that the glucose uptake and metabolism can be measured by a chemical exchange sensitive spin-lock (CESL) MRI approach with administration of non-labelled glucose or analogs (glucoCESL), providing unique advantage over the widely used position emission tomography technique. In this preliminary study, we evaluated the efficacy of glucoCESL for the study of brain tumor. The sensitivity and spatiotemporal characteristics of CESL signal with administration of D-Glucose, 2-deoxy-D-glucose and L-glucose were compared.

1515
On Resonance VDMP Technique for Improved glucoCEST Detection in Brain Tumors
Xiang Xu1,2, Kannie WY Chan1,2, Huanling Liu1,3, Yuguo Li1,2, Guanshu Liu1,2, Peter C.M. van Zijl1,2, and Jiadi Xu1,2

1Department of Radiology and Radiological Science, Johns Hopkins University, Baltimore, MD, United States, 2F.M. Kirby Research Center, Kennedy Krieger Institute, Baltimore, MD, United States, 3Department of Ultrasound, Guangzhou Panyu Central Hospital, Guangzhou, China, People's Republic of

An on-resonance variable delay multi-pulse (onVDMP) CEST technique was developed for the detection of fast-exchanging protons. The new method was applied to the detection of glucoCEST signal changes upon venous glucose injection in a mouse tumor model and compared with conventional cw-CEST method. Both methods highlight the tumor and the blood vessels upon glucose injection in mice brain implanted with brain tumors. However compared with cw-CEST, the onVDMP technique increased the tumor contrast to noise ratio by about 50% due to its sensitivity to total fast exchanging protons. 

1516
Model-based Extraction of z-spectrum Asymmetry using SYmmetric basis (EASY)
Hoonjae Lee1,2 and Jaeseok Park3

1Center for Neuroscience Imaging Research (CNIR), Institute for Basic Science (IBS), Suwon, Korea, Republic of, 2Department of Brain and Cognitive Engineering, Korea University, Seoul, Korea, Republic of, 3Department of Biomedical Engineering, Sungkyunkwan University, Suwon, Korea, Republic of

CEST MRI is an indirect molecular imaging technique, in which a small molecular signal is amplified by chemical exchange phenomenon. Multiple acquisition of imaging data with varying saturation frequencies, called z-spectrum acquisition, is typically performed, and then subtraction-based MTR asymmetry analysis is employed to investigate the effect of CEST on MRI. However, since the z-spectrum is additionally convoluted by inherent asymmetric MT, NOE, etc, conventional asymmetry analysis is prone to substantial errors. To tackle these problems, in this work we introduce a new, model-based extraction method of the z-spectrum asymmetry using symmetric basis (EASY) to directly characterize the signal sources of the asymmetric z-spectrum.

1517
Rapid 3D spiral CEST
Bing Wu1, Rui Li2, Chien-yuan Lin3, Lin Ma2, and Zhenyu Zhou1

1GE healthcare MR Research China, Beijing, China, People's Republic of, 2PLA 301 Hospital, Beijing, China, People's Republic of, 3GE healthcare MR Research China, Taipei, Taiwan

There is a growing need for larger spatial coverage and better resolution for CEST (Chemical exchange saturation transfer). In this work, CEST acquisition based on 3D spiral was implemented and tested. Whole brain coverage could be achieved at 8s per spectral point that allows practical application. APT study showed consistent results as previous studies.  

1518
Enhanced sensitivity of renal pH measurement with MR-CEST ratiometric imaging of Iopamidol in a normal rodent model at 4.7 T
Yin Wu1,2, Iris Yuwen Zhou1, Takahiro Igarashi1, Yingkun Guo1, Lin Li1, and Phillip Zhe Sun1

1Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Charlestown, MA, United States, 2Paul C. Lauterbur Research Centre for Biomedical Imaging, Shenzhen Key Laboratory for MRI, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China, People's Republic of

Renal pH was recently quantified with MR-CEST ratiometric imaging of Iopamidol at 7 T. However, the two exchangeable proton groups of Iopamidol would substantially overlap at lower magnetic field, leading to inaccurate pH quantification. Here, we investigated a Lorentzian-based decoupling algorithm to resolve the two saturation transfer effects for improved ratiometric pH measurement in rodents at 4.7 T. Results exhibits substantially enhanced range and sensitivity of pH measurements. The obtained renal pH maps are consistent with the published results. Therefore, the proposed method provides a novel way for reliable renal pH mapping, which benefits pH quantification at clinical field strengths.

1519
Insight into the Quantitative Metrics of Chemical Exchange Saturation Transfer (CEST) Imaging
Hye-Young Heo1,2, Dong-Hoon Lee1, Yi Zhang1, Xuna Zhao1, Shanshan Jiang1, and Jinyuan Zhou1,2

1The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 2F.M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Institute, Baltimore, MD, United States

Amide proton transfer (APT) imaging is a novel chemical exchange saturation transfer (CEST)-based MRI modality that can detect various endogenous mobile proteins and peptides in tissue, such as those in the cytoplasm. The APT quantification results depend on the CEST metrics, which is undesirable. In this study, four CEST metrics: (i) CEST ratio (CESTR), (ii) CESTR normalized with the reference value (CESTRnr), (iii) inverse Z-spectrum-based (MTRRex), and (iv) apparent exchange-related relaxation (AREX), were compared using five-pool Bloch equation-based simulations with varied RF saturation powers and magnetic field strength, and in an in vivo rat tumor study at 4.7 T.

1520
Fast Whole-Brain Spiral-CEST Encoding with Spectral and Spatial B0 Correction
Sugil Kim1,2 and Jaeseok Park3

1Center for Neuroscience Imaging Research (CNIR), Institute for Basic Science (IBS), Suwon, Korea, Republic of, 2Department of Brain and Cognitive Engineering, Korea University, Seoul, Korea, Republic of, 3Department of Biomedical Engineering, Sungkyunkwan University, Suwon, Korea, Republic of

To develop fast whole-brain spiral-CEST encoding with spectral and spatial correction of magnetic field inhomogeneities 

1521
Influence of tissue integrity and external field strength on the exchange-relayed NOE-CEST effect of mobile proteins
Johannes Windschuh1, Moritz Zaiss1, Jan-Eric Meissner1, Steffen Goerke1, and Peter Bachert1

1Division of Medical Physics in Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany

We investigated the dependencies of the exchange-relayed Nuclear Overhouser Effect (rNOE) observable in Chemical Exchange Saturation Transfer (CEST) experiments on tissue integrity and static magnetic field strength B0. By comparison of a homogenized and native sample of white matter tissue of animal brain we could show that the CEST signal of the aliphatic rNOE is independent of  tissue structure. The observed increase of all CEST effects on decrease of B0 probably results from relatively broader saturation bandwidth at lower field strengths. No indication for a rNOE dependency on B0 differing from that of chemical exchange effects could be found.


1522

Fast Chemical Exchange Saturation Transfer (CEST) Imaging with Variably-accelerated Sensitivity Encoding (vSENSE)
Yi Zhang1, Hye-Young Heo1, Dong-Hoon Lee1, Paul Bottomley1, and Jinyuan Zhou1,2

1Division of MR Research, Department of Radiology, Johns Hopkins University, Baltimore, MD, United States, 2F. M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Institute, Baltimore, MD, United States

CEST imaging has numerous applications, but its widespread clinical use is hampered by relatively long acquisition times. Here, a novel variably-accelerated sensitivity encoding (vSENSE) method is proposed that provides faster CEST acquisitions than conventional SENSE. The vSENSE approach undersamples k-space variably for images acquired at different saturation frequencies to maximize acquisition speed. vSENSE was validated in a phantom and in 8 patients with brain tumors studied at 3T. The vSENSE method provided a 4-fold acceleration, compared to conventional SENSE which permitted only a 2-fold acceleration, with both compared to a full k-space reconstruction.

1523
Selective Amide- and NOE-CEST- MRI in Prostate at 7T using a Multi-transmit system
Catalina S. Arteaga de Castro1, Hans J.M. Hoogduin1, Vitaliy Khlebnikov1, Peter R. Luijten1, Dennis W.J. Klomp1, and Moritz Zaiss2

1Imaging Division, University Medical Center Utrecht, Utrecht, Netherlands, 2Medical Physics in Radiology, German Cancer Research Center, Heidelberg, Germany

The feasibility of selective NOE- and amide-CEST detection in the prostate at 7T was investigated with a multi-transmit system. Both effects can be acquired simultaneously due to the increased sensitivity and spectral resolution available at 7T. Fitted NOE- and amide-CEST were reproducible within experiments. NOE-CEST was found to be more pronounced than amide-CEST in small and whole prostate ROIs and the peripheral zone showed the lowest amide- and NOE-CEST effects.

1524

Highly-accelerated CEST Measurements in Three Dimensions with Linear Algebraic Modeling
Yi Zhang1, Hye-Young Heo1, Dong-Hoon Lee1, Shanshan Jiang1, Xuna Zhao1, Paul Bottomley1, and Jinyuan Zhou1,2

1Division of MR Research, Department of Radiology, Johns Hopkins University, Baltimore, MD, United States, 2F. M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Institute, Baltimore, MD, United States

CEST MRI can provide valuable molecular level information in vivo, but its translation to routine clinics is hindered by long imaging times. Regional average CEST measurements often suffice for quantitative evaluation, diagnosis, and treatment assessment, while allowing much shorter scan times. Recently, the spectroscopy with linear algebraic modeling (SLAM) method was adapted for CEST MRI in two dimensions (2D), directly obtaining compartmental-average measurements manifold faster than conventional CEST. Here, the SLAM CEST method is extended from 2D to 3D, and applied to patients with brain tumors with acceleration factors of up to 98-fold.

1525
Model-based direct Extraction of z-spectrum Asymmetry from undersampled k-space using SYmmetric Basis (k-EASY)
Hoonjae Lee1,2 and Jaeseok Park3

1Center for Neuroscience Imaging Research (CNIR), Institute for Basic Science (IBS), Suwon, Korea, Republic of, 2Department of Brain and Cognitive Engineering, Korea University, Seoul, Korea, Republic of, 3Department of Biomedical Engineering, Sungkyunkwan University, Suwon, Korea, Republic of

In chemical exchange saturation transfer (CEST) MRI, multiple acquisition of imaging data with varying saturation frequencies is typically performed, which prohibitively prolongs imaging time. Furthermore, conventional, subtraction-based MTR asymmetry analysis is prone to substantial errors, because the z-spectrum is convoluted by CEST as well as inherent asymmetric MT, nuclear Overhauser enhancement (NOE), etc. To tackle these problems, in this work we propose a new, model-based direct Extraction of the z-spectrum Asymmetry from undersampled k-space using SYmmetric basis (k-EASY) that incorporates main field inhomogeneity correction and z-spectrum asymmetry analysis into a framework of compressed sensing.

1526
A CEST signal quantification method for non-steady state
Yi Wang1, Bing Wu2, Yang Fan2, and Jia-Hong Gao1

1School of Physics, Peking University, Beijing, China, People's Republic of, 2MR Research group, GE Healthcare China, Beijing, China, People's Republic of

For quantitative analysis of CEST signal, it is crucial to decrease or eliminate the influence of parameters unrelated to chemical exchange thus emphasizing chemical exchange weight. Recently inverse Z-spectrum method realized analytical calibration but only in situation of steady state. We propose a novel analytical calibration method suitible to non-steady state situation, calculating new indexes which reflect chemical exchange weight better than those commonly used, and verifying its performance in phantom and in vivo experiment.This calibration method will be greatly helpful in quantitative CEST data analysis. 


Traditional Poster

Contrast Mechanisms: Relaxation Based

Exhibition Hall Monday, May 9, 2016: 16:30 - 18:30

1527
T2 of cerebrospinal fluid depends on glucose concentration
Alexia Daoust1, Stephen Dodd1, Govind Nair1, Steven Jacobson1, Daniel Reich1, and Alan Koretsky1

1NINDS, NIH, Bethesda, MD, United States

There continues to be interest in using changes in CSF properties to image neurodegenerative diseases. To optimize MRI sequences that enable segmentation of CSF from tissue, we characterized the CSF relaxometric properties at various field strengths in vivo and in vitro. Our in vitro results suggest that in vivo T2 value at high field is incorrect due to residual gradients and that low field is more optimal to quantify CSF relaxivity in vivo. We have shown an important difference of in vitro CSF T2 vs saline T2 that is mostly explained by the relaxivity of glucose.

1528
Temperature dependence of R1, R2* and magnetic susceptibility of ferritin at 7T
Mobeen Ali1, Penny Gowland1, and Richard Bowtell1

1SPMIC, School of Physics and Astronomy, University of Nottingham, Nottingham, United Kingdom

Comparison of post mortem and in vivo MR images requires an understanding of the temperature dependence of the NMR parameters that generate relevant image contrast. Here, we therefore evaluated the temperature dependence of the susceptibility and relaxivity of ferritin-doped agar. A phantom containing cylinders doped with different ferritin concentrations was scanned at 7T at temperatures ranging from 5–35⁰C. R1, R2* and field maps were generated and the variation of each parameter with ferritin concentration was evaluated. The variations of susceptibility, R2* and R1 with ferritin concentration all decreased with increasing temperature with R2* showing the strongest temperature dependence.  

1529
Transverse Relaxometry with B1+ Constrained Stimulated Echo Correction
Reza Basiri1, Marc Lebel2, and Paolo Federico3

1Biomedical Enginnering, University of Calgary, Calgary, AB, Canada, 2Alberta Children's Hospital Research Institute, Calgary, AB, Canada, 3Foothills Hospital, Calgary, AB, Canada

Quantitative T2 mapping provides diagnostic capabilities complementing standard qualitative imaging. However, conventional fitting algorithms to estimate T2 are prone to bias. In this work, we propose a fitting method that remains applicable to existing datasets while addressing many of the imperfections and shortcomings of current methods. Our proposed method is an extension of stimulated echo correction that highly constrains the estimated transmit field. It was evaluated using simulated and experimental data. We found that variance in the T2 estimate could be reduced by ~25% in certainly realistic conditions while maintaining full accuracy relative to the current stimulated echo corrected fit. Transverse relaxometry, a quantitative T2 mapping has shown superior diagnostic capabilities compare with qualitative maps for neurological diseases. However, the conventional fitting Quantitative T2 mapping provides diagnostic capabilities complementing standard qualitative imaging. However, conventional fitting algorithms to estimate T2 are prone to bias. In this work, we propose a fitting method that remains applicable to existing datasets while addressing many of the imperfections and shortcomings of current methods. Our proposed method is an extension of stimulated echo correction that highly constrains the estimated transmit field. It was evaluated using simulated and experimental data. We found that variance in the T2 estimate could be reduced by ~25% in certainly realistic conditions while maintaining full accuracy relative to the current stimulated echo corrected fit.

1530
Simultaneous Multi-Angular Relaxometry of Tissue with Magnetic Resonance Imaging (SMART MRI)
Alexander L Sukstanskii1, Jie Wen1, Anne H Cross2, and Dmitriy A Yablonskiy1

1Mallinckrodt Institute of Radiology, Washington University, Saint Louis, MO, United States, 2Neurology, Washington University, Saint Louis, MO, United States

The cross-relaxation effects between “free” and “bound” water affect the gradient recalled echo (GRE) MRI signal and can bias quantitative measurements of tissue relaxation parameters. Herein we have generalized the classical Ernst equation for the GRE signal dependence on sequence parameters (echo and repetition times, flip angle) by accounting for cross-relaxation effects. The derived equation creates a basis for a new technique - Simultaneous Multi-Angular Relaxometry of Tissue with Magnetic Resonance Imaging (SMART MRI). The technique allows simultaneous quantitative measurements of longitudinal and transverse relaxation rates constants and some essential cross-relaxation parameters without utilizing off-resonance magnetization transfer pulses.

1531
Estimation of the Macro-Molecular Proton R1 in Human Brain at 3 and 7 T
Peter van Gelderen1 and Jeff H Duyn1

1Advanced MRI, LFMI NINDS, National Institutes of Health, Bethesda, MD, United States

The longitudinal relaxation rate (R1) of MRI-invisible macro-molecular protons is an important parameter in the generation of MT and T1 contrast. Despite this, considerable uncertainty exists about its actual value. To address this MT and inversion recovery experiments were jointly analyzed with a 2-pool model of exchange, and estimates were derived for human brain at 3T and 7T.

1532
Temporal Changes in Calculated Values of Longitudinal and Transverse Magnetisation Time Constant Values, T1 and T2*, for Fetal and Adult Simulated Subdural Haematoma
Peter Wright1, Hannah Webley2, Andrew Fry1, and Elspeth Whitby2

1MIMP, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, United Kingdom, 2Academic Unit of Reproductive and Developmental medicine, University of Sheffield, Sheffield, United Kingdom

Subdural haematoma (SDH) resulting from traumatic brain injury relating to non accidental head injury is unfortunately relatively common in the UK at 36 per 100000 incidence in children < 6 months old. However, adult models are used when aging SDH. This study aimed to compare calculated relaxation time constants, T2* and T1 of fetal and adult blood samples in a simulated SDH for data acquired daily over 28 days. Significant differences between fetal and adult were found in T2* and T1 values for week 1 and weeks 1, 3 and 4 respectively.

1533
3T longitudinal relaxation of human blood with hemoglobin S
Meher Juttukonda1, Manus Donahue1, Melissa Gindville2, and Lori Jordan2

1Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, TN, United States, 2Pediatrics, Division of Pediatric Neurology, Vanderbilt University Medical Center, Nashville, TN, United States

Quantitative CBF maps derived from pseudo-continuous ASL (pCASL) may be useful in assessing stroke risk in sickle cell anemia (SCA) patients, but T1 relaxation of SCA blood must first be characterized. Venous blood samples were collected from SCA patients as well as normal subjects, and an inversion recovery approach was used to quantify the T1 relaxation times ex vivo. For similar hematocrit, oxygenation, and temperature, T1 relaxation times of SCA blood appear similar to those of normal blood. Therefore, computation of CBF in SCA patients may not be affected by the assumption of normal blood T1 relaxation.

1534
Fast reconstruction of T2 maps with indirect echo compensation using highly undersampled radial Fast Spin Echo data
Mahesh Bharath Keerthivasan1, Lindsie Jeffries2, Diego Blew3, Jean-Philippe Galons3, Puneet Sharma3, Ali Bilgin1,2,3, Diego R Martin3, and Maria I Altbach3

1Electrical and Computer Engineering, University of Arizona, Tucson, AZ, United States, 2Biomedical Engineering, University of Arizona, Tucson, AZ, United States, 3Medical Imaging, University of Arizona, Tucson, AZ, United States

There has been increased interest in the quantitative characterization of tissue based on T2. Techniques based on spin-echo (SE) or fast spin-echo (FSE) sequences are time consuming because they require multiple acquisitions for obtaining an adequate number of TE images for accurate T2 mapping. Radial FSE based methods have been introduced for efficient T2 mapping by using TE data from a single k-space data set. In this work, we explore combining the Echo Sharing algorithm for the fast reconstruction of the TE images with SEPG model fitting to compensate for indirect echoes. 

1535
Fast Field-Cycling NMR Relaxometry Extended in the Ultra-Low Field Region: Calibration Method and Acquisition of T1-Dispersion Curves that reach 2.3 µT
Vasileios Zampetoulas1, Lionel M. Broche1, and David J. Lurie1

1Aberdeen Biomedical Imaging Centre, School of Medicine & Dentistry, University of Aberdeen, Foresterhill, AB25 2ZD, Aberdeen, United Kingdom, Aberdeen, United Kingdom

A graph of T1 versus magnetic field obtained via Fast Field-Cycling (FFC) NMR relaxometry techniques can be developed into a new diagnostic tool thanks to the information about molecular dynamics that it provides. In this work, a novel method that compensates for the environmental fields acting on an FFC relaxometer is analysed, and applied to acquire measurements in the µT region for the study of much slower molecular motions, that was not previously possible. The results acquired from human cartilage indicate motions occurring in a slow time scale (0.1 to 10 ms), which show promise for clinical studies.  

1536
Fast and Accurate T2 Mapping from Multi Spin Echo Data Using Bloch-Simulation-Based Reconstruction: Investigation of intra-subject and inter-scan stability and reproducibility
Veronica Cosi1, Akio Ernesto Yoshimoto2, Timothy Shepherd2,3, KAI Tobias Block2,3, Daniel K Sodickson2,3, and Noam Ben-Eliezer2,3

1Department of Specialised, Experimental, and Diagnostic Medicine, University of Bologna, Bologna, Italy, 2Bernard and Irene Schwartz Center for Biomedical Imaging, Department of Radiology, New York University School of Medicine, New York, NY, United States, 3Center for Advanced Imaging Innovation and Research (CAI2R), New York University School of Medicine, New York, NY, United States

Accurate quantification of T2 values in vivo poses a long-standing challenge, hampered by the inherent bias of fast multi-SE protocols by stimulated and indirect echoes, non-rectangular slice profile and transmit-field inhomogeneities. This bias, moreover, is dependent on the sequence implementation and parameter-set employed, and thus varies between scanners and vendors.  We present full stability and reproducibility tests of a recently developed T2 mapping technique – the echo-modulation curve (EMC) algorithm – which uses precise Bloch simulations of the pulse-sequence scheme to deliver the true T2 value of the tissue in a manner that is independent of the parameter-set and scanner being used.

1537
Highly Accelerated T2 Mapping with a Simple Dictionary
Li Zhao1, Yang Yang2, Chuan Huang3, and Craig Meyer2

1Radiology, Beth Israel Deaconess Medical Center, Boston, MA, United States, 2Biomedical Engineering, University of Virginia, Charlottesville, VA, United States, 3Departments of Radiology, Psychiatry, Stony Brook Medicine, Stony Brook, NY, United States

Parameter mapping can be acquired rapidly by MR fingerprinting. It requires a pseudo random pulse sequence to build an unique dictionary between the evolution of signal and parameters. The problem can be simplified when the dimension of the dictionary is relatively low. Here, we propose a dictionary that accelerates T2 mapping with dictionary and conventional sequence.

1538
Repeatability and sample size estimations for myelin water imaging
Thibo Billiet1, Stefan Sunaert1, Bea Van den Bergh1, Ronald Peeters1, Mathieu Vandenbulcke1, and Louise Emsell1

1KU Leuven, Leuven, Belgium

Currently, only single slice repeatability results for myelin water imaging (MWI) metrics are available. We assessed the within- and between-subject variation of the myelin water fraction (MWF); intra- and extracellular water fraction (IEWF), and intra- and extracellular water geometric mean T2 time (IEW-gmT2) in a whole cerebrum MWI sequence1 We demonstrated good within- and between subject variability, comparable to previous single-slice results. Future studies may benefit from sample size estimations documented in this work.

1539
Mapping Higher Order Components of the GRE Signal Decay at 7T with Short TE Data through Adaptive Smoothing
Martina F Callaghan1, Kerrin J Pine1, Karsten Tabelow2, Joerg Polzehl2, Nikolaus Weiskopf1,3, and Siawoosh Mohammadi1,4

1Wellcome Trust Centre for Neuroimaging, UCL Institute of Neurology, London, United Kingdom, 2Weierstrass Institute, Berlin, Germany, 3Department of Neurophysics, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany, 4Department of Systems Neuroscience, University Medical Center Hamburg-Eppendorf, Hamburg, Germany

In vivo histology aims to extract biologically relevant metrics from MRI data. In neuroimaging this includes characterising white matter fibres in terms of orientation, distribution and g-ratio, or determining the cortical myelo- and cyto-architecture. It has been shown, both theoretically and experimentally, that the signal decay in gradient recalled echoes (GRE) exhibits higher order temporal behaviour that is dependent on a variety of intra-voxel microstructural metrics. Here we use adaptive smoothing to generate maps of both the first and second order components of the temporal decay of the GRE signal from short TE data using a time-efficient multi-parameter mapping protocol.

1540
T2* quantitation with chemical shift and multi-echo spiral imaging
Atsushi M Takahashi1

1McGovern Institute for Brain Research, Massachusetts Institute of Technology, Cambridge, MA, United States

Quantitation of  T2* with spiral imaging sequences can be made in two distinct ways: Collecting data at various echo-times results in a measurement of the chemical shift after Fourier transformation along the echo-time dimension. Off resonance is intrinsically corrected by this processing. Alternately, multiple-echo spiral imaging can be used to quantitatively measure T2* as long as dephasing from B0 distortion is small over the duration of the spiral readout. Multiple spiral interleaves are used to reduce the readout time of the spiral. Both methods are demonstrated.

1541
SAFT: Split-Algorithm for Fast T2 Mapping
Tom Hilbert1,2,3, Jean-Philippe Thiran2,3, Reto Meuli2, Gunnar Krueger2,3,4, and Tobias Kober1,2,3

1Advanced Clinical Imaging Technology (HC CMEA SUI DI BM PI), Siemens Healthcare AG, Lausanne, Switzerland, 2Department of Radiology, University Hospital (CHUV), Lausanne, Switzerland, 3LTS5, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland, 4Siemens Medical Solutions USA, Inc., Boston, MA, United States

Numerous iterative reconstruction techniques have been published in the past, facilitating the calculation of quantitative parameter maps based on undersampled k-space data. Model-based approaches, for example, iteratively minimize a cost function that comprises a formulation of the signal behavior. Minimizing this non-linear problem yields the quantitative parameter maps, but is numerically challenging and thus accompanied with reduced robustness and long reconstruction times compared to a direct Fourier transform. Here we suggest a method to split the optimization problem of a model-based T2 mapping into sub-problems which are solved alternately. The splitting results in a more robust reconstruction with less computational cost.

1542
Noise Propagation of Variable Flip Angle T1 mapping with Emphasis on the Precision of RF Transmit Field Mapping
Yoojin Lee1,2, Martina F. Callaghan3, and Zoltan Nagy1

1Laboratory for Social and Neural Systems Research, University of Zürich, Zürich, Switzerland, 2Institute for Biomedical Engineering, ETH Zürich, Zürich, Switzerland, 3Wellcome Trust Centre for Neuroimaging, UCL Institute of Neurology, London, United Kingdom

Rational approximation of the SPGR signal provides a simple algebraic expression of T1 within the VFA framework. For this method, we derive an analytical solution of how the precision in T1 maps depends on the noise in the B1+ map as well as the component SPGR images. We show that the derived equation provides a good prediction of the noise in T1 measured in-vivo. Further, we show that B1+ maps can introduce as much noise into the T1 maps as the SPGR images for equal input variance.


Traditional Poster

Magnetic Susceptibility

Exhibition Hall Monday, May 9, 2016: 16:30 - 18:30

1543

The Role of Finite Difference Schemes in Morphology Enabled Dipole Inversion (MEDI) for Quantitative Susceptibility Mapping (QSM)
Youngwook Kee1, Kofi Mawuli Deh1, Pascal Spincemaille1, and Yi Wang1

1Weill Cornell Medical College, New York, NY, United States

Since QSM has been recently undergoing clinical trials and the MEDI toolbox plays an important role for this purpose, numerical implementation should be consistent in the sense of continuum limit. In this abstract, we point out a numerically inconsistent finite difference scheme that has been used in the MEDI toolbox and show that by replacing it with a consistent one it drastically improves image quality.

1544
QUASAR: In vivo quantification of magnetic susceptibility in rodents
Ferdinand Schweser1,2, Paul Polak1, Nicola Bertolino1, and Robert Zivadinov1,2

1Buffalo Neuroimaging Analysis Center, Department of Neurology, Jacobs School of Medicine and Biomedical Sciences, The State University of New York at Buffalo, Buffalo, NY, United States, 2MRI Molecular and Translational Research Center, Jacobs School of Medicine and Biomedical Sciences, The State University of New York at Buffalo, Buffalo, NY, United States

Despite increasing exploration of quantitative susceptibility mapping (QSM) in humans and the method's potential to study tissue iron pre-clinically, only few studies have yet applied QSM in alive rodents at ultra-high magnetic field strength. In the present work we hypothesized that the low quality of pre-clinical QSM compared to human QSM is due to the combination of a similar level of non-susceptibility phase contributions with much lower susceptibility variations. Here, we propose a new type of QSM algorithm that accounts for non-susceptibility phase effects and, hence, enables pre-clinical QSM: QUAntitative Susceptibility And Residual mapping (QUASAR).

1545
Effects of fiber orientation and myelin concentration on R2* (=1/T2*): a fiber orientation and/or myelin concentration corrected R2* map
Jingu Lee1, Woojin Jung1, Yoonho Nam2, and Jongho Lee1

1Laboratory for Imaging Science and Technology, Department of Electrical and Computer Engineering, Seoul National University, Seoul, Korea, Republic of, 2Department of Radiology, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea, Republic of

In this work, we measured the effect size of both myelin concentration and fiber orientation in R2*. Additionally, we generated the myelin concentration and/or fiber orientation bias free R2* maps which may have important applications.

1546
Echo time based influences on quantitative susceptibility mapping
Surabhi Sood1, Javier Urriola1, David Reutens1, Steffen Bollmann1, Kieran O'Brien2, Markus Barth1, and Viktor Vegh1

1Centre for Advanced Imaging, The University of Queensland, Brisbane, Australia, 2Siemens Ltd., Brisbane, Australia

Quantitative susceptibility mapping is an important magnetic resonance imaging tool which can help define brain structure and composition. Our work aims to explore information contained in the temporal trend by analysing the mapped magnetic susceptibility as a function of echo time from gradient recalled data acquired at 7T. Temporal susceptibility plots were studied in ten brain regions. Parameterisation of image voxel susceptibility compartments has the potential to delineate structural and chemical changes in tissue and formulate biologically meaningful measures. This in turn provides a framework for new imaging biomarker developments in neurodegenerative diseases and disorders affecting the central nervous system.  

1547
Application of Laplacian-based Methods to Multi-echo Phase Data for Accurate Susceptibility Mapping
Emma Biondetti1, David L. Thomas2, and Karin Shmueli1

1Department of Medical Physics and Biomedical Engineering, University College London, London, United Kingdom, 2Leonard Wolfson Experimental Neurology Centre, UCL Institute of Neurology, University College London, London, United Kingdom

In Susceptibility Mapping (SM) using multi-echo gradient-echo phase data, unwrapping and/or background-field removal is often performed using Laplacian-based methods. However, SM pipelines in the literature have applied these methods at different stages. Here, using simulated and acquired images, we compared the performance of three pipelines that apply Laplacian-based methods at different stages. We showed that Laplacian-based methods alter the linearity of the phase over time. We demonstrated that only a processing pipeline that takes this into account, i.e. by fitting the multi-echo data over time to correctly estimate a field map before applying Laplacian-based methods, gives accurate susceptibility values.

1548
Quantitative Susceptibility Mapping of the Substantia Nigra in Parkinson’s Disease
Xinxin Zhao1, Hedi An2, Tian Liu3, Nan Shen2, Binshi Bo4, Zhuwei Zhang4, Pengfei Weng4, Meining Chen4, Mengchao Pei4, Yi Wang3,4, Dongya Huang2, and Jianqi Li4

1Shanghai Key Laboratory of Magnetic Resonance and Department of Physics, East China Normal University, Shanghai, China, People's Republic of, 2Dongfang Hospital Neural Medical Affiliated Tongji University, Shanghai, China, People's Republic of, 3Department of Radiology, Weill Medical College of Cornell University, New York, NY, United States, 4Department of physics, Shanghai Key Laboratory of Magnetic Resonance and Department of Physics, East China Normal University, Shanghai, China, People's Republic of

Quantitative susceptibility mapping (QSM) provides excellent contrast of iron-rich deep nuclei to quantify iron in the brains. Clinicians are interested in using QSM to diagnose PD patients. QSM and R2* values were measured in the whole substantia nigra in patients with PD and healthy controls. The significant difference between PD patients and healthy controls in the substantia nigra was found on QSM but not on R2* mapping.

1549
Are susceptibility-weighted imaging and quantitative susceptibility mapping suitable to gain additional information on melanoma metastasis of the brain?
Sina Straub1, Till Schneider2,3, Christian H. Ziener3, Heinz-Peter Schlemmer3, Mark E. Ladd1, Frederik B. Laun1, and Martin T. Freitag3

1Department of Medical Physics in Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany, 2Department of Neuroradiology, University of Heidelberg, Heidelberg, Germany, 3Department of Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany

The benefit of susceptibility weighted imaging (SWI) and quantitative susceptibility mapping (QSM) for the detection and quantification of bleeding of brain metastases of malignant melanoma is assessed. QSM shows paramagnetic values for hemorrhagic metastases (0.355±0.097 ppm) and less paramagnetic values (0.239±0.123 ppm) for hemorrhagic metastases that have T1w-native hyperintense signal. Moreover, our findings suggest that T1w-native hyperintense melanoma metastases have relatively diamagnetic susceptibility compared to other structures of the brain.

1550
Susceptibility underestimation in a high susceptibility phantom: dependence on imaging resolution, magnitude contrast and sample orientation
Dong Zhou1, JingWei Zhang2, Pascal Spincemaille1, and Yi Wang1,2

1Radiology Department, Weill Cornell Medical College, New York, NY, United States, 2Biomedical Engineering, Cornell University, Ithaca, NY, United States

The error in digitizing the dipole convolution1 may become substantial when there is abrupt susceptibility change within a voxel. To evaluate this error, we assessed the accuracy of quantitative susceptibility mapping in a gadolinium balloon phantom with a range of large susceptibility values (0.4 – 3.2 ppm) and imaging resolutions (0.7 – 1.8 mm) at both 1.5T and 3T. Systematic underestimation of the susceptibility values was observed with decreasing imaging resolution. Numerical simulations were performed to match the experimental findings. These show that the underestimation originates directly from the changes in the voxel sensitivity function and that the amount of underestimation is affected not only by imaging resolution, but also magnitude contrast, the use of k-space filters in the image reconstruction, and details of the susceptibility inclusions such as the susceptibility value and geometry.

1551
The use of quantitative susceptibility imaging for the evaluation of acute MS lesion formation
Vanessa Wiggermann1,2, Enedino Hernandez-Torres2,3, Inga C Ibs4, Stephanie M Schoerner5, Galina Vorobeychik6, Luanne Metz7, David KB Li8,9, Anthony Traboulsee9,10, and Alexander Rauscher2,9,11

1Physics and Astronomy, University of British Columbia, Vancouver, BC, Canada, 2Pediatrics, University of British Columbia, Vancouver, BC, Canada, 3UBC MRI Research Centre, University of British Columbia, Vancouver, BC, Canada, 4University of Osnabrueck, Osnabrueck, Germany, 5Technical University of Dortmund, Dortmund, Germany, 6Fraser Health MS Clinic, Burnaby, BC, Canada, 7Clinical Neurosciences, University of Calgary, Calgary, AB, Canada, 8Radiology, University of British Columbia, Vancouver, BC, Canada, 9Center for Brain Health, University of British Columbia, Vancouver, BC, Canada, 10Medicine (Neurology), University of British Columbia, Vancouver, BC, Canada, 11Child and Family Research Institute, University of British Columbia, Vancouver, BC, Canada

Using magnetic-susceptibility based MR techniques for the assessment of damage due to multiple sclerosis (MS) has been controversial, in particular in MS lesions where the underlying pathological changes are not yet fully understood. Here, we investigated the changes of the MR frequency and quantitative susceptibility signal during acute MS lesion formation. We observed that both metrics behave similarly, indicating that non-local effects have little contribution to the QSM signal increase and hence dipole inversion might not be required to assess damage during MS lesion formation accurately.

1552
Rapid Quantitative Susceptibility Mapping with Simultaneous Multi-Band Imaging
Nan-Jie Gong1, Hing-Chiu Chang2, Hongjiang Wei1, Mark Sundman1, Nan-kuei Chen1, and Chunlei Liu1

1Brain Imaging and Analysis Center, Duke University, Durham, NC, United States, 2Diagnostic Radiology, The University of Hong Kong, Hong Kong, China, People's Republic of

We demonstrated the feasibility of using the proposed phase correction method for increasing the accuracy of QSM reconstruction from multi-band acquisitions. With multi-band acquisition, we were able to greatly shorten data acquisition time. It is expected that facilitate this method would benefit further clinical application of QSM and QSM based cerebral functional and physiological studies.

1553
Visibility improvement of  cerebral blood vessels by High Resolution Quantitative Susceptibility Mapping
Yuya Umemoto1, Tomohiro Ueno1, Shin-ichi Urayama2, Toshihiko Aso2, Hidenao Fukuyama2, and Naozo Sugimoto1

1Human Health Sciences, Kyoto University, Kyoto, Japan, 2Human Brain Research, Kyoto University, Kyoto, Japan

In Quantitative Susceptibility Mapping, susceptibility distribution can be obtained by deconvolution of perturbed fields with dipole fields. In our proposed method, High Resolution QSM, we employed densely sampled dipole fields to improve the quality of QSM. To verify the High Resolution QSM, we performed a human study, and acquired QSM input phase data of a healthy human subject. We compared MIP of the High Resolution QSM to that of the tricubically interpolated conventional QSM. In the High Resolution QSM, visibility of several cerebral blood vessels is improved. This means that a susceptibility map with higher spatial resolution is obtained.

1554
Probing the myelin water compartment with saturation recovery, multi-echo GE imaging at 7T
Elena Kleban1, Benjamin Tendler1, Penny Gowland1, and Richard Bowtell1

1The Sir Peter Mansfield Imaging Center, School of Physics and Astronomy, Nottingham, United Kingdom

The purpose of this work was to investigate the microstructural properties of white matter in the human brain using  saturation recovery multi-echo GE imaging at 7T.

Multi gradient-echo data acquired at three different flip-angles from 8 healthy subjects was fitted for corpus callosum to a three-pool model describing the axonal, myelin and external compartments and variation of the relative amplitude of the myelin water signal with flip-angle was used to assess the T1 values of the different compartments. Results show an increased frequency variation with TE and faster magnitude signal decay at higher flip-angles, consistent with reduced T­1 in the myelin water compartment.


1555
The Effect of Large Slice Thickness and Spacing and Low Coverage on the Accuracy of Susceptibility Mapping
Anita Karsa1, Emma Biondetti1, Shonit Punwani2, and Karin Shmueli1

1Medical Physics and Biomedical Engineering, University College London, London, United Kingdom, 2Centre for Medical Imaging, University College London, London, United Kingdom

Susceptibility Mapping has emerging clinical applications. To reduce scan time, clinical images are often acquired with large slice spacing/thickness and reduced coverage. The effect of these factors on susceptibility maps has not been investigated. Here, we develop a simple framework to explore the effect of low-resolution and low-coverage in the slice dimension on the accuracy of susceptibility maps. Our experiments with digital phantoms and volunteer images have shown that the error in the estimated susceptibility increases substantially with increasing slice spacing/thickness and decreasing coverage. These results underscore the need for high-resolution, full-coverage acquisitions for accurate susceptibility mapping.

1556
Accelerated Quantitative Susceptibility Mapping at 7T Using 3D Planes-on-a-Paddlewheel (POP) EPI
Daniel Stäb1,2, Steffen Bollmann1, Christian Langkammer3, Kristian Bredies4, and Markus Barth1

1The Centre for Advanced Imaging, The University of Queensland, Brisbane, Australia, 2Department of Diagnostic and Interventional Radiology, University of Würzburg, Würzburg, Germany, 3Department of Neurology, Medical University of Graz, Graz, Austria, 4Institute for Mathematics and Scientific Computing, University of Graz, Graz, Austria

Ultra-high field whole brain susceptibility mapping at an isotropic resolution of 1 mm was performed within 16 seconds using a 3D planes-on-a-paddlewheel (POP) EPI sequence. The non-Cartesian readout scheme is created by rotating a standard EPI readout train around its own phase encoding axis and provides higher flexibility for echo time minimization than conventional 3D EPI. Morphologic images and susceptibility maps obtained were comparable to those acquired with a conventional 4 minute 3D GRE scan.

1557
Quantitative Susceptibility Mapping Using Adaptive Edge-Preserving Filtering: Comparison with COSMOS in Human Brain
Toru Shirai1, Ryota Sato1, Yo Taniguchi1, Takenori Murase2, Atsushi Kuratani2, Taisei Ueda2, Takashi Tsuneki2, Yoshitaka Bito2, and Hisaaki Ochi1

1Research and Development Group, Hitachi, Ltd., Tokyo, Japan, 2Healthcare Campany, Hitachi, Ltd., Chiba, Japan

    We have proposed that a QSM reconstruction method combining an iterative least square minimization and adaptive edge-preserving filtering could generate high-quality susceptibility maps. In this study, maps calculated by the proposed method were compared qualitatively and quantitatively with those calculated by COSMOS (a calculation of susceptibility through multiple-orientation sampling) in healthy volunteers. The results from human brain experiments showed good agreement with COSMOS. The proposed QSM reconstruction of single orientation sampling is useful for generating a high-quality susceptibility map of the human brain.

1558
QSM at 3T: Comparison of Acquisition Methodologies
M Louis Lauzon1,2,3, Cheryl Rae McCreary1,2,3, D Adam McLean3,4, Marina Salluzzi3,4, and Richard Frayne1,2,3

1Radiology and Clinical Neurosciences, University of Calgary, Calgary, AB, Canada, 2Hotchkiss Brain Institute, Calgary, AB, Canada, 3Seaman Family MR Research Centre, Calgary, AB, Canada, 4Calgary Image Processing and Analysis Centre, Calgary, AB, Canada

We scanned 4 volunteers 3 times each using 8 different QSM variants (unipolar/bipolar readout gradient, accelerated or not, with/without gradient warp-correction), and compared the susceptibility (average and standard deviation) in five deep gray matter tissues using linear mixed effects modeling. Gradient-warp correction was found to decrease the susceptibility estimates by 3-5%, whereas there was no statistical difference in the estimates due to readout polarity or acceleration factor.

1559
Adaptive background phase removal using knowledge-based region detection for quantitative susceptibility mapping
Taichiro Shiodera1, Takamasa Sugiura1, Yuko Hara1, Yasunori Taguchi1, Tomoyuki Takeguchi1, Masao Yui2, Naotaka Sakashita2, Yasutaka Fushimi3, Takuya Hinoda3, Tomohisa Okada3, Aki Kido3, and Kaori Togashi3

1Toshiba Corporation, Kawasaki, Japan, 2Toshiba Medical Systems Corporation, Otawara, Japan, 3Kyoto University Graduate School of Medicine, Kyoto, Japan

We propose a background phase removal method for quantitative susceptibility mapping using adaptive kernels depending on brain region. Conventional methods use distance adaptive kernel spherical mean values (SMV) to estimate background phase. However, artifacts occur where kernel sizes are not optimal for certain brain regions. Here, we adapt SMV kernel sizes depending on brain regions which are automatically detected by machine learning methods. The proposed method eliminates tissue phase artifacts near air-tissue interfaces in more central areas such as the sinus. The proposed method also eliminates streak artifacts in susceptibility images.

1560
Effects of concomitant gradients on Quantitative Susceptibility Mapping
Timothy J Colgan1,2, Diego Hernando1, Samir Sharma1, Debra E Horng1,2, and Scott B Reeder1,2,3,4,5

1Radiology, University of Wisconsin, Madison, WI, United States, 2Medical Physics, University of Wisconsin, Madison, WI, United States, 3Biomedical Engineering, University of Wisconsin, Madison, WI, United States, 4Medicine, University of Wisconsin, Madison, WI, United States, 5Emergency Medicine, University of Wisconsin, Madison, WI, United States

MR-based Quantitative Susceptibility Mapping (QSM) techniques have multiple potential applications in brain and body imaging. QSM techniques generally rely on the removal of background field effects to obtain a local B0 map, followed by dipole inversion to estimate the underlying susceptibility distribution. However, concomitant gradients introduce significant unanticipated phase shifts in the acquired data that manifest as errors in the measured B0 field map. Our results demonstrate that CG phase corrections and/or the use of a background field removal algorithm that removes this background field component are necessary for accurate QSM.

1561
QSM: fast selection of optimal regularization weights
Job Gijsbertus Bouwman1 and Peter R Seevinck1

1Image Sciences Institute, University Medical Center Utrecht, Utrecht, Netherlands

Quantitative Susceptibility Mapping reconstructions may benefit from L1-regularization and magnitude weighing, however these iterative reconstruction methods are time-consuming. Recently, progression has been made in reducing the reconstruction times with Split Bregman iterations, allowing subject-specific regularization weights. Here a further reduction of the reconstruction time is reported, mostly based on accelerating the automatic selection of the optimal regularization parameter. The overall procedure reduces computational load more than threefold, without accuracy loss. Reduction of reconstruction times, may contribute to realize QSM algorithms which are either clinically feasible, or that may pave the way to include more sophisticated regularization mechanisms.   


Traditional Poster

Contrast Mechanisms: Novel Ways of Imaging

Exhibition Hall Monday, May 9, 2016: 16:30 - 18:30

1562
MR Imaging of Electromagnetic Field Distribution for Treatment Planning in Electrical Stimulation
Woo Chul Jeong1, Saurav ZK Sajib1, Nitish Katoch1, Bup Kyung Choi1, Hyung Joong Kim1, Oh In Kwon2, and Eung Je Woo1

1Kyung Hee University, Seoul, Korea, Republic of, 2Konkuk University, Seoul, Korea, Republic of

Electrical stimulations are widely used as therapeutic techniques that are closely related to the electromagnetic fields inside the human body. The electromagnetic field is affected by the injected currents and electrical conductivities of biological tissue, the map of voltage, current density, and magnetic flux density can provide meaningful information for determining the tissue type and current pathways. The signal intensity of current density is proportional to magnetic flux density which can be measured by MREIT. Since the biological tissues show anisotropic characteristic, we introduced a recent DT-MREIT method to better apply it to real situation.

1563
Simultaneous water content, electrical conductivity and susceptibility mapping in meningiomas on a 3T MR-PET scanner
YP Liao1, A.-M. Oros-Peusquens1, J. Lindemeyer1, N. Lechea1, C. Weiss2, G. Stoffels1, C. Filss1, K.J. Langen1, and N.J. Shah1,3

1Institute of Neuroscience and Medicine-4, Forschungszentrum Juelich, Juelich, Germany, 2Department of Neurosurgery, University of Cologne, Cologne, Germany, 3Department of Neurology, JARA, Faculty of Medicine, RWTH Aachen University, Aachen, Germany

The availability of combined MR-PET scanners opens new opportunities for the characterisation of the tumour environments. In this study, MR-based simultaneous water content, electrical conductivity and susceptibility mapping in meningioma patients was implemented based on a multi-echo gradient echo sequence. The information was complemented by characterisation of the tumour with simultaneous FET-PET. This is a powerful combination of parameters which reflect important aspects of tissue physiology and also characterise to a large extent, tumour electromagnetic (EM) properties. This multi-parametric information helps to understand pathological tissue and can be applied to planning nonionizing EM hyperthermia therapy.

1564
Coil Compression for Improved Phase Image Signal-to-Noise Ratio in Electrical Property Tomography
Kathleen M Ropella1 and Douglas C Noll1

1Biomedical Engineering, University of Michigan, Ann Arbor, MI, United States

The use of multi-channel receivers is essential for acquiring B1+ with sufficient SNR to calculate electrical properties. Combining the individual channel images prior to these calculations typically involves a SENSE-like method or the use of some reference image. In this work we present a modified version of coil compression to provide an automatic and simplified multi-channel array data combination for high SNR phase-based conductivity mapping. 

1565
Validation of MR mapping of direct current in a phantom model
Mayank V Jog1, Robert X. Smith2, Kay Jann2, Walter Dunn3, Allan Wu2, and Danny JJ Wang2

1Biomedical Engineering, University of California Los Angeles, Los Angeles, CA, United States, 2Neurology, University of California Los Angeles, Los Angeles, CA, United States, 3Psychiatry, University of California Los Angeles, Los Angeles, CA, United States

Transcranial Direct Current Stimulation(tDCS) is a neuromodulation technique. Reported to improve clinical conditions as well as cognition, tDCS has potential as a treatment modality since it involves only simple scalp electrodes to drive mA currents. To date, only mathematical modeling has been used to visualize tDCS-applied currents.

 

In previous work, we used MRI field mapping in a novel paradigm to visualize in-vivo, a component of the magnetic field generated by these currents. The present work completes the picture by validating our current visualization technique via comparison between the measured and simulated current-induced fields in a specially constructed phantom.


1566
Observation of the correlation between Electrical Conductivity and Apparent Diffusion Coefficient values
Sung-Min Gho1, Jaewook Shin1, Min-Oh Kim1, Min Jung Kim2, Sooyeon Kim2, Jun-Hyeong Kim1, and Dong-Hyun Kim1

1School of Electrical and Electronic Engineering, Yonsei University, Seoul, Korea, Republic of, 2Department of Radiology, Yonsei University College of Medicine, Seoul, Korea, Republic of

Electric conductivity and apparent diffusion coefficient (ADC) give meaningful information to the clinicians and researchers, however, studies related to the relationship of these two phenomena were not substantially proceeded.

In this abstract, we observe the correlation between electrical conductivity and ADC under various situations (i.e. phantom, in vivo brain, and breast tumor case).


1567
MR-based Current Density Imaging during Transcranial Direct Current Stimulation (tDCS)
Saurav ZK Sajib1, Woo Chul Jeong1, Nitish Katoch1, Bup Kyung Choi1, Hyung Joong Kim1, Oh In Kwon2, and Eung Je Woo1

1Kyung Hee University, Seoul, Korea, Republic of, 2Konkuk University, Seoul, Korea, Republic of

Quantitative visualization of induced current density by the electrical stimulation current inside the anisotropic brain region may play an important role to understand the neuro-modulatory effect during transcranial direct current stimulation (tDCS). For ensuring the clinical applications, precise approaches are required to understand the exact responses inside the human body subject to an injected currents, In this study, we reconstruct current density distribution inside the in vivo canine brain region by combing the directional information obtained from a DTI-MRI scan and the z-component of the magnetic flux density data using MREIT technique.

1568
QUANTITATIVE 1H MR TISSUE OXIMETRY (QMRO)
Scott C Beeman1, Joseph JH Ackerman1, and Joel R Garbow1

1Washington University in St. Louis, St. Louis, MO, United States

A direct and non-invasive measure of tissue O2 would be a major advance. O2 is paramagnetic and can thus, in principle, be quantified with NMR/MRI. However, such measurements are challenged/masked by two competing effects: (i) magnetization transfer between 1H spins of tissue water and the solid-like macromolecular matrix (e.g., proteins, cell membranes) and (ii) blood flow, which can bring equilibrium-polarized 1H spins into the interrogated tissue volume. We describe a strategy for mitigating these confounds and quantify the direct relationship between pO2 and the MR-measured longitudinal relaxation rate constant, R1.

1569
Fisher Information Matrix for Optimizing the Acquisition Parameters in Multi-Parametric Mapping Based on Fast Steady-State Sequences
romain valabregue1 and Ludovic De Rochefort2

1CENIR, ICM, Inserm U 1127, CNRS UMR 7225, Sorbonne Universités, UPMC Univ Paris 06 UMR S 1127F, Paris, France, 2IR4M (Imagerie par Résonance Magnétique Médicale et Multi-modalités), Univ. Paris-Sud, CNRS, UMR8081, Université Paris-Saclay, Orsay, France

A criterion of A-optimality was used to optimize SSFP sequence acquisition parameters in order to perform multi-parametric mapping of the physical parameters proton density, relaxation rates and apparent diffusion coefficient. A fast calculation of the steady-state was used to estimate the Fisher information matrix from which fitted parameter error was determined from its inverse. Considering a range of possible T1 and T2 values, and relevant ADC, the acquisition parameters were optimized over the four dimensions of TR, prescribed flip angle, RF phase increment and spoiling gradient to achieve the minimum error on the effectively fitted physical parameters. It is demonstrated that choosing targeted T1 and T2 values over a wide range of expected values enables defining acquisition protocols that minimize the error over this range.

1570
dcQSM: Quantitative Susceptibility Mapping by Directly Fitting Complex Images
Zhe Liu1, Pascal Spincemaille2, and Yi Wang1,2

1Biomedical Engineering, Cornell University, Ithaca, NY, United States, 2Radiology, Weill Cornell Medical College, New York, NY, United States

The quality of Quantitative Susceptibility Mapping (QSM) depends critically on a correct estimation of total magnetic field, which may sometimes be degraded by phase unwrapping failure. We propose to bypass the traditional field estimation and phase unwrapping steps and estimate both background field and local susceptibility distribution directly from complex GRE images, which is referred to as dcQSM. Since no field is explicitly existent in our method, dcQSM eliminates phase unwrapping errors in tradition methods.

1571
Post-mortem reperfusion of the vascular system and examination in MRI: Temperature-dependent characterisation of perfusates and contrast simulations
Bridgette Webb1, Thomas Widek1, Bernhard Neumayer1, Rudolf Stollberger2, and Thorsten Schwark1,3

1Ludwig Boltzmann Institute for Clinical Forensic Imaging, Graz, Austria, 2Institute of Medical Engineering, Graz University of Technology, Graz, Austria, 3Institute of Legal Medicine, Medical University of Graz, Graz, Austria

MRI evaluation of a post-mortem reperfused cardiovascular system requires a complete filling of vessels, acceptable contrast/image quality and consideration of temperature influences.  Assessment of the temperature dependence of viscosity, T1 and T2 of candidate perfusates (n=10) found 3 to be suitable for application in post-mortem MR angiography. Bloch equation simulations were applied to investigate contrast between these liquids and post-mortem myocardium at 1, 8.5, 16 and 23°C. For a FLASH sequence, optimal flip angles were affected by temperature variation and a decrease in contrast (max. 6-12%) was observed when flip angles optimised for one of the other temperatures were applied.

1572
Rapid Simultaneous Detection of Multiple Contrast Agents Using Magnetic Resonance Fingerprinting
Miko H. de Haas1,2, Huihui Ye2,3, Howard H. Chen2,4, Eric M. Gale2,4, Eszter Boros2,4, Peter Caravan2,4, Kawin Setsompop2,4, and David E. Sosnovik2,4

1Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, Netherlands, 2Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, United States, 3Collaborative Innovation Center for Brain Science and the Key Laboratory for Biomedical Engineering of Education Ministry of China, Zhejiang University, Hangzhou, China, People's Republic of, 4Department of Radiology, Harvard Medical School - Massachusetts General Hospital, Boston, MA, United States

MR contrast agents are typically imaged using time-consuming sequences, which allows only one parameter of relaxation to be assessed. In this research we used Magnetic Resonance Fingerprinting (MRF) to rapidly assess both T1 and T2­, and these values were then used to calculate contrast agent concentrations. The primary goal was to quantify two contrast agents residing in a mixed sample. The method  showed an accuracy  greater than 90% in most cases, indicating its feasibility. In addition,  the method was also able to quantify the bound and unbound state of a targeted contrast agent in near real-time.

1573
Black-Blood T2* Mapping with Delay Alternating with Nutation for Tailored Excitation
Shi Su1, Yanan Ren1, Caiyun Shi1, Xiaoyong Zhang1,2, Hairong Zheng1, Xin Liu1, and Guoxi Xie1

1Lauterbur Research Center for Biomedical Imaging, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China, People's Republic of, 2Centers for Biomedical Engineering, College of Information Science and Technology, University of Science and Technology of China, Hefei, China, People's Republic of

T2* mapping provides a means to quantitatively estimate the iron load of tissue, which is closely related to numerous diseases, such as thalassemia, hereditary hemochromatosis and sickle cell disease. However, blood signal would induce artifacts which lead to T2* estimation inaccurate. To address this issue, a novel black-blood T2* mapping technique utilizing Delay Alternating with Nutation for Tailored Excitation (DANTE) preparation module followed by multi-echo gradient echo (GRE) readout (DANTE-GRE) was developed to obtain blood suppressed T2* maps. The proposed method is shown to acquire more accurate T2* maps due to its high SNR and effective blood signal suppression.


Traditional Poster

Renal, Male & Female Pelvis & Fetal

Exhibition Hall Tuesday, May 10, 2016: 10:00 - 12:00

1574
Detection and Analysis of Renal Cortical and Medullary T2* Heterogeneity with Minkowski Functionals
Sabrina Klix1, Andreas Pohlmann1, Jan Hentschel1, Karen Arakelyan1,2, Mandy Fechner3, Kathleen Cantow2, Bert Flemming2, Sonia Waiczies1, Erdmann Seeliger2, and Thoralf Niendorf1,4

1Berlin Ultrahigh Field Facility (B.U.F.F.), Max Delbrück Center for Molecular Medicine, Berlin, Germany, 2Institute of Physiology, Charité Universitaetsmedizin, Berlin, Germany, 3Nephrology and Intensive Care Medicine, Campus Virchow-Klinikum and Center for Cardiovascular Research, Charite-Universitaetsmedizin Berlin, Berlin, Germany, 4Experimental and Clinical Research Center, a joint cooperation between the Charité Medical Faculty and the Max Delbrueck Center for Molecular Medicince, Berlin, Germany

Minkowski Functionals (MFs) allow a quantitative analysis of tissue heterogeneity – independent of absolute values, which can be biased by magnetic field strength, B0 homogeneity, voxel size, etc. Here we applied this technique to characterize renal cortical and medullary T2* heterogeneity in order to test the feasibility of a differentiation between healthy kidneys, and kidney injuries.

1575
Assessment of Physiological Changes Associated with Renal Fibrosis in a Rat Model
Lei Jiang1, Paul Territo1, Brian McCarthy1, Amanda A. Riley1, Sourajit Mustafi1, Yu-Chien Wu1, Bruce Molitoris2, Gary Hutchins1, and Chen Lin1

1Department of Radiology and Imaging Sciences, Indiana University School of Medicine, Indianapolis, IN, United States, 2Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, United States

The objective of this study is to evaluate the capability of quantitative MRI techniques to measure physiological changes associated with changes in renal function in a rat model. Our investigation suggest that the results of T2* mapping, intra-voxel incoherent motion (IVIM), and T1ρ imaging are comparable to the published results. These techniques can be used to assess and monitor different aspects of physiological changes in kidney fibrosis.

1576
MRI-based Evaluation of Renal Oxygenation Under the Influence of Carbogen Breathing
Chengyan Wang1, Rui Zhang2, Li Jiang3, Rui Wang4, Xiaodong Zhang4, He Wang3, Kai Zhao4, Lixin Jin3, Jue Zhang1,2, Xiaoying Wang1,4, and Jing Fang1,2

1Academy for Advanced Interdisciplinary Studies, Peking University, Beijing, China, People's Republic of, 2College of Engineering, Peking University, Beijing, China, People's Republic of, 3Philips Healthcare, Suzhou, China, People's Republic of, 4Department of Radiology, Peking University First Hospital, Beijing, China, People's Republic of

Renal oxygenation plays a major role in the evaluation of renal function and has attracted considerable attention in recent years. This study demonstrates the feasibility of using a susceptibility-based MRI technique for measuring renal oxygen extraction fraction (OEF) change under the influence of carbogen (97% O2, 3% CO2) breathing.  Significant decrease of renal OEF was found during carbogen challenge. Furthermore, the efficacy of this susceptibility-based method was proved by blood pO2 measurement.

1577
Short-term Evolution of Renal Metabolic Rate of Oxygen (RMRO2) in an Animal Model of acute intra-renal ischemia Using qBOLD and ASL MRI
Xiaodong Zhang1, Yue Mi2, Jing Wang3, Jingyun Wu1, Rui Zhang4, Yan Sun1, Xiaoying Wang1,4, Jue Zhang4, and Hongyu An5

1Department of Radiology, Peking University First Hospital, Beijing, China, People's Republic of, 2Department of Urology, Peking University First Hospital, Beijing, China, People's Republic of, 3Center for medical device evaluation, China Food and Drug Administration, Beijing, China, People's Republic of, 4Academy for Advanced Interdisciplinary Studies, Peking University, Beijing, China, People's Republic of, 5Department of Radiology and Biomedical Research Imaging Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States

Quantitative measurement of renal oxygen metabolism level is of central importance in understanding and treating renal diseases and renal metabolic rate of oxygen (RMRO2) can provide a valid criterion for evaluation the renal tissue oxygen metabolism level under both normal and disease states. According to the Fick principle of arteriovenous oxygen difference, the RMRO2 can be estimated by using a qBOLD and ASL technique. In this study, we will demonstrate the ability to obtain absolute quantitative RMRO2 noninvasively in normal and unilateral renal artery stenosis rabbits.

1578
Quantitative susceptibility mapping of kidney injury in a model of ischemia reperfusion
Luke Xie1, Vivian S. Lee2, Hongjiang Wei3, Yi Qi4, Susan B. Gurley5, G. Allan Johnson4, and Chunlei Liu3

1Radiology, University of Utah, Salt Lake City, UT, United States, 2Utah Center for Advanced Imaging Research, Radiology, University of Utah, Salt Lake City, UT, United States, 3Brain Imaging Analysis Center, Radiology, Duke University Medical Center, Durham, NC, United States, 4Center for In Vivo Microscopy, Radiology, Duke University Medical Center, Durham, NC, United States, 5Medicine-Nephrology, Duke University Medical Center, Durham, NC, United States

BOLD MRI via T2* mapping can detect changes in kidney injuries. However, BOLD MRI can be insensitive and the source of signal change is not clear. Quantitative susceptibility mapping (QSM) is very sensitive to molecular composition and can identify sources as paramagnetic, such as deoxygenated hemoglobin. In this study, we applied QSM to characterize the source of signal change and compared it with BOLD T2* maps. We used a model of ischemia reperfusion in mouse kidneys and imaged at 1 hr, 1 day, 7 days, and 14 days after injury.

1579
Evaluating Renal Allograft Function at an Early Stage after Transplantation Using Multiparametric MR Imaging
Tao Ren1, Pan-Li Zuo2, Thorsten Feiweier3, Niels Oesingmann4, Andre-de Oliveira3, Li-Hua Chen5, Cheng-Long Wen5, and Wen Shen5

1Radiology, Tianjin Medical University First Center Hospital, Tianjin, China, People's Republic of, 2Beijing, China, People's Republic of, 3Erlangen, Germany, 4New York, NY, United States, 5Tianjin, China, People's Republic of

We performed intravoxel incoherent motion(IVIM), arterial spin labeling(ASL) and T1 mapping MR imaging in 62 renal allograft recipients to determine the diagnostic values of each parameter in renal allograft function evaluation. We found that cortical ADC, ADCslow, ADCfast, PF and RBF were lower for allografts with impaired function than with good function, and T1 values were higher for allografts with impaired function than with good function (P <0.05). ADC derived from IVIM and RBF derived from ASL showed a higher diagnostic efficacy to discriminate between allografts with impaired function and allografts with good function. 

1580
Magnetic Resonance Diffusion Tensor and q-space imaging in an Animal Model of Chronic Kidney Disease.
Sourajit Mitra Mustafi1, Paul R. Territo1, Brian P. McCarthy1, Amanda A. Riley1, Jiang Lei1, Chen Lin1, Qiuting Wen1, Bruce A Molitoris2, Gary D. Hutchins1, and Yu-Chien Wu1

1Department of Radiology and Imaging Sciences, Indiana University School of Medicine, Indianapolis, IN, United States, 2Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, United States

In this study, we used multi-shell diffusion-weighted imaging in an animal model of Chronic Kidney Disease (CKD).  We focus on the functional changes in the kidney using diffusion tensor imaging (DTI) and q-space imaging (QSI).  Four Wistar rats received surgical procedure to induce ischemic fibrosis in their left kidney.  The multi-shell diffusion-weighted imaging was performed on the acute stage, day 2 after the surgery.  In the acute stage, the renal medulla showed significant decrease in overall diffusivity measured by DTI and increase in tissue restriction measured by q-space imaging.

1581
Assessing fibrotic damage to renal structure and function with T2-weighted and ASL MRI
Christopher Charles Conlin1,2, Yangyang Zhao2, Yufeng Huang3, and Jeff Lei Zhang1,4

1Utah Center for Advanced Imaging Research, University of Utah, Salt Lake City, UT, United States, 2Bioengineering, University of Utah, Salt Lake City, UT, United States, 3Nephrology, University of Utah School of Medicine, Salt Lake City, UT, United States, 4Radiology, University of Utah School of Medicine, Salt Lake City, UT, United States

This study examined the suitability of T2 and ASL-measured renal perfusion as biomarkers for fibrotic kidney disease. Renal perfusion was measured in healthy and fibrotic rats using a multi-TI ASL protocol and compared to renal T2 as well as urinary and histological fibrosis markers. Significantly reduced renal perfusion was observed in fibrotic rats, in parallel with increased renal T2, proteinuria, and mesangial matrix in the glomerular tuft. The sensitivity of T2 and perfusion to fibrotic kidney damage suggests that ASL and T2-weighted MRI may provide improved assessment of renal fibrosis and prove useful for the early detection of renal disease.

1582
Combined Intravoxel Incoherent Motion and Diffusion Tensor Imaging for Evaluation Renal Changes in Diabetic Nephropathy
Cheng long Wen1, Lihua Chen1, Fan Mao1, Yu Zhang2, and Wen Shen1

1Department of Radiology, Tianjin First Center Hospital, Tianjin, China, Tianjin, China, People's Republic of, 2Philips healthcare, Beijing, China., Beijing, China, People's Republic of

The goal of this pilot study was to assess the ADC value in kidney of IVIM and DTI in distinguishing diabetic subjects and healthy controls. In our study, cortical ADC and D of patients with DN were significantly lower than those of healthy controls. The reduction of D values in the cortex and medulla was more obvious than ADC in patients. The results of this study suggested that cortical D and ADC, quantified by kidney IVIM and DTI could be potential imaging biomarkers for DN. IVIM could reflect the renal function more sensitive and accurate in DN patients.

1583
Comparison of Perfusion Indices Derived from Intravoxel Incoherent Motion and Arterial Spin Labeling MRI: Results in Native and Transplanted Kidneys
Tao Ren1, Pan-Li Zuo2, Thorsten Feiweier3, Niels Oesingmann4, Andre-de Oliveira3, Li-Hua Chen5, Cheng-Long Wen5, and Wen Shen5

1Radiology, Tianjin Medical University First Center Hospital, Tianjin, China, People's Republic of, 2Beijing, China, People's Republic of, 3Erlangen, Germany, 4New York, NY, United States, 5Tianjin, China, People's Republic of

We collected 20 volunteers and 62 renal allograft recipients who underwent intravoxel incoherent motion (IVIM) and arterial spin labeling (ASL) MRI. Comparing cortical perfusion indices, ADCfast and PF derived from IVIM with RBF derived from ASL in native and transplanted kidneys. We found that mean cortical RBF exhibited a significant correlation with PF (R =0.50, P <0.05) in the native kidneys, but both with ADCfast (R =0.26, P <0.05) and PF (R =0.32, P <0.05) in renal allografts. ADCfast and PF are effective indices for monitoring renal perfusion, as well as RBF.

1584
Assessment of Variation induced by Physiological Motion in Multi-Slice Renal Diffusion-Weighted MRI at 3T
Iris FRIEDLI1, Lindsey Alexandra CROWE1, Sophie DE SEIGNEUX2, and Jean-Paul VALLEE1

1Department of Radiology, Geneva University Hospitals, Geneva, Switzerland, 2Department of Nephrology, Geneva University Hospitals, Geneva, Switzerland

Diffusion-Weighted Imaging (DWI) allows the non-invasive assessment of the whole kidney. However, multi-slice DWI remains challenging because of artifacts, such as motion, partly related to the multi-slice acquisition. Despite the use of physiological triggering schemes to limit respiratory artifacts, kidney images can be impacted by the presence of inhomogeneous signal dropout causing slice-to-slice signal variation of signal intensity and Apparent Diffusion Coefficient (ADC). In this study, we highlight the presence of signal dropout in DWI and ADC maps, and present feasibility of a novel motion and signal correction algorithm to provide robust renal DWI.

1585
The effect of hyperbaric oxygen therapy on healthy and diabetic rat kidneys measured with hyperpolarised [1-13C]pyruvate
Thomas Stokholm Nørlinger1, Per Mose Nielsen1, Emmeli Mikkelsen1, Haiyun Qi1, Kasper Hansen2, Peter Kolstrup Agger3, Nikolaj Schmidt2, Michael Pedersen2, Hans Stødkilde-Jørgensen1, Frederik Palm4, and Christoffer Laustsen1

1Department of Clinical Medicine, MR Research Centre, Aarhus, Denmark, 2Department of Clinical Medicine, Comparative Medicine Lab, Aarhus, Denmark, 3Dept. of Cardiothoracic and Vascular Surgery, Aarhus, Denmark, 4Department of Medical and Health Sciences, Division of Drug Research, Linköping, Sweden

Hyperbaric oxygen therapy (HBO) is a well-known adjuvant treatment for several medical conditions indicated by the Undersea and Hyperbaric Medical Society. It is generally well tolerated and the kidneys display no adverse side effects after HBO. In diabetes hypoxia has been shown to be an important contributing factor in the development of diabetic nephropathy. In this experiment we investigate whether HBO has a protective effect on the kidney by preventing metabolic derangement as a consequence of hypoxia in the diabetic kidneys.

1586
Monitoring Progressive Kidney Disease in Folic Acid - Induced Nephropathy in Mice by MRI
Inna Linnik1, Parisa Ranjzad2, Adrian S Woolf2, and Steve R Williams1

1University of Manchester, Centre for Imaging Scienses, Manchester, United Kingdom, 2University of Manchester, Institute of Human Development, Manchester, United Kingdom

To assess progressive kidney disease in a folic acid (FA) induced nephropathy model in mice, kidney T1 and volume were quantified using MRI. Mice were imaged at 7 T before and at 1, 4 and 6 weeks after FA or vehicle injection. One week after FA, T1 was significantly higher (P≤0.036) compared to control and correlated with kidney volume (R=0.90). Mice with marked T1 and volume increases 1 week after FA demonstrated  severe  fibrosis on histology at week 6. In conclusion, T1 mapping may provide a marker of the initiation and severity of later chronic kidney disease.


1587
Tumour heterogeneity assessment using histogram analysis of IVIM-based diffusion and perfusion characteristics of cervical cancer
Jose Angelo Udal Perucho1, Elaine Yuen Phin Lee1, and Queenie Chan2

1Department of Diagnostic Radiology, The University of Hong Kong, Hong Kong, Hong Kong, 2Philips Healthcare, Hong Kong, Hong Kong

Histogram analysis of intravoxel incoherent motion (IVIM) diffusion-weighted MRI (DWI) could be a promising quantitative approach in assessing tumour heterogeneity. We retrospectively studied thirty-five treatment-naïve patients with cervical cancer who had IVIM MRI examinations to determine to the value of IVIM histogram analysis, as a means of assessing tumour heterogeneity, in relationship with clinical staging. We observed statistically significant differences in most histogram parameters of f (perfusion fraction) between patients with early and locally advanced disease but only three histogram parameters of D (true diffusion coefficient) were statistically different in patients with early and locally advanced cervical cancer. 

1588
Features of Benign Mature Cystic Ovarian Teratomas
Marissa Albert1, Genevieve Bennett1, Jonathan Melamed2, and Nicole Hindman1

1Radiology, NYU School of Medicine, New York, NY, United States, 2Pathology, NYU School of Medicine, New York, NY, United States

Mature cystic teratomas of the ovary are a common ovarian neoplasm, particularly in young patients. The majority of these neoplasms are benign; only a small minority demonstrates malignant potential. Distinguishing benign from malignant tumors is difficult on imaging alone, but has important clinical implications with regards to follow up and surgical excision. This study is the first in the literature to describe the incidence of, and type of, noduar enhancement within benign mature cystic teratomas.  Fat containing ovarian lesions with an internal nodule demonstrating peripheral enhancement and internal fat, along with acute angles and lack of extension beyond the cystic wall, can be confidently diagnosed as having a benign nodule and thus compatible with benign mature cystic teratoma. 

1589
Feasibility of computed diffusion weighted imaging and optimization of b-value in cervical cancer.
Yusaku Moribata1, Aki Kido1, Koji Fujimoto1, Yuki Himoto1, Yasuhisa Kurata1, Fuki Shitano1, Kayo Kiguchi1, Ikuo Konishi2, and Kaori Togashi1

1Department of Diagnostic Imaging and Nuclear Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan, 2Department of Gynecology and Obstetrics, Graduate School of Medicine, Kyoto University, Kyoto, Japan

There has been no previous report on the utility of computed DWI with b-values above 1000 s/mm2 for the evaluation of cervical cancer. We aimed to evaluate the utility of computed DWI in cervical cancer and investigate the optimal b-value using computed DWI with b-values of 800, 1000, 1300, 1600 and 2000 s/mm2. Computed DWI with b-values of 1300 or 1600 s/mm2 may be recommended for the clinical evaluation of the extent of cervical cancer.

1590
Assessment of Cervical Cancer using BOLD MR Imaging - R2* Texture analysis
James Brittin1, Elizabeth Sadowski1, Kristin Bradley2, and Jessica Robbins1

1Radiology, University of Wisconsin, Madision, WI, United States, 2Radiation Oncology, University of Wisconsin, Madision, WI, United States

In our study of patients with cervical cancer, after initial treatment, tumors that recurred tended to have a higher heterogeneity on BOLD R2* maps, and tended to have a positive skew in their image histogram. As tumors undergo treatment, the AUC and skewness decreases significantly. Our findings indicate that BOLD MRI texture analysis can be used to assess long-term response to therapy after initial treatment and to follow tumors during treatment.  Further studies using BOLD MRI texture analysis in cervical cancer may help elucidate the utility of this technique in the course of treatment of women with cervical cancer.

1591
Ovarian edema and lymphatic obstruction: increased incidence in patients with large fibroid uterus
Alana Amarosa Lewin1, Genevieve Bennett1, and Nicole Hindman1

1Radiology, New York University School of Medicine, New York, NY, United States

The goal of this investigation was to determine the incidence of findings in asymptomatic patients which were suggestive of outflow obstruction (venous or lymphatic) as evidenced by dilated lymphatics and ovarian engorgement/signs of massive ovarian edema and to correlate these findings with the size of the fibroid uterus as compared to an age matched control population without fibroids.  Ovarian edema and/or lymphatic dilatation was noted with increased frequency in asymptomatic patients imaged for fibroid uterus over asymptomatic female patients without a fibroid uterus imaged for other causes (p< 0.0001).  Ovarian edema and/or dilated lymphatics in the setting of large fibroid uteri may be due to vascular congestion or lymphatic obstruction.  In the absence of pain and symptoms concerning for ovarian torsion, we postulate that these are incidental findings and recommend conservative management as opposed to immediate surgical exploration. 

1592
The Quantification of the Iron Contents in the Ovarian Endometrial Cyst; R2 Measurement in Vivo and Vitro
Junko Takahama1, Hiroshi Kobayashi2, Chiharu Yoshimoto2, Hiroshi Shigetomi2, Masato Uchikoshi3, Takuya Iwabuchi4, Nagaaki Marugami1, and Kimihiko Kichikawa1

1Radiology, Nara Medical University, Kashihara, Japan, 2Gynecology, Nara Medical University, Kashihara, Japan, 3Siemens AG, Erlangen, Germany, 4Metallogenics Co., Ltd., Chiba, Japan

The measurement of R2 values to quantify the iron concentration in vivo and vitro.

1593
Functional Imaging of the Non-Human Primate Placenta With Endogenous BOLD Contrast
Matthias C Schabel1,2, Victoria H.J. Roberts3, Jamie O. Lo3, Antonio E. Frias4, and Chris D. Kroenke1

1Advanced Imaging Research Center, Oregon Health & Science University, Portland, OR, United States, 2Utah Center for Advanced Imaging Research, University of Utah, Salt Lake City, UT, United States, 3Division of Diabetes, Obesity, and Metabolism, Oregon Health & Science University, Portland, OR, United States, 4Division of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR, United States

We describe a non-contrast method for assessing placental perfusion and fetal oxygenation status utilizing quantitative T2* mapping and a novel spatial model, and validate our method using DCE-MRI measurement in pregnant rhesus macaques.

1594
Diffusion-weighted MR imaging using a gamma distribution model for prediction of insignificant prostate cancer
Hiroko Tomita1, Hiroshi Shinmoto1, Shigeyoshi Soga1, Kentaro Yamada1, Tatsumi Kaji1, Tomohiko Asano2, and Koichi Oshio3

1Radiology, National Defense Medical College, Saitama, Japan, 2Urology, National Defense Medical College, Saitama, Japan, 3Diagnostic Radiology, Keio University, School of Medicine, Tokyo, Japan

The purpose of this study was to investigate whether the parameters obtained from diffusion-weighted imaging using a gamma model could distinguish a Gleason 6 from a Gleason≥7 disease, and help to improve the prediction of insignificant prostate cancer in active surveillance candidates. Fifty-nine patients who underwent radical prostatectomy were included in this study. ROC analyses for predicting adverse pathologic outcomes in active surveillance candidates showed that the AUC of the parameters of the gamma model were from 0.81 to 0.88. DWI using the gamma model might help to improve the prediction of insignificant prostate cancer in active surveillance candidates.

1595
Magnetic Resonance Spectroscopic Imaging (MRSI) Metabolite Ratio to Predict Malignancy in Patients with Prostate Cancer undergoing MRI-guided prostate biopsy
Juan C. Camacho1,2, Nima Kokabi1, Peter A. Harri1, Tracy E. Powell2, and Sherif G. Nour1,2

1Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, GA, United States, 2Interventional MRI Program, Emory University Hospital, Atlanta, GA, United States

The study objective is to investigate Magnetic Resonance Spectroscopic Imaging (1H-MRSI) in prostate lesions and to correlate the values with the results of MRI-guided prostate targeted sampling. A prospective cohort of patients presenting with persistently elevated or rising serum prostate specific antigen (PSA) and at least one lesion suspicious for prostate cancer that underwent MRI guided targeted biopsy was evaluated. Thirty-five consecutive patients were recruited presenting with 179 suspicious lesions.  ROC curve analysis demonstrates a poor performance of 1H-MRSI as a non-invasive imaging biomarker.

1596
Does Intramuscular Glucagon for Prostate MRI Improve Image Quality?
Stephanie T. Chang1, Shreyas S. Vasanawala1, and Andreas M. Loening1

1Radiology, Stanford University, Palo Alto, CA, United States

We retrospectively investigated whether administration of 1 mg of intramuscular (IM) glucagon to decrease bowel peristalsis prior to prostate MRI decreases motion artifact. Two blinded, independent readers reviewed MRI prostate studies of 25 and 26 patients who did and did not receive glucagon, respectively, for motion-related blurring of the prostate, bowel, and lymph nodes on a five-point Likert scale. No significant difference was observed in all categories. Although European Society of Uroradiology (ESUR) and American College of Radiology guidelines recommend using antiperistaltic agents for prostate MRI, our results suggest that IM glucagon may not be necessary.

1597
Detection of Prostate Cancer from Multi-parametric Regional MRI Features
Nelly Tan1, Nazanin Asvadi1, Amin Moshkar2, Steven Raman2, and Fabien Scalzo3

1Radiology, UCLA, Los Angeles, CA, United States, 2UCLA, Los Angeles, CA, United States, 3Neurology, UCLA, Los Angeles, CA, United States

Our preliminary results suggest that using a trained machine learning algorithm (spectral regression model) to analyze multiparametric is highly accurate for automatically localizing prostate cancer.

1598
To evaluate the damage of renal function in CIAKI rats at 3T: Using ASL and BOLD MRI
Yuhao Dong1, Wenbo Chen1, Long Liang1, Bin Zhang1, and Shuixing Zhang1

1Radiology, Department of Radiology, Guangdong Academy of Medical Sciences/Guangdong General Hospital, Guangzhou, Guangzhou, China, People's Republic of

Contrast induced acute kidney injury (CIAKI) is a common complication after the administration of contrast media.  The universally acknowledged mechanisms of CIAKI are the ischemia-mediated oxidative stress as well as the arteriolar vasoconstriction resulted from sustained contrast-induced, hypoxia in cortex and medulla. Our study aims to investigate noninvasive arterial spin-labeling (ASL) and blood oxygen level-dependent imaging (BOLD) sequences for measuring renal hemodynamics and oxygenation in different time points and different sites of kidney after contrast media administration. The results showed that ASL combining BOLD can further identify the primary cause of the decrease of renal oxygenation in CIAKI, which provides means for noninvasive monitoring renal function during the first 4 days of CIAKI in clinical routine work.


Traditional Poster

Lung, Hyperpolarised, Mediastinum

Exhibition Hall Tuesday, May 10, 2016: 10:00 - 12:00

1599
Comparison of bi-exponential and mono-exponential model of diffusion weighted imaging in evaluation of pulmonary nodules or masses: preliminary experience
Xinchun Li1, Qi Wang1, Yingjie Mei2, Jiaxi Yu1, Qiao Zou1, Yingshi Deng1, and Yudong Yu1

1Department of Radiology, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China, People's Republic of, 2Philips Healthcare, Guangzhou, China, People's Republic of

The differential diagnosis of benign and malignant focal lesions of the lung is a hot and difficult problem in daily chest imaging. The purpose of our study was to evaluate the potential of intravoxel incoherent motion (IVIM)–derived parameters as well as apparent diffusion coefficient (ADC) in differentiating solitary pulmonary lesions.  The results demonstrate that IVIM-DWI could be more helpful for distinguishing malignant from benign lesions in lung. D has the best diagnostic efficiency.

1600
MR imaging of saline flooded lung – A feasibility study in a large animal model
Frank Wolfram1, Thomas Lesser1, Harald Schubert2, Joachim Böttcher3, Jürgen R Reichenbach4, and Daniel Güllmar4

1Department of Thoracic and Vascular Surgery, SRH Wald-Klinikum Gera, Teaching Hospital of Friedrich Schiller University of Jena, Gera, Germany, 2Institute of Laboratory Animal Sciences and Welfare, Jena University Hospital - Friedrich Schiller University Jena, Jena, Germany, 3Institute of Diagnostic and Interventional Radiology, SRH Wald-Klinikum Gera, Teaching Hospital of Friedrich Schiller University of Jena, Gera, Germany, 4Medical Physics Group / IDIR, Jena University Hospital - Friedrich Schiller University Jena, Jena, Germany

MR imaging of ventilated lung is a challenging task. The low proton density with extremely short T2* and local field inhomogeneities on tissue-air interfaces are sub-optimal for MRI. Unilateral lung flooding replaces air content of one lung wing with saline. This experimental method enables sonographic guidance as well as therapeutic ultrasound ablation. The untoward properties of lung might change to ideal conditions with a homogen and high proton density after flooding. The aim of the study was to investigate the feasibility of in-vivo unilateral lung flooding in MR environment and to evaluate the MR imaging capabilities of flooded lung in a large animal model.

1601
Monitoring therapeutic response in anatomy and functions on pulmonary fibrosis by ultra-short echo time (UTE) MRI in an orthotopic mouse model
Masaya Takahashi1, Keisuke Ishimatsu1, Shanrong Zhang1, Hua Lu2, and Connie C.W. Hsia2

1Advanced Imaging Research Center, University of Texas Southwestern Medical Center, Dallas, TX, United States, 2Pulmonary and Critical Care Medicine, University of Texas Southwestern Medical Center, Dallas, TX, United States

The purpose of this study was to investigate the ability of in vivo ultra-short echo time (UTE)-MRI for assessment of pulmonary microstructure and functions of ventilation-perfusion in an animal model of pulmonary fibrosis in comparison with high-resolution MRI, physiological global measures and histomorphology.

1602
Optimized four channel phased array coil for mice lung imaging at 11.7 T
Marta Tibiletti1, Dominik Berthel2, Michael Neumaier3, Dorothee Schüler2, Detlef Stiller3, and Volker Rasche1,4

1Core Facility Small Animal MRI, Ulm University, Ulm, Germany, 2Rapid Biomedical GmbH, Rimpar, Germany, 3Target Discovery Research, In-vivo imaging laboratory, Boehringer Ingelheim Pharma GmbH & Co. KG, Biberach an der Riss, Germany, 4Department of Internal Medicine II, Ulm University, Ulm, Germany

Lung imaging with MRI is challenging, due to the low proton density in the tissue, short T2* values due to multiple air-tissue interfaces, and respiratory and cardiac motion. A major step for providing sufficient signal to noise ratio (SNR) is the availability of dedicated coils optimized for the specific application. In this work, we present a 4-channel mouse phased-array coil optimized for the thoracic anatomy of mice. Depending on the field-of-view an average two- to threefold gain in SNR was observed in direct comparison to a conventional transmitt/receive quadrature volume coil at 11.7 T.

1603
Three dimensional inversion recovery dual-echo ultrashort echo time imaging with k-space reordering for effective suppression of longer T2 species in lung parenchyma imaging
Neville D Gai1, Ashkan A Malayeri1, and David A Bluemke1

1Radiology & Imaging Sciences, NIH, Bethesda, MD, United States

Effective imaging of short T2 species requires efficient suppression of longer T2 tisues to maximize short T2 contrast and dynamic range. While inversion with segmented k-space acquisition in Cartesian schemes is straightforward, inversion with segmented k-space UTE radial acquisition offers some challenges since the center of k-space is sampled with each acquisition resulting in magnetization modulation related artifacts. Here we perform 3D inversion recovery dual-echo UTE imaging of lung parenchyma using a reordered k-space radial scheme to perform artifact free high contrast imaging of native lung parenchyma.

1604
A new CF-specific MRI-Score: can it predict loss of lung function?
Ilias Tsiflikas1, Matthias Teufel1, Sabrina Fleischer1, Dominik Hartl2, Konstantin Nikolaou1, and Juergen F Schaefer1

1Diagnostic and Interventional Radiology, University Hospital of Tuebingen, Tübingen, Germany, 2Pediatrics I - CF Center, University Hospital of Tuebingen, Tübingen, Germany

The study successfully evaluated a new developed CF-specific MRI score. Our results show that the MRI-Score can predict the loss of pulmonary function. Thus, our findings may help that MRI can serve as a novel predictive marker for loss of lung function in CF and thereby help to tailor individualized monitoring and treatment strategies.

1605
Free Breathing Multi-parametric quantitative Assessment of Mesothelioma with MRI
Ravi Teja Seethamraju1, Noreen Dunham2, Donna Oka2, Aida Faria2, and Ritu Randhawa Gill2

1MR R&D, Siemens Healthcare, Boston, MA, United States, 2Radiology, Brigham and Women's Hospital, Boston, MA, United States

We demonstrate that free breathing multi-parametric quantitative assessment of mesothelioma with MRI is feasible. DCE imaging of the thorax with 3D Radial stack of stairs gradient echo (radial VIBE) sequence can be acquired while free breathing and the resulting pharmacokinetic maps are of higher diagnostic value than current standard of 2D or 3D FLASH acquisitions without the need for co-registration. Similarly DWI with readout segmented EPI (RESOLVE) provides similar diagnostic value with a free breathing acquisition. These two biomarkers help improve the evaluation of tumor in mesothelioma patients.

1606
Matrix pencil decomposition of time-resolved proton MRI for robust and improved assessment of lung ventilation and perfusion
Grzegorz Bauman1,2 and Oliver Bieri1,2

1Radiological Physics, University Hospital of Basel, Basel, Switzerland, 2Department of Biomedical Engineering, University of Basel, Basel, Switzerland

In the contemporary Fourier decomposition lung MRI, time-resolved registered 2D image series are Fourier transformed to identify in a power spectrum the underlying respiratory and cardiac frequencies. Subsequently, the amplitudes corresponding to the respiratory and cardiac motion are extracted voxel-wise to eventually produce ventilation and perfusion images. However, the analysis of truncated oscillatory signals and the peak search in the Fourier spectrum is usually very unstable and inaccurate. Here, we propose to use a robust and fully-automated method of signal analysis using a matrix pencil decomposition in combination with a linear least squares analysis for improved quantitative pulmonary function assessment.

1607
19F Ventilation Imaging of Cystic Fibrosis Patients
Yueh Lee1, Esther Akinnagbe-Zusterzeel1, Jennifer Goralski1, Scott Donaldson1, Hongyu An2, H. Cecil Charles3, and Richard Boucher1

1The University of North Carolina at Chapel Hill, Chapel Hill, NC, United States, 2Washinton University, St. Louis, MO, United States, 3Duke University, Durham, NC, United States

19F MRI Ventilation imaging of cystic fibrosis patients demonstrates the disease heterogeneity using a straightforward dynamic protocol.

1608
Non-cartesian SENSE reconstruction of 3D UTE Cones for fast MR lung imaging
Konstantinos Zeimpekis1,2, Klaas Pruessmann2, Florian Wiesinger3, Patrick Veit-Haibach1, and Gaspar Delso4

1Nuclear Medicine, University Hospital Zurich, Zurich, Switzerland, 2Information Technology and Electrical Engineering, ETHZ, Zurich, Switzerland, 3GE Global Research, Munich, Germany, 4GE Healthcare, Waukesha, WI, United States

This study is about a first attempt to use CG-SENSE parallel reconstruction for non-cartesian 3D Ultra-short Echo Time Cones sequence for lung imaging. Primary goal is to test under-sampled data that reduce the scan time effectively to one quarter of the fully sampled acquisition and check if the reconstruction manages to capture lung density signal to be used for accurate PET Attenuation Correction on a PET/MRI since conventional sequences that are currently used do not capture any. We test also the possibility for high resolution lung imaging from the undersampled data reconstructed with CG-SENSE algorithm.

1609
A Segmentation Pipeline for Measuring Pulmonary Ventilation Suitable for Clinical Workflows and Decision-making
Fumin Guo1, Khadija Sheikh1, Rachel Eddy1, Dante PI Capaldi1, David G McCormack2, Aaron Fenster1, and Grace Parraga1

1Robarts Research Institute, The University of Western Ontario, London, ON, Canada, 2Department of Medicine, The University of Western Ontario, London, ON, Canada

Clinical translation of hyperpolarized 129Xe MRI for large-scale and multi-centre applications requires image analysis tools that can provide clinically-acceptable measurements of pulmonary information. Here we proposed a pipeline that consists of 1H-129Xe registration, segmentation and ventilation defects generation for regional and quantitative evaluation of 129Xe ventilation. 1H-129Xe registration was performed using a state-of-art registration approach. 1H MRI segmentation was performed using primal-dual analysis methods and modern convex optimization techniques with incorporation of region information from 129Xe MRI. We applied the pipeline across a range of pulmonary abnormalities and this computationally efficient pipeline demonstrated high agreement with reference standard, suggesting its suitability for efficient clinical workflows.

1610
Quantitative Aerosol Deposition in Mechanically-Ventilated Healthy and Asthmatic Rats using UTE-MRI
Hongchen Wang1, Georges Willoquet1, Catherine Sebrié1, Sébastien Judé2, Anne Maurin2, Rose-Marie Dubuisson1, Luc Darrasse1, Geneviève Guillot1, Ludovic de Rochefort1, and Xavier Maître1

1Imagerie par Résonance Magnétique Médicale et Multi-Modalités (UMR8081) IR4M, CNRS, Univ. Paris-Sud, Orsay, France, 2Centre de Recherches Biologiques, CERB, Baugy, France

Asthma is the most common chronic respiratory disease treated with inhaled therapy. However, aerosol deposition patterns are complex and imaging methods are needed to improve delivery efficiency. 3D UTE-MRI combined with aerosolized Gd-DOTA had been formerly applied onto spontaneous nose-only-breathing animals. Here, a mechanical administration system was developed to ventilate and nebulize rats. Resulting aerosol distribution and kinetics were compared with free-breathing in healthy and asthmatic animals.

1611
Investigation of the Multiple T2* Compartments in Lung Parenchyma using a 3D Multi-Echo Radial sequence
Aiming Lu1, Xiangzhi Zhou1, Mitsue Miyazaki1, Masao Yui2, Masaaki Umeda2, and Yoshiharu Ohno3,4

1Toshiba Medical Research Inst., Vernon Hills, IL, United States, 2Toshiba Medical System Corp, Otawara, Japan, 3Advanced Biomedical Imaging Research Center, Kobe University Graduate School of Medicine, Kobe, Japan, 4Division of Functional and Diagnostic Imaging Research, Department of Radiology, Kobe University Graduate School of Medicine, Kobe, Japan

T2* mapping with a single-exponential model have been demonstrated to be useful in accessing pulmonary functional loss.  However, the model does not fully explain the signal evolution at longer TEs. We propose to improve the T2* characterization in the lung parenchyma with a bi-exponential model. Using a 3D multi-echo radial sequence, our results demonstrated that short T2* values and the volume fractions of the two compartments could be obtained on a clinical 3T scanner. In addition to the improved accuracy of the short T2* measurement, the added fraction values could also potentially be used as biomarkers.

1612
T1 relaxation time in lungs of asymptomatic smokers
Daniel Alamidi1, Simon Kindvall2, Penny Hubbard Cristinacce3, Deirdre McGrath3, Simon Young4, Josephine Naish3, John Waterton3, Per Wollmer5, Sandra Diaz5, Marita Olsson6, Paul Hockings7,8, Kerstin Lagerstrand1, Geoffrey Parker3,9, and Lars E Olsson2

1Department of Radiation Physics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden, 2Department of Medical Physics, Lund University, Translational Sciences, Malmö, Sweden, 3Centre for Imaging Sciences and Biomedical Imaging Institute, Manchester Academic Health Sciences Centre, University of Manchester, Manchester, United Kingdom, 4AstraZeneca R&D, Alderley Park, United Kingdom, 5Department of Translational Medicine, Lund University, Malmö, Sweden, 6AstraZeneca R&D, Mölndal, Sweden, 7Medtech West, Chalmers University of Technology, Gothenburg, Sweden, 8Antaros Medical, BioVenture Hub, Mölndal, Sweden, 9Bioxydyn Ltd, Manchester, United Kingdom

Tobacco smoking is the primary cause of COPD. MRI may improve the characterization of COPD where T1 of the lungs is a potential biomarker. We investigated whether smoking affects lung T1 in individuals with no known lung disease. Lung T1 measurements were performed in asymptomatic current and never smokers. T1 was shortened with age and an indication of shortened T1 in smokers was observed that most likely reflects early signs of smoking-induced lung pathology. Our results may be of utility to power future prospective studies with larger cohorts and improved regional analysis. 

1613
Retrospective reconstruction using recorded cardiac and respiration data of 3D radial acquisition of a human torso
Daniel Güllmar1, Georg Hille2, Martin Krämer1, Karl-Heinz Herrmann1, Jürgen R Reichenbach1, and Jens Haueisen2

1Medical Physics Group / IDIR, Jena University Hospital - Friedrich Schiller University Jena, Jena, Germany, 2Institute of Biomedical Engineering and Informatics, Faculty of Computer Science and Automation, Technical University Ilmenau, Ilmenau, Germany

The aim of the study was to acquire 3D radially sampled k-space data of a human torso without breath hold and prospective cardiac triggering. Respiration and cardiac pulsation were continuously recorded simultaneously with MR imaging over a time frame of 1 h. Retrospective data motion triggering was used to reconstruct 8 up to 10 different respiration phases and 12 up to 20 different cardiac cycle phases, resulting in 96 up to 200 different phase combinations. Image quality was evaluated based on SNR, CNR and under sampling artifacts.

1614
Asymmetric line broadening in lung tissue
Lukas Reinhold Buschle1, Felix Tobias Kurz1,2, Thomas Kampf3, Heinz-Peter Schlemmer1, and Christian Herbert Ziener1

1E010 Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany, 2Department of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany, 3Department of Experimental Physics 5, University of Würzburg, Würzburg, Germany

We analyze the local line shape in human lung tissue in dependence of the underlying microscopic tissue parameters such as diffusion coefficient, alveolar size and susceptibility difference. The interplay between susceptibility- and diffusion-mediated effects is discussed in several dephasing regimes. In vivo measurements for human lung tissue show an excellent agreement with simulations of the dephasing process. This allows an improved quantitative diagnosis of early pulmonary fibrosis and emphysema.

1615
Dephasing and diffusion on the alveolar surface
Lukas Reinhold Buschle1, Felix Tobias Kurz1,2, Thomas Kampf3, Heinz-Peter Schlemmer1, and Christian Herbert Ziener1

1E010 Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany, 2Department of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany, 3Department of Experimental Physics 5, University of Würzburg, Würzburg, Germany

In lung tissue, the susceptibility difference between air-filled alveoli and surrounding tissue causes a strong dephasing of spin-bearing particles. The particles experience an averaged magnetic field due to diffusion effects. Thus, the dephasing process slows down. Both diffusion and susceptibility effects are described by the Bloch-Torrey equation that is solved for the local magnetization on the surface of alveoli. The analytical solution of the free induction decay is compared to in vivo measurements in human lung tissue.

1616
Evaluation of three different VIBE Sequences for Pulmonary Lesions Detection in Patients with Lung Cancer
Hong Wang1, Xing Tang1, Panli Zuo2, Shun Qi1, and Hong Yin1

1Department of Radiology, Department of Radiology,Xijing Hospital, Xi'an, China, People's Republic of, 2Siemens Healthcare, MR Collaborations NE Asia, Beijing, China, People's Republic of

MR imaging is limited by poor evaluation of lung parenchyma due to rapid single decay, low tissue portion density and substantial respiratory motion. In this study, we evaluate three different approaches of VIBE sequences in pulmonary lesions detection, which including a short-TE breath-hold VIBE, DIXON VIBE and a free-breathing Radial VIBE. We found Breath-hold short-TE VIBE and Dixon VIBE sequences have better performance in lesion detection than radial VIBE.

1617
Title: Breath-Hold Peripheral Pulse-Gated Black-Blood T2-Weighted Lung Magnetic Resonance Imaging with the Variable Refocusing Flip Angle Technique
Ryotaro Kamei1, Yuji Watanabe2, Koji Sagiyama1, Satoshi Kawanami2, Atsushi Takemura3, Masami Yoneyama3, and Hiroshi Honda1

1Department of Clinical Radiology, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan, 2Department of Molecular Imaging and Diagnosis, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan, 3Healthcare, Philips Electronics Japan, Tokyo, Japan

Breath-hold black-blood magnetic resonance imaging of the lung provides promising results in focal lesion screening. Using peripheral pulse gating, we intended to improve the image quality obtained with previously reported methods. Black-blood fat-saturated T2-weighted images were acquired for healthy volunteers at various time points during the pulse cycle. The degree of attenuation of the intraluminal signals was quantified. The longest trigger delay, which corresponds to the systolic phase, provided superior black-blood effects and was considered optimal for signal acquisition. Thus, peripheral pulse gating enabled convenient and effective attenuation of the signals within pulmonary vessels.

1618
Dynamic Contrast-Enhanced Perfusion MR Imaging at 3T System: Influence of Contrast Media Concentration to Capabilities of Pulmonary Perfusion Parameter and Functional Loss Evaluations as Compared with Dynamic Contrast-Enhanced Perfusion Area-Detector CT
Yoshiharu Ohno1,2, Yuji Kishida2, Shinichiro Seki2, Hisanobu Koyama2, Shigeru Ohyu3, Masao Yui3, Takeshi Yoshikawa1,2, Katsusuke Kyotani4, and Kazuro Sugimura2

1Advanced Biomedical Imaging Research Center, Kobe University Graduate School of Medicine, Kobe, Japan, 2Radiology, Kobe University Graduate School of Medicine, Kobe, Japan, 3Toshiba Medical Systems Corporation, Otawara, Japan, 4Center for Radiology and Radiation Oncology, Kobe University Hospital, Kobe, Japan

    Quantification of perfusion parameter from dynamic CE-perfusion MRI at 3T system may be more difficult than that at 1.5T system, and contrast media concentration may have larger influence to measurement error of perfusion parameter on a 3T system.  We hypothesized that a bolus injection protocol with appropriately small contrast media volume can provide accurate pulmonary perfusion parameter on dynamic CE-perfusion MRI at a 3T system.  The purpose of this study was to determine the appropriate contrast media volume for quantitative assessment of dynamic CE-pulmonary MRI, when compared with dynamic CE-area-detector CT (ADCT) for quantitative evaluation of perfusion within whole lung.

1619
High-resolution 3D ultra-short echo-time imaging of the lung in young children at 3T without sedation
Wingchi Edmund Kwok1,2, Clement Ren3, Gloria Pryhuber4, Mitchell Chess1, and Jason C. Woods5

1Department of Imaging Sciences, University of Rochester, Rochester, NY, United States, 2Rochester Center for Brain Imaging, University of Rochester, Rochester, NY, United States, 3Department of Pediatrics, University of Rochester, Rochester, NY, United States, 4Departments of Pediatrics and Environmental Medicine, University of Rochester, Rochester, NY, United States, 5Departments of Pediatrics and Radiology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, United States

Our purpose was to study the feasibility of high-resolution lung ultra-short TE imaging of young children at 3T without sedation and tackle potential challenges.  Two subjects aged 7 and 8 with mild cystic fibrosis were recruited.  They were supported by a child life specialist and the use of a mock magnet.  Siemens work-in-progress UTE and PETRA_D sequences were used for lung imaging.  The images depicted the lung parenchyma, airways and vessels, and revealed abnormalities such as bronchial wall thickening.  The techniques should be useful for the monitoring of lung development and evaluation of lung diseases in children.

1620
Investigating the Correlation between Alveolar Surface-to-Volume Ratio and Apparent Diffusion Coefficient with Hyperpolarized Xenon-129 MRI
Kai Ruppert1,2, Kun Qing2, Talissa A. Altes2,3, and John P. Mugler III2

1Cincinnati Children's Hospital, Cincinnati, OH, United States, 2University of Virginia, Charlottesville, VA, United States, 3University of Missouri, Columbia, MO, United States

Chemical Shift Saturation Recovery (CSSR) MR Spectroscopy is a method for monitoring the uptake of hyperpolarized xenon-129 (HXe) by lung parenchyma. The purpose of this study was to investigate the correlation between the alveolar surface-to-volume ratio (S/V) as assessed by CSSR spectroscopy and apparent diffusion coefficient measurements in subjects with chronic-obstructive pulmonary disease, healthy smokers and age-matched normals. Only for very short delay times (5 ms or less) a good correlation was established. Surprisingly, the best correlation, and presumably most accurate S/V value, was obtained by using just the red-blood cell peak at the shortest measured delay time of 3ms.

1621
Hyperpolarized Xenon-129 Lung 3D SB-CSI at 1.5 and 3 Tesla
Steven Guan1, Kun Qing1, Talissa Altes1, John Mugler III1, Borna Mehrad1, Michael Shim1, Quan Chen1, Paul Read1, James Larner1, Iulian Ruset2,3, Grady Miller1, James Brookeman1, William Hersman2,3, and Jaime Mata1

1University of Virginia, Charlottesville, VA, United States, 2University of New Hampshire, Duhram, NH, United States, 3XeMed, Duhram, NH, United States

3D Single-Breath Chemical Shift Imaging (3D SB-CSI) is capable of non-invasively assessing regional lung ventilation and gas uptake/exchange within a single breath-hold, typically less than 13 seconds.  From this study, we present preliminary clinical results of 3D SB-CSI from healthy, cystic fibrosis (CF), interstitial lung disease (ILD), and lung cancer (LC) subjects at 1.5T and 3T. Having novel information on regional changes in ventilation and gas uptake/exchange allows for a better understanding of lung physiology, disease progression, and treatment efficacy.

1622
Spatial Fuzzy C-Means thresholding for semi-automated calculation of percentage lung ventilated volume from hyperpolarised gas and 1H MRI
Paul J.C. Hughes1, Helen Marshall1, Felix C. Horn1, Guilhem J. Collier1, and Jim M. Wild1

1Academic Unit of Radiology, University of Sheffield, Sheffield, United Kingdom

Automating image analysis is key to accelerate quantitative image metric calculation and increase consistency between observers. This work presents a custom-built software to calculate percentage lung ventilated volume (%VV) from hyperpolarised gas and 1H MRI using spatial fuzzy c-means thresholding. The software developed reduced analysis time and user input resulting in significantly decreased interobserver variability when postprocessing image data.


1623
Differentiating Early Stage and Later Stage Idiopathic Pulmonary Fibrosis using Hyperpolarized 129Xe Ventilation MRI
Mu He1, Scott H. Robertson2, Jennifer M. Wang3, Craig Rackley4, H. Page McAdams5, and Bastiaan Driehuys5

1Electrical and Computer Engineering Department, Duke University, Durham, NC, United States, 2Medical Physics Graduate Program, Duke University, Durham, NC, United States, 3School of Medicine, Duke University, Durham, NC, United States, 4Pulmonary, Allergy and Critical Care Medicine, Duke University Medical Center, Durham, NC, United States, 5Radiology, Duke University Medical Center, Durham, NC, United States

The use of 129Xe MRI to characterize ventilation has received little attention in IPF because these patients exhibit few ventilation defect regions (VDR) compared to those with other obstructive lung diseases. Here, we evaluate other aspects of the ventilation distribution by optimized linear binning. Ventilation distributions were quantified to provide not only VDR, but also low and high-intensity regions (LIR, HIR). We found that HIR was reduced by 3-fold in patients with late versus early stage disease, as measured by GAP IPF stage. Thus, loss of HIR may be a useful marker of disease progression in IPF.

1624
A Dual Loop T/R-Xenon Coil for Homogenous Excitation with Improved Comfort and Size
Wolfgang Loew1, Robert Thomen1, Randy Giaquinto1, Ron Pratt1, Zackary Cleveland1, Laura Walkup1, Charles Dumoulin1, and Jason Woods1

1Imaging Research Center, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, United States

Hyperpolarized gas MRI of lungs requires homogeneous RF excitation and high SNR for proper spin-density mapping with low flip angles. A dual loop T/R 129Xe coil was designed and constructed to provide flexibility for a wide range of patient sizes while maintaining high transmit/receive homogeneity for hyperpolarized 129Xe imaging and therefore provide high-quality images for identifying and quantifying functional pulmonary deficiencies. Electromagnetic field simulations were used to analyze excitation profiles.

1625
Lobar Ventilation Heterogeneity in Asthma and Cystic Fibrosis Assessed with Hyperpolarized Helium-3 MRI and Computed Tomography
Wei Zha1, Jeffery N Kammerman1, David G Mummy2, Alfonso Rodriguez1, Robert V Cadman1, Scott K Nagle1,3,4, Ronald L Sorkness4,5,6, and Sean B Fain1,2,3

1Department of Medical Physics, University of Wisconsin-Madison, Madison, WI, United States, 2Department of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, United States, 3Department of Radiology, University of Wisconsin-Madison, Madison, WI, United States, 4Department of Pediatrics, University of Wisconsin-Madison, Madison, WI, United States, 5Medicine-Allergy, Pulmonary & Critical Care, University of Wisconsin-Madison, Madison, WI, United States, 6Pharmacy, University of Wisconsin-Madison, Madison, WI, United States

Seven cystic fibrosis (CF) and 69 asthma subjects with different severities of disease underwent hyperpolarized helium-3 MRI and multidetector computed tomography (MDCT). Lobar segmentation was performed on proton MRI by referencing corresponding MDCT. The lobar ventilation defect percent (VDP) was measured by adaptive K-means. Pairwise comparison showed that lobar VDP variation patterns were different in CF vs. asthma, although patterns were similar in severe vs. non-severe asthma. Disease-related lobar VDP variation patterns may provide a sensitive indicator for early detection and patterns of progression in obstructive lung disease.

1626
Severity Evaluation in Cystic Fibrosis Using Oxygen-enhanced MRI: Comparison to Hyperpolarized Helium-3 MRI
Wei Zha1, Stanley J Kruger1, Robert V Cadman1, Kevin M Johnson1,2, Andrew D Hahn1, Scott K Nagle1,2,3, and Sean B Fain1,2,4

1Department of Medical Physics, University of Wisconsin-Madison, Madison, WI, United States, 2Department of Radiology, University of Wisconsin-Madison, Madison, WI, United States, 3Department of Pediatrics, University of Wisconsin-Madison, Madison, WI, United States, 4Department of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, United States

Oxygen-enhanced MRI using 3D radial ultrashort echo time sequence (OE-MRI) is a promising alternative to evaluate ventilation and defects with wider accessibility and better affordability.  Eleven cystic fibrosis (CF) subjects with different severities of disease underwent OE-MRI and HP-MRI. The disease severity ranks on the percent signal enhancement map (PSE) derived from OE-MRI was compared to the whole lung ventilation defect percent (VDP) measured from HP-MRI as a reference standard using Spearman rank correlation. The moderate association between VDP and PSE suggest OE-MRI shows promise for differentiating disease severity in CF.

1627
Can the Forced Oscillation Technique and a Computational Model of Respiratory System Mechanics Explain Asthma Ventilation Defects?
Megan Fennema1, Sarah Svenningsen1, Rachel Eddy1, Del Leary2, Geoffrey Maksym3, and Grace Parraga1

1Robarts Research Institute, The University of Western Ontario, London, ON, Canada, 2Environmental and Radiological Health Sciences, Colorado State University, Fort Collins, CO, United States, 3School of Biomedical Engineering, Dalhousie University, Halifax, NS, Canada

In patients with asthma, MRI has provided evidence of ventilation-defects and heterogeneity.  The etiology of ventilation-heterogeneity is not well-understood, and neither is its relationship with clinically-relevant respiratory-system-impedance measurements.  We evaluated the potential relationships between MRI ventilation-defects and respiratory-system-impedance measured in vivo using oscillometry and in silico using a computational airway-tree-model, in subjects clinically diagnosed with asthma.  Both experiments suggested a significant relationship between MRI ventilation-defects and respiratory-system-reactance.  In vivo experimental data presented here reinforced the validity of our computational airway-tree-model.  MRI-derived ventilation-defects in asthmatics can be explained by lung impedance, specifically reactance, measured experimentally and using a computational model.

1628
Quantitative Gas Exchange using Hyperpolarized 129Xe MRI in Idiopathic Pulmonary Fibrosis
Ziyi Wang1, Scott Haile Robertson2, Jennifer Wang3, Elianna Ada Bier2, Mu He4, and Bastiaan Driehuys1,2,5

1Biomedical Engineering, Duke University, Durham, NC, United States, 2Medical Physics Graduate Program, Duke University, Durham, NC, United States, 3School of Medicine, Duke University, Durham, NC, United States, 4Electrical and Computer Engineering, Duke University, Durham, NC, United States, 5Radiology, Duke University Medical Center, Durham, NC, United States

Hyperpolarized 129Xe MRI exploits solubility and chemical shift to image regional alterations in gas exchange. These properties have been particularly promising for sensitive detection and monitoring of idiopathic pulmonary fibrosis (IPF). Here we seek to refine our analysis of regional gas exchange impairment by mapping the 129Xe uptake in blood and barrier tissues relative to gas-phase signal intensity. This work shows that gas exchange impairment is dominated by increased 129Xe uptake in barrier tissues. 

1629
In situ pH effects within Mycobacterium tuberculosis Infected Mice revealed by UTE-CEST MRI
Jiadi Xu1, Vincent DeMarco2, Supriya Pokkali 2, Alvaro Ordonez2, Mariah Klunk2, Marie-France Penet3, Zaver Bhujwalla3, Peter van Zijl1,3, and Sanjay Jain2,4

1F. M. Kirby Center, kennedy Krieger Institute, Baltimore, MD, United States, 2Center for Infection and Inflammation Imaging Research, Center for Tuberculosis Research, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 3Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 4Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, United States

A UTE-CEST scheme was developed to acquire CEST spectrum on M. Tuberculosis lesions in mouse lung. The scheme repeats a selective saturation pulse together with an appropriate mixing time; MRI images are acquired using the UTE technique during the mixing times. The UTE readout is able to suppress the respiratory motion artifacts commonly seen in lung MRI. The pattern of the MTRasym spectra in the TB lesion, which is dominated by protein signals, was used to assess lesion pH. 

1630
Evaluation of esophageal cancer: comparison of MRI and CT
Wei Wang1, Wei Li1, Xueqian Shang1, and Xiaoying Wang1

1Peking University First Hospital, Beijing, China, People's Republic of

The study preliminary compared the ability of non-contrast-enhanced MRI and contrast-enhanced CT in detection, characterization and staging of esophageal cancer. Ten patients’ chest CT and MR images were subjectively evaluated. We found that MR was not inferior to CT, and showed superior capacity in detecting early unapparent cancer, delineating the tumor precisely and depicting perfect contrast of surrounding structures. Also MR was relatively safe than contrast-enhanced CT. MR may be a potential useful tool for evaluation esophageal cancer. 

1631

Design of a multimodal (1H MRI/23Na MRI/CT) anthropomorphic thorax phantom: Initial results at 3 T
Wiebke Neumann1, Florian Lietzmann1, Lothar R. Schad1, and Frank G. Zöllner1

1Computer Assisted Clinical Medicine, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany

Anthropomorphic phantoms are an essential tool for the validation of image registration algorithms of multimodal data and are important for quantification experiments in 1H and 23Na MR imaging. A human thorax phantom was developed with insertable lung, liver, rib cage modules and tracking spheres. Evaluation regarding the tissue-mimicking characteristics with 1H and 23Na MR and CT imaging shows that the modules possess T1, T2 and HU values comparable to those of human tissues. This work presents an MR- and CT-compatible phantom which allows experimental studies for quantitative evaluation of deformable, multimodal image registration algorithms and realistic multi-nuclei MR imaging techniques.


Traditional Poster

Hepatobilliary & Pancreas

Exhibition Hall Tuesday, May 10, 2016: 10:00 - 12:00

1632
Relationship between transient severe motion of the liver in gadoxetic acid-enhanced arterial phase imaging and changes of arterial oxygen saturation
Akihiko Kanki1, Tsutomu Tamada1, Ayumu Kido1, Kazuya Yasokawa1, Tomohiro Sato1, Daigo Tanimoto1, Minoru Hayashida1, Akira Yamamoto1, and Katsuyoshi Ito1

1Radiology, Kawaski Medical school, Kurashiki, Japan

The purpose of our study was to clarify the relationship between transient severe motion in arterial phase imaging (TSMA) and changes in SpO2 after contrast media administration during gadoxetic acid-enhanced MRI or CT. As the results, the decrease in SpO2 in arterial phase compared with other phases was less than 1% in both contrast media. The incidence of TSMA was 0% in iodinated contrast media and was 8.2% in gadoxetic acid, respectively. Our study suggests that the cause of TSM in dynamic gadoxetic acid-enhanced MR imaging of the liver may be the ringing artifacts rather than the respiratory-related motion artifacts.  

1633
Cholesterol gallstones can be depicted as positive signal using three dimensional ultra-short echo-time at 3T MR scanner
Mamoru Takahashi1, Yasuo Takehara2, Kenji Fujisaki1, Tomoyuki Okuaki 3, Yukiko Fukuma3, Norihiro Tooyama1, Katsutoshi Ichijo1, Tomoyasu Amano1, and Harumi Sakahara4

1Radiology, Seirei Mikatahara General Hospital, Hamamatsu, Japan, 2Hamamatsu University Hospital, Hamamatsu, Japan, 3Philips Electronics Japan, Ltd., Tokyo, Japan, 4Hamamatsu University School of Medicine, Hamamatsu, Japan

Using 3D dual echo UTE sequence, all cholesterol gallstones were able to be detected as positive signal in-vitro. Our study may indicate that UTE has an added value of depicting impacted stones or hepatolithiasis as positive signal. In initial clinical experiences, cholesterol gallstones were also successfully visualized as positive signal with UTE.

1634
Non-balanced spin-echo SSFP sequence in the hepatobiliary phase of Gd-EOB-MRI for the differential diagnosis of liver hemangiomas and metastatic liver tumors
Yukihisa Takayama1, Akihiro Nishie2, Yoshiki Asayama2, Kousei Ishigami2, Yasuhiro Ushijima2, Daisuke Okamoto2, Nobuhiro Fujita2, Masami Yoneyama3, and Hiroshi Honda2

1Department of Radiology Informatics and Network, Kyushu University, Graduate School of Medical Sciences, Fukuoka, Japan, 2Department of Clinical Radiology, Kyushu University, Graduate School of Medical Sciences, Fukuoka, Japan, 3Philips Electronics Japan, Tokyo, Japan

A non-balanced spin-echo steady-state free precession (SSFP) sequence is a variant of the gradient echo (GRE) sequence. It provides T2-weighted contrast because it generates the spin echo. It also has high sensitivity to contrast agents’ T1-shortening effects. After the optimization of MR parameter settings, the non-balanced spin-echo SSFP sequence in the hepatobiliary phase (HBP) of Gd-EOB-MRI is useful for differential diagnoses of liver hemangiomas and metastatic liver tumors, based on the interpretation of the lesion signal intensity. Here we assessed the diagnostic performance of the non-balanced spin-echo SSFP sequence in the HBP of Gd-EOB-MRI.

1635
Rapid Cartesian versus radial acquisition: comparison of two sequences for hepatobiliary phase MRI at 3 Tesla
Johannes Budjan1, Philipp Riffel1, Melissa Ong1, Stefan O Schoenberg1, Ulrike I Attenberger1, and Daniel Hausmann1

1Department of Clinical Radiology and Nuclear Medicine, University Medical Center Mannheim, Mannheim, Germany

In patients with breath-holding difficulties, breathing artifacts can result in dramatically reduced image quality during hepatobiliary phase imaging. Rapid Cartesian as well as radial acquisition techniques are approaches to minimize these artifacts. In 21 patients, both techniques were used and compared regarding image quality and lesion conspicuity. For most patients, a high flip angle Cartesian sequence with short breath-hold interval was feasible and resulted in superior overall image quality. Radial techniques proved to be a valuable option for the few patients who were unable to hold even short breath-hold intervals.

1636
Rapid registration of DCE-MRI for improved ROI-based analysis
Yajing Zhang1, Zhen Jiang2, Weiping Liu1, Feng Huang1, Ming Yang1, Allan Jin1, and Ping Yang1

1Philips Healthcare, Suzhou, China, People's Republic of, 22nd affiliated Hospital of Soochow University, Suzhou, China, People's Republic of

Quantification of dynamic contrast enhanced MRI (DCE-MRI) is often hindered by motion during imaging. Multiple sources of motion require for a non-rigid 3D registration to align dynamic images. This study provided a rapid 3D non-rigid registration tool for DCE liver registration by optimizing the scheme of image matching. The results show that the dynamic images were well aligned in terms of whole liver area and the portal vein area. Meanwhile, the intensity plot demonstrated better representation from the registered images. Computation time of registration was about one minute for the entire scan, making it possible for clinical routine analysis.

1637
Which is more favorable surrogate marker to predict liver fibrosis on Gd-EOB-DTPA enhanced MRI at 1.5T, ADC value on diffusion weighted imaging or quantitative enhancement ratio?
Taiyou Leopoldo Harada1, Kazuhiro Saito1, Yoichi Araki1, Jun Matsubayashi2, Toshitaka Nagao2, and Koichi Tokuuye1

1Radiology, Tokyo Medical University Hospital, Shinjuku-ku, Japan, 2Pathology, Tokyo Medical University Hospital, Shinjuku-ku, Japan

This study is to evaluate which is favorable surrogate marker to predict the liver fibrosis, DWI or quantitative enhancement ratio measured at hepatobiliary phase on Gd-EOB-DTPA enhanced-MRI. Eighty-three patients with 99 lesions were enrolled. ADC was measured at a distance of 5-10 mm from the tumor. Liver-to-muscle ratio (LMR), liver-to-spleen ratio (LSR) and contrast enhancement index (CEI) were calculated. ADC showed no significant difference among fibrosis grades. LMR and CEI showed significant differences between high stage and low stage fibrosis group (p<0.01 and p=0.04). In conclusion, LMR was best surrogate parameters to distinguish high stage from low stage fibrosis.

1638
Anatomical and Hemodynamic Assessments of Hepatic Vasculatures using 4D-PCA Technique: Initial Experience
Takeshi Yoshikawa1, Katsusuke Kyotani2, Yoshiharu Ohno1, Shinichiro Seki3, Hisanobu Koyama3, Kouya Nishiyama2, and Kazuro Sugimura3

1Advanced Biomedical Imaging Research Center, Kobe University Graduate School of Medicine, Kobe, Japan, 2Radiology, Kobe University Hospital, Kobe, Japan, 3Radiology, Kobe University Graduate School of Medicine, Kobe, Japan

We introduced new assessment method of liver hemodynamics using 4D-PCA and new flow analytic technique including wall shear stresses. We found 4D-PCA can be clinically used as a non-contrast angiography and our approach enables detailed hemodynamic assessment for each hepatic vessel.

1639
Transient severe motion (TSM) at gadoxetate disodium-enhanced MRI – Comparison of different contrast agent application protocols
Kristina Imeen Ringe1, Christian von Falck1, Hans-Juergen Raatschen1, Frank Wacker1, and Jan Bernd Hinrichs1

1Department of Diagnostic and Interventional Radiology, Hannover Medical School, Hannover, Germany

The purpose of our present study was to evaluate the incidence of TSM at gadoxetate disodium-enhanced MRI using different contrast application protocols, i.e. by variation of contrast injection rate, dose and supplemental nasal oxygen application. In addition to quantitative SNR measurements, motion artifacts and arterial phase image quality were compared. The overall incidence of TSM in our study population was 11.5%, and neither variation of contrast application parameter was able to significantly reduce the occurrence of these artifacts.

1640
MR angiography of congenital portosystemic shunts in mice
Hongxia Lei1,2, Ana Francisca Soares3, and Rolf Gruetter3,4

1Animal Imaging and Technology CIBM-AIT, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland, 2University of Geneva, Geneva, Switzerland, 3Laboratory of functional and metabolic imaging LIFMET, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland, 4University of Lausanne, Lausanne, Switzerland

Abnormal vascular connections within the liver, such as congenital portosystemic shunts occur sporadically in widely used strain of laboratory mice, i.e. the C57BL/6J strain. We showed that with the respiration gating, MR angiography yields vascular structures of mouse liver with excellent quality and thus allowing diagnosing such abnormality non-invasively.

1641
In vivo 31P 3D MRSI of the hepatobiliary system with improved coverage due to the 8 channel receive array at 3T enables prospective assessment of phosphatidylcholine in the gallbladder.
Marek Chmelik1,2, Martin Gajdošík1,2, Emina Halilbasic3, Ladislav Valkovič1,4, Wolfgang Bogner1, Stephan Gruber1, Michael Trauner3, Siegfried Trattnig1,2, and Martin Krššák1,2,3

1High Field MR Centre, Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria, 2Christian Doppler Laboratory for Clinical Molecular MR Imaging, Vienna, Austria, 3Division of Endocrinology and Metabolism, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria, 4OCMR, RDM Cardiovascular Medicine, University of Oxford, Oxford, United Kingdom

The purpose of this study was to acquire 31P-3D-MRSI data with extended coverage of the hepatobiliary system using a 8-channel receive array at 3T. This protocol enables prospective phosphatidylcholine (PtdC) assessment in the gallbladder. As the bile amount in the gallbladder changes according to dietary condition, the protocol was tested pre-/post-meal. After overnight fasting all volunteers had gallbladder filled with the bile visible in both 31P-MRSI data as strong PtdC signal at 2ppm and in T2 weighted images as hyperintense region. A reduced PtdC signal and volume of the gallbladder were visible after digestion of the high fat meal.

1642
Effect of Betaine on Intrahepatic Triglyceride Levels: Reproducibility and Preliminary Results
Adrienne Lee1, Benjamin Rowland1, Huijun Liao1, Ana Maria Grizales2, Allison Goldfine2, and Alexander Lin1

1Center for Clinical Spectroscopy, Brigham and Women’s Hospital, Boston, MA, United States, 2Research Division, Joslin Diabetes Center, Boston, MA, United States

Proton magnetic resonance spectroscopy (MRS) is an accurate, noninvasive method used to monitor intrahepatic triglyceride (IHTG) levels in four patients undergoing betaine treatment for nonalcoholic fatty liver disease (NAFLD).  Comparison of results in two of the patients with lower IHTG levels at baseline showed a decrease or improvement after betaine supplementation. However, two subjects with baseline elevated levels of IHTG did not show an improvement and in fact showed higher IHTG levels.  Reproducibility of primary lipid vs secondary lipid measurements were also obtained and demonstrated high and low reproducibility, respectively.

1643
Application of Gradient Reversal Fat Suppression technology (LIPO) in diffusion–weighted MR imaging of normal pancreas at 3.0T
Jin Shang1, Qi-yong Guo1, Bing Yu1, Yu Shi1, Kai-ning Shi2, and Ying Liu1

1Department of Radiology,Shengjing Hospital of China Medical University, Shenyang, China, People's Republic of, 2Imaging Systems Clinical Science,Philips Healthcare, Beijing, China, People's Republic of

At present, traditional fat suppression still brings heavy chemical-shift artifacts in diffusion weighted imaging (DWI) in abdomen 3T magnetic resonance scan. The purpose of this paper is to study the effect of two different DWI sequences for fat suppression on normal pancreas. From the above research, it can be concluded that DWI with LIPO may serve as an more effective method on improving the image quality of pancreas at 3.0T MR.

1644
Multi-Institution Liver Mass Evaluation at 1.5 and 3 T Using Free breathing, Through-time Spiral GRAPPA and Quantitative Perfusion
Shivani Pahwa1, Hao Liu2, Yong Chen3, Sara Dastmalchian1, Ziang Lu1, Chaitra Badve4, Alice Yu1, Joshua Batesole4, Hamid Chalian4, Katherine Wright1, Shengxiang Rao5, Caixia Fu6, Ignacio Vallines7, Dean Nakamoto8, Mark Griswold9, Nicole Seiberlich10, Zeng Mengsu11, and Vikas Gulani12

1Radiology, Case Western Reserve University, Cleveland, OH, United States, 2Zhongshan Hospital, Fudan University, Shanghai, China, People's Republic of, 3Case Western Reserve University, Cleveland, OH, United States, 4Radiology, University Hospitals, Cleveland, OH, United States, 5Zhongshan Hospital< Fudan University, Shanghai, China, People's Republic of, 6Siemens, Shanghai, China, People's Republic of, 7Siemens Healthcare, Shanghai, China, People's Republic of, 8Radiology, Case Western Reserve University and University Hospitals, Cleveland, OH, United States, 9Radiology and Biomedical Engineering, Case Western Reserve University, Cleveland, OH, United States, 10Biomedical Engineering, Case Western Reserve University, Cleveland, OH, United States, 11Radiology, Zhongshan Hospital, Fudan University, Shanghai, China, People's Republic of, 12Radiology, University Hospitals Case Medical Center, Cleveland, OH, United States

Breath holds and lack of a quantitative dimension are the two major challenges in liver MR imaging.  Free breathing, perfusion sequences created in academic institutions in the developed world have not been tested in busy and overloaded radiology practices worldwide. We evaluated free-breathing, 3D Through-time Spiral GRAPPA perfusion technique at two different field strengths in the US and China. We found that the perfusion parameters obtained for two most common hepatic lesions ie hepatocellular carcinoma and metastases were remarkably consistent across sites, though statistically different according to pathology. 

1645
Rapid Liver Strain Assessment in a Single Breath-hold using MR Tagging and FastHARP
Nader S. Metwalli1,2, Ronald Ouwerkerk1, Ahmed M. Gharib1, and Khaled Z. Abd-Elmoniem1

1Biomedical and Metabolic Imaging Branch, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD, United States, 2Biomedical Engineering Department, Cairo University, Giza, Egypt

Liver fibrosis occurs as a result of long standing chronic liver disease of various etiologies. Reversibility of liver fibrosis has generated considerable attention lately. Early detection of increased liver stiffness would potentially guide towards more effective treatments. Our accelerated acquisition of liver tagging MRI to assess liver mechanics allows larger volumetric coverage and a substantially shorter acquisition time (≈ 80% reduction of total acquisition) than conventional tagging whilst delivering comparable results.

1646
Quantitative Hepatic Lesion Analysis using Dynamic Contrast-Enhanced Magnetic Resonance Imaging
Ramin Jafari1, Martin R. Prince2, Yi Wang2, Shalini Chhabra3, Jonathan P. Dyke2, and Pascal Spincemaille2

1Department of Biomedical Engineering, Cornell University, Ithaca, NY, United States, 2Department of Radiology, Weill Cornell Medical College, New York, NY, United States, 3Nuclear Medicine, Weill Cornell Medical College, New York, NY, United States

Tissue Analysis


Traditional Poster

Metabolism & Others

Exhibition Hall Tuesday, May 10, 2016: 10:00 - 12:00

1647
Predictive equations for abdominal fat depot volumes with MRI as reference in a multi-ethnic cohort of 4.5 year old Asian children
Suresh Anand Sadananthan1, Navin Michael1, Mya Thway Tint2, Kuan Jin Lee3, Jay Jay Thaung Zaw2, Khin Thu Zar Hlaing2, Pang Wei Wei2, Lynette Pei-Chi Shek4, Yap Kok Peng Fabian5,6, Peter D. Gluckman1,7, Keith M. Godfrey8, Yap Seng Chong1,2, Melvin Khee-Shing Leow9,10, Yung Seng Lee1,4, Christiani Jeyakumar Henry9, Marielle Valerie Fortier11, and S. Sendhil Velan1,3

1Singapore Institute for Clinical Sciences, A*STAR, Singapore, 2Department of Obstetrics & Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, 3Singapore BioImaging Consortium, A*STAR, Singapore, 4Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, 5Department of Paediatric Endocrinology, KK Women’s and Children’s Hospital, Singapore, 6Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, 7Liggins Institute, University of Auckland, Auckland, New Zealand, 8MRC Lifecourse Epidemiology Unit & NIHR Southampton Biomedical Research Centre, University of Southampton & University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom, 9Clinical Nutrition Research Centre, Singapore Institute for Clinical Sciences, A*STAR, Singapore, 10Department of Endocrinology, Tan Tock Seng Hospital, Singapore, 11Department of Diagnostic and Interventional Imaging, KK Women’s and Children’s Hospital, Singapore

Longitudinal assessment of abdominal fat compartments in children can help delineate some of the early risk factors that can predispose an individual to high abdominal adiposity and insulin resistance. While accurate determination of abdominal fat can be achieved using CT or MRI, it is often not performed in large cohort studies involving young children due to radiation exposure, high costs or poor compliance with scan procedures. The goal of this work is to develop and validate predictive equations for abdominal fat compartments from anthropometric values with MRI-based abdominal fat volumes as reference in multi-ethnic cohort of 4.5 year-old Asian children.

1648
Abdominal Fat-Water Separation in Mice
Amir Moussavi1,2, Susanne Rauh3, Kristin Koetz1, Stefan Krautwald4, and Susann Boretius1,2

1Funktionelle Bildgebung, Deutsches Primatenzentrum, Göttingen, Germany, 2Molecular Imaging North Competence Center, University Medical Center Schleswig-Holstein, Kiel, Germany, 3Department of Physics, Christian-Albrechts-University, Kiel, Germany, 4Department for Nephrology and Hypertension, University Medical Center Schleswig-Holstein, Kiel, Germany

Obesity is currently one of the most relevant health problems and analyzing body-fat-distribution is of great importance in obesity research. Using radial encoded spoiled FLASH, data sets covering the entire abdomen of mice were obtained at 3 different echo times without any gaiting technique. Fat and water signals were separated using the three-point Dixon method and using IDEAL in comparison. Based on this, the visceral and subcutaneous fat compartments were successfully segmented.

1649
Quantification of lipid contents using PRESS and STEAM sequences on magnetic resonance spectroscopy at 9.4 T
Kyu-Ho Song1, Song-I Lim1, Chi-Hyeon Yoo1, and Bo-Young Choe1

1Department of Biomedical Engineering, and Research Institute of Biomedical Engineering, The Catholic University of Korea College of Medicine, Seoul, Seoul, Korea, Republic of

The objective of this study is to compare lipid contents using the point-resolved spectroscopy and stimulated echo acquisition mode sequences to assess lipid resonances in the liver, using in vivo high-resolution spectra at 9.4 T.

1650
Measuring blood perfusion of brown adipose tissue through FAIR imaging
Clemens Diwoky1, Renate Schreiber1, and Rudolf Zechner1

1Institute of Molecular Biosciences, University of Graz, Graz, Austria

Interscapular brown adipose tissue plays an important role in the maintenance of core body temperature of small mammals through a process known as nonshivering thermogenesis. A dense vascular system delivers oxygen for the thermogenesis and is needed for the transport of produced heat from iBAT towards thoracic and abdominal areas. Therefore iBAT blood perfusion is an important parameter for analyzing iBAT activation and function.

The FAIR ASL protocol developed within this study accounts for the high lipid content in the interscapular area as well as the structure of the iBAT vascular system.

iBAT blood perfusion was determined in wildtype mice and the used protocol is justified based on perfusion numbers determined from skeletal muscle.

 

 



Traditional Poster

fMRI Connectivity: The Methods

Exhibition Hall Tuesday, May 10, 2016: 13:30 - 15:30

1651
Directional connectivity in mouse fMRI networks
Md Taufiq Nasseef1,2, Adam Liska1,2, Stefano Panzeri1, and Alessandro Gozzi1

1Italian Institute of Technology,Center for Neuroscience and Cognitive Systems @UniTn, Rovereto, Italy, 2Center for Mind/Brain Sciences, University of Trento, Rovereto, Italy

Mouse resting-state fMRI (rsfMRI) has revealed the presence of distributed functional connectivity networks including two sets of regions exhibiting neuro-anatomical features reminiscent of the human salience (SN) and default-mode-network (DMN). Here, we applied Granger Causality to investigate the direction of information flow within mouse rsfMRI networks characterized by mono-directional and reciprocal underlying axonal connectivity. We show that multiple intrinsic rsfMRI networks of the mouse brain exhibit robust patterns of directional connectivity towards prefrontal regions, replicating topological features of human rsfMRI networks, and in agreement with higher integrative role subserved by these areas.  

1652
A Robust Anesthesia Regime for fMRI in Rodents
Hanbing Lu1, Julie Brynildsen1, Li-Ming Hsu1, Thomas Ross1, Elliot A Stein1, and Yihong Yang1

1Neuroimaging Research Branch, National Institute on Drug Abuse, NIH, Baltimore, MD, United States

In fMRI using animal models, it is of critical importance to develop a robust anesthetic regime that maintains neurovascular coupling, permits longitudinal experiments with minimal invasiveness, and is easy to implement. Recently, using an anesthetic method that combines low doses of dexmedetomidine and low dose of isoflurane, we have successfully identified the default mode network in rat brain, suggesting that this preparation causes minimal suppression of brain network functions. The goal of this study is to systematically characterize and to optimize physiological conditions for fMRI experiments under this anesthetic regime.

1653
Frontal-parietal network functional connectivity characterization in patients with end-stage renal disease by using independent component analysis
Lin Wang1, Chun-Qiang Lu1, and Shenghong Ju1

1Department of Radiology, Zhongda hospital, Medical school of Southeast university, Nanjing, China, People's Republic of

It has been reported that end-stage renal disease (ESRD) patients have cognitive decline in all aspects, especially in attention and executive function, and this is lack of objective noninvasive modalities to monitor the cognition impairment by now. Resting-stage functional MR which can detect the change of brain function as a newly-developing imaging method has been widely used to evaluate the cognitive status in many diseases. Our findings show the aberrant functional connectivity of frontal-parietal network (FPN) in ESRD patients, and supported by the results of neuropsychological tests. FPN functional connectivity may serve as a biomarker to monitor the attention and executive function impairment in patients with ESRD in the future.

1654
Slice-based motion metrics show stronger relationship than volume-based metrics to visual rating of motion artifact
Katherine A Koenig1, Erik Beall1, Sally Durgerian2, Christine Reece3, Stephen M Rao3, and Mark J Lowe1

1Imaging Sciences, The Cleveland Clinic, Cleveland, OH, United States, 2BrainDataDriven LLC, Milwaukee, WI, United States, 3Schey Center for Cognitive Neuroimaging, The Cleveland Clinic, Cleveland, OH, United States

A motion metric that more closely represents the amount of artifact in the signal could decrease the amount of discarded data and reduce noise in resting state studies. This work compares a sample of 455 resting state scans visually rated for motion corruption to slice-based and volume-based motion metrics. We show that the slice-based metric shows a stronger relationship to visual assessment of motion corruption.

1655
Brain cortical parcellation based on the anisotropy of local spatio-temporal correlation of rs-fMRI at 7T
Afonso Dias1, Marta Bianciardi2, Sandro Daniel Nunes1, Luís M. Silveira3, Lawrence L. Wald2, and Patrícia Figueiredo1

1ISR-Lisboa/LARSyS and Department of Bioengineering, Instituto Superior Técnico – Universidade de Lisboa, Lisbon, Portugal, 2Department of Radiology, A.A. Martinos Center for Biomedical Imaging, MGH and Harvard Medical School, Boston, MA, United States, 3INESC-ID, Instituto Superior Técnico – Universidade de Lisboa, Lisbon, Portugal

We propose a new metric of local functional connectivity for the parcellation of the cerebral cortex from resting-state fMRI data. It is based on the hypothesis that the anisotropy of the local spatio-temporal correlation tensor of the BOLD signal is increased in the boundaries between regions of functional segregation within gray matter. We show that the anisotropy of rs-fMRI at 7T can be used to generate cortical parcellations that are partially consistent with the results obtained using the well-established stability map. Further work is needed to investigate the validity and properties of the parcellations based on the proposed metric.

1656
Exploring Resting-State Functional Connectivity Invariants across the Life Span using a Novel Graph Model
Ottavia Dipasquale1,2, Paolo Finotelli3, Isa Costantini1, Giuseppe Baselli1, Francesca Baglio2, Paolo Dulio3, and Mara Cercignani4

1Department of Electronics, Information and Bioengineering, Politecnico di Milano, Milan, Italy, 2IRCCS, Don Gnocchi Foundation, Milan, Italy, 3Department of Mathematics "F. Brioschi", Politecnico di Milano, Milan, Italy, 4Clinical Imaging Sciences Centre, Brighton and Sussex Medical School, Brighton, United Kingdom

In this work we investigated resting-state functional connectivity (FC) changes and invariant properties in 133 healthy people across the life-span (6-79y) using a novel graph model that emphasizes centrality of nodes. This model estimates a weight for each node’s pair (94 cortical regions) accounting for the node degrees, anatomical distance and FC between them and penalizing the formation of long connections. Preliminary findings in two groups of 25 and 62 year-old subjects highlighted a number of interesting properties and confirmed the important role of the Precuneus and the Cingulate Gyrus, which are characterized by high functional strength and degree.

1657
Assessing the Reliability of Estimated Correlation During the Evaluation of Dynamic Functional Connectivity
Tuo Shi1, D Rangaprakash1, and Gopikrishna Deshpande1,2,3

1AU MRI Research Center, Department of Electrical and Computer Engineering, Auburn University, Auburn, AL, United States, 2Department of Psychology, Auburn University, Auburn, AL, United States, 3Alabama Advanced Imaging Consortium, Auburn University and University of Alabama Birmingham, Auburn, AL, United States

In this work, we propose a novel strategy for selecting the minimum window length required to capture maximum dynamics as well as reliably estimate correlation during dynamic functional connectivity analysis. Using the error in estimated correlation compared to simulated ground-truth correlation as the metric, we compared our method with (i) the fixed window length approach, and (ii) the DCC method. We show that our method can provide minimum window lengths which give more reliable correlation estimates than those obtained from DCC and fixed-window methods. Further, we show that our method can accurately track fast variations in connectivity.

1658
Accuracy and inter-subject reproducibility of default mode networks identified from ASL data
Felipe Barreto1,2, Xiufeng Li1, Amir Moheet3, Anjali Kumar3, Lynn Eberly4, Elizabeth Seaquist3, Fabrizio Esposito5, and Silvia Mangia1

1CMRR, Department of Radiology, University of Minnesota, Minneapolis, MN, United States, 2Department of Physics, University of Sao Paulo, Ribeirao Preto, Brazil, 3Department of Medicine, University of Minnesota, Minneapolis, MN, United States, 4Division of Biostatistics, University of Minnesota, Minneapolis, MN, United States, 5Department of Medicine and Surgery, University of Salerno, Baronissi, Italy

The present study aimed at characterizing the robustness of the default mode network (DMN) extracted at single subject level from ASL datasets with independent component analysis. Three different analyses modes were considered, including the series of perfusion weighted images, the full time series, and the pair-wise average of control/tag images (pseudo-BOLD). Results show that the three analysis modes produce DMNs with similar accuracy at a group level, but the pseudo-BOLD mode resulted in smaller inter-subject variability of the spatial distribution of the single-subject DMNs.

1659
Condition effects on resting-state CBF reproducibility and reliability
Marta Vidorreta1,2, Natalie N Katchmar3, Daniel H Wolf3, and John A Detre1,2

1Neurology, University of Pennsylvania, Philadelphia, PA, United States, 2Radiology, University of Pennsylvania, Philadelphia, PA, United States, 3Psychiatry, University of Pennsylvania, Philadelphia, PA, United States

Cerebral blood flow (CBF) data were collected with arterial spin labeled (ASL) perfusion MRI in a group of young, healthy subjects over two sessions, scheduled a week apart. CBF and functional connectivity metrics were derived from the CBF time series across four different resting conditions: ‘eyes open’, ‘eyes closed’, ‘fixation’ (eyes fixated on a cross), and ‘PVT’ (low-frequency psychomotor vigilance task).  Absolute CBF was highly reproducible both within and across sessions. Results suggest that ‘fixation’ is inferior to the other conditions tested for resting-state ASL reproducibility.

1660
Title: Distinctive relationships between functional and structural connectivity in autism spectrum disorder across different networks— a combined resting-state functional MRI and diffusion spectrum imaging study
Hsiang-Yun Sherry Chien1, Susan Shur-Fen Gau2, and Wen-Yih Isaac Tseng1,3

1Institute of Medical Device and Imaging, National Taiwan University College of Medicine, Taipei, Taiwan, Taipei, Taiwan, 2Department of Psychiatry, National Taiwan University Hospital and College of Medicine, Taipei, Taiwan, Taipei, Taiwan, 3Molecular Imaging Center, National Taiwan University, Taipei, Taiwan, Taipei, Taiwan

We conducted a data-driven approach to investigate the functional and structural connectivity (FC and SC) within three critical networks in autism spectrum disorder (ASD) and typically developing controls (TD). We found significant weaker SC within the default-mode network, e.g. the cingulum bundles, in ASD compared to TD. Furthermore, we found significant positive correlations between the FC of the right salience network and the SC within the DMN and central executive network (CEN). Given the role of salience network in modulating the switch between the DMN and CEN, our results might imply a distinctive FC-SC relationship across different networks in ASD.

1661
An algorithm for generating uniform random parcellations
Hu Cheng1, Andrea Koenigsberger1, Sharlene Newman1, and Olaf Sporns1

1Psychological and Brain Sciences, Indiana University, Bloomington, IN, United States

Random parcellations have some advantages over template-based parcellations in network analysis of the brain. An important criterion for assessing the “goodness” of a random parcellation is the parcel size variability. A new algorithm is proposed to create more homogeneous random parcellations than previously reported. The new algorithm takes the actual distance between voxels and local voxel density into account in placing the random seeds. With many random parcellations using our approach, global network properties exhibit normal distribution and the variability across different repetitions of the random parcellation is comparable with inter-subject variability. 

1662
Simultaneous PET/MR/EEG to study brain connectivity on different physiological and temporal scales in epilepsy patients
Andre Thielcke1, Adham Elshahabi2, Ilja Bezrukov1, Suril Gohel3, Mario Amend1, Holger Schmidt4, Matthias Reimold5, Holger Lerche2, Bharat Biswal3, Bernd J. Pichler1, Niels Focke2, Christian la Fougère5, and Hans F. Wehrl1

1Department of Preclinical Imaging and Radiopharmacy, Werner Siemens Imaging Center, Eberhard Karls University of Tuebingen, Tuebingen, Germany, 2Neurology & Epileptology and Werner Reichardt Centre for Integrative Neuroscience, Eberhard Karls University of Tuebingen, Tuebingen, Germany, 3Department of Biomedical Engineering, New Jersey Institute of Technology, Newark, NJ, United States, 4Interventional and Diagnostic Radiology, Eberhard Karls University of Tuebingen, Tuebingen, Germany, 5Nuclear Medicine and Werner Reichardt Centre for Integrative Neuroscience, Eberhard Karls University of Tuebingen, Tuebingen, Germany

Simultaneous PET/MR/EEG was used in humans to study brain networks in the resting state on slow, medium and fast time scales. We found that the representation of the default mode network (e.g. in terms of correlation between regions) varies between modality and time scale applied. However, for the DMN as well as other networks similarities but also differences between modalities were seen. This work opens the domain for studying brain activity on different physiological (metabolic, hemodynamic and electric) but also on different time scales.

1663
Estimating whole brain connectivity dynamics using spectral clustering
Ivor Cribben1

1Finance and Statistical Analysis, Alberta School of Business, Edmonton, AB, Canada

A great challenge in neuroscience is the understanding of the dynamic manner in which brain regions interact with one another in both task-based and resting-state brain imaging studies. In this work, we introduce a novel statistical method, called Network Change Point Detection (NCPD), which dynamically clusters brain regions by their functional connectivity. NCPD promises to offer deeper insight into the large-scale characterizations and mechanisms of the brain as it can be used for the dynamic modelling of a very large number of voxels or brain regions. We apply this new method to a resting-state fMRI study.

1664
A voxel by voxel comparison of spatio-temporal correlation tensor derived from the resting-state fMRI and diffusion tensor derived from diffusion weighted images on the human brain using the multiband EPI sequences
Jiancheng Zhuang1

1University of Southern California, Los Angeles, CA, United States

We test the validity of spatio-temporal correlation tensor method on a set of rfMRI and DTI data which are acquired by multiband EPI sequences and have the same slice and geometry parameters, so we can compare the spatio-temporal correlation tensor and diffusion tensor at a voxel by voxel level in the human brain. We find the spatio-temporal correlation tensor derived from resting-state fMRI does not match with the diffusion tensor calculated from diffusion weighted images in the white matter, which is contradictory to a previous report of spatio-temporal correlation tensor method.   

1665
Investigating the neural substrates of verbal working memory in children with dyslexia: An effective connectivity study
Fu Yu Kwok1, Beth Ann O'Brien2, Kiat Hong Stacey Tay3, and SH Annabel Chen1,4

1Division of Psychology, Nanyang Technological University, Singapore, Singapore, 2National Institute of Education, Nanyang Technological University, Singapore, Singapore, 3Paediatric Neurology and Developmental Paediatrics, National University Hospital, National University of Singapore, Singapore, Singapore, 4Centre for Research And Development Learning, Nanyang Technological University, Singapore, Singapore

Dynamic causal modeling was utilized to examine the effective connectivity during verbal working memory in children with dyslexia and typically developing children. Seven regions of interest—FG, IFG, IOG, IPL, thalamus, inferior cerebellum and superior cerebellum were included into the analyses. Results indicated that the effect of dyslexia led to shift in effective network connectivity. The present study furthered our understanding of the cerebro-cerebellar effective network connectivity in both children with dyslexia and typically developing children. In addition, it provided new insights about the effects of dyslexia on this network. 

1666
Data-driven functional sub-division of the sensory-motor network using hierarchical clustering for resting-state fMRI data.
Yanlu Wang1 and Tie-Qiang Li1,2

1Clinical Sciences, Intervention and Technology, Karolinska Institute, Stockholm, Sweden, 2Medical Physics, Karolinska University Hospital, Stockholm, Sweden

A data-driven analysis method based on hierarchical clustering was used to analyze the sensory-motor resting-state network from resting-state fMRI data. It was used to analyze the network’s functional sub-division, and intra-network functional organization, in different levels of detail. Sub-network for the sensory-motor network as obtained by hierarchical clustering is anatomically and functionally sensible. Further sub-division of the paracentral lobule network hub successfully revealed its functional sub-division in great detail. The intra-network organization of intrinsic functional connectivity derived from spontaneous activity of the brain at rest reflects consistently, the functional and neural anatomic connectivity topography of the resting-state network.

1667
Nonlinear registered seed selection in resting state fMRI
Wanyong Shin1 and Mark J Lowe1

1Radiology, Cleveland Clinic Founcatoin, Cleveland, OH, United States

We compared different motor cortex (M1) seed selection methods in a large sample for group resting state (rs-) fMRI analysis. We found that seed selection with non-linear registration improves the statistical power in group analysis 

1668
Reproducibility of seed-based rs-fMRI measures at 7 tesla
Katherine A Koenig1, Sehong Oh1, Wanyong Shin1, and Mark J Lowe1

1Imaging Sciences, The Cleveland Clinic, Cleveland, OH, United States

This work assesses the reproducibility of seed-based rs-fMRI measures at 7 tesla in a sample of five controls and three patients with multiple sclerosis. We show high reproducibility but with large variation in some subjects.


Traditional Poster

fMRI Connectivity: The Applications

Exhibition Hall Tuesday, May 10, 2016: 13:30 - 15:30

1669
Investigation of functional baseline neuronal specificity and small-scale network in human primary motor cortex at 7T
Chan Hong Moon1, Jung-Hwan Kim1,2, and Kyongtae Ty Bae1,2

1Radiology, University of Pittsburgh, Pittsburgh, PA, United States, 2Bioengineering, University of Pittsburgh, Pittsburgh, PA, United States

Compound signal, BOLD (e.g., de-oxygenation, CBF and CBV) has different neuronal specificity depending on the major source. At high-field such as 7T, stimulus-evoked BOLD (fMRI) is known to be more localized to cortex region mainly due to suppression of short T2* signals in large draining vessels. It is question whether spontaneous-evoked BOLD during resting status (rsfMRI) can be localized to neural response and the correlation with fMRI activation. In this study, we investigated BOLD source during resting status in primary motor cortex using high-resolution 7T, and additionally the advantage of 7T rsfMRI in small-scale brain connectivity. 

1670
Dynamic reorganization of intrinsic functional networks in the mouse brain
Joanes Grandjean1, Maria G. Preti 2,3, Thomas AW Bolton2, Dimitri Van De Ville2, and Markus Rudin4

1ETH and University Zurich, Zurich, Switzerland, 2EPFL, Lausanne, Switzerland, 3University of Geneva, Geneva, Switzerland, 4University and ETH Zurich, Zurich, Switzerland

Dynamic functional connectivity was assessed in the mouse brain. High quality resting-state fMRI data were acquired and analysed with sliding window correlations. Re-occurring dynamic functional networks were estimated using dictionary learning from the sliding window correlation matrix.  The dynamic functional connectivity analysis reveals rich patterns of interactions, which were absent in the standard static functional connectivity analysis, and may be used to describe specific alterations in mouse models of brain disorders. In particular, the dynamic functional networks present salient features such as between and within module interactions, which complement the static functional connectivity analysis.    

1671
Visual Stimulation Altered Human Visual Cortical Functional Connectivity
Jie Huang1 and David C Zhu2

1Department of Radiology, Michigan State University, East Lansing, MI, United States, 2Departments of Radiology and Psychology, Michigan State University, East Lansing, MI, United States

Areas across the visual cortex are functionally connected. Certain patterns can induce perceptual illusions/distortions and visual discomfort in most people, headaches in patients with migraine, and seizures in patients with photosensitive epilepsy. This preliminary study investigated visual stimulation effect on human visual cortical functional connectivity (FC). The study found that a 25-min visual stimulation with a stressful pattern significantly enhanced the FC within the visual cortex and altered the FC to V1 in other regions too, with a lasting effect even after the cessation of the stimulation.

1672
Similarity in structural and functional network connectivity evolution over duration of TLE
Victoria L. Morgan1, Ahmet Cakir2, Benjamin N. Conrad1, Bassel Abou-Khalil3, Adam W. Anderson1,4, Zhaohua Ding1, and Bennett A. Landman1,2

1Institute of Imaging Science, Vanderbilt University, Nashville, TN, United States, 2Electrical Engineering and Computer Science, Vanderbilt University, Nashville, TN, United States, 3Neurology, Vanderbilt University, Nashville, TN, United States, 4Biomedical Engineering, Vanderbilt University, Nashville, TN, United States

Temporal lobe epilepsy (TLE) is a common and relatively homogeneous form of epilepsy in which seizures originate in the mesial temporal regions including the hippocampus and propagate across the brain. This work represents the first step in characterizing the functional (FC) structural (SC) network connectivity evolution in TLE using MRI. We found consistent decreases in ipsilateral hippocampus and insula FC and SC primarily after 10 years of duration of disease in patients with seizure freedom after surgery. In those with seizure recurrence, there were more severe bilateral hippocampal SC decreases when compared to those with seizure freedom.

1673
Gender related peculiarities of amygdala deactivation during movements
Oleksii Omelchenko1, Zinayida Rozhkova2, and Mykola Makarchuk1

1Human and Animal Physiology, Taras Shevchenko National University of Kyiv, Kyiv, Ukraine, 2Medical Clinic BORIS, Kyiv, Ukraine

Men and women might display distinct characteristics of functional organization of neurocognitive brain networks. Considering gender-specific brain functioning under language, emotional and memory tasks execution, we propose fMRI visualization of the brain activated by a movement task for estimation of gender specific motor brain network peculiarities. New evidence for gender related differences in amygdala function was found. Results also give us background for further subdivision of the fMRI normative basis from which we investigate functional brain changes in patients’ population.

1674
Longitudinal Study of Motor Recovery After Pontine Infarction with Resting-state fMRI:A Homotopic Connectivity Study
Yi Shan1, Chaogan Yan2, Miao Zhang1, Dongdong Rong1, Zhilian Zhao1, Qingfeng Ma3, Xinian Zuo2, Jie Lu4, and Kuncheng Li1

1Department of Radiology, Xuanwu hospital, Capital Medical University, Beijing, China, People's Republic of, 2Key Laboratory of Behavioral Science and Magnetic Resonance Imaging Research Center, Institute of Psychology, Chinese Academy of Sciences, Beijing, China, People's Republic of, 3Department of Neurology, Xuanwu hospital, Capital Medical University, Beijing, China, People's Republic of, 4Department of Nuclear Medicine, Xuanwu hospital, Capital Medical University, Beijing, China, People's Republic of

Impairment of motor function is one of the most severe deficit in ischemic stroke patients. Therefore, evaluations of brain function reorganization during spontaneous motor recovery are extremely valuable. In the present study, we used a voxel-mirrored homotopic connectivity (VMHC) method to investigate the longitudinal functional homotopic changes in patients with pontine infarction during a 180-day-period follow-up. The result shows resting-state fMRI could demonstrate dynamic whole-brain homotopic FC changes in stroke patients which might be helpful to further discuss brain reorganization after stroke. Also, VMHC between cognitive brain areas in acute stage had significant correlation with clinical behavioral performance in chronic period which might be meaningful in predicting motor outcome. 

1675
Exploring visual network connectivity in the mouse brain using DCM fMRI
Arun Niranjan1, Peter Zeidman2, Jack A Wells1, and Mark F Lythgoe1

1Centre for Advanced Biomedical Imaging, University College London, London, United Kingdom, 2Institute of Neurology, University College London, London, United Kingdom

Understanding effective (i.e. causal) connectivity in the brain using fMRI with dynamic causal modelling (DCM) has attracted a large amount of interest in recent years. Applications of fMRI to map brain function in the mouse are on the rise, targeting transgenic mouse models of pathology. However, DCM has not yet been applied to mouse brain fMRI, in part due to the difficulties of acquiring high quality data. In this work we demonstrate the use of DCM fMRI to understand effective connectivity in the healthy mouse visual system, showing results consistent with the underlying biology.

1676
Task-related dynamic functional connectivity in fast fMRI
Ashish Kaul Sahib1, Michael Erb1, Klaus Scheffler2, Thomas Ethofer1, and Niels Focke3

1Biomedical magnetic resonance, University of tuebingen, Tuebingen, Germany, 2Max-Planck-Institute for Biological Cybernetics, Tuebingen, Germany, 3Department of Neurology/Epileptology, University of tuebingen, Tuebingen, Germany

 Recent advances in simultaneous multi-slice imaging have improved the temporal resolution of fMRI. Using a sliding window approach we aimed to capture the dynamic network changes that occur during visual stimulation. We estimated the functional connectivity degree (FCD) at various stimulation lengths and window sizes. We demonstrate that the analysis of dynamic functional connectivity using a sliding window approach is an effective technique to capture whole brain temporal dynamics during a simple block-designed visual experiment (checkerboards). In summary, for the current setup, a window size of 13.s provided an optimum trade-off between temporal smoothness and FCD estimation.

1677
CEEMD-based Multi-Spectrum Brain Networks for Identification of MCI
Li Zheng1, Long Qian1, Dandan Zheng2, and Jiahong Gao3,4

1Department of Biomedical Engineering, College of Engineering, Peking University, Beijing, China, People's Republic of, 2GE Healthcare, MR Research China, Beijing, Beijing, China, People's Republic of, 3Beijing City Key Lab for Medical Physics and Engineering, Institute of Heavy Ion Physics, School of Physics, Peking University, Beijing, China, People's Republic of, 4Center for MRI Research, Academy for Advanced Interdisciplinary Studies, Peking University, Beijing, China, People's Republic of

The early detection of MCI is of paramount importance for possible delay of the transition from MCI to AD. Recently, several resting-state fMRI based neural imaging studies have been applied for MCI diagnosis by the aid of pattern classification recently. In current study, CEEMD-based high-dimensional pattern classification framework was proposed to identify MCI individuals from subjects who experience normal aging with an accuracy of 93.3 percent, compared to conventional method for brain oscillation separation. In addition, the most discriminant regions selected by our method also reflected the association with MCI, to some degree.

1678
Age related fluctuation energy and variation of dynamic functional connectivity
Yuanyuan Chen1, Weiwei Wang1, Xin Zhao1, Miao Sha1, Yanan Liu1, Peng Zhou1, Hongyan Ni2, and Dong Ming1

1Tianjin University, Tianjin, China, People's Republic of, 2Tianjin First Central Hospital, Tianjin, China, People's Republic of

To reveal the age related changes of dynamic function connectivity during rest, five networks were extracted from resting stated fMRI data of 36 young people and 32 old people. The sliding window was carefully selected and the FC variation and the fluctuation energy in detailed frequency band were statistically compared.  Decreased FCV and slowing fluctuation in inter-networks were mainly found in old group. OCC and CON, OCC and FP were the most consistent inter-networks between this two age related changes. We concluded that FCV and fluctuation energy had provided a new perspective of aging research. 

1679
Association between structural and functional inter-subject variability of the motor and visual networks
Maxime Chamberland1,2, Gabriel Girard2, Michaël Bernier1, Michael Paquette2, David Fortin3, Maxime Descoteaux2, and Kevin Whittingstall1,4

1Nuclear Medicine and Radiobiology, Université de Sherbrooke, Sherbrooke, QC, Canada, 2Computer science, Université de Sherbrooke, Sherbrooke, QC, Canada, 3Division of Neurosurgery and Neuro-Oncology, Université de Sherbrooke, Sherbrooke, QC, Canada, 4Department of Diagnostic Radiology, Université de Sherbrooke, Sherbrooke, QC, Canada

"Your brain is unique" is an unequivocal sentence that has spanned many research topics in the recent years. For example, functional connectivity (FC) based on resting-state fMRI is highly variable from one subject to the next, yet the source of this variability is unclear.  Understanding the source of FC variability is important as it is often used in clinical studies. Here, we explore how this might be explained by variability of white-matter structural connectivity (SC) derived from diffusion MRI tractography connectivity matrices. Our results show that, across multiple brain areas, motor and visual networks show the lowest inter-subject variability. This suggests that, at least in these areas, SC might explain a portion of FC variability.

1680
Interhemispheric Functional Connectivity Modulated by Menstrual Cycle
Xinyuan Miao1, Lin Shi1, Yan Zhuo2, and Yihong Yang3

1Department of Medicine and Therapeutics, Chinese University of Hong Kong, Hong Kong, Hong Kong, 2Institute of Biophysics, Chinese Academy of Sciences, Beijing, China, People's Republic of, 3National Institute on Drug Abuse, NIH, Baltimore, MD, United States

The functional lateralization of the brain was modulated by the menstrual cycle of women, while the mechanism of which still need to investigate.In this study, we used interhemispheric functional connectivity of the resting-state functional MRI to investigate changes in the symmetrical interhemispheric correlations in women’s different menstrual phases. Our results showed that the brainstem and cerebellum had significantly higher interhemispheric correlations in the early follicular phase than in the mid-luteal phase.

1681
Combining Resting-State fMRI and Perfusion maps for potential Pre-Surgical Planning
Lalit Gupta1, Prativa Sahoo1, Pradeep K Gupta2, Indrajit Saha3, Rana Patir4, Sandeep Vaishya4, and Rakesh K Gupta2

1Philips India Ltd., Bangalore, India, 2Department of Radiology, Fortis Memorial Research Institute, Gurgaon, India, 3Philips India Ltd., Gurgaon, India, 4Department of Neurosurgery, Fortis Memorial Research Institute, Gurgaon, India

Mapping of functionally active regions for patients with mass lesions is critical for pre-surgical planning. We have developed an atlas based approach that automatically select seed points from six functional regions (motor and language regions) and computes corresponding functionally connected regions using resting state fMRI data. Functional connectivity maps were super-imposed on MR perfusion maps and structural images. Results were obtained from 22 brain tumor patients. Regions near the tumor with high correlation are seen as active regions that contribute to motor/language activities, combined with perfusion maps may help clinicians for better surgical planning.

1682
Memory and Learning: Visually-evoked Olfactory fMRI Activation Patterns and its Dynamics
Prasanna Karunanayaka1, Xin Zhang2, Michael Tobia1, Jianli Wang1, Bin Zhang2, Bin Zhu 2, and Qing Yang1

1Radiology, Penn State University, Hershey, PA, United States, 2The affiliated Drum Tower hospital of Nanjing university medical school, Nanjing, China, People's Republic of

Behavioral studies show that human odor perception is highly dynamic, incorporates both spatial and temporal codes, and is easily influenced by information from other sensory systems such as vision. However, the neural representation of odor perception and its dynamic processing by the brain is poorly understood. In this research, using olfactory task fMRI, we attempt to unravel how olfactory-related neural networks interact in both space and time in order to explore how the olfactory and the visual systems integrate information at the central or perceptual levels in the human brain.

1683
Quasi-periodic pattern of fMRI contributes to functional connectivity and explores difference between Major Depressive Disorder and control
Kai Wang1, Waqas Majeed2, Garth Thompson3, Kui Ying4, Yan Zhu5, and Shella Keilholz6

1Department of Biomedical Engineering, Tsinghua University, Beijing, China, People's Republic of, 2Department of Electrical Engineering, LUMS School of Science and Engineering, Lahore, Pakistan, 3Department of Radiology and Biomedical Imaging, Yale University, New Haven, CT, United States, 4Department of Engineering Physics, Tsinghua University, Beijing, China, People's Republic of, 5Psychiatry Department, Yu Quan Hospital, Tsinghua University, Beijing, China, People's Republic of, 6Department of Biomedical Engineering, Emory University/Georgia Institute of Technology, Atlanta, GA, United States

Quasiperiodic pattersn (QPPs) of BOLD fluctuations, first reported in [1,2] are likely contributors to functional connectivity (FC) due to their spatial and temporal structure. FC has been widely used to explore the altered brain organization in patients suffering from psychological disorders like Major Depressive Disorder (MDD). In this project, we examined the contribution of QPPs to FC in both normal subjects and MDD patients. Results showed that QPPs are a major contributor to FC, and that QPP abnormality can be a contributor to or marker of psychiatric or neurological disorders.

1684
Investigation of functional connectivity changes in Alzheimer's disease and amnestic mild cognitive impairment using Degree Centrality
Yong Zhang1, Naying He2, Hua-Wei Lin2, Ajit Shankaranarayanan3, Zhenyu Zhou1, and Fu-Hua Yan2

1MR Research China, GE Healthcare, Beijing, China, People's Republic of, 2Radiology, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China, People's Republic of, 3GE Healthcare, Menlo Park, CA, United States

This preliminary study investigated functional connectivity changes in Alzheimer’s Disease (AD) and amnestic mild cognitive impairment (MCI) using degree centrality (DC), a novel resting-state fMRI parameter to provide voxel-wise whole brain functional connectivity measurement. Twelve AD patients, twelve MCI patients and fifteen healthy controls were recruited for comparison. As compared to normal controls, AD patients showed the deceased DC in the posterior cingulate cortex while MCI patients showed decreased DC in bilateral cuneus (visual processing) but increased DC in bilateral hippocampus (memory) and right angular gyrus (language).  The different patterns of FC changes might provide insight into disease evolvement.

1685
Ebola Alters Some, But Not All, Resting-State Intrinsic Functional Connectivity Networks In The Macaque Brain
Eswar Damaraju1, Margaret Lentz2, Jeffrey David Lewine1,3, David Thomasson2, Nadia Biassou4, Anna Honko2, Vince Calhoun1, and Peter Jahrling2

1Mind Research Network, Albuquerque, NM, United States, 2Integrated Research Facility/NIAID, Frederick, MD, United States, 3Lovelace Family of Companies, Albuquerque, NM, United States, 4NIH Clinical Center, Bethesda, MD, United States

Ebola has the potential to cause both acute and chronic compromise of neurological status.  To better understand the relevant neurobiology, a pilot MRI study of infected macaques was performed.  Data indicate that Ebola exposure leads to acute disruption of some, but not all, intrinsic connectivity networks, even in the absence of intraparenchymal lesions.  These studies represent the first non-invasive functional imaging studies of living, Ebola infected non-human primates. 

1686
Aberrant salience network and its functional coupling with default and executive networks in minimal hepatic encephalopathy: a resting-state fMRI study
Hua-Jun Chen1

1The First Affiliated Hospital of Nanjing Medical University, Nanjing, China, People's Republic of

Aberrant functional coupling of triple network in MHE

1687
Effect of Brain Tumours on the Default Mode Network
Sukhmanjit Ghumman1, David Fortin1, Stephen Cunnane1, and Kevin Whittingstall1

1Centre Hospitalier Universitaire de Sherbrooke (CHUS), Sherbrooke, QC, Canada

The effect of various pathologies on the default mode network (DMN) have been investigated in recent years with some encouraging results. These studies have found that some diseases of the nervous system, such as brain tumours, can have an effect on DMN connectivity. The goal of this novel research was to investigate whether tumours of certain areas of the brain or of certain histological type had disproportionately large effects on the DMN.  We believe that DMN connectivity could be developed into a prognostic score in the future which might help clinicians in making key treatment decisions for brain cancer patients.

1688
Training Induced Olfactory Network Changes in Master Sommeliers: Connectivity Analysis Using Granger Causality and Graph-theoretical Approach.
Karthik R Sreenivasan1, Xiaowei Zhuang1, Virendra Mishra1, Zhengshi Yang1, Gopikrishna Deshpande2, Sarah Banks1, and Dietmar Cordes1

1Cleveland Clinic Lou Ruvo Center for Brain Health, Las Vegas, NV, United States, 2AU MRI Research Center, Department of Electrical and Computer Engineering, Auburn University, Auburn, AL, United States

Current study used fMRI to investigate differences in effective connectivity and network topology between a group of trained master sommeliers and untrained control participants during olfactory tasks. Master sommeliers showed stronger connectivity originating from regions involved in higher-level cognitive processes than the controls. There was also increased small-world topology in the sommeliers. These findings provide unique insights into the neuroplasticity in adulthood in the olfactory network which may have added clinical importance in diseases like Alzheimer’s and Parkinson’s where early neurodegeneration is isolated to regions important in smell.

1689
Structural and Functional Brain Alterations in Uremic restless legs syndrome patients: A Voxel-Based Morphometry and Functional Connectivity Study
DUN DING1, PENG LI2, Ji Xin Liu2, Xue Ying Ma2, and Ming Zhang2

1XI'AN JIAO TONG UNIVERSITY, XI'AN, China, People's Republic of, 2XI'AN, China, People's Republic of

To investigate the structure and function changes in the brain in uremic RLS patients using a resting-state function magnetic resonance imaging (fMRI) paradigm, we used A voxel-based morphometry(VBM) method and a seed-based method to find the abnormiy in end-stage kidney disease patients. Our results suggest that the characteristics of the connectivity changes may reflect the pathways involved in producing uremic RLS symptoms.

1690
Zinc Nanoparticles Enhance Brain Connectivity in the Canine Olfactory Network: Evidence from an fMRI Study in Fully Unrestrained Conscious Dogs
Bhavitha Ramaiahgari1, Oleg M Pustovyy2, Paul Waggoner3, Ronald J Beyers1, John Schumacher4, Chester Wildey5, Edward Morrison2, Nouha Salibi1,6, Thomas S Denney1,7,8, Vitaly J Vodyanoy2, and Gopikrishna Deshpande1,7,8

1Dept of Electrical & Computer Engr, AU MRI research center, Auburn University, Auburn, AL, United States, 2Dept. of Anatomy, Physiology & Pharmacology, Auburn University, Auburn, AL, United States, 3Canine Detection Research Institute, Auburn University, Auburn, AL, United States, 4Dept. of Clinical Sciences, Auburn University, Auburn, AL, United States, 5MRRA Inc., Euless, TX, United States, 6MR R&D, Siemens healthcare, Malvern, PA, United States, 7Dept. of Psychology, Auburn University, Auburn, AL, United States, 8Alabama Advanced Imaging Consortium, Auburn University and University of Alabama Birmingham, Birmingham, AL, United States

There is intense interest in strategies for enhancing olfaction capabilities of dogs for various applications such as bomb detection. Prior fMRI studies showed increased neural activation when zinc nanoparticles were added to the odorants. In this study, we obtained fMRI data from awake and unrestrained dogs when they were exposed to odorants with and without zinc nanoparticles and zinc nanoparticles alone. We observed that zinc nanoparticles up-regulated directional brain connectivity in parts of the canine olfactory network. This provides a mechanistic explanation for previously reported enhancement in the odor detection capability of the dogs in the presence of zinc nanoparticles.

1691
Altered amplitude of low-frequency fluctuations and connectivities in depressed SAPHO syndrome
Jie Lu1, Yan-ping Duan2, Wen-rui Xu1, Xue-wei Zhang3, Chen Li4, and Wei-hong Zhang1

1Department of Radiology, Peking Uinon Medical College Hospital, Beijing, China, People's Republic of, 2Department of Psychology, Peking Uinon Medical College Hospital, Beijing, China, People's Republic of, 3Department of interventional radiology, China Meitan General Hospital, Beijing, China, People's Republic of, 4Traditional Chinese Medicine Department, Peking Uinon Medical College Hospital, Beijing, China, People's Republic of

To investigate depressed symptoms in SAPHO(Synovitis, acne, pustulosis, hyperostosis, osteitis ) syndrome and confirm depression in SAPHO using resting-state functional magnetic resonance imaging (rs-fMRI). We recruited twenty-four SAPHO patients and fifteen age- and gender-matched normal controls (NC). Twelve of the SAPHO patients were diagnosed with depression. Moreover, depressed SAPHO patients (D-SAPHO) were proved to have abnormal amplitude of low frequency fluctuations (ALFF) and functional connectivities (FC) involved in the regional brain changes which showed correlated with the severity of depression. These findings provide crucial information to understand the neural mechanisms of depressed SAPHO and are helpful to diagnose depression in SAPHO.

1692
Cocaine and the synthetic cathinone MDPV reduce small world brain network topology: a rat functional connectivity study
Luis Manuel Colon-Perez1 and Marcelo Febo1

1Psychiatry, University of Florida, Gainesville, FL, United States

Drug abuse has detrimental effects on the brain function, which lead to drug use disorders. In vivo non-invasive biomarkers are needed to determine the neurobiological outcomes of addictive drugs on the brain. Functional MRI and graph theory offer an analytical approach to address brain network changes associated with psychiatric disorders. In the present study we determined the effects of two addictive psychostimulant drugs. Comparison between saline and drug administered shows a reduction in the connectivity at 1 hr but not at 24 hrs. Acute administration of the two psychostimulants studied produce only transient effects lasting at least 1 hr.

1693
Resting-state functional activity and brain network abnormalities in betel nut chewers
Yu-Syuan Chou1, Ming-Chou Ho2, and Jun-Cheng Weng1,3

1Department of Medical Imaging and Radiological Sciences, Chung Shan Medical University, Taichung, Taiwan, 2Department of Psychology, Chung Shan Medical University, Taichung, Taiwan, 3Department of Medical Imaging, Chung Shan Medical University Hospital, Taichung, Taiwan

Betel nut, also known as areca, is the fourth most commonly used drug worldwide after tobacco, alcohol, and caffeine and also a stimulant and addictive substance. Previously, CM Chen et al. probed into the influence of religious affiliation on heavy betel nut chewing, and studied on the relationship between health risk perception and betel nut chewing. Feng Chen et al. analyzed gray matter abnormalities between betel nut chewers and healthy subjects with voxel-based morphometry (VBM). However, there were few studies mentioned about the functional activity and brain network changes in betel nut chewers using functional magnetic resonance imaging (fMRI). Therefore, our aim was to use resting-state fMRI (rs-fMRI) to investigate the functional differences between betel nut chewers and healthy participants with amplitude of low frequency fluctuations (ALFF) and regional homogeneity (ReHo). The graph theoretical and network-based statistic (NBS) analyses were also used to find the network difference between two groups. Our results revealed different topological organization and poor global integration of the brain network in the betel nut chewers. 

1694
Can Cerebral Functional Deficits Be Detected in Patients with Ankylosing Spondylitis?- A Cross-sectional Study
Jun Zhao1, Chuan-Ming Li1, Xin Wei1, and Jian Wang1

1Radiology, Southwest Hospital, Third Military Medical University, Chongqing, China, People's Republic of

This study aimed to investigate any cerebral function deficits in AS(Ankylosing spondylitis) using functional MRI technology and its possible relationship to clinical and laboratory results. Compared with normal controls, AS patients showed widespread brain activity and connectivity alterations. Functional connectivity strength of the left precuneus and the left middle temporal gyrus were closely correlated with the the BASDAI scores, ESR and hsCRP in AS patients. AS is associated with a altered cortical activity of rs-fMRI signals. Measurement of functional connectivity strength of the left precuneus and the left middle temporal gyrus may aid in the clinical detection and evaluation of AS

1695
Functional dysconnection between anterior cingulate cortex and thalamus in patients with Kleine-Levin syndrome
Ting-Chih Wang1, Yao-Chia Shih2,3, Hong-Huei Liu4, and Wen-Yih Issac Tseng3,5

1Department of Electrical Engineering, National Taiwan University, Taipei, Taiwan, 2Institute of Biomedical Engineering, National Taiwan University, Taipei, Taiwan, 3Institute of Medical Device and Imaging, National Taiwan University College of Medicine, Taipei, Taiwan, 4Department of Neurology, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan, 5Molecular Imaging Center, National Taiwan University, Taipei, Taiwan

Kleine-Levin Syndrome is a rare neurological disorder characterized by recurrent episodes of excessive sleepiness and other symptoms listed in the ICSD Diagnostic Criteria for KLS. Its etiology is still unknown nowadays. The most consistent finding in KLS is abnormal thalamic function. Here, we used seed-based analysis to analyze resting state fMRI obtained from 2 patients with KLS. In bilateral thalamic seeding, both patients showed decreased connection between the thalamus and the anterior cingulate cortex. This result could be attributed to alteration of the dorsal pathway in ascending arousal system, and might also explain their attention deficits.

1696
Pinpointing the rat cerebellar and medullary noxious networks with fMRI based fcMRI
Rupeng Li1, Xiping Liu2, Jason Sidabras1, Christopher Pawela3, Andrzej Jesmanowicz1, and James Hyde1

1Biophysics, Medical College of Wisconsin, Milwaukee, WI, United States, 2Dermatology, Medical College of Wisconsin, Milwaukee, WI, United States, 3Anesthesiology, Medical College of Wisconsin, Milwaukee, WI, United States

Pinpoint acquisition of high resolution, true whole brain scale fcMRI sensorimotor network using seed based analysis. We are able to greatly reduce susceptibility induced artifact in deep brain structures while keeping great SNR and depth sensitivity. fcMRI networks in cerebellum and modular areas are demonstrated with intermediate reticular nucleus (IRt) observed.

1697
Functional connectivity changes in attention-related networks of childhood leukemia survivors
Charlotte Sleurs1, Iris Elens2, Jurgen Lemiere1, Thibo Billiet3, Dorothée Vercruysse4, Patricia Bijttebier5, Marina Danckaerts2, Rudi D'Hooghe6, Ron Peeters3, Stefan Sunaert3, Anne Uyttebroeck1, Stefaan Van Gool7, and Sabine Deprez3

1Pediatric Hemato-Oncology, UZ Leuven, Leuven, Belgium, 2Child and Adolescent Psychiatry, UZ Leuven, Leuven, Belgium, 3Radiology, UZ Leuven, Leuven, Belgium, 4Gynaecological Oncology, UZ Leuven, Leuven, Belgium, 5School Psychology and Child and Adolescent Development, KU Leuven, Leuven, Belgium, 6Biological Psychology, KU Leuven, Leuven, Belgium, 7Pediatric Hemato-Oncology, University Hospital, Aachen, Germany

Neurocognitive sequelae in childhood leukemia survivors are often related to attentional disfunctioning. We investigated whether altered functional brain connectivity might explain neurocognitive sequelae in childhood leukemia survivors. Resting state fMRI was investigated, by using ROI-based connectivity comparisons as well as dual regression analysis at whole-brain level. We demonstrated that the Default Mode Network (DMN) and Inferior Temporal Gyrus, was less functionally connected in childhood leukemia survivors compared to controls. This suggests an altered coherence between activity of the DMN and Fronto-Parietal Network (FPN). Finally, based on this specific connectivity we could predict clearly reduced cognitive flexibility of the patients.

1698
Effects of long-duration isoflurane administration on default mode network of macaque brains
Chun-Xia Li1 and Xiaodong Zhang1,2

1Yerkes Imaging Center, Yerkes National Primate Research Center, Emory University, Atlanta, GA, United States, 2Division of Neuropharmacology and Neurologic Diseases, Yerkes National Primate, Atlanta, GA, United States

Long-duration anesthesia administration could cause neurocognitive decline in animals and humans. However, the potential mechanism still remains unclear. In the present study, the functional connectivity of adult rhesus monkeys under maintenance dosage of isoflurane (~1 %) for four hours was examined. The results demonstrate that long-duration isoflurane exposure resulted in decreased functional connectivity in posterior cingulate cortex (PCC) dominant default-mode network (DMN). The MRI findings suggest that the detrimental effects of isoflurane on brain connectivity may be associated with the neurocognitive decline observed in subjects after long-duration administration of isoflurane.

1699
Neurofeedback impact onto the brain networks interaction: fMRI study
Oleksii Omelchenko1 and Volodymyr Rogozhyn2

1Human and Animal Physiology, Taras Shevchenko National University of Kyiv, Kyiv, Ukraine, 2Radiology, Medical Clinic BORIS, Kyiv, Ukraine

Concerning the use of audio-visual stimulation (AVS) as a component of neurofeedback therapy for neuropsychiatric disorders we propose to evaluate its effect onto the brain networks interaction. We performed fMRI before and after the AVS. fMRI exams showed considerable increase of the volumes of activation after the AVS and almost complete extinction of the DMN deactivation. RS fMRI showed functional connectivity changes after the AVS (connectivity disruption in visual network, DMN frequency shift). Volume of activation increase and functional connectivity changes could be the marker for prolonged effect of AVS brain stimulation. 

1700
Spatial and temporal modulation of brain dynamics in response to task execution
Silvia Tommasin1,2, Daniele Mascali1,3, Tommaso Gili1,2, and Federico Giove1,2

1Enrico Fermi Centre, Rome, Italy, 2Fondazione Santa Lucia, Roma, Italy, 3Physics, Università La Sapienza, Roma, Italy

Task-related activity influences brain connectivity through a two-level pattern modulation both in attentive networks and in the default mode network. While strengthening the local homogeneity, task execution reduces regional synchronization. It produces correlation patterns with opposite large and small scale properties. Task-related activity influences also the amplitude of the low frequency fluctuations in the same networks.  The transition from resting state to steady state task execution, and the way back, causes a persisting slow drift in this quantity.

1701
Multi-node directed cortical network for speech processing revealed by multivariate Granger causality analysis
Yayan Yin1, Jiahong Gao1, Bing Wu2, Yang Fan2, Bingjiang lyu1, and Jianqiao Ge1

1Peking University, Beijing, China, People's Republic of, 2GE Healthcare, Beijing, China, People's Republic of

For decades, how the information flows among multiple brain regions remains unclear for speech processing, due to the challenge of mapping multi-node directed cortical pathways from brain images. In this work, multivariate Granger causality analysis is employed on functional MR images to reveal the effective connectivity of Chinese language-speech network for the first time. The results showed that left insula and posterior middle temporal gyrus were the strong driver nodes, the left middle frontal gyrus and superior temporal gyrus were the most received nodes in the network. We also found greater interhemispheric connectivity in females compared to males.

1702
Modular Reorganization of Resting-State Brain Network in Patients with Obstructive Sleep Apnea
Bumhee Park1, Sudhakar Tummala1, Ruchi Vig1, Daniel W Kang2, Mary A Woo3, and Rajesh Kumar1,4,5,6

1Anesthesiology, University of California at Los Angeles, Los Angeles, CA, United States, 2Medicine, University of California at Los Angeles, Los Angeles, CA, United States, 3UCLA School of Nursing, Los Angeles, CA, United States, 4Radiological Sciences, University of California at Los Angeles, Los Angeles, CA, United States, 5Bioengineering, University of California at Los Angeles, Los Angeles, CA, United States, 6Brain Research Institute, University of California at Los Angeles, Los Angeles, CA, United States

Obstructive sleep apnea (OSA) condition is accompanied by brain tissue injury and functional deficits in regions serving autonomic, neuropsychologic, and cognitive functions. Brain networks are organized into modular systems and assigning vulnerable role for each region in terms of intra- and inter-modular communication provides better understanding for functional deficits in the condition. We examined the modular reorganization of OSA functional networks, and found abnormal intra- and/or inter-modular communication roles in brain regions involved in autonomic, neuropsychologic, and cognitive regulation. The findings suggest that dysfunctions associated with OSA may be related to abnormal information flow, and can be examined with modular reorganization assessment.

1703
Bilateral amygdaloid functional connectivity in chronic alcoholics
Ylin Zhao1, Jun Chen2, and Hui Lin3

1Radiology, Renmin Hospital of Wuhan University, Wuhan, China, People's Republic of, 2Renmin Hospital of Wuhan University, Wuhan, China, People's Republic of, 3Healthcare,MR Research China, Beijing, China, People's Republic of

FC-MRI is a useful tool for examining functional relationships between the bilateral amygdaloid  and whole brain regions. The functional coordination of bilateral amygdala and cerebral cortex was enhanced,and the functional coordination of bilateral amygdala and cerebellum was weakened.Amygdala may be involved in regulating the function of fronto-cerebellar loops.Thus, this method shows promise as a tool for in vivo investigations of the functioning of human  fronto-cerebellar circuitry. It is our hope that in future studies this technique may provide the opportunity to examine the integrity of networks involving the brain cerebellum inpatient groups with chronic alcoholics, a major goal of our research.

1704
Putamen-related regional and network functional deficits in first-episode schizophrenia with auditory verbal hallucinations
Long-Biao Cui1, Yi-Bin Xi1, and Hong Yin1

1Xijing Hospital, Fourth Mililtary Medical University, Xi'an, China, People's Republic of

Our results suggest an association of abnormal regional function in the putamen and prefrontal cortex and hyperconnectivity between them with AVHs in SZ. The functional interaction of the putamen with DLPFC and Broca’s area seems to be crucial for AVHs in SZ. Additionally, the putamen-related regional and network functional deficits may also serve as a potential diagnostic biomarker of AVHs in SZ based on the direct evidence in vivo we found. In SZ patients, there is an extensive hypoconnectivity within cortical-striatal-cerebellar networks, which further supports the current thinking about disconnection hypothesis of SZ.

1705
Light isoflurane sedation: an excellent trade-off between anesthesia and awake condition in functional connectivity studies with rats
Jaakko Paasonen1, Raimo A Salo1, Artem Shatillo2, and Olli Gröhn1

1Department of Neurobiology, University of Eastern Finland, Kuopio, Finland, 2Charles River Discovery Services, Kuopio, Finland

Prevention of motion is a prerequisite for preclinical functional connectivity (FC) studies. However, anesthesia alters brain function, and awake protocols may induce stress. Therefore, we investigated the feasibility of using light sedation in FC studies. FC was estimated under 0.1/0.5% isoflurane (subanesthetic doses) with acclimatized rats, and under 1.3% isoflurane (anesthetic dose). Results demonstrate different FC between anesthetic and subanesthetic doses. The physiologic measures suggest, that the 0.5% rats adapted well to imaging, while the 0.1% rats did so insufficiently. Therefore, light isoflurane sedation may provide an excellent combination for FC investigations: minimal stress and motion with normal brain function.

1706
Visual Networks Impairments in Minimal Hepatic Encephalopathy Using Resting-State fMRI
Yun Jiao1, Xun-Heng Wang2, and Tian-Yun Tang1

1Jiangsu Key Laboratory of Molecular and Functional Imaging, Department of Radiology, Zhongda Hospital, Medical school of Southeast University, Nanjing, China, People's Republic of, 2College of Life Information Science and Instrument Engineering, Hangzhou Dianzi University, Hangzhou, China, People's Republic of

We applied dual regression to investigated functional connectivity impairments within visual networks for minimal hepatic encephalopathy (MHE) patients’ brain. Functional deficits within occipital and lateral visual networks (visual area V2 and V3) were endogenous, and significantly association with neurocognitive impairments. This maybe the reason for the compensatory enhancements within medial visual network (visual area V1) which indicated that patients with MHE had the potential to additionally recruit more neurological resource to process the spatial information from visual areas V2 and V3. Our results demonstrated the possible mechanisms for deficits in visual perception, visuo-spatial orientation, and visuo-constructive abilities in MHE patients

1707
Acupuncture Stimulation changes DMN functional conectivity.
Tomokazu Murase1, Masahiro Umeda1, Masaki Fukunaga2, Katsuya Maruyama3, Yuko Kawai1, Yasuharu Watanabe1, and Toshihiro Higuchi4

1Medical Informatics, Meiji University of Integrative Medicine, Nantan-shi, Japan, 2Cerebral Integration, National Institute for Physiological Sciences, Okazaki-shi, Japan, 3Research&Collaboration, Siemens Japan, Shinagawa-ku, Japan, 4Neurosurgery, Meiji University of Integrative Medicine, Nantan-shi, Japan

Clinical studies have shown that acupuncture relieves different kinds of pain. However, the effectiveness of these methods is unclear. We used rs-fMRI and FC analysis to examine the RSN activity before and after acupuncture stimulation. In the result, DMN was changed with or without manual acupuncture. The acupuncture stimulation controls a pain by modifying mechanism of pain transmission.

1708
Intrinsic functional connectivity in patients with presbycusis
Fei Gao1, Guangbin Wang1, Bin Zhao1, Muwei Li2, Fuxin Ren1, and Weibo Chen3

1Shandong Medical Imaging Research Institute, Shandong University, JINAN, China, People's Republic of, 2College of Electronics and Information Engineering, Sichuan University, Chengdu, China, People's Republic of, 3Philips Healthcare, Shanghai, China, People's Republic of

Presbycusis is the most common sensory deficit in the ageing population. However, little is known about whether the topological properties of brain functional networks is disrupted in patients with presbycusis. Our study demonstrates decreased clustering coefficient, local efficiency and strength in the primary auditory cortex in patients with presbycusis, as compared to age- and gender-matched healthy controls. Our study provides evidence of presbycusis-related disruptions in brain functional networks in patients with presbycusis. It is believed that our findings could be important for exploring functional changes in the central presbycusis.

1709
Altered small world brain function network in patients of lower back pain
Jing Liu1, Xiufen Liu2, zhizheng Zhuo3, Juan Wei4, Queenie Chan5, and Xiaoying Wang1

1Radiology, Peking University First Hospital, Beijing, China, People's Republic of, 2Anesthesiology, Peking University First Hospital, Beijing, China, People's Republic of, 3Philips Healthcare Beijing China, Beijing, China, People's Republic of, 4Philips Research China, Shanghai, China, Shanghai, China, People's Republic of, 5Philips Healthcare, China, Hongkong, China, People's Republic of

An altered functional network was found in the brain of LP here represents a less optimal network organization in the LP. It has been suggested that the small-world structure reflects an optimal balance between local processing and global integration. And the small-world structure of LP brain networks maybe destroyed due to the chronic LP.

1710
Subregion-specific Resting-State Amygdala Connectivity in Chronic Knee Osteoarthritis Pain: Towards a brain network signature of OA pain
William J Cottam1,2,3, Marianne Drabek1,2,3, Diane Reckziegel1,2,3, and Dorothee P Auer1,2,3

1Division of Clinical Neuroscience, Radiological Sciences, University of Nottingham, Nottingham, United Kingdom, 2ARUK Pain Centre, University of Nottingham, Nottingham, United Kingdom, 3Sir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, United Kingdom

Brain network connectivity analysis arguably offers the most sensitive marker to detect dysfunctional brain plasticity underlying the maladaptive nature of chronic pain. Early functional connectivity (fc) studies reveal altered functional connectivity in chronic pain states, but to the best of our knowledge no studies have focussed upon the amygdala. We aimed to investigate whether patients with painful chronic knee OA show altered amygdala connectivity compared to pain-free controls.This study identified increased functional connectivity of specific amygdala subnuclei in chronic OA pain patients compared to healthy subjects. 

1711
Time-shift functional connectivity MRI based on specific regional-of-interest for mapping acute ischemic Stroke
xiaokun fang1, qiang xu2, yong zhang3, zhiqiang zhang1, and guangming lu1

1Medical Imaging, Jingling Hospital, School of Medicine, Nanjing University, Nanjing, Jiangsu, China, nanjing, China, People's Republic of, 2Medical Imaging, Jingling Hospital, School of Medicine, Nanjing, nanjing, China, People's Republic of, 3MR Research China, GE Healthcare, beijing, China, People's Republic of

To investigate if Time-shift functional connectivity based resting-state fMRI can be used to create maps similar to time-to-maximum of  (Tmax) in acute stroke and to determine whether Maps obtained with the SSS seed (superior saggital sinus) or whole brain as the seed in Time-shift functional connectivity based resting-state fMRI be better in mapping the acute stroke.

1712
Demonstration of brain tumor-induced abnormalities on regional homogeneity (ReHo) resting state fMRI metrics KCC-ReHo & Cohe-ReHo
Shruti Agarwal1, Noushin Yahyavi-Firouz-Abadi1, Haris I. Sair1, Raag Airan1, and Jay J. Pillai1

1Division of Neuroradiology, Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, United States

Disruption of the normal coupling between neural activity and the consequent microvascular blood flow response (neurovascular uncoupling or NVU) may severely compromise the validity of BOLD fMRI in presurgical planning. The effects of brain tumor-related NVU on resting state BOLD fMRI (rsfMRI) using functional connectivity analysis have been previously published. In this study we evaluated regional homogeneity (ReHo) of rsfMRI data based on  Kendall's coefficient of concordance (KCC-ReHo) & Coherence (Cohe-ReHo) and compared the results with the amplitude of low-frequency fluctuation (ALFF) & standard motor tbfMRI activation to investigate regional abnormalities due to brain tumor-induced NVU in sensorimotor network. 


Traditional Poster

fMRI Physiology

Exhibition Hall Tuesday, May 10, 2016: 13:30 - 15:30

1713
Breaking β: Understanding the β-Value in Calibrated Functional MRI
Avery J.L. Berman1,2 and Bruce Pike2

1Montreal Neurological Institute, McGill University, Montreal, QC, Canada, 2Department of Radiology and Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada

In calibrated functional MRI (fMRI), the parameter β is used to describe the non-linear dependence of the change in the transverse relaxation rate on the susceptibility offset (Δχ) of blood relative to tissue. Estimates of β at high field strengths have generally been assumed or obtained in post-hoc analyses. Using simulations from vessel networks, we present here a detailed description of β’s dependence on vessel radius. We show that the estimate of β is highly dependent on the range of Δχ used in the fit. This could have important implications for methods that propose to measure β-values in vivo using a contrast agent to alter Δχ.

1714

Flow-diffusion constrained estimation of oxygen extraction fraction and tissue oxygen tension by dual calibrated fMRI
Michael Germuska1, Alberto Merola1, and Richard G Wise1

1CUBRIC, Cardiff University, Cardiff, United Kingdom

An emerging method for quantitative mapping of OEF is by dual calibration of the BOLD signal. 1,2 However, this method is highly sensitive to measurement noise, resulting in unstable estimates of OEF. An alternative approach is to use flow-diffusion equations to calculate the biophysically supported OEF. 3 However, this approach is limited by the need to assume a tissue oxygen tension (PtO2). We propose a method for combining these two approaches, producing calibrated BOLD estimates of OEF that are constrained by a modelled flow-diffusion relationship of oxygen extraction. The proposed method is shown to produce stable estimates of OEF and PtO2.

1715
Do human cerebral arteries contain fully oxygenated blood?
Esther AH Warnert1, Ian D Driver1, Joseph Whittaker1, and Kevin Murphy1

1Cardiff University Brain Research Imaging Centre, Cardiff University, Cardiff, United Kingdom

When modelling the BOLD response it is often assumed that arterial blood is fully oxygenated, and that therefore contrast is driven solely by changes in venous oxygen saturation. Recent evidence has emerged from rodent studies indicating that precapillary arterioles may have an oxygenation level as low as 78%. Here, we assess arterial oxygenation in vivo in humans by using short inversion time ASL in normoxia, as well as hyperoxia. Our results suggest that imaging the BOLD response may not be affected by partially oxygenated arterioles. 

1716
Flow Related Changes in Oxygen Extraction Fraction Detected using Streamlined-qBOLD
Alan J Stone1 and Nicholas P Blockley1

1FMRIB, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom

In this study we investigate the sensitivity of streamlined-qBOLD for detecting changes in baseline brain oxygenation and therefore its suitability for clinical application to vascular dysfunction and stroke. Baseline brain oxygenation is modulated in a group of normal volunteers using hypocapnia (a reduction in blood CO2). In this group, streamlined-qBOLD measured significant (p<0.05) increases in grey matter R2′ and OEF, between normocapnic and hypocapnic conditions. This suggests the technique can provide important metabolic information in cases of vascular dysfunction where flow and brain oxygenation may be impaired.  

1717
Detailing the Role of Systemic Blood Pressure in Somatosensory Mouse fMRI
Henning Matthias Reimann1, Mihail Todiras2, Michael Bader2, Andreas Pohlmann1, and Thoralf Niendorf1,3

1Berlin Ultrahigh Field Facility (B.U.F.F.), Max Delbrueck Center for Molecular Medicine, Berlin, Germany, 2Max Delbrueck Center for Molecular Medicine, Berlin, Germany, 3Experimental and Clinical Research Center, Charite-Universitaetsmedizin, Berlin, Germany

Combining mouse genomics and functional magnetic resonance imaging (fMRI) provides a promising tool to unravel the molecular mechanisms of somatosensation and pain. Recent studies suggest a confounding influence of mean arterial blood pressure (MABP) on the blood oxygenation level-dependent (BOLD) signal for somatosensory stimulation paradigms in mice. MABP alterations induced by transient stimuli can mimic brain activation in small rodents. The abstract provides data, which rely on the monitoring of MABP for mild noxious thermal stimulation in mice. Detailing the role of MABP in mouse fMRI is crucial to ensure the integrity of murine hemodynamic readouts in somatosensation and nociception.

1718
The effect of plasma-dissolved oxygen on the hyperoxic calibrated BOLD signal: a simulation study using the detailed BOLD model
Yuhan Ma1, Avery Berman1, and G. Bruce Pike1,2

1Brain Imaging Centre, Montreal Neurological Institute, McGill University, Montreal, QC, Canada, 2Department of Radiology, Hotchkiss Brain Institute and Department of Radiology, University of Calgary, Calgary, AB, Canada

It has been suggested that during a hyperoxic calibration, the paramagnetic oxygen dissolved in arterial blood plasma can be a confounding factor for the interpretation of the calibrated BOLD signal. In this study, we aimed to predict the relative effect of dissolved oxygen on hyperoxic BOLD signal by expanding the detailed BOLD model with the effect of dissolved oxygen. Our results showed minimal difference in both the relative BOLD signal and the calibration parameter calculated with the effect of dissolved oxygen. Therefore, the influence of the dissolved oxygen in arterial blood plasma on the measured calibrated BOLD signal at 3 T can generally be ignored.

1719
Quantitative Susceptibility Mapping (QSM) based Cerebral Metabolic Rate of Oxygen (CMRO2) Mapping: Improve Robustness with Preconditioning and Physiological Constraints
Jingwei Zhang1,2, Dong Zhou2, Thanh Nguyen2, Pascal Spincemaille2, Ajay Gupta2, and Yi Wang1,2

1Biomedical Engineering, Cornell University, New York, NY, United States, 2Radiology, Weill Cornell Medical College, New York, NY, United States

This study proposed a new post-processing algorithm with preconditioning and physiological constraints for QSM based CMRO2 mapping, which eliminated physiologically impossible OEF values and improved the robustness of the technique. Reproducibility of the proposed method was examined. Feasibility of hyperventilation as a more efficient blood flow challenge was also investigated. 

1720
High-Resolution CMRO2 Mapping During a Unilateral Pinch-Force Task
Maria Guidi1, Christopher J. Steele1, Laurentius Huber2, Leonie Lampe1, Viola Rjosk1, Pierre-Louis Bazin1, and Harald E. Möller1

1Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany, 2NIMH, Bethesda, MD, United States

Motor tasks have been extensively studied with BOLD fMRI. The way the BOLD response scales with task intensity level might come from an increased metabolic activity as well as an increased CBF and CBV. In this study, we aimed at disentangling such contributions combining a gas manipulation session with a pinch-task with simultaneous recording of force values. This way, the Davis model for calibration of fMRI could be applied and the oxygen metabolism changes estimated at every timestep. BOLD signal changes, VASO signal changes, and CMRO2 changes were shown to weakly scale with the intensity of the pinch-force task.

1721
Is the local functional connectivity anisotropy (LFCA) in white matter caused by neuro-electric activity?  An examination of potential confounds for orientation-dependent LFCA in fMRI
Michael J. Tobia1, David Gallagher1, Rahul Dewal1, Sebastien Rupprecht1, Prasanna Karunanayaka1, and Qing X. Yang1

1Radiology, Penn State Hershey, Hershey, PA, United States

Phantom experiments showed that fluctuating electric current is sufficient to generate local functional connectivity anisotropy (LFCA), and that effects of motion, such as Lorentz forces, cannot explain the alignment of eigenvectors through neighboring voxels or B0 orientation-dependence.  In conclusion, anisotropic correlations of fMRI time series may arise from an alternative non-BOLD contrast mechanism, potentially related to an electric current effect on B0. 

1722
Development of an evaluation system for analgesic drugs targeted to allodynia-specific pain using BOLD fMRI
Naoya Yuzuriha1, Sosuke Yoshinaga1, Hiroshi Sato2, Sokichi Honda3, Keisuke Tamaki3, Toshihiro Sekizawa3, Akihiko Fujikawa3, and Hiroaki Terasawa1

1Department of Structural BioImaging, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan, 2Bruker Biospin K.K., Yokohama, Japan, 3Drug Discovery Research, Astellas Pharm. Inc., Tsukuba, Japan

The aim of this study is to evaluate the analgesic effect of pregabalin on allodynia-specific pain. fMRI images of fibromyalgia model rats were acquired, before and after pregabalin administration.  When treated with saline, the BOLD signal intensities in the S1, IC, and TH were increased upon the laser stimulation by up to 1.7%, 1.3%, and 1.8%, respectively.  In contrast, in the pregabalin treated rats, no BOLD responses were detected.  It is conceivable that the pain signals were inhibited by pregabalin, and thus the stimulation-induced BOLD responses were not observed.  We successfully observed the suppression of allodynia-specific pain responses by pregabalin.

1723
fMRI study of the role of glutamate NMDA receptor in olfactory habituation of olfactory bulb and higher olfactory structures in rats
Fuqiang Zhao1, Xiaohai Wang2, Hatim A Zariwala2, Jason M. Uslaner2, Andrea K Houghton2, Jeffrey L Evelhoch1, Eric Hostetler1, and Catherine Diane Gard Hines1

1Imaging, Merck Co. & Inc., West Point, PA, United States, 2Neuroscience, Merck Co. & Inc., West Point, PA, United States

fMRI offers an excellent opportunity to study olfactory processing in different olfactory structures. Measurement of the magnitude of odor stimulation-induced activations, and their suppression with agonist/antagonist of different neural receptors can provide important information to understand the mechanism of olfactory habituation. In this study, cerebral blood volume (CBV) fMRI with USPIO was used to measure odorant-induced olfaction in different olfactory structures of rats. The dynamics of habituation in different olfactory structures can be robustly measured by fMRI. MK801 can reverse habituated olfactory responses in all olfactory structures, suggesting that glutamate/NMDA receptor plays a major role in olfactory habituation.

1724
Plastic-adaptive changes after articulatory training in the elderly: An fMRI study
Sachiko Kiyama1, Atsunobu Suzuki2, Shen-Hsing Annabel Chen3, and Toshiharu Nakai1

1National Center for Geriatrics and Gerontology, Obu, Japan, 2Nagoya University, Nagoya, Japan, 3Nanyang Technological University, Singapore, Singapore

The present fMRI study explored neural changes in the Japanese elderly after four weeks of articulatory training. We compared real and pseudo words (i.e., the difference in speech plan), and hard and easy consonants to articulate (i.e., the difference in motor plan). Results revealed that their training of pseudo words with easy consonants significantly reduced activity in various regions including language, motor, visual, and cerebellar areas. This finding indicates the neuroplasticity of the adaptive articulation learning ability in the elderly for newly-introduced speech sounds, especially with easy consonants which do not require complex articulatory movements.

1725
Olfactory sensory lateralization in the human brain
Michael J. Tobia1, Abdou Thiam1, Prasanna Karunanayaka2, and Qing X. Yang1

1Radiology, Penn State Hershey, Hershey, PA, United States, 2Radiology, Penn State Hershey, Heshey, PA, United States

The olfactory system is unique from other sensory systems in that it is primarily ipsilateral from the periphery to the central nervous system.  Using fMRI and a simple olfactory stimulus detection paradigm, we show a right hemispheric bias for sensory activation stemming from unilateral stimulation to either nostril.  This suggests the presence of a contralateral functional organization of the olfactory system.


Traditional Poster

fMRI: Applications

Exhibition Hall Tuesday, May 10, 2016: 13:30 - 15:30

1726
Both hypnotic and non-hypnotic suggestions dramatically alter clinical and experimental pain report. fMRI indicates stronger hypnotic responses and different mechanisms for clinical versus experimental pain
Stuart Derbyshire1,2, Matthew Whalley3, Stanley Seah4, and David Oakley5

1Clinical Imaging Research Centre, National University of Singapore, Singapore, Singapore, 2Psychology, National University of Singapore, Singapore, Singapore, 3Traumatic Stress Service, Berkshire Healthcare NHS Foundation Trust, Reading, United Kingdom, 4Psychological Medicine, National University of Singapore, Singapore, Singapore, 5Psychology and Language Sciences, University College London, London, United Kingdom

Both hypnotic and non-hypnotic suggestions dramatically alter clinical and experimental pain report. fMRI, however, indicates stronger hypnotic responses and different mechanisms for clinical versus experimental pain. The presence of different mechanisms could only be inferred from the fMRI data and not from the behavioral data.

1727
Mapping “phantom taste” in thermal tasters
Sally Eldeghaidy1, Martha Skinner2, Rebecca Ford2, Joanne Hort2, and Susan Francis 1

1Sir Peter Mansfield Imaging Centre, University of Nottingham, Nottingham, United Kingdom, 2Sensory Science Centre, School of Biosciences, University of Nottingham, Nottingham, United Kingdom

Thermal taster status refers to a new taste phenotype in which thermal stimulation of the tongue elicits a “phantom” taste in individuals. The mechanism behind thermal taste is not yet known, but hypothesised to arise from entwined gustatory and trigeminal nerves. Here, we use fMRI to perform the first study to investigate whether cortical areas respond to phantom taste. Subjects underwent fMRI to warming/cooling thermal stimulation. Thermal tasters reported a sweet taste as the taste most prevalent during warming/cooling trials. We show that this “phantom” taste elicits significant activation of primary gustatory cortex including anterior insula and anterior cingulate cortex.

1728
The influence of multi-band acquisition on multiscale entropy derived from resting state BOLD
Charles B Malpas1,2, Tim Silk3, and Marc Seal3

1Developmental Imaging, Murdoch Children's Research Institute, Melbourne, Australia, 2Department of Medicine, Royal Melbourne Hospital, The University of Melbourne, Melbourne, Australia, 3Murdoch Children's Research Institute, Melbourne, Australia

Multi-scale entropy (MSE) quantifies the complexity of a time-series. Regular, predictable time-series have low MSE, while random time-series have high MSE. In this study, we compared conventional and multi-band acquisitions of resting-state BOLD images to determine their impact on MSE. We found that multi-band acquisitions produced lower MSE compared to non-multi-band acquisition. The effect did not persist when the number of volumes acquired was taken into consideration, suggesting that it is the number of volumes, and not multi-band acquisition per se that influences MSE. The implications for biomarker use are discussed, with particular emphasis on the ageing brain.

1729
Patterns of gray matter alterations in first episode manic adolescents
Li Yao1, Wenjing Zhang1, Yuan Xiao1, Wade Weber2, Christina Klein2, Rodrigo Patino 2, Qiyong Gong1, Melissa DelBello2, Su Lui1, and Caleb Adler2

1Huaxi MR Reasearch Center, Chengdu, China, People's Republic of, 2Department of Psychiatry and Behavioral Neuroscience, Division of Bipolar Disorders Research, University of Cincinnati College of Medicine, Cincinnati, OH, United States

Gray matter volume and cortical thickness was measured to investigate the anatomical deficit in bipolar patients with severe mania. 60 patients and 29 healthy controls were recruited. Whole brain grey matter volume and cortical thickness measurements were extracted from T1-weighted MRI images and agglomerative hierarchical clustering was performed to subgroup the patients. The grey matter reduction and cortical thinning may underlie affective processing and cognition impairments in patients. In addition, the homogeneous patterns of brain deficits support the manic bipolar patients as a disease with mostly the same pattern of cerebral changes. 

1730
Altered structural-functional connectome in unilateral sudden sensorineural hearing loss
Wenliang Fan1 and Haibo Xu1,2

1Department of Radiology, Union Hospital, Tongji Medical College,Huazhong University of Science and Technology, Wuhan, China, People's Republic of, 2Department of Radiology, Zhongnan Hospital of Wuhan University, Wuhan, China, People's Republic of

We used graph theoretical network analysis method to explore the alterations of brain structural–functional connectome in two large samples of unilateral sudden sensorineural hearing loss patients within the acute period. While previous neuroimaging studies have uncovered alterations in several specific brain structural and functional networks in patients with USSHL, little is known about the changes in the relationship between structural and functional brain connectome. And how do functional brain networks emerge from structural brain connectivity in USSHL is still unknown.

1731
Feature selection and classification of aMCI subjects using local fMRI activation patterns
Mingwu Jin1, Xiaowei Zhuang2, Tim Curran3, and Dietmar Cordes2

1University of Texas at Arlington, Arlington, TX, United States, 2Cleveland Clinic Lou Ruvo Center for Brain Health, Las Vegas, NV, United States, 3University of Colorado Boulder, Boulder, CO, United States

Two feature selection methods and four classification methods were applied to fMRI memory activation data obtained from two groups of amnestic MCI (aMCI) subjects and normal control subjects to investigate the classification effectiveness of the memory contrasts and subregions of medial temporal lobe. Least absolute shrinkage and selection operator (LASSO) is more effective than principle component analysis (PCA) for feature selection. The features selected by LASSO can be combined with non-linear classifiers for high classification accuracy. The face-occupation paradigm provides more discriminant power than the paradigms using outdoor pictures or word pairs.

1732
Inter-hemispheric functional dysconnectivity mediates the effect of corpus callosum degeneration on memory impairment in AD and amnestic MCI
Yingwei Qiu1, Siwei Liu1, Saima Hilal2, Yng Miin Loke1, Mohammad Kamran Ikram3, Xin Xu2, Boon Yeow Tan4, Narayanaswamy Venketasubramanian5, Christopher Li-Hsian Chen 2, and Juan Zhou1,6

1Multimodal Neuroimaging in Neuropsychiatric Disorders Laboratory, Duke-NUS Graduate Medical School Singapore, Singapore, Singapore, 2Department of Pharmacology, National University Health System, Clinical Research Centre, Singapore, Singapore, 3Memory Aging & Cognition Centre, National University Health System, Singapore, Singapore, 4St. Luke’s Hospital, Singapore, Singapore, 5Raffles Neuroscience Centre, Raffles Hospital, Singapore, Singapore, 6Clinical Imaging Research Centre, Technology and Research and National University of Singapore, Singapore, Singapore

The cognitive significance of corpus callosumdegeneration and the related functional connectivity changes in AD and amnestic MCIremains largely unknown. Our study attempted to fill this gap of knowledge by examininghow selective structural degeneration in CC was associated with memory impairment andwhether such relationship was influenced by inter-hemispheric homotopic functionaldysconnectivity in AD and amnestic MCI.

1733
Brain Network Segregation and Integration is Altered in Soldiers with Post-traumatic Stress Disorder and Mild Traumatic Brain Injury
D Rangaprakash1, Gopikrishna Deshpande1,2,3, Jeffrey S Katz1,2,3, Thomas S Denney1,2,3, and Michael N Dretsch4,5

1AU MRI Research Center, Department of Electrical and Computer Engineering, Auburn University, Auburn, AL, United States, 2Department of Psychology, Auburn University, Auburn, AL, United States, 3Alabama Advanced Imaging Consortium, Auburn University and University of Alabama Birmingham, Birmingham, AL, United States, 4U.S. Army Aeromedical Research Laboratory, Fort Rucker, AL, United States, 5Human Dimension Division, HQ TRADOC, Fort Eustis, VA, United States

Brain functioning relies on various segregated/specialized neural regions functioning as an integrated-interconnected network. Psychiatric disorders are associated with altered functioning of these brain networks. Using resting-state fMRI, we assessed strength and variability of directional connectivity in brain-networks obtained from U.S. Army Soldiers with PTSD and mTBI. Employing graph-theoretic techniques in a novel framework, we show that PTSD and mTBI are associated with frontal disinhibition of key subcortical and visual regions, which leads to overdrive in parietal association areas, causing increased symptoms. This work is significant given that a mechanistic understanding of underlying network functioning in comorbid PTSD/mTBI has been elusive.

1734
Temporal homogeneity in BOLD time-series: an application to Rolandic epilepsy
Lalit Gupta1, Jacobus FA Jansen2, René MH Besseling2, Anton de Louw3, Albert P Aldenkamp3, and Walter H Backes2

1Philips India Ltd., Bangalore, India, 2Department of Radiology, Maastricht University Medical Center, Maastricht, Netherlands, 3Epilepsy Center Kempenhaeghe, Heeze, Netherlands

We present a novel method that yields a “temporal homogeneity measure” (TeHo), which captures temporal characteristics of the Blood-Oxygen-Level-Dependent (BOLD) time-series in terms of the average decrease in wavelet energy entropy (WEE) as a function of frequency. As an application we have analyzed cerebral abnormalities in the temporal fluctuations of children with Rolandic epilepsy. Results on 22 patients and 22 controls show that the TeHo method is sensitive to detect abnormal BOLD fluctuations in the brains’ of children with Rolandic epilepsy. These patients showed reduced TeHo, which indicates an altered frequency structure due to the epilepsy.

1735
A Meta-analysis of Neuroimaging Studies of English and Chinese Semantic Processing
HengShuang Liu1 and SH Annabel Chen1,2

1Psychology, Nanyang Technological University, Singapore, Singapore, 2Centre for Research And Development in Learning, Nanyang Technological University, Singapore, Singapore

Activation likelihood estimation meta-analyses were adopted to investigate how English and Chinese differ in semantic neural bases. Results reveal that English semantic processing specifically recruited the left visual cortex and left IPL, while the right visual cortex and left MFG were exclusively employed by Chinese semantic processing. This language specialization was reflected in modality effects, as English semantics appeared to be retrieved more acoustically than visually whereas such gradient was diminished in Chinese. Level effects were less differentiated by English and Chinese since language particularities seemed to be cancelled out after within-language comparison between levels. These findings deepened our understanding of how linguistic features, presentation modalities, and levels shape the semantic brain.

1736
BOLD-fMRI signal changes during prolonged heat pain stimulation
Marianne Cleve1, Alexander Gussew1, and Jürgen R. Reichenbach1

1Medical Physics Group, Institute of Diagnostic and Interventional Radiology, Jena University Hospital - Friedrich Schiller University Jena, Jena, Germany

We performed five BOLD-fMRI measurements in healthy volunteers during prolonged heat pain stimulation to investigate the consistency of brain region specific activation and temporal alterations of brain activation. Left and right insula showed pain related activation in all volunteers and the highest activation values in the left insula at the beginning of the experiment. Compared to the insular regions, ACC and precuneus revealed higher BOLD signal variations during 11 min of noxious stimulation. The findings can be interpreted as region specific habituation effects on pain processing in the human brain.

1737
Therapeutic modulation of somatosensory evoked response in pain-related cortex on chronic lumbago.
CHUZO TANAKA1,2, TOMOKAZU MURASE3, MASAKI FUKUNAGA4, MASAHIRO UMEDA5, YASUHIRO WATANABE5, YUKO KAWAI5, SETSUO HAKATA6, SHOJI NARUSE7, and TOSHIHIRO HIGUCHI8

1NEUROSURGERY, RAKUWA VILLA-ILIOS, Kyoto, Japan, 2Meiji University of Integrative Medicine, kyoto, Japan, 3Meiji University of Integrative Medicine, Kyoto, Japan, 4Cerebral Integration, National Institute for Physiological Sciences, Okazaki, Japan, 5Medical Informatics, Meiji University of Integrative Medicine, Kyoto, Japan, 6Japanese Medical Society of Arthrokinematic Approach, Osaka, Japan, 72nd Okamoto General Hospital, Kyoto, Japan, 8Neurosurgery, Meiji University of Integrative Medicine, Kyoto, Japan

To clarify therapeutic modulatory effects on brain activation in pain-related cortex of chronic lumbago using somatosensory stimulation with treatment for pain relief, twenty participants were divided into two groups, S1 activated (S1(+)) and S1 non-activated (S1(-)) group. There were no activated areas in pain-related cortex in S1 (-) group immediately after treatment for pain relief. Immediately after treatment, rs-fMRI of S1(-) group showed a significant signal decrease in contralateral S2 of pain-related network. It was suggested to diminish pain-related network activation by somatosensory stimulation on chronic lumbago immediately after treatment for pain relief.

1738
Concurrent fMRI, [11C]raclopride-PET and deep brain stimulation of the ventral tegmental area
Christin Y. Sander1, John Arsenault2, Bruce R. Rosen1, Joseph B Mandeville1, and Wim Vanduffel1

1Radiology, Massachusetts General Hospital, Boston, MA, United States, 2Radiology, Massachusetts General Hospital, Charlestown, MA, United States

Deep brain stimulation (DBS) through implantable neurostimulation electrodes that affect dopaminergic control is an important symptomatic therapy in movement disorders, and has been shown to affect reinforcement learning and motivation. In this study, we employ concurrent DBS in the ventral tegemental area during simultaneous PET/fMRI to understand dopaminergic signature of DBS.

1739
Enhancing Creativity and Insight using fMRI Neurofeedback
Wenjing Yan1, Dustin Scheinost2, Alan Snyder3, and Gopikrishna Deshpande1,4,5

1AU MRI Research Center, Department of Electrical and Computer Engineering, Auburn University, Auburn, AL, United States, 2Department of Diagnostic Radiology, Yale University, New Haven, CT, United States, 3Centre for the Mind, University of Sydney, Sydney, Australia, Sydney, Australia, 4Department of Psychology, Auburn University, Auburn, AL, United States, 5Alabama Advanced Imaging Consortium, Auburn University and University of Alabama Birmingham, Auburn, AL, United States

Insight problem-solving is not deduced logically and the solution is typically very hard to get (probability of success is approximately 0%) and requires “out of the box” thinking. Using tDCS, Chi et al demonstrated that increasing the excitability of the right anterior temporal lobe (rATL) mitigated cognitive biases and enabled surprisingly large number of people to solve insight problems such as the nine-dot puzzle. Here we test this hypothesis using fMRI-based real-time neurofeedback. We show that 44% of subjects who were able to successfully up-regulate activity in their rATL using neurofeedback, solved the puzzle.

1740
fMRI characterization of pain processing in NaV1.7 Wnt1 KO mice
Giovanna Diletta Ielacqua1, Aileen Schroeter1, David Bühlmann 1,2, Felix Schlegel1,2, John N Wood3, and Markus Rudin1,4

1Institute for Biomedical Engineering, ETH and University of Zurich, Zurich, Switzerland, 2Neuroscience Center Zurich, Zurich, Switzerland, 3Molecular Nociception Group, Wolfson Institute for Biomedical Research, University College London, London, United Kingdom, 4Institute of pharmacology and toxicology, Univeristy of Zurich, Zurich, Switzerland

Stimulus-evoked fMRI (se-fMRI) measurements in mice have turned out difficult, and so far it is under investigation whether and how se-fMRI applications can yield to reliable and robust readouts. Generally, se-fMRI could be a useful tool to study how the brain processes innocuous and noxious stimuli, i.e. to characterize genetically modified mouse strains, such as mice exhibiting impaired nociception. In this study, NaV1.7-Wnt1 KO mice are characterized with respect to neural processing of different types and strengths of peripheral stimuli and compared to a WT control group. Results of behavioral tests are compared to outcomes of fMRI measurements.

1741
BOLD fMRI investigation of auditory and visual interactions in the inferior colliculus
Patrick P. GAO1,2, Celia M. Dong1,2, Leon C. Ho1,2, Russell W. Chan1,2, Xunda Wang1,2, and Ed X. Wu1,2

1Laboratory of Biomedical Imaging and Signal Processing, The University of Hong Kong, Hong Kong, China, People's Republic of, 2Department of Electrical and Electronic Engineering, The University of Hong Kong, Hong Kong, China, People's Republic of

Multisensory interaction is crucial for forming an accurate representation of the environment and facilitating behavioral responses. Previous studies of multisensory interaction are focused on the cortex. The midbrain inferior colliculus (IC) is a pivotal station in the auditory pathway. Although evidence suggests that the IC receives non-auditory anatomical and signal input, it remains unclear how other sensory signals interact with auditory processing within the IC. Using BOLD fMRI, this study shows that a strong visual stimulation inhibits IC responses to following noise stimulation. Multisensory interaction therefore occurs much earlier before sensory signals reach the cortex. 

1742
Disrupted functional connectivity and structure in the striatum of a mouse model of Huntington’s disease
Qiang Li1,2, Gang Li3, Qi Peng3, Dan Wu1, Hanbing Lu4, Yihong Yang4, Jiangyang Zhang1,5, and Wenzhen Duan3,6,7

1Dept. of Radiology, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 2Dept. of Radiology, Tangdu Hospital, Xi'an, China, People's Republic of, 3Dept. of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 4National Institute on Drug Abuse, Baltimore, MD, United States, 5Dept. of Radiology, New York University School of Medicine, New York, NY, United States, 6Dept. of Neuroscience, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 7Program in Cellular and Molecular Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, United States

Huntington’s disease (HD) is an autosomal dominant inherited neurodegenerative disorder, and several MRI modalities have been used to monitor disease progression. To date, little is known regarding the link between altered functional connectivity and structural atrophy and clinical deficits. In this study, we investigated the functional connectivity and structural changes in a mouse model of HD that recapitulate the key neuropathology and phenotype of HD. Our results revealed significant correlations between functional MRI connectivity and structural atrophy, as well as behavioral performance in the mouse model. 


Traditional Poster

fMRI: Methods

Exhibition Hall Tuesday, May 10, 2016: 13:30 - 15:30

1743
Calibration, validation, and sensitivity analysis of a 3D method for the mapping of brain venous oxygenation
Deng Mao1,2, Yang Li1, Peiying Liu1, Shin-Lei Peng3, and Hanzhang Lu1

1Russell H. Morgan Department of Radiology, Johns Hopkins University, Baltimore, MD, United States, 2Graduate School of Biomedical Sciences, Univ of Texas Southwestern Medical Center, Dallas, TX, United States, 3Department of Biomedical Imaging and Radiological Science, China Medical University, Taichung, Taiwan

The present study aimed to further develop and investigate of a non-invasive, efficient and reproducible technique to map brain venous oxygenation in 3D. We first improved the processing pipeline by substracting angiogram to remove arterial content and apply threholdings to eliminate poor fitted and low signal voxels. We then calibrated T2* to oxygenation relationship in vitro using the same technique. In addition, we used hyperoxia challenge to test its sensitivity and combined TRUST MRI method for validation.

1744
High correlation of VasA and vascular reactivity M supports vascular origin of VasA
Samira M Kazan1, Laurentius Huber2, Guillaume Flandin1, Peter Bandettini2, and Nikolaus Weiskopf1,3

1Wellcome Trust Centre for Neuroimaging, UCL Institute of Neurology, University College London, London, United Kingdom, 2Functional Imaging Methods Laboratory of Brain, National Institute of Mental Health, Washington, DC, United States, 3Department of Neurophysics, Max Planck Institute for Human Cognition and Brain Sciences, Leipzig, Germany

We recently presented a vascular autocalibration method (VasA) to account for vascularization differences between subjects and hence improve the sensitivity in group studies. Here, we validate the novel calibration method by means of direct comparisons of VasA with the established measure of vascular reactivity, the M-value, obtained during induced hypercapnia. We show strong evidence that VasA is dominated by local vascular reactivity variations similarly to the M-value. We conclude that the VasA calibration method is an adequate tool for application in group studies to help increasing the statistical significance and reflects to a large degree local vascularization.

1745
Enhancement of Event-Related fMRI Studies of the Human Visual System Using Multi-band EPI
R. Allen Waggoner1, Topi Tanskanen1, Keiji Tanaka1, and Kang Cheng1,2

1Laboratory for Cognitive Brain Mapping, RIKEN - Brain Science Institute, Wako-shi, Japan, 2fMRI Support Unit, RIKEN - Brain Science Institute, Wako-shi, Japan

The potential benefits of multi-band EPI for event-related fMRI studies has received little attention.  In this study, we explore the impact of the reduced repetition times permitted by modest levels of slice acceleration on the extent of activation in an event-related study.  We also explore the use of this denser sampling to investigate the differences in hemodynamic response to variations in stimuli and differences in the hemodynamic response across brain regions.

1746
Should volumetric, slice-wise or non-linear registration be used for motion correction of fMRI data?
Malte Hoffmann1 and Stephen J Sawiak1,2

1Wolfson Brain Imaging Centre, University of Cambridge, Cambridge, United Kingdom, 2Behavioural and Clinical Neuroscience Institute, University of Cambridge, Cambridge, United Kingdom

Motion corruption leads to major artefacts in fMRI which are damaging in studies. Most processing pipelines employ linear registration of the brain volume at each time point. As slices are acquired individually, however, it is possible for each slice to require a different transformation. Here, we compared the efficacy of linear volume registration, independent slice-based registration and volume non-linear registration for retrospective correction of fMRI acquisitions using data from forty non-cooperative patients with substantial motion.

1747
Optimizing SMS-BOLD image reconstruction for resting state analysis and reconstruction time
Ross W. Mair1,2, R. Matthew Hutchison1,3, Stephanie McMains1, and Steven Cauley2

1Center for Brain Science, Harvard University, Cambridge, MA, United States, 2A.A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, United States, 3Department of Psychology, Harvard University, Cambridge, MA, United States

The computational processes required for slice-unaliasing in SMS-BOLD scans are taxing on the scanner reconstruction computers, so data is sometimes observed far from real-time, and reconstruction may lag up to tens of minutes behind the acquisition.  A channel compression algorithm has been proposed to counter computational demands of these reconstruction processes. We studied functional networks derived from resting-state scans as a function of slice acceleration, slice-GRAPPA kernel size and channel compression to find an optimal solution for an existing, conventional 3.0 T scanner. Slice-GRAPPA kernel size played little effect in functional network definition and two-fold channel compression was beneficial to reconstruction time without impacting functional network data quality.

1748
Slice-acceleration Related Biases in Multiband-EPI Resting State Functional Connectivity
Zahra Faraji-Dana1,2, Ali Golestani3, Yasha Khatamian3, Simon Graham1,2, and J. Jean Chen1,3

1Department of Medical Biophysics, University of Toronto, Toronto, ON, Canada, 2Sunnybrook Research Institute, Sunnybrook Health Science Centre, Toronto, ON, Canada, 3Rotman Research Institute, Baycrest Health Science Centre, Toronto, ON, Canada

Resting-state functional connectivity MRI (rs-fcMRI) is most commonly computed as the temporal dependency amongst blood oxygenation Level dependent (BOLD) signal patterns of different brain regions. It has been shown that rs-fMRI can benefit from faster imaging times offered by simultaneous multi-slice (a.k.a. multiband, referred to as “MB”) slice-acceleration that enables acquiring “groups” of slices at the same time. However, this slice grouping may incur aliasing artifacts, primarily from motion and physiological fluctuations. These spurious time-dependent signals can adversely affect the rs-fcMRI maps in the simultaneously-acquired slices (i.e., in one slice-group). In this work we investigate two hypotheses 1) the simultaneously sampled physiological noises as well as the residual aliasing introduce a slice-group effect in rs-fcMRI maps; 2) this slice-group effect can be mitigated by physiological noise correction.

1749

Insights in dose dependent effects of Isoflurane by analyzing static and dynamic functional connectivity in mice
Qasim Bukhari1, Aileen Schröter1, and Markus Rudin1,2

1Department of Information Technology and Electrical Engineering, Institute of Biomedical Engineering, ETH and University of Zürich, Zürich, Switzerland, 2Institute of Pharmacology and Taxicology, University of Zürich, Zürich, Switzerland

The neurophysiological effects of anesthetics on brain functional networks are not completely understood. In this work we investigated the resting state functional brain networks under different doses of isoflurane in mice. We used static and dynamic functional connectivity (dFC) analysis to get insights in dose dependent effects of isoflurane. The results from dFC analysis show that spatial segregation across brain functional networks is lost with the increasing dose of anesthesia thus it may be indicative of a deep anesthetic state. Static network analysis using dual regression revealed loss of functional connectivity between the bilateral regions, that is also supported with further results showing decrease in functional correlations with increased dose of isoflurane.

1750

Resting-state fMRI as a tool for evaluating level of anesthesia and BOLD fMRI response in anesthetized rats
Jaakko Paasonen1, Raimo A Salo1, Joanna K Huttunen1, and Olli Gröhn1

1Department of Neurobiology, University of Eastern Finland, Kuopio, Finland

Anesthesia is a major confounding factor in fMRI studies, because it directly affects brain function. As recent evidence suggests that functional connectivity (FC) changes with anesthetic depth, we investigated whether FC could be used to measure anesthetic depth in preclinical fMRI studies and subsequently predict fMRI responses under five anesthetics. The FC was able to predict the magnitude of fMRI responses under different anesthetics. The FC also changed during 1-h interval with injectable anesthetics. Therefore, we conclude that FC analysis of baseline fMRI data can provide simple way to control one of the key confounding factors in preclinical fMRI studies.

1751
High resolution Macaque MRI at 3T using an 8 channel receive array with shielded birdcage transmit coil
Rou Li1, Jingqiang Peng2, Xiao Chen1, Xiaoqing Hu1, Xiaoliang Zhang3,4, Ye Li1, Xin Liu1, Hairong Zheng1, and Zheng Wang2

1Paul C. Lauterbur Research Center for Biomedical Imaging, Shenzhen Institutes of Advanced Technology, CAS, Shenzhen, China, People's Republic of, 2institute of neuroscience, shanghai institutes for biological sciences, CAS, Shanghai, China, People's Republic of, 3Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, United States, 4UCSF/UC Berkeley Joint Graduate Group in Bioengineering, San Francisco, CA, USA, San Francisco, CA, United States

Macaque monkey is a critical model for fMRI to investigate large scale functional network. In this work, an 8 channel loop array with shield birdcage transmit coil is proposed to achieve high resolution homogeneous macaque brain images at 3T MRI. Both phantom and in-vitro experiments demonstrate the capability of the proposed design of achieving homogeneous transmit field and high SNR in the whole brain region, which provides the possibility to perform in-vivo macaque fMRI experiments to investigate large-scale functional network.

1752
Quantitative vascular imaging with QUTE-CE MRI
Codi Gharagouzloo1, Ju Qiao2, Liam Timms3, Aniket Pandya3, Praveen Kulkarni4, Craig Ferris5, and Srinivas Sridhar3

1Bioengineering, Northeastern University, Boston, MA, United States, 2Industrial Engineering, Northeastern University, Boston, MA, United States, 3Physics, Northeastern University, Boston, MA, United States, 4Northeastern University, Boston, MA, United States, 5Center for Translational Neuroimaging (CTNI), Northeastern University, Boston, MA, United States

We demonstrate a unique type of vascular imaging using ferumoxytol as an iron-oxide nanoparticle contrast agent (CA) and a 3D ultra-short TE (UTE) pulse sequence. The raw UTE signal intensity is shown to be quantitative by comparison to excised blood immediately after imaging with n=5 Sprague Dawley rats. In this preliminary study, we calculate the cerebral blood volume (CBV) on a regional basis using a 174-region anatomic atlas that is consistent among animals and is independent of CA concentration.

1753
Optimizing the parameter space for functional-MRI in rodents
Georges Hankov1,2, Basil Künnecke2, Markus Rudin1,3, and Markus von Kienlin2

1Institute for Biomedical Engineering, ETH and University Zurich, Zurich, Switzerland, 2Roche Pharma Research & Early Development, Neuroscience Discovery, Roche Innovation Center Basel, F. Hoffmann-La Roche Pharmaceuticals Ltd, Basel, Switzerland, 3Institute of Pharmacology and Toxicology, University of Zurich, Zurich, Switzerland

In the past years, functional MRI studies in rodents have become increasingly popular. However the parameter space for optimal data acquisition scheme has been poorly explored. In this work, we compare different acquisition methods such as single-shot and segmented Echo Planar Imaging, and PRESTO, to determine which technique offers the best compromise between temporal resolution, geometric distortions, artefacts and signal-to-noise ratio. The results suggest that segmented EPI, using two or three segments, could fulfill the requirements needed for rodent fMRI if ghost artefacts are minimized.

1754
Potential source of MRI signal change during transcranial direct current stimulation
Guoxiang Liu1,2, Takashi Ueguchi1,2, Ikuhiro Kida1,2, Ken-ichi Okada1,2, and Yasushi Kobayashi1,2

1National Institute of Information and Communications Technology, Suita-shi,Osaka, Japan, 2Osaka University, Suita-shi, Osaka, Japan

In this work, we implemented tDCS experiments on a monkey brain and a phantom at a 7T human MRI scanner to investigate the possibility to measure current flow during tDCS. Our results showed that imaging distortions caused by current in lead wires but not in brain is a possible source of BOLD-like MRI signal changes.

1755
Reproducibility of cerebral sensorimotor activation in functional magnetic resonance imaging in isoflurane-anesthetized rats : A test-retest effect
Won Beom Jung1, Ji Hoon Cha1, Geun Ho Im2, Sun Young Chae3, and Jung Hee Lee1

1Department of Radiology, Samsung Medical Center, Seoul, Korea, Republic of, 2Center for Molecular and cellular imaging, Samsung Biomedical Research Institute, Seoul, Korea, Republic of, 3Samsung Advanced Institute for Health Sciences & Technology, Sungkyunkwan University, Seoul, Korea, Republic of

Blood oxygen level dependent (BOLD)-functional magnetic resonance imaging (fMRI) technique for rats is an emerging field in neuroscience. Inhalation anesthetics are often used for longitudinal fMRI experiments of rodent. Confirming the degree of reproducibility for stimulation induced fMRI response is especially important on longitudinal studies when investigating a time course of functional recovery. In this study, we evaluated the reproducibility or time-dependent changes of fMRI activation in somatosensory cortex in rats under isoflurane anesthesia.

1756
A more sensitive paradigm for direct MR detection of neuronal currents: simulation results
Ileana Hancu1 and Christopher Hardy1

1GE Global Research Center, Niskayuna, NY, United States

Direct detection of neuronal activity through MRI is an active research area. Typical MRI-based approaches for direct detection of neuronal currents use echo-planar imaging, which offers wide spatial coverage at low temporal resolution (>100ms). In this work, we explore a significantly different paradigm, in which we give up wide spatial coverage, gaining the capability of sampling signals at much higher rates. Our simulation results indicate that the ability to compare entire time curves sampled at a high temporal rate leads to an increase in the sensitivity of detecting neuronal currents by a factor of at least 10.

1757
Development of an awake mouse MRI method using soft immobilization for a cryogenic probe system
Etsushi Nakata1, Shunsuke Kusanagi1, Kazunari Kimura1, Rikita Araki2, Mitsuhiro Takeda1, Sosuke Yoshinaga1, and Hiroaki Terasawa1

1Department of Structural BioImaging, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan, 2Bruker Biospin K.K., Yokohama, Japan

In animal MRI research, treatments with anesthesia and fixing apparatuses are usually required to suppress MR image blurring due to animal movements.  However, the physiological conditions are reportedly affected by anesthesia.  At the ISMRM annual meeting in 2013, we reported an easily implemented method for awake mouse brain imaging, which uses softer immobilization with clothes for mice, without surgery and training.  Recently, a cryogenic transceive coil system, which greatly enhances the SNR of MR images, was developed and is becoming widely used.  We successfully improved our awake MRI method to be applicable to the cryo system, by refining the designed clothes.


Traditional Poster

Image Reconstruction: Post-Cartesian

Exhibition Hall Tuesday, May 10, 2016: 16:00 - 18:00

1758
Off-Resonance Map Refinement Using Autofocusing for Spiral Water-Fat Imaging
Ashley G Anderson III1, Dinghui Wang1, and James G Pipe1

1Imaging Research, Barrow Neurological Institute, Phoenix, AZ, United States

Autofocusing was used to estimate residual off-resonance and remove associated blurring in spiral images after initial joint deblurring and water-fat separation with a previously acquired field map.

1759
Joint Water-Fat Separation and Deblurring with Single Spiral In-Out Spin-Echo Imaging
Dinghui Wang1, Zhiqiang Li1, Ryan K. Robison1, and James G. Pipe1

1Imaging research, Barrow Neurological Institute, Phoenix, AZ, United States

Spiral in-out readout is an efficient sampling scheme for T2-weighted (T2w) spin-echo (SE) sequences. Two sets of spiral in-out data at different TEs are typically acquired so that deblurred water and fat images can be extracted from the spiral-in and the spiral-out data separately, which are then combined together. A method has been recently proposed to reconstruct water and fat images from a single set of spiral in-out data. This work demonstrates the feasibility of using this method as a fast and scan efficient means of fat suppression to reduce the scan time of the spiral T2w SE by a factor of 2.

1760
Spiral Deblurring Using B0 Maps with B0 Drift Correction
Melvyn B Ooi1,2, Dinghui Wang2, Ashley G Anderson III2, Zhiqiang Li2, Nicholas R Zwart2, Ryan K Robison2, and James G Pipe2

1Philips Healthcare, Cleveland, OH, United States, 2Imaging Research, Barrow Neurological Institute, Phoenix, AZ, United States

Spiral MRI enables long sampling durations but at the cost of increased sensitivity to B0-field fluctuations. For example, scanner B0-drift will be observed in spiral MRI as a time-varying component of image blurring. A spiral deblurring strategy is presented where a reference B0 map is acquired at the start of the spiral exam; F0 navigators then quickly measure B0 drift over the course of the spiral exam, and are used to calculate B0-drift corrected B0-maps for deblurring of the current scan. F0-navigator accuracy is verified with independent B0-map acquisitions, and improved spiral deblurring is shown for a structural brain scan.

1761
Variable density spiral sampling and reconstruction for spatiotemporally encoded single-shot MRI
Lin Chen1, Shuhui Cai1, and Congbo Cai1

1Department of Electronic Science, Xiamen Unviersity, Xiamen, China, People's Republic of

As an emerging ultrafast imaging method, spatiotemporally encoded single-shot MRI is advantageous because it can resist off-resonance effects while retaining spatial and temporal resolutions comparable to the classical EPI. In this work, a variable density spiral sampling (VDSS) scheme is proposed for SPEN MRI. An optimization algorithm is used to design the sinusoidal readout gradient waveform. A specific gridding algorithm and non-Cartesian super-resovled reconstruction are proposed to retrieve image. Compared to the Cartesian sampling, VDSS can provide images with less artifacts and better spatial resolution.

1762
Single shot spiral imaging at ultra-high field
Maria Engel1, Lars Kasper1, Christoph Barmet1, Klaas Paul Prüssmann1, and Thomas Schmid1

1Institute for Biomedical Engineering, University Zurich and ETH Zurich, Zurich, Switzerland

Fast spiral sequences with concurrent field monitoring, B0 correction and SENSE-reconstruction promise a brave new world for time series MRI.

1763
Use of a radial convolution kernel in the non-uniform Fourier transform
Mark BYDDER1, Wafaa Zaaraoui1, and Jean-Philippe Ranjeva1

1Aix Marseille Université, MARSEILLE, France

Non-Cartesian reconstructions typically perform a convolution to interpolate irregularly spaced samples onto a regular grid. The number of coefficients in the convolution trades-off accuracy with speed. A radially symmetric convolution kernel provides a favorable trade-off as compared to a separable kernel with the same number of coefficients.

1764
Fast 3D Filtered Back-Projection Reconstruction combined with a New Radial-Acquisition Strategy.
JeongTaek Lee1,2, Jinil Park1,2, and Jang-Yeon Park1,2

1Center for Neuroscience Imaging Research, Institute for Basic Science, Suwon, Korea, Republic of, 2Department of Biomedical Engineering, Sungkyunkwan University, Suwon, Korea, Republic of

Radial-acquisition imaging is recently gaining more popularity. For RA image reconstruction, both fast Fourier transform via gridding and filtered back-projection are available. Because of the processing time, FFT is dominantly used. If the processing-time issue is resolved, 3D FBP can be promising in the case of FID sampling or echo sampling with mis-centering of k-space. In this study, we propose a strategy that can significantly reduce the reconstruction time of 3D FBP in combination with a new RA scheme. Performance of the proposed method was demonstrated in phantom and human brain imaging at 3T.

1765
GROG Based Sensitivity Map Estimation for Radial Data in MRI
mahwish khan1, Taquwa Aslam1, and Hammad Omer1

1Electrical Engineering, COMSATS institute of information technology, Islamabad, Pakistan

The estimation of receiver coil sensitivity profiles is required for many PMRI  algorithms including CG-SENSE. Conventionally,CG-SENSE uses pre-scan method to estimate the sensitivity maps for which a separate scan is required. The novelty in this work is the use of GROG gridding on the central region of the acquired under-sampled cardiac radial data to estimate the receiver coil sensitivities using Eigen-value method. The results show that  GROG based sensitivity map estimation (proposed method) is an effective method without any requirement of a prior scan or body coil image.

1766
Run and Done: Calibrationless Multichannel Continuously Moving Table Whole Body MRI with Immediate Reconstruction
David S Smith1, Saikat Sengupta1, Aliya Gifford1, and E Brian Welch1

1Institute of Imaging Science, Vanderbilt University, Nashville, TN, United States

We achieve significantly improved image quality in whole-body continuous moving table MRI without time penalty by using a multichannel, golden angle radial acquisition coupled to a calibrationless reconstruction.

1767
Phase correction in the presence of gradient delays for 3D radial data
Ina Nora Kompan1 and Matthias Guenther2

1mediri GmbH, Heidelberg, Germany, 2Fraunhofer Mevis, Bremen, Germany

3D radial acquisitions are prone to gradient delay and phase artifacts, which need to be corrected for. Ideally, the phase can be retrospectively corrected for by assuming the same phase in k-space center where all projections meet. However, if data are affected by gradient delays, profiles are shifted at varying angles and might not intersect at all. Here, a simple to apply, novel phase correction method is presented in which the changed trajectory due to gradient delays is incorporated into 3D phase correction. It was shown that artifacts are reduced by 12% compared to only gradient delay corrections.

1768
Accelerating radial MRI using GROG followed by ESPIRiT
Ibtisam Aslam1, Faisal Najeeb1, and Hammad Omer1

1Electrical Engineering, COMSATS Institute of Information Technology, Islamabad, Pakistan

Accelerated non-Cartesian parallel imaging plays a vital role to reduce data acquisition time in the MR imaging; however the resultant images may contain aliasing artifacts. In this work, the application of ESPIRiT with GROG is proposed to get good reconstruction results from highly under-sampled radial data. The proposed method is tested on 3T short–axis cardiac radial data at different acceleration factors (AF=4, 6 and 9) and compared with pseudo-Cartesian GRAPPA. The results show that the proposed method offers significant improved (e.g. 81% improvement in term of artifact power at AF=4) reconstruction results as compared to conventional pseudo-Cartesian GRAPPA.

1769
K-T ARTS-GROWL: An Efficient Combination of Dynamic Artificial Sparsity and Parallel Imaging Method for DCE MRI Reconstruction
Zhifeng Chen1, Liyi Kang1, Allan Jin2, Feng Liu3, Ling Xia1, and Feng Huang2

1Biomedical Engineering, Zhejiang University, Hangzhou, China, People's Republic of, 2Philips Healthcare (Suzhou) Co. Ltd, Suzhou, China, People's Republic of, 3School of Information Technology and Electrical Engineering, The University of Queensland, Queensland, Australia

Dynamic contrast enhanced (DCE) MRI plays an important role in the detection of liver metastases, characterization of tumors, assessing tumor response and studying diffuse liver disease. It requires a high spatial-temporal resolution. Existing iterative dynamic MRI reconstruction algorithms, such as iGRASP and L+S, realize their functions through iterative schemes. Though the solutions are generally acceptable, yet suffer from significantly high computational cost. This study proposed to use dynamic artificial sparsity and non-Cartesian parallel imaging for high spatiotemporal resolution DCE reconstruction, which results in comparable image quality relative to the above iterative schemes with greatly reduced computational cost.

1770
Simultaneous Multi-slice MRF with Controlled Aliasing Enabled by Temporal Data Sharing
Di Cui1, Hing-Chiu Chang1, Hua Guo2, Queenie Chan3, and Edward S Hui1

1Diagnostic Radiology, The University of Hong Kong, Hong Kong, Hong Kong, 2Department of Biomedical Engineering, Tsinghua University, Beijing, China, People's Republic of, 3Philips Healthcare, Hong Kong, Hong Kong

Magnetic Resonance Fingerprinting (MRF) enables simultaneous quantification of multiple relaxation parameters, which is further accelerated by usage of simultaneous multi-slice (SMS) technique. SENSE based SMS-MRF reconstruction suffers high g-factor penalty due to similar coil sensitivity profiles of collapsed slices. Here we proposed a new method to solve this problem, by data re-grouping from adjacent time points, spatial controlled aliasing is enabled, after dictionary matching, good parameter mapping of 2 slices with nearly the same sensitivity is acquired at half the acquisition time of single-excitation MRF.

1771
Line profile measure as a stopping criterion in CG-SENSE Reconstruction
Taquwa Aslam1, Mahwish Khan1, Ali Raza Shahid1, and Hammad Omer1

1Electrical Engineering, COMSATS Institute of information technology, Islamabad, Pakistan

CG SENSE is an iterative algorithm used in PMRI for MR image reconstruction from under-sampled data. One major limitation of CG-SENSE is the appropriate choice of the number of iterations required for good reconstruction results.This paper proposes the use of a correlation measure between the line profiles of the reconstructed images in the current and the previous iteration, as a stopping criterion for the CG-SENSE algorithm. Results of the proposed method are compared with the Bregman distance stopping criterion. The results show that the use of line profile correlation measure acts as an effective stopping criterion in CG-SENSE.

1772
Iterative Progressive Length Conjugate Gradient Reconstruction in MR-PARSE
Charles G Cantrell1, Parmede Vakil1,2, Donald R Cantrell3, Yong Jeong1, Sameer A Ansari3, and Timothy J Carroll1,3

1Biomedical Engineering, Northwestern, Chicago, IL, United States, 2College of Medicine, University of Illinois, Chicago, IL, United States, 3Radiology, Northwestern, Chicago, IL, United States

We have found that performing iterative PLCG dramatically (on average 55% better) improves reconstruction quality of an MR-PARSE acquisition.  Moreover, iterative PLCG has shown to be capable of reconstruction in regions with large susceptibility artifact.   Consistent frequency measurements allow us to remove static offsets caused by air interfaces near the earholes and sinuses leaving dynamic frequency offsets which transpose linearly to OEF.  Furthermore, our approach to prevent local minima solutions, through the use of an iterative PLCG, represents a new approach that may improve upon many other complex reconstruction methods.

1773
Improved identification and clinical utility of pseudo-inverse with constraints (PICO) reconstruction for PROPELLER MRI
Jyh-Miin Lin1, Andrew J. Patterson2, Chung-Wei Lee3, Ya-Fang Chen3, Tilak Das4, Daniel Scoffings5, Hsiao-Wen Chung6, Jonathan H. Gillard1, and Martin J. Graves2

1Department of Radiology, University of Cambridge, Cambridge, United Kingdom, 2MRIS unit, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom, 3Department of Radiology, National Taiwan University College of Medicine, Taipei, Taiwan, 4Addenbrooke’s Hospital, Cambridge, United Kingdom, 5Department of Radiology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom, 6Department of Electrical Engineering, National Taiwan University, Taipei, Taiwan

PROPELLER MRI can reduce motion artifacts. However, the colored noise of PROPELLER could degrade the image quality. Although the iterative Pseudo-Inverse with COnstraints (PICO) has been proposed to improve the image quality metrics, further clinical validation is needed. In this study, two neuroradiologists compared the image quality of PICO with the standard density compensation. Results show that PICO significantly improves the identification of two anatomical structures and the clinical utility. 

1774
The Development and Evaluation of the Novel Brain Phantom for the PROPELLER with Motion Correction
Kousaku Saotome1, Akira Matsushita1, Koji Matsumoto2, Yoshiaki Kato3, Kei Nakai4, Yoshiyuki Sankai5, and Akira Matsumura4

1Center for Cybernics Research, University of Tsukuba, Tsukuba, Japan, 2Department of Radiology, Chiba University Hospital, Chiba, Japan, 3Medical Technology Department, Kameda General Hospital, Kamogawa, Japan, 4Department of Neurosurgery, University of Tsukuba, Tsukuba, Japan, 5Faculty of Engineering, Information and Systems, University of Tsukuba, Tsukuba, Japan

Our purpose is to develop the novel brain phantom including low contrast and to verify its potential to emphasize the motion correction effects in PROPELLER. Our proposed phantom set would allow not only to add the ability to low contrast objects but also to provide exact rotations instead of a healthy volunteer. The making process of the phantom consists of making profile curves, transforming to depths of the convexo-concave, printing using 3-D printer, and pouring agarose. This is the novel phantom making process.


Traditional Poster

Reconstruction

Exhibition Hall Tuesday, May 10, 2016: 16:00 - 18:00

1775
Joint Estimation of Attenuation and Activity Distributions for Clinical non-TOF FDG Head Patient PET/MR Data Employing MR Prior Information
Thorsten Heußer1, Christopher M Rank1, Martin T Freitag2, Heinz-Peter Schlemmer2, Antonia Dimitrakopoulou-Strauss3, Thomas Beyer4, and Marc Kachelrieß1

1Medical Physics in Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany, 2Department of Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany, 3Clinical Cooperation Unit Nuclear Medicine, German Cancer Research Center (DKFZ), Heidelberg, Germany, 4Center for Medical Physics and Biomedical Engineering, Medical University Vienna, Vienna, Austria

To improve attenuation correction (AC) and thus PET quantification for PET/MR imaging, we have recently proposed a method to jointly estimate attenuation and activity distributions from the non-TOF PET emission data. Available MR information is used to derive voxel-specific expectations on the attenuation coefficients, favoring the occurrence of pre-selected attenuation values corresponding to air, soft tissue, and bone. We here present first results for clinical non-TOF 18F-FDG PET/MR data sets of the head region. PET reconstruction was performed using MR-based AC as provided by the vendor, our proposed algorithm, and CT-based AC for comparison.

1776
Robust PET attenuation correction for PET/MR using joint estimation with MR-based priors: application to whole-body clinical TOF PET/MR data
Sangtae Ahn1, Lishui Cheng1, Dattesh Shanbhag2, and Florian Wiesinger3

1GE Global Research, Niskayuna, NY, United States, 2GE Global Research, Bangalore, India, 3GE Global Research, Munich, Germany

PET attenuation correction is critical to accurate PET quantitation. For hybrid PET/MR imaging, MR-based attenuation correction (MRAC) has challenges in implants, internal air, bones and lung regions where MR signals are low. To address the challenges and improve robustness and accuracy of MRAC, a joint estimation algorithm with MR-based priors is implemented where prior weights are spatially modulated, providing great flexibility to users. The JE algorithm was applied to whole-body clinical TOF PET/MR data and it was demonstrated that the algorithm can recover the attenuation of implants, abdominal air and lungs in a robust way.

1777
Improved Nyquist ghost removal for single-shot spatiotemporally encoded (SPEN) MRI with joint rank constraint
Congyu Liao1, Ying Chen1, Hongjian He1, Song Chen1, Hui Liu2, Qiuping Ding1, and Jianhui Zhong1

1Department of Biomedical Engineering, Center for Brain Imaging Science and Technology, Zhejiang University, Hangzhou, China, People's Republic of, 2MR Collaboration NE Asia, Siemens Healthcare, Shanghai, China, People's Republic of

In this study, a rank constraint based Nyquist ghost removal method is proposed for single-shot spatiotemporally encoded (SPEN) MRI.

1778
Exploiting deep convolutional neural network for fast magnetic resonance imaging
Shanshan Wang1, Zhenghang Su1,2, Leslie Ying3, Xi Peng1, and Dong Liang1

1Shenzhen Institutes of Advanced Technologies, Shenzhen, China, People's Republic of, 2School of Information Technologies, Guangdong University of Technology, Guangzhou, China, People's Republic of, 3Department of Biomedical Engineering and Department of Electrical Engineering, The State University of New York, Buffalo, NY, United States

This paper proposes a deep learning based approach for accelerating MR imaging. With the utilization of a large number of existing high-quality MR images, we train an off-line convolutional neural network (CNN) to identify the mapping relationship between MR images obtained from zero-filled and fully-sampled k-space data. Then the trained CNN is employed to predict an image from undersampled data, which is used as the reference in solving an online constrained imaging problem. Results on in vivo datasets show that the proposed approach is capable of restoring fine details and presents great potential for efficient and effective MR imaging.

1779
Universal iterative denoising of complex-valued volumetric MR image data using supplementary information
Stephan A.R. Kannengiesser1, Boris Mailhe2, Mariappan Nadar2, Steffen Huber3, and Berthold Kiefer1

1MR Application Predevelopment, Siemens Healthcare, Erlangen, Germany, 2Medical Imaging Technologies, Siemens Healthcare, Princeton, NJ, United States, 3Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, CT, United States

Spatially varying noise limits acquisition speed and spatial resolution in multi-channel MRI. Conventional single-slice noise-suppressing image filters without additional knowledge about data acquisition, image reconstruction, and noise level, have limited performance and need parameter tuning. In this work, an iterative denoising algorithm is presented which works with standard settings on 3D complex-valued data with supplementary information from the scanner environment.

Initial results from routine clinical imaging are promising: spatially adaptive, as intended, and superior to a commercially available image filter. Non-optimized reconstruction times of up to 15min per volume still need improvement, and further clinical investigations will be performed.


1780
Multi atlas-based attenuation correction for brain FDG-PET imaging using a TOF-PET/MR scanner– comparison with clinical single atlas- and CT-based attenuation correction
Tetsuro Sekine1,2, Ninon Burgos3, Geoffrey Warnock1, Martin Huellner1, Alfred Buck1, Edwin ter Voert1, M. Jorge Cardoso3, Brian Hutton3, Sebastien Ourselin3, Patrick Veit-Haibach1, and Gaspar Delso4

1University Hospital Zurich, Zurich, Switzerland, 2Nippon Medical School, Tokyo, Japan, 3University College London, London, United Kingdom, 4GE Healthcare, Waukesha, WI, United States

Accurate attenuation correction on PET/MR scanner is challenging. We compared multi-atlas method with clinical single-atlas method. Our study revealed that the error of PET images based on multi-atlas method is reduced from 1.5% to 1.2% compared to the single-atlas method, a 30% improvement.

 


1781
Uniting Reconstruction Software for Native Use in GPI
Nicholas R. Zwart1, Ashley G. Anderson III1, Ryan K. Robison1, Andrew Li2, Mariya Doneva2,3, Frank Ong2, Martin Uecker2, Michael Lustig2, and James G. Pipe1

1Imaging Research, Barrow Neurological Institute, Phoenix, AZ, United States, 2Electrical Engineering, University of California, Berkeley, CA, United States, 3Philips Research, Hamburg, Germany

This work proposes the use of the software development platform called GPI (Graphical Programming Interface) as a tool for resourcing other work for integration and comparison.  The GPI software structure is designed to facilitate the encapsulation of outside libraries and provides a plug-in model to isolate package dependencies.  The library featured in this work is the Berkley Advanced Reconstruction Toolkit (BART) which provides, multi-platform compatible, compressed sensing and parallel imaging algorithms.

1782
Animating Terabytes of Imaging Data from a One-Minute Scan: Interactive Reconstruction of Flexibly Acquired MRI Data
David S Smith1, Saikat Sengupta1, Aliya Gifford1, and E Brian Welch1

1Institute of Imaging Science, Vanderbilt University, Nashville, TN, United States

We present a software system called CITRON that can extract, reconstruct, and display images from non-Cartesian MR data at 60 frames per second, allowing the user to vary the reconstruction parameters in real time in order to explore and optimize the reconstructed images interactively.

1783
Smart Averaging: SNR Improvement by Retrospective Filtering
Rolf Pohmann1 and Klaus Scheffler1,2

1Magnetic Resonance Center, Max Planck Institute for Biological Cybernetics, Tübingen, Germany, 2Biomedical Magnetic Resonance, University Tübingen, Tübingen, Germany

Averaging is a frequently used way to increase the SNR of a measurement. Here we show that spending the additional time for increasing the spatial resolution and applying a retrospective k-space filter can yield a higher SNR gain than conventional averaging. For weighting in two phase encoding directions, this can increase the SNR by up to 25%. For 3D weighting, SNR gain can reach 57%, if the additional acquired k-space points are used to increase the readout duration, and 38% for equal duration for weighted and unweighted acquisition.

1784
Joint Reconstruction of PET and MRI with Attenuation Correction Incorporating TOF Information
Rong Guo1, Yicheng Chen2, Jinsong Ouyang3, Georges El Fakhri3, and Kui Ying1

1Engineering Physics, Tsinghua University, Beijing, China, People's Republic of, 2University of California, Berkeley, Berkeley, CA, United States, 3Center for Advanced Radiological Sciences, Massachusetts General Hospital, Boston, MA, United States

Joint reconstruction of PET and MRI is aimed to improve both PET and MR image quality using information from each other’s imaging modality. However, the aim cannot be achieved without correcting the attenuation of PET. We proposed a method to correct attenuation during the process of simultaneous PET and MRI images reconstruction. This method integrates PET, MRI and TOF information.

1785
Novel Half Fourier Reconstruction Recovering Signal Loss from Off-resonance
Seul Lee1 and Gary Glover2

1Department of Electrical Engineering, Stanford University, Stanford, CA, United States, 2Department of Radiology, Stanford University, Stanford, CA, United States

Since half k-space reconstruction reduces scan time while keeping spatial resolution, it can be used for T2* weighted images such as functional MRI that requires fairly long TE. Functional MRI is sensitive to off-resonance because there exist large susceptibility variations in air-tissue interfaces such as sinuses. Existing half k-space reconstruction is vulnerable to off-resonance since it might lose most of the image energy when there is a large amount of phase shift. In this study, we suggest a new half k-space reconstruction method that is more robust to off-resonance compared to existing reconstruction method.

1786
An FPGA Based Real-Time Data Processing Structure – Application to Real-Time Array Coil Data Compression
Josip Marjanovic1, Jonas Reber1, David Otto Brunner1, Bertram Jakob Wilm1,2, and Klaas Paul Pruessmann1

1Institute for Biomedical Engineering, University and ETH Zurich, Zurich, Switzerland, 2Skope Magnetic Resonance Technologies, Zurich, Switzerland

Data amounts of massive parallel receiver arrays as well as latency requirements of real-time applications such as interventional MRI, navigators etc. prompt for high-speed data preprocessing. First steps in the reconstruction such as noise pre-whitening or channel combinations and compressions can be efficiently performed on FPGAs. Here we present a flexible system and software architecture for such tasks and demonstrate its capability performing real-time coil compression directly in the spectrometer.

1787
A k-space De-Noising Technique for RFI Mitigation and Zipper Artefact Elimination
Yong Liu1 and Paul R. Harvey2

1Philips Research China, Shanghai, China, People's Republic of, 2Philips MR, Best, Netherlands

Extraneous in-band Radio Frequency Interference (RFI) signals can mix with the MR signal of a subject creating artefacts in the image data, usually zipper like artefacts. In order to eliminate/reduce the impact of RFI, this abstract describes a software de-noising method which can be implemented both online and off-line through k-space manipulation.

1788
The Optimal Condition for Maintaining Uniform k-space Coverage after Retrospective Respiratory Gating in 3D Radial-Acquisition Imaging
Jinil Park1,2, Taehoon Shin3, Soon Ho Yoon4,5, Jin Mo Goo4,5,6, and Jang-Yeon Park1,2

1Center for Neuroscience Imaging Research, Institute for Basic Science, Suwon, Korea, Republic of, 2Department of Biomedical Engineering, Sungkyunkwan University, Suwon, Korea, Republic of, 3Diagnostic Radiology and Nuclear Medicine, University of Maryland, Baltimore, MD, United States, 4Department of Radiology, Seoul National University College of Medicine, Seoul, Korea, Republic of, 5Institute of Radiation Medicine, Seoul National University Medical Research Center, Seoul, Korea, Republic of, 6Cancer Research Institute, Seoul National University, Seoul, Korea, Republic of

Radial-acquisition imaging is suitable for lung imaging because it allows a very short TE and a desirable degree of motion insensitivity. Despite its tolerance to motion artifacts, respiratory motion is still a major reason of causing image artifacts in lung imaging, which motivates the need for the respiratory gating. In retrospective-respiratory gating, it is significant to keep the k-space as uniform as possible after gating. In this study, we explore the optimal condition for obtaining uniform k-space coverage after retrospective gating in consideration of various breathing patterns.

1789
Image Super-resolution Restoration based on Structure Feature in Fourier Domain for MR Images
Lijun Bao1

1Department of Electronic Science, Xiamen University, Xiamen, China, People's Republic of

In the learning based single image super-resolution restoration, the high frequency information is enhanced by retrieving the high-frequency information from the high resolution training samples. Therefore how to reveal the underlying relations between the HR and the LR patch spaces is the key issue. In this work, we propose to cluster the pre-collected HR example patches to generate subdictionary and select the proper subdictionary for any image patch according to the frequency spectrum feature in Fourier domain, because the Fourier spectrogram can reflect the feature complexity, local directionality and the texture periodicity of the image patch simultaneously.

1790
High-Resolution Susceptibility Weighted Images Derived from fMRI Images using Super-Resolution Reconstruction
Weiran Deng1, Michael Herbst1, and V. Andrew Stenger1

1University of Hawaii JABSOM, Honolulu, HI, United States

A subset of fMRI images is used to reconstruct a structural image at a higher resolution using a Super-Resolution (SR) reconstruction method. The subset of fMRI images are selected such that the translation and rotation between the shots are less than the pixel size and therefore useful for modeling the pixel characteristics. The preliminary results demonstrate the feasibility of reconstructing a structural image with susceptibility contrast from a subset of fMRI images. 


1791
Rotation and Translation Estimation from simple 1D MR Navigators
Moosa Zaidi1, Joseph Cheng1, Tao Zhang1, and John Pauly1

1Electrical Engineering, Stanford University, Stanford, CA, United States

Sensitivity to motion remains a major limitation to the clinical utility of MRI. Self-navigating Cartesian trajectory (Butterfly) can provide coil-by-coil estimates of local linear translation without lengthening scan time or requiring external sensors.  We propose to combine translational motion estimates with the geometry of the differing coil sensitivities to estimate global translation and rotation.  These estimates can then be used to retrospectively correct for motion.  For 2D slices we are successfully able to extract both unknown rotation with known translation and unknown translation and unknown rotation.  Extension to 3D is a promising direction for future work.

1792
Selective combination of MRI phase images
Viktor Vegh1, Kieran O'Brien2, David C Reutens1, Steffen Bollmann1, and Markus Barth1

1Centre for Advanced Imaging, University of Queensland, Brisbane, Australia, 2Magnetic Resonance, Siemens Healthcare Pty. Ltd., Brisbane, Australia

Signal phase acquired via gradient recalled echo MRI sequences provides and an important source of tissue contrast. The use of phased array coils results in multiple-channel images that have to be combined to form a single image. A robust method of computing phase images has been challenging to develop, primarily due to the distribution of noise in phase images. We propose a new approach of combining phase images by exploiting the inherent noise in signal phase. Our selectively combined signal phase results show an improvement in the quality of the combined phase image in comparison to existing methods.

1793
Partial Fourier fMRI acquisition pipeline for optimal half k-space coverage
Christine Law1, Gary Glover1, and Sean Mackey1

1Stanford University, Stanford, CA, United States

We present a novel idea for quickly detecting the optimal half k-space for use in partial Fourier acquisition.  With EPI acquisition, the center of k-space can be offset from the origin by local magnetic field inhomogeneity.  This offset can occur in both positive and negative phase encode directions.  For partial Fourier acquisition, it is important to sample the portion of k-space containing the center peak.  Before data collection using partial Fourier acquisition, a reference scan that collects two time frames (each with different halves of k-space coverage) can be used to determine the proper half of k-space to collect for each slice.

1794
Banding free bSSFP CINE imaging using a multi-frequency reconstruction
Anne Slawig1, Tobias Wech1, Johannes Tran-Gia1,2, Henning Neubauer1, Thorsten Bley1, and Herbert Köstler1

1Departement for Diagnostic and Interventional Radiology, University of Würzburg, Würzburg, Germany, 2Department of Nuclear Medicine, Würzburg, Germany

Imaging of the beating heart is one of the main challenges in fast MRI. Balanced steady state free precession sequences are fast, yield high signal and have excellent contrast between blood and myocardium. Unfortunately, they are sensitive to field inhomogeneities, which lead to banding artifacts, considerably reducing the image quality. As the steady state tolerates small shifts in frequency it is possible to acquire a frequency- modulated bSSFP. Our study uses such a frequency-modulated approach in combination with a multi-frequency reconstruction to obtain banding free CINE images, with high signal and good contrast.

1795
Combination of Individual Coil QSM at High Field Strength (7T)
Uten Yarach1, Hendrik Mattern1, Alessandro Sciarra1, and Oliver Speck1

1Department of Biomedical Magnetic Resonance, Otto-von-Guericke University Magdeburg, Magdeburg, Germany

Phase image reconstruction from multi-channel data at high field strength becomes challenging since a volume body coil that provides the phase offset information is generally not available. Several coil combination techniques are still computation intensive and prone to errors for strongly T2*-weighted data due to the requirement of spatial smoothness of image phases, required phase reference from body coil scan, and also hampered for strongly localized B1 coil sensitivities. These limitations lead to phase image inconsistencies and may cause artifacts in QSMs. We demonstrated here that the coil combination should be considered after performing individual physical and/or virtual coil QSM.

1796
Improving EPI Phase Correction for Breast DWI
Jessica A McKay1, Steen Moeller2, Sudhir Ramanna2, Edward J Auerbach2, Michael T Nelson2, Kamil Ugurbil2, Essa Yacoub2, and Patrick J Bolan2

1Department of Biomedical Engineering, University of Minnesota, Minneapolis, MN, United States, 2Department of Radiology, University of Minnesota, Minneapolis, MN, United States

It is important to improve ghost correction in breast DWI using SE-EPI because residual ghosts bias ADC measurements, which reflect malignancy. The standard ghost correction method using a 3-line navigator frequently fails in breast DWI. In this work we implemented several alternative ghost correction strategies. The two best methods outperformed the standard 3-line navigator correction. These techniques applied 1D, linear corrections based on 1) phase maps from separate reference scans and 2) entropy minimization.  

1797
Simultaneous Reconstruction of Activity and Attenuation Involving MRI Information as a Prior
Rong Guo1, Pei Han1, Yicheng Chen2, Jinsong Ouyang3, Georges El Fakhri3, and Kui Ying1

1Engineering Physics, Tsinghua University, Beijing, China, People's Republic of, 2UC Berkeley-UCSF Graduate Program in Bioengineering, University of California, Berkeley, Berkeley, CA, United States, 3Center for Advanced Radiological Sciences, Massachusetts General Hospital, Boston, MA, United States

The maximum likelihood activity and attenuation (MLAA) method usually utilizes time-of-flight (TOF) information to solve the problem of attenuation correction. However, the application of TOF brings noise. In this work, we proposed a method, Maximum a Posteriori for simultaneous activity and attenuation reconstruction (MAPAA), which introduces MRI information as prior knowledge into MLAA to reduce noise. 

1798
Comparison of strict sparsity and low-rank constraints for accelerated FMRI data reconstruction
Charles Guan1 and Mark Chiew2

1Electrical Engineering, Stanford University, Fremont, CA, United States, 2FMRIB Centre, University of Oxford, Oxford, United Kingdom

Functional MRI has been slow to benefit from data acceleration techniques based on non-linear image reconstruction. We present a comparison of two non-linear image reconstruction methods based on sparsity and low-rank models of FMRI data. k-t FOCUSS uses an asymptotic L1 minimization program to solve for a sparse x-f reconstruction. In contrast, k-t FASTER solves for a spatio-temporally low-rank reconstruction using an iterative hard thresholding and matrix shrinkage algorithm, without requiring a pre-specified basis. We applied each algorithm to incoherently sampled FMRI data and demonstrate that the strict rank-constraint method outperforms spectral- and Karhunen-Loeve Transform (KLT)-sparsity across different metrics.

1799
3D Water-Fat Turbo Spin Echo Imaging in the Knee using CS-SENSE
Holger Eggers1, Christian Stehning1, Mariya Doneva1, Elwin de Weerdt2, and Peter Börnert1,3

1Philips Research, Hamburg, Germany, 2Philips Healthcare, Best, Netherlands, 3Department of Radiology, Leiden University Medical Center, Leiden, Netherlands

3D Dixon TSE scans essentially provide the same information as several conventional 2D TSE scans in different orientation, without and with fat suppression. However, their scan time is usually still too long for clinical practice. In this work, the basic feasibility of accelerating a 3D Dixon TSE scan with PD weighting by a combination of compressed sensing and parallel imaging was investigated in knee imaging. Results obtained in half the scan time compared to the use of parallel imaging alone are presented, which indicate that 3D Dixon TSE scans may become as fast as current, conventional 3D TSE scans with fat suppression.

1800
Joint Motion Estimation and Image Reconstruction Using Alternating Minimization
Luonan Wang1 and Daniel S Weller1

1Electrical and Computer Engineering, University of Virginia, Charlottesville, VA, United States

This abstract provides a joint motion estimation and image reconstruction method for data acquired using a spiral pulse sequence. It forms a data fitting term with image and motion variables and uses alternating minimization with conjugate gradients to solve the nonlinear optimization problem. This approach will allow MR scanning to be more robust to non-rigid motion while still achieve fast image reconstruction. The new approach will enable MR imaging with children without sedation.

1801
Learning-based Reconstruction using Artificial Neural Network for Higher Acceleration
Kinam Kwon1, Dongchan Kim1, Hyunseok Seo1, Jaejin Cho1, Byungjai Kim1, and HyunWook Park1

1KAIST, Daejeon, Korea, Republic of

A long imaging time has been regarded as a major drawback of MRI, and many techniques have been proposed to overcome this problem. Parallel imaging (PI) and compressed sensing (CS) techniques utilize different sensitivity of multi-channel RF coils and sparsity of signal in a certain domain to remove aliasing artifacts that are generated by subsampling, respectively. In this study, an artificial neural networks (ANN) are applied to MR reconstruction to reduce imaging time, and it is shown that the ANN model has a potential to be comparable to PI and CS.

1802
Reconstruction of Complex Images using Under-sampled Signal at Equal Interval in Phase Scrambling Fourier Transform Imaging
Satoshi ITO1, Shungo YASAKA1, and Yoshifumi YAMADA1

1Information and Controls Systems Sciences, Utsunomiya University, Utsunomiya, Japan

In this paper, we propose a new fast image reconstruction method in which a regularly undersampled signal is used instead of random sampling, as is used in compressed sensing. To diffuse the aliasing artifact caused by under-sampling, we adopt phase-scrambling Fourier transform imaging. The proposed method has an advantage over CS in that the quality of the image does not depend on the selection of the sampling trajectory. Simulation studies and experiments show that the proposed method has almost the same peak signal-to-noise ratio as that of a compressed sensing reconstruction.

1803
Accelerated EPRI Using Partial Fourier Compressed Sensing Reconstruction With POCS Phase Map Estimation and Spherical Sampling
Chia-Chu Chou1, Taehoon Shin2, JiaChen Zhuo2, Gadisetti Chandramouli3, Murali Cherukuri3, and Rao Gullapalli2

1Elecetrical Engineering, University of Maryland, College Park, Beltsville, MD, United States, 21Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, MD, United States, 3National Cancer Institute, Bethesda, MD, United States

In Electron Paramagnetic Resonance Imaging (EPRI), each single k-space point is typically acquired per excitation and lengthens the acquisition time. In order to accelerate the imaging process, we raised a new image reconstruction method, Partial Fourier Compressed Sensing (PFCS), to address this problem. With PFCS, the images can be reconstructed from 25% of the k space and hence accelerate the imaging process to less than 1min. We also demonstrated PFCS reconstructed linewidth map were able to monitor the oxygen change in the tumor tissue.

1804
Parameter selection in Total Generalized Variation based reconstruction problems.
Carlos Milovic1,2, Jose Miguel Pinto1,2, Julio Acosta-Cabronero3, Pablo Irarrazaval1,2, and Cristian Tejos1,2

1Department of Electrical Engineering, Pontificia Universidad Catolica de Chile, Santiago, Chile, 2Biomedical Imaging Center, Pontificia Universidad Catolica de Chile, Santiago, Chile, 3German Center for Neurodegenerative Deceases (DZNE), Magdeburg, Germany

An strategy for parameter selection in TGV regularized reconstruction problems is presented, with applications to deconvolutions and QSM. This allows fine-tuning of parameters in an efficient way and the use of predictors that are correlated to optimized results in terms of MSRE. This allows users to automatize or accelerate the parameter selection, critical in expensive problems such as QSM and reduce the error in the reconstruction.

1805
SNR and Banding Artifact Reduction Analysis of Phase-Cycled Elliptical Signal Model bSSFP
Steven T. Whitaker1, Meredith Taylor1, Haonan Wang1, and Neal K. Bangerter1

1Electrical Engineering, Brigham Young University, Provo, UT, United States

Balanced steady-state free precession (bSSFP) provides high signal in short scan times.  A new method for combining four or more phase-cycled bSSFP acquisitions was recently proposed that uses an elliptical signal model (ESM) of the bSSFP signal.   In this study, we compare the SNR performance and effectiveness at reducing banding artifact of the ESM, complex sum, and sum-of-squares techniques across a range of T1 and T2 values, flip angles, and base SNR levels.   Although ESM produces near perfect band removal in high SNR situations, it breaks down for certain tissues and in low SNR situations.


Traditional Poster

Acquisition

Exhibition Hall Tuesday, May 10, 2016: 16:00 - 18:00

1806
Echo-planar imaging for a 9.4 Tesla vertical standard bore superconducting magnet using an unshielded gradient coil
Nao Kodama1 and Katsumi Kose1

1Institute of Applied Physics, University of Tsukuba, Tsukuba, Japan

Echo planar imaging sequences were developed for a 9.4 Tesla vertical standard bore (~54 mm) superconducting magnet using an unshielded gradient coil. Because EPI requires fast switching of intense magnetic field gradients, eddy currents were induced in the surrounding metallic materials, e.g., the room temperature bore, and this produced serious artifacts on the EPI images. We solved the problem using an unshielded gradient coil set of proper size (39 mm OD, 32 mm ID) and reference scans. The obtained EPI images of a phantom and a plant sample were almost artifact free and demonstrated the promise of our approach.

1807
SERIAL Excitation with Parallel Reception Allows Human Brain Imaging at 9.4 Tesla at Low Power and with Acceptable Image Uniformity across the Full Field of View
Keith R. Thulborn1, Chao Ma2, Ian C. Atkinson1, Theodore C. Claiborne1, Steven M. Wright3, and Reiner Umathum4

1Center for Magnetic Resonance Research, University of Illinois, Chicago, IL, United States, 2Beckman Institute, University of Illinois at Urbana-Champaign, Urbana, IL, United States, 3Department of Biomedical Engineering, Texas A&M University, College Station, TX, United States, 4Division of Medical Physics in Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany

SERIAL excitation produces uniform image intensity at low power at ultra high field but has not been applied to humans. FLASH sequences modified for sequential single coil excitation while retaining full array receive mode were combined with generalized total variation regularized SENSE reconstruction and 4- and 8- arrayed coils. Images with acceptable uniformity, contrast and resolution over the in vivo human brain are demonstrated at 9.4T using low power.

1808
An Optimized Slice Acquisition Order in HASTE Imaging with a Short TR
Wei Liu1 and Kun Zhou1

1Siemens Shenzhen Magnetic Resonance Ltd, Shenzhen, China, People's Republic of

In this study, an optimized slice acquisition ordering method was proposed to improve the signal attenuation and contrast alteration caused by the crosstalk and MT effect in multi-slice HASTE imaging using a short TR. It demonstrated that a shorter acquisition time is possible with an optimized slice acquisition order. It allows a shorter TR, whilst maintaining the SNR and contrast similar to the conventional one, which is particularly useful in the abdominal imaging.

1809
Concurrent Excitation and Acquisition in Steady State: T1-Modulation Effects of Frequency Sweep
Ali Caglar Özen1, Jan Korvink2, and Michael Bock1

1Dept. of Radiology - Medical Physics, University Medical Center Freiburg, Freiburg, Germany, 2Institute of Microstructure Technology, Karlsruhe Institute of Technology, Karlsruhe, Germany

Concurrent Excitation and Acquisition (CEA) enables MRI with true zero echo times, and full signal acquisition efficiency. However, frequency sweep along readout gradients results in sequential excitation of spins at different locations, thus a unique TR is experienced by each spin at each radial acquisition spoke. In this work, implications of modulations in transverse magnetization as a function of T1, flip angle and TR were investigated for 2D and 3D radial acquisition schemes with equidistant point trajectory, segmented ordering and golden angle ordering. Resulting changes in point spread function (PSF) of a point source located at the edge of the field of view (FOV) were analyzed and discussed.

1810
Three dimensional T1 and T2* mapping of human lung parenchyma using interleaved saturation recovery and dual echo ultrashort echo time imaging
Neville D Gai1, Ashkan A Malayeri1, and David A Bluemke1

1Radiology & Imaging Sciences, NIH, Bethesda, MD, United States

Lung T1/T2* may be useful in discriminating between normal and pathological tissue particularly in disorders such as fibrosis, edema or emphysema. Quantitative mapping of the lung parenchyma is challenging due to the low proton density, respiratory and cardiac motion and susceptibility effects. Here we describe a technique based on segmented respiratory triggered 3D ultrashort echo time dual-echo radial imaging interleaved with and without a WET saturation pulse to estimate T1 and T2* maps simultaneously in a single scan.  The results show that T1/T2* mapping of lung parenchyma can be reliably performed with relatively high resolution in a clinically feasible time.

1811
Potential image artifacts in ultrashort echo-time imaging
Wingchi Edmund Kwok1,2

1Department of Imaging Sciences, University of Rochester, Rochester, NY, United States, 2Rochester Center for Brain Imaging, Rochester, NY, United States

Ultrashort echo-time imaging has been explored for the study of short T2* tissues.  Most ultrashort TE sequences utilize 3D radial center-out k-space sampling.  While they are potentially useful for many important applications, they are susceptible to various image artifacts.  This abstract describes the appearances, causes and mitigations of some potential artifacts, which include those caused by long readout length, high gradient field, insufficient number of radial projections, off-centered imaging and signal wrap-around.  An understanding of these artifacts will help in protocol setting and the identification of related problems.  This article should benefit the users of ultrashort TE imaging.

1812
The Harmonized Human Connectome Protocol for Multi-Site Brain MRI Studies
Joshua M Kuperman1, Nathan S White1, Hauke Bartsch1, Matthew Middione2, Kun Lu3, Thomas Liu3, Terry Jernigan4, Ajit Shankaranarayanan2, and Anders M Dale1,5

1Radiology, University of California, San Diego, La Jolla, CA, United States, 2GE Healthcare, Menlo Park, CA, United States, 3Center for Functional Magnetic Resonance Imaging, University of California, San Diego, La Jolla, CA, United States, 4Center for Human Development, University of California, San Diego, La Jolla, CA, United States, 5Neurosciences, University of California, San Diego, La Jolla, CA, United States

The benefits of the advanced MRI protocols used in the Human Connectome Project have heretofore only been available on Siemens MRI scanners.  We have designed a Connectome-like protocol, called the Harmonized Human Connectome Protocol, which can utilize MRI scanners from additional vendors, specifically GE and Philips.  This protocol is particularly relevant for the Adolescent Brain and Cognitive Development Study, which aims to scan over 10,000 children ages 9-10 and follow them longitudinally for ten years.  This abstract details the protocol for the GE MR750 scanner and outlines calibration and correction procedures which can be used to further reduce unwanted site/scanner effects.

1813
Retrospective self-gated 3D UTE MRI in the mouse lung
Jinbang Guo1,2, Xuefeng Cao1,3, Zackary I. Cleveland1, and Jason C. Woods1,2

1Center for Pulmonary Imaging Research, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States, 2Physics, Washington University in St. Louis, St. Louis, MO, United States, 3Department of Physics, University of Cincinnati, Cincinnati, OH, United States

Motion due to respiration is one of the major difficulties in lung imaging of mice, which have a 10-20-fold higher respiratory rate than humans.  In this study, we demonstrate that the FID signal amplitude (k = 0) as a function of projection number in center-out radial 3D UTE reflects respiratory motion. Retrospective "self"-gating using this FID signal amplitude was applied to extract data for end-expiration and end-inspiration respectively. Quantitative analysis of tidal volumes and lung parenchymal signal match external measurements and physiological expectations.

1814
Highly-efficient free breathing whole heart CINE MRI with self gated 3D CASPR-TIGER trajectory
Muhammad Usman1, Gastao Cruz1, and Claudia Prieto1

1Division of Imaging Sciences and Biomedical Engineering, King's College London, London, United Kingdom

In this work, we propose to use a novel free-running self-gated 3D CArtesian acquisition with Spiral PRofile ordering and TIny Golden angle step for Eddy Current Reduction, so called CASPR-TIGER. Data is acquired continuously under free breathing (no ECG gating, no pre-pulses interruption) using CASPR-TIGER trajectory and 4D volumes (3D+time) are reconstructed from all available data (100% respiratory scan efficiency) using a soft gating technique combined with temporal total variational (TV) constrained iterative SENSE reconstruction. Feasibility of proposed method is demonstrated in three subjects in a 3-3.6 minutes free breathing acquisition.

1815
4D flow MRI of the cardiovascular system in small animals at 7T with an Ultrashort TE sequence combined with an injection of iron nanoparticle
Aurelien J Trotier1, Charles R CASTETS1, William LEFRANCOIS1, Emeline J RIBOT1, Eric THIAUDIERE1, Jean-Michel FRANCONI1, and Sylvain MIRAUX1

1RMSB-UMR5536, CNRS - Université de Bordeaux, Bordeaux, France

4D flow MRI on mouse models remains very difficult due to the very small size of vessels and the extremely high cardiac rhythm. To overcome this problem a 3D time-resolved Phase Contrast UTE sequence was combined with an injection of Ultra Small Particles of Iron Oxide to obtain a positive and high signal in blood. The method was exploited to quantify blood flow velocity of the cardiovascular system in mice with a high spatial  (200 µm)3 and temporal resolution (16ms). The total acquisition can be reduced to 25min by limiting the number of acquired projections per cine image.

1816
Motion-correction enabled ultra-high resolution in-vivo imaging of the human brain at 7T
Daniel Gallichan1

1CIBM, EPFL, Lausanne, Switzerland

We extended previous work using 3D-FatNavs to enable motion-correction of ultra-high resolution structural acquisitions, including T1-, T2- and T2*-weighted images. Images are of exceptional quality and detail for in-vivo acquisitions.

1817
Quadra-FSE: A Multi-Platform Pulse Sequence for Multispectral qMRI (PD, T1, T2)
Hernan Jara1, Arnaud Guidon2, Jorge A Soto1, and Osamu Sakai1

1Radiology, Boston University, Boston, MA, United States, 2Global MR Applications and Workflow, GE Healthcare, Boston, MA, United States

Purpose: To describe the quadra fast spin-echo (quadra-FSE) pulse sequence, which is the concatenation of two dual-echo FSE acquisitions differing only in TR and to describe the matching qMRI algorithms for mapping T1, T2, and PD. Methods: quadra-FSE was tested at 3T with a multi-compartment agarose phantom and relaxometry was compared to gold standard relaxometry scans using qMRI algorithms developed in house. Results: PD, T1, and T2 maps generated with the quadra-FSE scans are accurate and of excellent image quality. Conclusion: Concatenation of two DE-FSE scans with different TRs can be used for combined and accurate PD, T1, and T2 mapping.

1818
Optimized Parametric Variable Radius Sampling Scheme for 3D Cartesian k-Space Undersampling Pattern Design
Zechen Zhou1, Shuo Chen1, Aiqi Sun1, Yunduo Li1, Rui Li1, and Chun Yuan1,2

1Center for Biomedical Imaging Research, Department of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing, China, People's Republic of, 2Vascular Imaging Laboratory, Department of Radiology, University of Washington, Seattle, WA, United States

A parametric variable radius sampling scheme termed Cartesian Under-Sampling with Target Ordering Method (CUSTOM) was introduced for undersampling pattern design to better match the total number of sampling points with the given acceleration factor in 3D Cartesian imaging application. With the same joint parallel imaging and compressed sensing image reconstruction method, parameter optimized CUSTOM has demonstrated its enhanced performance particularly for detail image information restoration in comparison to several undersampling pattern design schemes, as well as its generalization ability in different applications. The prospective experiment validated the feasibility of CUSTOM in clinical settings.

1819
Quiet EPI (QuEPI) for single-shot spin and gradient echo EPI sequences for efficient fetal imaging
Jana Maria Hutter1, Anthony N Price1, Lucilio Cordero Grande1, Emer Judith Hughes1, Kelly Pegoretti1, Andreia Oliveira Gaspar1, Laura McCabe1, Mary Rutherford1, and Joseph V Hajnal1

1Centre for the developing brain, King's College London, London, United Kingdom

Quiet sequences are of particular importance for fetal EPI based imaging, where the necessary protection of the unborn infant can often compromise the efficiency and achievable resolution of the EPI acquisition. This is of particular relevance for connectome type studies, where long functional and diffusion weighted sequences need to be acquired in an efficient and safe way.This abstract presents a quiet SE and GE EPI framework with sinusoidal read-out constant phase and merged crusher strategy, completely flexible and adaptable to the scanner impulse response function leading to a decrease of up to 9dB(A).

1820
Readout Segmentation for Increased Spectral Bandwidth in High Spatial and Spectral Resolution (HiSS) MRI
David Andrew Porter1 and Marco Vicari1

1Fraunhofer MEVIS, Bremen, Germany

A novel method of echo-planar spectroscopic imaging is introduced, in which readout segmentation is used to reduce the echo spacing and provide a substantial increase in spectral bandwidth. Results are presented, showing how the technique avoids the aliasing problems that affect conventional applications of high-resolution, spectroscopic imaging at 3T and serves as a robust method for providing spectrally-selective fat and water images. The method is also a promising option for high-bandwidth, spectroscopic imaging studies of metabolites at high field strengths. 


1821
Multi-blade Acquisition of Split Turbo Spin Echoes: A Robust and Fast Diffusion Imaging Technique
Kun Zhou1 and Wei Liu1

1Siemens Shenzhen Magnetic Resonance Ltd., Shenzhen, China, People's Republic of

A turbo spin echo based sequence for robust and fast diffusion imaging is proposed. It overcomes the non-CPMG problem by split-echo acquisition of turbo spin echo signals. EPI-like readout is used to sample the separated echoes and generate multiple blades for a single k-space. Each blade was corrected for both the inherent phase of separated echoes and off-resonance phase, to avoid the destructive inference. With this technique, the non-CPMG problem can be effectively mitigated at low flip angle refocusing pulses to reduce SAR. Moreover, the off-resonance artifacts can also be reduced especially when high acceleration factor is applied.

1822
A New Approach for Flexible Spatial Encoding Strategy in a Low-Field MRI System
Jiasheng Su1 and Shaoying Huang1

1EPD, Singapore University of Technology and Design, Singapore, Singapore

For a low-field MRI system, the inverse calculation of the encoding matrix is time consuming and moreover, there is a blurry area at the center of the reconstructed image. To solve this problem, three strategies are proposed. Firstly, QR decomposition is applied to inverse the matrix to eliminate the blurry area. Secondly, the encoding matrix is separated so that  the results of the matrix inverse can be reused. Last, the size of encoding matrix is reduced by optimizing sample points. One example is given, the calculation time is reduced, and the imaging quality is improved. The proposed approach increases the imaging capability of a low-field MRI system. 

1823
In Vivo Feasibility of Multi-Parametric Mapping Based on Fast Steady-State Sequences
Ludovic de Rochefort1, Geneviève Guillot1, Rose-Marie Dubuisson1, and Romain Valabrègue2

1Imagerie par résonance magnétique médicale et multi-modalités, IR4M, UMR 8081, CNRS-Université Paris-Sud, Université Paris-Saclay, Orsay, France, 2CENIR, ICM, Inserm U 1127, CNRS UMR 7225, Sorbonne Universités, UPMC Univ Paris 06 UMR S 1127F, Paris, France

Fast steady-state sequences combine RF and gradient spoiling to modulate contrasts in MRI. The steady-state depends on many physical and acquisition parameters. Here, in vivo feasibility on brain is shown to map proton density, background phase, flip angle, relaxation rates and apparent diffusion coefficient from such sequences. Multiple volumes were acquired with various optimized prescribed flip angle, spoiling gradients and phase increments, and the complex signal was fitted to the Bloch-Torrey signal model with free diffusion using efficient calculation algorithms. The acquisition of full 3D co-localized multi-parametric maps of relevant MR physical parameters in a realistic scan time is demonstrated.

1824
Dynamic pH quantification from spectrally selective 31P MRI in exercising skeletal muscle
Albrecht Ingo Schmid1,2, Martin Meyerspeer1,2, Simon Daniel Robinson2,3, Martin Krssak2,3,4, Michael Wolzt5, Ewald Moser1,2, and Ladislav Valkovic2,3

1Center for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria, 2MR Centre of Excellence, Medical University of Vienna, Vienna, Austria, 3Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria, 4Department of Internal Medicine 3, Medical University of Vienna, Vienna, Austria, 5Department of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria

MR spectroscopy provides valuable information about tissue metabolism but suffers from slow acquisition or poor spatial resolution and coverage. PCr and pH kinetics are the two important quantities derived from 31P MR data. MRI has been used to measure PCr in the past, but not pH. Simultaneous fast 3-D gradient-echo images of PCr and Pi were acquired in healthy volunteers at 7T during exercise recovery. pH was calculated from phase images. Results of PCr and pH kinetics are comparable to MRS data. In conclusion, 31P MRI is an alternative to 31P MRS for fast coverage of multiple ROIs and low SAR.

1825
Accelerated Imaging of the Mouse Body using k-space Segmentation, Cardio-Respiratory Synchronisation and Short, Constant TR: Application to b-SSFP.
Paul Kinchesh1, Stuart Gilchrist1, Ana L Gomes1, Veerle Kersemans1, John Beech1, Danny Allen1, and Sean Smart1

1Department of Oncology, University of Oxford, Oxford, United Kingdom

We demonstrate that cardio-respiratory synchronisation can be achieved in conjunction with short TR scans and k-space segmentation to reduce imaging times to below that achievable using standard techniques such as retrospective gating.  Our method is generally applicable to other short TR scan modes requiring cardio-respiratory synchronisation. Images of the mouse heart, lung and liver are presented for the b-SSPF scan mode.

1826
Rapid Multi-echo Ultrashort Time Echo Imaging for MR-based Attenuation Correction in PET/MR
Hyungseok Jang1,2 and Alan B McMillan1

1Department of Radiology, University of Wisconsin, Madison, WI, United States, 2Department of Electrical and Computer Engineering, University of Wisconsin, Madison, WI, United States

Accurate MR-based attenuation correction (MRAC) is necessary to enable quantitative PET imaging in PET/MR. Unfortunately, identification of bone via MR methods is technically challenging due to its short T2*. Thus, ultrashort time echo (UTE) techniques have been proposed. In this study, we explored rapid multi-echo frequency encoded UTE and ramped hybrid encoding (RHE) for UTE-based imaging schemes for MRAC with clinically feasible scan times (<35sec). By using an IDEAL-based signal model for long T2* suppression, multi-echo hybrid encoding UTE imaging performed better than frequency encoded UTE. 

1827
Banding-artifact free bSSFP cine imaging using a Geometric Solution approach
André Fischer1,2, Michael N. Hoff3, Piero Ghedin1,2,4, and Anja C.S. Brau2

1GE Global Research, Garching bei München, Germany, 2Cardiac Center of Excellence, GE Healthcare, Garching bei München, Germany, 3Department of Radiology, University of Washington, Seattle, WA, United States, 4GE Healthcare, Waukesha, WI, United States

Banding artifacts in bSSFP sequences pose a challenge in cardiac cine imaging, especially at 3.0T. Recently, a “Geometric Solution” (GS) which is capable of completely removing banding artifacts has been introduced and demonstrated in applications outside the heart. This work investigates the feasibility of extending GS to cardiac cine imaging at 3.0T and explores its potential to enable longer TRs than have conventionally been feasible with bSSFP, permitting sub-millimeter resolution cine imaging free of banding artifacts.

1828
Myelin Water Fraction with Bipolar Multiecho sequences using k-space shift correction
Hongpyo Lee1, Yoonho Nam2, Min-Oh Kim1, Dongyeob Han1, and Dong-Hyun Kim1

1School of Electrical and Electronic Engineering, Yonsei University, Seoul, Korea, Republic of, 2Department of Radiology, Seoul St. Mary Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea, Republic of

Recently, myelin water fraction was investigated using multi-echo GRE data. Generally, to ensure phase consistency among the echoes, multi-echo acquisitions use unipolar gradients. However, these unipolar gradient multi-echo sequences reduce acquisition efficiency and increase echo spacing. Bipolar gradients would be preferential however, k-space misregistration induced by readout gradient delays and eddy-currents make phase errors, so severe artifacts occur in myelin water imaging. In this abstract, we present a MWI using bipolar gradient multi-echo GRE sequence with k-space shift correction. Compared to unipolar MWF, k-space shift corrected bipolar MWF yields a reduction in ΔTE, which leads to improved SNR and more accurate quantification.

1829
Phase-Encode Ghosting Detection using Multi-Channel Coil Arrays
Tom Hilbert1,2,3, Tobias Kober1,2,3, Jean-Philippe Thiran2,3, Reto Meuli2, and Gunnar Krueger2,3,4

1Advanced Clinical Imaging Technology (HC CMEA SUI DI BM PI), Siemens Healthcare AG, Lausanne, Switzerland, 2Department of Radiology, University Hospital (CHUV), Lausanne, Switzerland, 3LTS5, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland, 4Siemens Medical Solutions USA, Inc., Boston, MA, United States

Phase-encode ghosting artifacts frequently occur in magnetic resonance imaging, especially in spin-echo sequence derivatives such as fluid-attenuated inversion recovery. The appearance of these artifacts may cause misinterpretation as tissue pathology, e.g. a lesion. We propose an algorithm to automatically detect these artifacts by analyzing the consistency of the acquired k-space with respect to the assumption of GRAPPA that a k-space sample is a linear sum of its neighboring samples. The performance of the technique is shown in three volunteers. It may help to avoid potential misinterpretation in the future, both for radiological readers and automated post-processing algorithms.

1830
Quantitative Temperature Imaging in Chemically Designed Phantoms
Scott D. Swanson1, Dariya I. Malyarenko1, and Thomas L. Chenevert1

1Department of Radiology, University of Michigan, Ann Arbor, MI, United States

Quantitative temperature mapping

1831
Artifact reduction in 3D radial imaging with out-of-volume saturation pulses
Jacob Macdonald1, Oliver Wieben1,2, Scott K Nagle2, and Kevin M Johnson1

1Medical Physics, University of Wisconsin - Madison, Madison, WI, United States, 2Radiology, University of Wisconsin - Madison, Madison, WI, United States

Streaking artifacts in radial acquisitions from undersampling or data inconsistencies can reduce SNR and make it difficult to discern features in low signal areas. Anatomy that is outside of the imaging volume of interest but within the excitation volume can contribute to these artifacts. We used out-of-volume spatial saturation pulses to suppress these streaking artifacts with minimal scan time penalties. In-vivo acquisitions with spatial saturation showed equal or superior quality in all cases. They should be implemented whenever the additional SAR can be tolerated.

1832
Zigzag-Aligned-Projections in Echo-Planar Imaging
Patrick Alexander Liebig1,2, Robin Martin Heidemann2, and David Andrew Porter3

1Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany, 2Siemens Healthcare GmbH, Erlangen, Germany, 3Fraunhofer MEVIS, Bremen, Germany

A new approach to Echo-Planar Imaging (EPI) is introduced under the name Zigzag-Aligned-Projections (ZAP) that replaces the blipped phase-encoding (PE) gradient with the modulus of the readout (RO). This comes with two significant advantages: the reduction of acoustic noise due to the modified PE gradient and the higher efficiency due to continuous data sampling. ZAP EPI is the only EPI derivate that combines Cartesian GRAPPA using a fixed Kernel size with continuous data sampling. The reduction in acoustic noise was verified experimentally and volunteer images were acquired and processed with two reconstruction techniques.

1833
A Dual Spin-Echo Technique with Hybrid Spiral Readouts for Fast Simultaneous Proton Density- and T2-Weighted Fat-Water Imaging
Zhiqiang Li1, Dinghui Wang1, John P Karis2, and James G Pipe1

1Imaging Research, Barrow Neurological Institute, Phoenix, AZ, United States, 2Neuroradiology, Barrow Neurological Institute, Phoenix, AZ, United States

Turbo spin-echo (TSE) provides rapid T2-weighted imaging with slightly altered contrast compared to Cartesian spin-echo (SE). A spiral SE technique has been proposed for fast T2-weighted imaging without degrading the T2 contrast. In this study a dual echo spiral SE with hybrid spiral readouts is developed to simultaneously provide both proton density and T2 contrast without increasing the scan time. Volunteer results from the spiral dual SE technique demonstrate similar contrast to conventional SE, with a scan speed faster than Cartesian mDixon TSE.

1834
Spiral Time of Flight MRA with Dixon Water and Fat Separation
Nicholas R. Zwart1, Dinghui Wang1, and James G. Pipe1

1Imaging Research, Barrow Neurological Institute, Phoenix, AZ, United States

Time of Flight MRA in the head and neck can benefit from Dixon fat signal removal.  The spiral trajectory is used to speed up the acquisition allowing 3-echoes to be collected, for Dixon reconstruction, in less time than a conventional single echo ("out-of-phase") cartesian MRA.

1835
Two NSA or not two NSA: does perforator artery detection in white matter benefit from signal averaging?
Lennart Geurts1, Sander Brinkhof1, Peter R. Luijten1, and Jaco J.M. Zwanenburg1

1Radiology, UMCU, Utrecht, Netherlands

Because cerebral perforating arteries have sub-millimeter diameters and slow blood flow velocities, their blood flow velocity and pulsatility measurements are challenging and limited by noise and partial volume effects. Our previously reported acquisition method used two signal averages (NSA) to increase the signal-to-noise ratio (SNR). We show that decreasing NSA, and thereby reducing scan time by half, has little effect on vessel detection. The NSA=1 coefficients of repeatability (CoR) found in this study are similar to previously published NSA=2 CoR`s. Subject motion and small vessel size likely play together to cause a sub-optimal benefit from increased imaging time.

1836
Quantitative analysis of the volume and lipid content of liver and spleen using Dual-echo mDixon sequence and T2WI-STIR sequences in child and adolescent patients with gaucher disease
Xiaojuan TAO1, Yun PENG1, Yanqiu LV1, and Kaining SHI2

1Imaging Center of Beijing Children's Hospital Affiliated To Capital Medical University, Beijing, China, People's Republic of, 2Imaging Systems Clinical Science Philips Healthcare, Beijing, China, People's Republic of

Spleen and liver are common organs involved in Gaucher disease (GD), while few reports have been published on the measurement of  volume and lipid content of liver and spleen using MR. This study recruited 42 patients with GD by 1.5T MR. Our results showed that  enlargement of spleen was more severe than liver. Spleen has higher lipid content than liver among these patients, while both of them exhibited higher fat fraction than normal value. Our study suggests MRI can be employed to monitor the disease progression and effect of the treatment in children and adolescent patients with GD.

1837
Exploring sodium SSFP MRI in phantoms at 3 Tesla
Rahel Heule1,2, Philipp Madörin1,2, and Oliver Bieri1,2

1Division of Radiological Physics, Department of Radiology, University of Basel Hospital, Basel, Switzerland, 2Department of Biomedical Engineering, University of Basel, Basel, Switzerland

While the steady-state free precession (SSFP) dynamics of spin-1/2 nuclei such as 1H obey the Bloch equations, a similar mathematical framework for describing and understanding the characteristics of 23Na SSFP signal behavior is not yet available. In this work, sodium MRI probes were investigated and, in particular, a novel class of phantoms was presented that proved the ability to generate high sodium signal at 3 Tesla without impairment due to the skin effect. By means of balanced SSFP frequency profile measurements, the potential of the novel phantoms to explore 23Na SSFP was demonstrated.

1838
Artifact reduction of dental implants on high resolution MR imaging
Tim Hilgenfeld1, Alexander Heil1, Sebastian Schwindling2, David Grodzki3, Mathias Nittka3, Daniel Gareis4, Peter Rammelsberg2, Martin Bendszus1, Sabine Heiland1, and Marcel Prager1

1Division of Neuroradiology, University Heidelberg, Heidelberg, Germany, 2Division of Prosthodontics, University Heidelberg, Heidelberg, Germany, 3Siemens Healthcare GmbH, Erlangen, Germany, 4NORAS MRI products GmbH, Höchberg, Germany

Dental MRI is a new technique which is often impaired by artifacts due to metallic dental implants. Several MRI sequences were developed to reduce susceptibility artifacts (e.g. for orthopaedic implants). Here, we for the first time systematically evaluated MR sequences for artifact reduction in dental implants. Smallest artifact volume was measured for 2D-TSE sequences. Since imaging of dental structures benefit from high resolution and possibility of 3D reconstructions 3D sequences are advantageous. Significant artifact reduction was noted for SPC-WARP measuring only 2.1 times artifact volume of TSE sequence instead of 4.8 times when using standard SPC sequence.


Traditional Poster

Motion Correction

Exhibition Hall Tuesday, May 10, 2016: 16:00 - 18:00

1839

Real-time diaphragm navigation using reflected power measurements from a multiple channel transmit RF coil on a human 7T
Aaron T Hess1, Christopher T Rodgers1, and Matthew D Robson1

1OCMR, University of Oxford, Oxford, United Kingdom

The reflected power of transmit RF coils is influenced by the position of the diaphragm. In this work the diaphragm position is measured in real-time for every RF pulse with a hybrid approach. The set of reflection coefficients are transformed into a diaphragm position using a series of MR diaphragm navigators at the start of the pulse sequence in a learning cycle. We demonstrate high quality respiratory gated data based on gating via this mechanism using standard SAR monitoring hardware with a real-time lag of 23ms and temporal resolution of 4.5ms.

1840
Towards robust c-spine imaging with Cartesian sampling
Guobin Li1, Zhaopeng Li1, Chaohong Wang1, Yang Xin1, Shuheng Zhang1, Weijun Zhang1, Xiaodong Zhou1, and Weiguo Zhang1

1Shanghai United Imaging Healthcare Co., Ltd, Shanghai, China, People's Republic of

C-spine imaging is demanding due to artifacts from CSF flow, patient’s swallowing etc., especially in FSE sequence with inversion recovery. By increasing the excitation thickness in FSE sequence, two concomitant saturation bands are realized at both sides of each image slice, which suppress the moving CSF. Furthermore, a snapshot k-space ordering is proposed to further improve the stability of c-spine imaging against irregular flow of CSF and patient’s bulk motion.

1841
Rapid and continuous respiratory motion-resolved abdominal MRI using 3D golden-angle spiral projection acquisition
Mootaz Eldib1, Li Feng2, Daniel K Sodickson2, Zahi A Fayad1, and Hadrien A Dyvorne1

1Translational and Molecular Imaging Institute, Icahn school of Medicine at Mount Sinai, New York, NY, United States, 2Center for Advanced Imaging Innovation and Research (CAI2R), Bernard and Irene Schwartz Center for Biomedical Imaging, Department of Radiology, New York University School of Medicine, New York, NY, United States

We propose a novel acquisition technique for motion-resolved abdominal imaging. Using a golden angle spiral projection trajectory, we were able to acquire reliable physiologic tracking data while acquiring 3D isotropic resolution images of the entire upper abdomen, resulting in an efficient self-gated sequence. We show that respiratory motion can be fully characterized in vivo in a minute-long 1.8 mm isotropic acquisition, which is suitable for applications such as PET/MR motion correction.

1842
A Nonrigid-Motion-Correction Method for Coronary Magnetic Resonance Angiography Using 3D Image-based Navigators
Jieying Luo1, Nii Okai Addy1, R. Reeve Ingle1, Corey A. Baron1, Joseph Y. Cheng1, Bob S. Hu1,2, and Dwight G. Nishimura1

1Electrical Engineering, Stanford University, Stanford, CA, United States, 2Palo Alto Medical Foundation, Palo Alto, CA, United States

3D image-based navigators (iNAVs) offer the potential to achieve more complete motion correction for coronary magnetic resonance angiography (CMRA). In this work, we develop a method for 3D-iNAV processing to achieve nonrigid motion correction. Both global and localized motion trajectories are extracted from the 3D iNAVs and used to generate candidate motion-corrected images for an autofocus method. Two sets of localized motion trajectories are obtained from deformation fields between 3D iNAVs and reconstructed binned images respectively. Results with this method on whole-heart 3D cones CMRA scans demonstrated improved vessel sharpness as compared to 3D translational motion correction.

1843
Evaluation of motion patterns and their effect on image quality in pediatric populations
Onur Afacan1, Burak Erem1, Diona P. Roby1, Noam Roth2, Amir Roth2, Sanjay P. Prabhu1, and Simon K. Warfield1

1Radiology, Boston Childrens Hospital and Harvard Medical School, Boston, MA, United States, 2Robin Medical Inc., Baltimore, MD, United States

In this work we report results from a large pediatric study that shows the effect of motion. Motion patterns were measured on 82 children, mean age 13.4 years, in a T1 weighted brain MRI. An expert radiologist graded the images using a 4-point scale ranging from clinically non-diagnostic to no motion artifacts. We used these grades to correlate motion parameters such as maximum motion, mean displacement from a reference point and motion free time. The results will help the motion correction community in better understanding motion patterns in pediatric populations and how it effects image quality.

1844
Prospective Motion Correction in Diffusion Tensor Imaging using Intermediate Pseudo-Trace-Weighted Images
Daniel Christopher Hoinkiss1, Matthias Guenther1, and David Andrew Porter1

1MR Physics, Fraunhofer MEVIS, Bremen, Germany

Diffusion Tensor Imaging is frequently affected by long-term subject motion. Intermediate pseudo-trace-weighted images enable a real-time image registration with low sensitivity to contrast variation between diffusion-weighted images. These registration results are used to correct the imaging parameters of the ongoing scan. The algorithm was evaluated on three individual subjects using a dedicated diffusion-weighted imaging sequence. The prospective motion correction was able to reduce the typical long-term motion to a band of approximately ±0.2mm for translational and ±0.2° for rotational motion, which is far below voxel size, without increasing the total scan time or changing the set of diffusion vectors.

1845
Image Reconstruction System for Compressed Sensing Retrospective Motion Correction for the Application in Clinical Practice
Martin Schwartz1,2, Thomas Küstner1,2, Christian Würslin1, Petros Martirosian1, Nina F. Schwenzer3, Fritz Schick1, Bin Yang2, and Holger Schmidt3

1Section on Experimental Radiology, Department of Radiology, University of Tuebingen, Tuebingen, Germany, 2Institute of Signal Processing and System Theory, University of Stuttgart, Stuttgart, Germany, 3Diagnostic and Interventional Radiology, Department of Radiology, University of Tuebingen, Tuebingen, Germany

Respiratory motion-free images are important in MRI of the human thorax and abdomen. A significant factor is the reconstruction of these images for the application in clinical practice. The objective of the presented work is an integration of an approved motion correction algorithm into the clinical environment to overcome limitations of offline reconstructed images by the utilization of external workstations. Therefore, a reconstruction pipeline based on the open-source framework Gadgetron with new modules for the integration of a motion correction algorithm is demonstrated.

1846
Brain pulsatility across the cardiac cycle revealed by cine 3D integrated-SSFP
Lirong Yan1, Mayank Jog1, Kay Jann1, Xingfeng Shao1, and Danny JJ Wang1

1Neurology, University of California Los Angeles, Los Angeles, CA, United States

The alternations of brain pulsatility are related to various pathological changes such as traumatic brain injury (TBI) and brain tumor. In the present study, we introduced a new MRI approach to assess the brain’s biomechanical features using ECG-gated cine 3D integrated-SSFP, which offers dynamic 3D brain volumes with high spatial resolution. The voxel-wise deformation was derived from jacobian maps over the cardiac cycle. We found that greater deformation in the brain occurs in basal ganglia and brain stem, and then attenuates toward the white matter and brain cortex during the cardiac cycle.

1847
An MR Motion Correction toolbox for registration and evaluation
Thomas Küstner1,2, Verena Neumann2, Martin Schwartz1,2, Christian Würslin1,3, Petros Martirosian1, Sergios Gatidis1, Nina F. Schwenzer1, Fritz Schick1, Bin Yang2, and Holger Schmidt1

1Department of Radiology, University Hospital Tübingen, Tübingen, Germany, 2Institute of Signal Processing and System Theory, University of Stuttgart, Stuttgart, Germany, 3University of Stanford, Palo Alto, CA, United States

Motion estimation is an important task in MRI. For retrospective motion correction, there is often an image-based registration involved. Hence, the extraction of a reliable and accurate motion model for the underlying application is mainly dependent on the chosen image registration procedure. There are several different image registration methods available, but visualization and evaluation of the derived displacement fields and transformed images often remains an open topic. In the spirit of a reproducible research and for streamlining and simplifying the process, we provide GUIs and evaluation methods to perform and analyze image registration techniques which will be made publicly available.

1848
Autofocusing-based correction of B0 fluctuation-induced ghosting
Alexander Loktyushin1,2, Philipp Ehses1, Bernhard Schölkopf2, and Klaus Scheffler1,3

1High-field Magnetic Resonance, Max Planck Institute for Biological Cybernetics, Tübingen, Germany, 2Empirical Inference, Max Planck Institute for Intelligent Systems, Tübingen, Germany, 3Biomedical Magnetic Resonance, University of Tübingen, Tübingen, Germany

Long-TE gradient-echo images are prone to ghosting artifacts. Such degradation is primarily due to magnetic field variations caused by breathing or motion. The effect of these fluctuations amounts to different phase offsets in each acquired k-space line. A common remedy is to measure the problematic phase offsets using an extra non-phase-encoded scan before or after each imaging readout. In this work, we attempt to estimate the phase offsets directly from the raw image data by optimization-based search of phases that minimize an image distortion measure. This eliminates the need for any sequence modifications and additional scan time.

1849
TArgeted Motion Estimation and Reduction (TAMER): Data Consistency Based Motion Mitigation using a Reduced Model Joint Optimization
Melissa Haskell1,2, Stephen Cauley1,3, and Lawrence Wald1,3,4

1Athinoula A. Martinos Center for Biomedical Imaging, MGH/HST, Charlestown, MA, United States, 2Graduate Program in Biophysics, Harvard University, Cambridge, MA, United States, 3Harvard Medical School, Boston, MA, United States, 4Harvard-MIT Division of Health Sciences and Technology, MIT, Cambridge, MA, United States

We approach the reconstruction of artifact-free images from an object undergoing unknown rigid-body transformations using a joint optimization of the final uncorrupted image and motion parameters. To characterize motion, the joint optimization must estimate 6 additional parameters for each shot in the image acquisition. We demonstrate an efficient method for reconstruction from translation-corrupted kspace data by examining iterative improvements to only a small, targeted subset of imaging voxels. The method can be enhanced by providing incomplete or noisy information from motion sensors or navigator measurements. We discuss generalizing our hybrid greedy and global step non-linear optimization to full rigid-body motion.

1850
A qualitative and quantitative comparision of virtual template based registration methods to control motion in DCE-MRI
Isabella Radl1, Stephen Keeling2, and Rudolf Stollberger1,3

1Institute of Medical Engineering, Graz University of Technology, Graz, Austria, 2Institute for Mathematics and Scientific Computing, Karl Franzens University of Graz, Graz, Austria, 3BioTechMed Graz, Graz, Austria

Different applications in DCE-MRI suffer from inter-frame misalignment due to physiological motion, which has to be compensated for further analysis of functional parameters. Conventional motion correction methods are usually unable to register images with simultaneous changes of contrast and morphology. Virtual-template based registration overcomes this problem by iteratively generating a motion-less image series with the contrast behaviour of the original DCE data as registration targets. We investigated different methods to generate these virtual-templates and identified Independent Component Analysis as best approach among the investigated techniques. Results were validated on a synthetic kidney phantom and in-vivo myocardial perfusion MRI.

1851
Three dimensional retrospective motion correction using spherical navigator echoes
Patricia M Johnson1,2, Junmin Liu1, Trevor Wade1, and Maria Drangova1,2

1Robarts Research Institute, London, ON, Canada, 2Department of Medical Biophysics, Schulich School of Medicine & Dentistry, London, ON, Canada

Spherical navigators are k-space navigators that can measure 6-degree of freedom rigid-body motion. Recent developments have reduced processing and baseline acquisition time, making the technique a promising tool for motion correction.  This work represents the first time SNAVs have been incorporated into an image sequence and demonstrated for motion correction. SNAVs were incorporated into a gradient echo sequence; this navigated sequence was used to scan 3 volunteers performing directed head motion. The motion-degraded brain images were then retrospectively corrected using the SNAV derived motion parameters. In all cases excellent correction of motion artifacts was observed. 

1852
Analysis of Motion and Eddy Currents with 3D Cones Reordering for Whole-Heart Coronary MR Angiography
Mario O. Malavé1, Nii Okai Addy1, R. Reeve Ingle1, Joseph Y. Cheng1, Corey A. Baron1, and Dwight G. Nishimura1

1Electrical Engineering, Stanford University, Stanford, CA, United States

Motion and eddy current artifacts were investigated with simulations, metric measures, and in vivo scans for three different cone acquisition schemes: sequential, multidimensional golden means (MDGM), and phyllotaxis readout orderings. We demonstrate the idea of using the 3D cones phyllotaxis acquisition method for improved motion behavior and low eddy current susceptibility. Also, the sequential ordering method is shown to be more susceptible to motion artifacts while the MDGM introduces eddy current artifacts. When using the phyllotaxis design, the reconstruction demonstrates that a more spread out k-space traversal per heartbeat is more robust to motion and can be obtained without introducing eddy currents.

1853
Robust Self-Gated Free-Breathing 3D Cardiac MRI Using DC Signals and Virtual Coils
Xinwei Shi1,2, Joseph Y Cheng1,2, Michael Lustig3, John M Pauly2, and Shreyas S Vasanawala1

1Radiology, Stanford University, Stanford, CA, United States, 2Electrical Engineering, Stanford University, Stanford, CA, United States, 3Electrical Engineering and Computer Science, UC Berkeley, Berkeley, CA, United States

In cardiac MRI, self-gating using the DC signal provides a promising alternative to EKG gating. However, the DC signal is often affected by other moving structures in the FOV, such as the liver, which degrades the accuracy of the extracted cardiac triggers. In this work, we demonstrate the use of virtual coils to focus the DC signal on cardiac motion and to provide a robust and generalized self-gating approach for 3D cardiac MRI. In free-breathing 4D-Flow scans of pediatric subjects, the proposed method improved the accuracy of self-gating triggers, and the self-gated images showed comparable quality with EKG gated reference. 

1854
Concomitant and seamless saturation bands for suppressing flow artifacts in FSE sequences
Guobin Li1, Zhaopeng Li1, Chaohong Wang1, Yang Xin1, Weijun Zhang1, Xiaodong Zhou1, and Weiguo Zhang1

1Shanghai United Imaging Healthcare Co., Ltd, Shanghai, China, People's Republic of

To reduce pulsatile artifacts of blood flow in FSE imaging, a combined solution is proposed, in which two concomitant saturation bands are achieved at both side of each slice without any extra RF pulses and gradients. Furthermore, through a proper setting of slice acquisition order, flowing blood can be continuously and seamlessly saturated in multi-slice acquisition.

1855
Comparison of respiratory navigator-gating techniques in two-dimensional spoiled gradient-recalled echo sequence
Hirofumi Hata1, Yusuke Inoue2, Ai Nakajima1, Shotaro Komi1, Yutaka Abe1, Keiji Matsunaga2, and Hiroki Miyatake1

1Department of Radiology, Kitasato University Hospital, Sagamihara, Japan, 2Department of Diagnositic Radiology, Kitasato University School of Medicine, Sagamihara, Japan

We compared navigator-gating techniques for free-breathing 2D SPGR images of the liver using pencil-beam excitation and self-navigation techniques in 3 T MRI. In pencil-beam navigator, single-check (PB-SC) and double-check (PB-DC) modes were examined. In self-navigator scans, self-navigator signals were acquired in two fashions; before (SN-Pre) or after (SN-Post) the imaging read-out. Visual analysis shows that respiratory waveforms fluctuated in SN-Post. Quantitative and qualitative image evaluations show that PB-DC and SN-Post had better image qualities than the others. Considering scan time was about doubled in SN-Post, PB-DC should be the best for respiratory navigation in 2D SPGR imaging at this stage.

1856
Silent Navigator with Whole Volume Excitation
Yuji Iwadate1, Atsushi Nozaki1, Yoshinobu Nunokawa2, Shigeo Okuda3, Masahiro Jinzaki3, and Hiroyuki Kabasawa1

1Global MR Applications and Workflow, GE Healthcare Japan, Hino, Tokyo, Japan, 2Department of Radiation Technology, Keio University Hospital, Tokyo, Japan, 3Department of Diagnostic Radiology, Keio University School of Medicine, Tokyo, Japan

The conventional pencil-beam navigator suffers from large acoustic noise due to oscillating gradient pulses during RF excitation. We developed a silent navigator technique with whole volume excitation (vNav). The vNav technique reduced acoustic noise to almost the same level as background. In volunteer scan, a waveform of vNav was well correlated with the bellows signal, and motion reduction was demonstrated in 3D-SPGR imaging. The vNav integration into the silent imaging sequence should be examined in the next step.

1857
Auto-Calibrating Wave-CS for Motion-Robust Accelerated MRI
Feiyu Chen1, Tao Zhang1,2, Joseph Y. Cheng1,2, John M. Pauly1, and Shreyas S. Vasanawala2

1Electrical Engineering, Stanford University, Stanford, CA, United States, 2Radiology, Stanford University, Stanford, CA, United States

In this work, we propose a motion-robust auto-calibrating Wave-CS technique. This technique uses the wave-encoded center k-space and the known point-spread-function (PSF) of wave-encoding to reconstruct a Cartesian central k-space for calibration. The coil sensitivity maps are subsequently estimated with ESPIRiT for CS-SENSE reconstruction of under-sampled k-spaces. Results show this approach can reduce the motion artifacts and the aliasing artifacts due to sensitivity variations between the calibration and accelerated wave-encoded acquisitions.

1858
Towards Markerless Optical Tracking for Prospective Motion Correction in Brain Imaging
Julian Maclaren1, Andre Kyme2,3, Murat Aksoy1, and Roland Bammer1

1Department of Radiology, Stanford University, Stanford, CA, United States, 2Department of Biomedical Engineering, University of California Davis, Davis, CA, United States, 3Brain and Mind Centre, University of Sydney, Sydney, Australia

Prospective motion correction based on optical tracking shows promise for improving image quality in MR brain imaging. To simplify this technique and expedite clinical deployment, it is desirable to avoid attaching markers to the patient’s head. Here we demonstrate proof-of-principle markerless tracking using an MR-compatible stereo camera and head coil configuration. We tested the method outside the MR environment using a 6-axis robot, capable of very accurate and repeatable (~20 µm) motion, to control a head phantom. Close agreement between our pose estimates and the applied motion suggests that accurate markerless tracking of the head is feasible in MRI. 

1859
Reduction of Through-Plane Flow Artifacts in Contrast-Enhanced Liver MRI Using Motion-Sensitized Driven-Equilibrium (MSDE): Comparison of MSDE types
Seiichiro Noda1, Nobuyuki Toyonari1, Yukari Horino1, Masami Yoneyama2, and Kazuhiro Katahira1

1Kumamoto Chuo Hospital, Kumamoto, Japan, 2Philips Electronics Japan, Tokyo, Japan

Gadoxetic acid enhanced mDIXON liver MRI has excellent utility for diagnosing hepatocellular carcinoma; however, it often suffers from ghosting flow artifacts from aorta due to increased signal by contrast enhancement. To solve this problem, we attempt to use motion-sensitized driven-equilibrium (MSDE) for reducing through-plane flow artifacts particularly in dynamic contrast-enhanced studies. We showed the effect of MSDE in reducing through-plane flow artifacts particularly in dynamic contrast-enhanced studies. Two types MSDE schemes (MSDE and iMSDE) could significantly decrease flow signals and could therefore reduce flow artifacts sufficiently. In current sequence, iMSDE would be better for clinical studies because of its less sensitivity to field inhomogeneities. 

1860
Real Time MRI Motion Correction with Markerless Tracking
Claus Benjaminsen1, Rasmus Ramsbøl Jensen1, Paul Wighton2, M. Dylan Tisdall2, Helle Hjorth Johannesen3, Ian Law3, Andre J. W. van der Kouwe2, and Oline Vinter Olesen1

1DTU Compute, Technical University of Denmark, Lyngby, Denmark, 2Athinoula. A. Martinos Center for Biomedical Imaging, Dept. of Radiology, Massachusetts General Hospital, Boston, MA, United States, 3Department of Clinical Physiology, Nuclear Medicine & PET, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark

Prospective motion correction for MRI neuroimaging has been demonstrated using MR navigators and external tracking systems using markers. The drawbacks of these two motion estimation methods include prolonged scan time plus lack of compatibility with all image acquisitions, and difficulties validating marker attachment resulting in uncertain estimation of the brain motion respectively. We have developed a markerless tracking system, and in this work we demonstrate the use of our system for prospective motion correction, and show that despite being computationally demanding, markerless tracking can be implemented for real time motion correction.

1861
High-speed, contact-free measurement of the photoplethysmography waveform for MRI triggering
Nicolai Spicher1, Stefan Maderwald2, Mark E. Ladd2,3, and Markus Kukuk1

1University of Applied Sciences and Arts Dortmund, Dortmund, Germany, 2Erwin L. Hahn Institute for Magnetic Resonance Imaging, University Duisburg-Essen, Essen, Germany, 3Division of Medical Physics in Radiology, German Cancer Research Center, Heidelberg, Germany

Videos of the human skin exhibit a subtle photoplethysmography signal, which resembles the one measured by pulse oximetry. It was investigated whether the whole photoplethysmography waveform (systolic/diastolic peak, dicrotic notch) can be extracted from two MR-compatible video cameras: A low-speed camera (30 frames-per-second) and a high-speed prototype (250 frames-per-second). We propose a potentially real-time feasible algorithm for signal filtering, which was applied to frames of both cameras. Using pulse oximetry as ground truth, revealed all features of the photoplethysmography waveform. Additionally, performing systolic peak detection showed that the high-speed camera allows for more accurate results in MRI pulse triggering.

1862
A robust motion correction tool for cardiac extracellular volume mapping
Shufang Liu1,2,3, Lin Zhang3,4, Pauline Ferry3,4, Andrei Codreanu5, Anne Menini2, and Freddy Odille3,4

1Institut für Informatik, Technology University of Munich, Munich, Germany, 2GE Global Research, Munich, Germany, 3Imagerie Adaptative Diagnostique et Interventionnelle, Université de Lorraine, Nancy, France, 4U947, INSERM, Nancy, France, 5Centre Hospitalier de Luxembourg, Luxembourg, Luxembourg

This work present a robust motion correction framework for T1 mapping and ECV mapping. Motion correction within one series and between different series are discussed. Validation is performed on 2 patient data and 6 volunteer data.

1863
Auto-calibrated Iterative SENSE Reconstruction with Rejection of Inconsistent Data
Tim Nielsen1 and Peter Börnert1

1Philips Research, Hamburg, Germany

We present a reconstruction method to correct retrospectively for motion artifacts. The method identifies which part of the data set is affected by motion based on redundancy which is typically present in a multi-coil data set. No prior knowledge about coil sensitivity maps is needed. Instead, this information is directly estimated from the data along with the motion corrected image.

1864
PCA-aided improvements on FID-based motion tracking calibrated on resting-state EPI data without intentional motion
Rüdiger Stirnberg1, Daniel Brenner1, Willem Huijbers1, Tobias Kober2,3,4, and Tony Stöcker1,5

1German Center for Neurodegenerative Diseases (DZNE), Bonn, Germany, 2Advanced Clinical Imaging Technology, Siemens Healthcare, Lausanne, Switzerland, 3Department of Radiology, University Hospital Lausanne (CHUV), Lausanne, Switzerland, 4Department of Electrical Engineering (LTS5), Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland, 5Department of Physics and Astronomy, University of Bonn, Bonn, Germany

Accurate and precise head motion tracking has been shown to be feasible using multi-channel free-induction-decay (FID) signals, where positional information is supported by the spatial distribution of the receive coils. Until now, this required subject-specific calibration using simultaneously acquired FID signals and reference motion parameters, e.g. from an external device, while the subject performs controlled motion. In this study, we demonstrate successful calibration of FID navigators using motion parameters extracted from a resting-state fMRI scan without intentional motion. Additionally, extension of the calibration by principal component analysis of the FID data is shown to increase motion prediction accuracy and precision. 

1865
Robust prospective motion correction using virtual marker tracking
Niklas Wehkamp1, Benjamin Richard Knowles 1, Patrick Hucker1, and Maxim Zaitsev1

1Department of Radiology - Medical Physics, University Medical Center Freiburg, Freiburg, Germany

Marker fixation remains an unresolved issue in Prospective Motion Correction (PMC) using optical tracking. The most common and simple approach to track motion of the skull is using markers adhered to the face. However, markers applied in this fashion can report erroneous positions due to facial gestures of the subject during the MR examination. The presented approach using multiple markers is a patient friendly solution, offering robust position data for PMC in the presence of facial gestures. The presented approach is a promising solution to stabilize prospective motion tracking and thus to significantly reduce costs for MR imaging facilities.

1866
Single-Shot, Navigator-Based Approach to Retrospective 4D MRI: balanced-SSFP vs. Single-Shot Fast Spin Echo
Daniel V Litwiller1, Erik Tryggestad2, Kiaran McGee3, Yuji Iwadate4, Lloyd Estkowski5, and Ersin Bayram6

1Global MR Applications & Workflow, GE Healthcare, New York, NY, United States, 2Department of Radiation Oncology, Mayo Clinic, Rochester, MN, United States, 3Department of Radiology, Mayo Clinic, Rochester, MN, United States, 4Global MR Applications & Workflow, GE Healthcare, Hino, Tokyo, Japan, 5Global MR Applications & Workflow, GE Healthcare, Menlo Park, CA, United States, 6Global MR Applications & Workflow, GE Healthcare, Houston, TX, United States

One of the motivations for 4D MRI is the need to characterize patient respiratory motion in the context of radiation therapy treatment planning (RTP).  Here, we compare two approaches for generating 4D MRI data using dynamic, navigator-based acquisitions with retrospective respiratory compensation, including single-shot balanced-SSFP and single-shot fast spin echo with variable refocusing flip angle (vrfSSFSE).  The results presented suggest that both sequences offer a straightforward approach to generating 4D MRI data for MR-guided RTP.

1867
Sub-volume motion detection to speed up image-based navigators and prospective motion correction
Anja Jäger1,2, Thomas Beck2, and Andreas Maier1

1Pattern Recognition Lab, Department of Computer Science, Friedrich-Alexander- Universität Erlangen-Nürnberg, Erlangen, Germany, 2Siemens Healthcare, MR Application Development, Erlangen, Germany

A method for detection of patient motion based on sub-volumes is presented. Current methods for image-based motion detection are limited because rigid motion parameters can only be detected for full volumes. This limits the potential of navigator acceleration and causes undesirable effects due to respiratory motion in some applications. Our novel approach extends the rigid-body-motion model by detection based on a subset of slices relative to a fully sampled reference volume. It is validated with phantom and in-vivo data and allows for both considerable acceleration of navigator scans and prospective correction of head motion in fMRI applications.

1868
The Effect of MR-based Motion Correction on PET Kinetic Parameters Estimation
Rong Guo1, Yoann Petibon2, Yixin Ma1, Kui Ying1, and Jinsong Ouyang2

1Engineering Physics, Tsinghua University, Beijing, China, People's Republic of, 2Center for Advanced Radiological Sciences, Massachusetts General Hospital, Boston, MA, United States

Bias may be introduced in the estimation of the PET myocardial kinetic parameters by both cardiac and respiratory motion. Simultaneous PET-MR makes it possible to perform MR-based PET motion correction. We have investigated the performance of MR-based motion correction on the estimation of myocardial PET kinetic parametermsat 

1869
Evaluation of Two Deformable Registration Algorithms for Assessment of Brown Adipose Tissue in Humans
Vanessa Stahl1, Martin T. Freitag2, Armin M. Nagel1,3, Ralf O. Floca4, Moritz C. Berger 1, Jan P. Karch5, Peter Bachert1, Mark E. Ladd1, and Florian Maier1

1Medical Physics in Radiology, German Cancer Research Center, Heidelberg, Germany, 2Department of Radiology, German Cancer Research Center, Heidelberg, Germany, 3Department of Diagnostic and Interventional Radiology, University Medical Center Ulm, Ulm, Germany, 4Medical and Biological Informatics, German Cancer Research Center, Heidelberg, Germany, 5Institue of Physics, Johannes Gutenberg University Mainz, Mainz, Germany

Human brown adipose tissue (BAT) is mostly found in cervical and mediastinal anatomic sites, making MR-imaging challenging because of susceptibility to breathing motion artifacts. Image acquisition under breath-hold requires data registration, especially for long measurement times. Two deformable registration algorithms (Fast Symmetric Forces Demons (FSF), Level Set Motion (LSM)) were evaluated regarding their suitability for compensation of deviations in breath-hold positions. Data processing was based on a volunteer study using distinct anatomical landmarks placed by an experienced radiologist. Landmark positions were evaluated after transformation, showing that FSF is more suitable for registration of thoracic data allowing for human BAT assessment.

1870
­­­Fast and flexible 3D-EPI fat navigators for high-resolution brain imaging at 7 Tesla
Pieter F Buur1, Wietske van der Zwaag1, José P Marques2, and Daniel Gallichan3

1Spinoza Centre for Neuroimaging, Amsterdam, Netherlands, 2Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen, Nijmegen, Netherlands, 3Centre d'Imagerie BioMédicale (CIBM), EPFL Lausanne, Lausanne, Switzerland

Motion correction using interleaved fat navigators is a promising approach for high-resolution brain imaging at 7 Tesla. We have implemented a 3D-EPI fat navigator to reduce acquisition time and thereby minimize overhead in sequences with little or no dead time. The efficacy of motion-induced artefact removal using the fat navigators is demonstrated for 0.6 mm isotropic inversion-prepared (MPRAGE) and 0.5 mm isotropic non-prepared 3D TFE (GRE) protocols.


Traditional Poster

Fields, Fields & More Fields

Exhibition Hall Tuesday, May 10, 2016: 16:00 - 18:00

1871
Correcting Geometric Distortion in B0 Mapping
Paul Chang1,2, Sahar Nassirpour1,2, Ariane Fillmer3,4, and Anke Henning1,3

1Max Planck Institute for Biological Cybernetics, Tuebingen, Germany, 2IMPRS for Cognitive and Systems Neuroscience, Eberhard Karls University of Tuebingen, Tuebingen, Germany, 3Institute for Biomedical Engineering, UZH and ETH Zurich, Zurich, Switzerland, 4Physikalisch-Technische Bundesanstalt, Berlin, Germany

The task of mapping B0 fields to characterise shim fields can be challenging since shim fields generate a highly inhomogeneous field that may be difficult to capture. Furthermore this results in geometric distortion of the B0 map which affects the characterisation of the shim field.

Geometric distortion correction was investigated using a gridded phantom and compared to the effect of using a high bandwidth on the read-out gradient. It was found that using a high bandwidth was more effective in reducing the distortion and that correcting the distortion using a phantom grid was not sufficient.


1872
Quantitative evaluation of mapping of magnetic distortion due to metallic materials
Takahiko Kaneda1, Kazuya Oshinomi1, Naoki Ohno2, Toshiaki Miyati2, and Toru Yamamoto3

1Graduate School of Health Sciences, Hokkaido University, Sapporo, Japan, 2Division of Health sciences, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan, 3Faculty of Health Sciences, Hokkaido University, Sapporo, Japan

Evidence that the magnetic field distortion of an artificial knee joint and an Elgiloy rod in ppm unit does not change at 0.4-T and 3.0-T MRI was demonstrated. The susceptibility of Elgiloy and Ti alloy rods was derived from the magnetic distortion maps and the value of Ti alloy rod especially agreed with the known susceptibility of its material. The obtained value of the magnetic field distortion is quantitatively reliable.

1873
Estimating B1+ of the breast at 7T using a generic distribution
Michael J van Rijssel1, Josien P W Pluim1, Peter R Luijten1, Alexander J Raaijmakers1, and Dennis W J Klomp1

1Center for Image Sciences, UMC Utrecht, Utrecht, Netherlands

Quantitative DCE-MRI requires reliable B1+ information. This study presents a simulation-based fast B1+ estimation method for DCE breast imaging at 7T. Numerical FDTD simulations were conducted to assess the inter-subject differences in B1+ for four volunteers using segmented breast images for the simulation model. Inter-subject differences are shown to be comparable to the accuracy of popular B1+ mapping methods, justifying the use of one generic B1+ distribution for B1+ estimation (coil template). This template was created by averaging the simulated B1+ distributions over the four volunteers. We demonstrate the feasibility of this method in three in-vivo cases.

1874
Novel correction method of reception radiofrequency field inhomogeneities for noise corrupted sodium MR images at 3 T using Ensemble Empirical Mode Decomposition
Nadia Karina Paschke1, Andreas Neubauer1, and Lothar R Schad1

1Computer Assisted Clinical Medicine, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany

Sodium MRI suffers from low signal-to-noise ratio, which can be compensated by applying surface coils fitting the geometry of interest. Inhomogeneous coil profiles hinder absolute quantification of in vivo tissue sodium concentration, which is crucial for clinical assessment of pathological changes. Adequate corrections of intensity inhomogeneities of reception radiofrequency fields are essential and most standard proton imaging correction methods require manual thresholding. We present a novel and automatic correction approach by postprocessing images with Ensemble Empirical Mode Decomposition without additional scan time. It reduces signal variations by 39%. This is shown in phantoms and in vivo.

1875
Highly accelerated Bloch-Siegert B1+ mapping using variational modeling
Andreas Lesch1, Matthias Schlögl1, Martin Holler2, and Rudolf Stollberger1,3

1Institute of Medical Engineering, Graz University of Technology, Graz, Austria, 2Institute of Mathematics and Scientific Computing, University of Graz, Graz, Austria, 3BioTechMed Graz, Graz, Austria

In this work we describe a novel method, which is able to reconstruct B1+-maps from highly under-sampled Bloch-Siegert data. This method is based on variational methods and a problem specific regularization approach.  We show its capability to achieve successful reconstructions from more than 100times under-sampled 3D-data in the human brain with a mean error below 1%. The results are compared to a fully-sampled reference and a conventional low resolution reconstruction for different under-sampling factors.

1876

Fast Multichannel Transmit Array Calibration Using Coil Locators
Parnian Zarghamravanbakhsh1, John M Pauly1, and Greig Scott1

1Electrical Engineering, Stanford University, Stanford, CA, United States

Accurate knowledge of magnetic field distribution is necessary for RF shimming and calibration of parallel transmit systems. The incident field distribution depends on relative location of transmit array to sample, also magnitude and phase of coil current(thereby, magnetic field) vary with different sample loading. The RF maps of each coil can be estimated by localizing the transmit array in the image space and circulating RF currents in each coil. In this study, parallel transmit system RF shimming pulses are designed by using transmit coils locator information and coil current measurement without performing experimental B1 mapping.

1877
Improvement of the Reproducibility of Parallel Transmission at 7T by Breath-Holding During the Calibration Scan
Taisuke Harada1,2, Kohsuke Kudo1, Ikuko Uwano3, Fumio Yamashita3, Hiroyuki Kameda1,3, Tsuyoshi Matuda4, Makoto Sasaki3, and Hiroki Shirato2

1Department of Diagnostic and Interventional Radiology, Hokkaido University Hospital, Sapporo, Japan, 2Department of Radiation Medicine, Hokkaido University Graduate School of Medicine, Sapporo, Japan, 3Division of Ultrahigh Field MRI, Institute for Biomedical Sciences, Iwate Medical University, Yahaba, Japan, 4MR Applications and Workflow, GE Healthcare, Tokyo, Japan

The aim of our study was to compare the reproducibility of those maps and GRASS images of brain scanned with pTx at 7T between free-breathing (FB) and breath-holding (BH) during the calibration scan. Nine healthy volunteers were scanned by 7T MRI with RF shimming, RF design of pTx, and quadrature transmission (qTx). The reproducibility of B0 and B1+ were better in BH than FB, and the same results was seen in GRASS images. The intensity homogeneity was not different between qTx and RF shimming however was better in RF design than qTx. These results might facilitate the development of pTx.

1878
Magnetic Susceptibility Artefact Correction of Spin-Echo and Gradient-Echo EPI Images
Gary George McGinley1,2, Atle Bjørnerud3,4, and Øystein Bech Gadmar3

1Institute for Experimental Medical Research, Oslo University Hospital, Oslo, Norway, 2KG Jebsen Cardiac Research Center and Center for Heart Failure Research, University of Oslo, Oslo, Norway, 3The Intervention Centre, Oslo University Hospital, Oslo, Norway, 4Department of Physics, University of Oslo, Oslo, Norway

This study aims to compare the effectiveness of three reverse-gradient method susceptibility artefact correction tools (EPIC, TOPUP, and HySCO) in the correction of spin-echo (SE) and gradient-echo (GE) EPI images of the brain, and to measure the effect of pixel bandwidth, SENSE factor and slice thickness on artefact correction. This was achieved by co-registering the artefacted and corrected images to an anatomical scan and measuring the normalised mutual information (NMI). It was found that EPIC correction resulted in the largest gains in NMI and that more mutual information was recovered at lower pixel bandwidths after EPIC correction.

1879
A robust phase unwrapping method for low-SNR multi-echo MR images based on complex signal modeling
Taejoon Eo1

1Yonsei University, Seoul, Korea, Democratic People's Republic of

We propose a robust phase unwrapping method for low-SNR multi-echo MR images based on complex signal modeling. This method is superior to conventional phase unwrapping methods and provides high-quality unwrapped phase images without any spatial artifacts caused by high noise.

1880
Reference-free Unwarping of Multicoil Single-shot GE-EPI Human brain data at 3T
Ying Chen1, Song Chen1, Hui Liu2, and Jianhui Zhong1,3

1Center for Brain Imaging Science and Technology, Zhejiang University, Hangzhou, China, People's Republic of, 2MR Collaboration Northeast Asia, Siemens Healthcare, Shanghai, China, People's Republic of, 3Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, Zhejiang University, Hangzhou, China, People's Republic of

Single-shot GE-EPI is widely used in fMRI. However, it is susceptible to field inhomogeneity induced geometric distortions, therefore retrospectively unwarping of the single-shot GE-EPI data is important. A commonly used unwarping technique is based on the field map of the image and it would be desirable to acquire the field map at each time point of a dynamic fMRI measurement series. The aim of this abstract is to qualitatively and quantitatively compare the performance of three reference-free unwarping methods on human brain imaging data. Experimental results demonstrate that the field map obtained from measuring the k-space shifts of each voxel can provide more reliable unwarped images.


Traditional Poster

RF Pulses

Exhibition Hall Tuesday, May 10, 2016: 16:00 - 18:00

1881
Multi-Band Slice-Selective and 2D-Selective RF Excitations with Band-Specific Dephasing Moments for Tailored z-Shimming
Jürgen Finsterbusch1

1Systems Neuroscience, University Medical Center Hamburg-Eppendorf, Hamburg, Germany

T2*-weighted acquisitions used for functional neuroimaging can suffer from through-slice dephasing. Additional, so-called z-shim gradient pulses can be applied in the slice direction to minimize related signal losses. Thereby, a single, slice-specific gradient moment may be sufficient for small target regions like the spinal cord. To combine this z-shimming approach with multi-band acceleration, the individual bands must provide different dephasing moments in the slice direction. This can be realized with appropriate temporal shifts of the individual envelopes as is demonstrated for conventional slice-selective RF excitations and 2D-selective RF excitations for inner-field-of-view imaging.

1882
B1-Insensitive Simultaneous Multi-Slice DWI at 7T using SEAMS PINS
Rebecca Emily Feldman1, Hadrien A Dyvorne1, Rafael O'Halloran1, and Priti Balchandani1

1Translational and Molecular Imaging Institute, Icahn School of Medicine at Mount Sinai, New York, NY, United States

The higher signal-to-noise-ratio offered at 7T, has been shown to increase the resolution of diffusion MRI as well as the precision and directional certainty of diffusion-based parameters. Two major drawbacks of 7T dMRI include lengthy acquisitions and signal loss due to B1-inhomogeneity. SMS methods reduce the duration of the acquisition, the refocusing pulses typically used in dMRI are particularly sensitive to B1 non-uniformities leading to a loss in signal, or even complete signal dropout in parts of the image. We have created a dMRI sequence with SEAMS PINS and an EPI readout that provides improved immunity to B1-inhomogeneity. 

1883
Optimized amplitude modulated multiband RF pulses
Samy Abo Seada1, Joseph V Hajnal1, and Shaihan J Malik1

1Division of Imaging Sciences and Biomedical Engineering, King's College London, London, United Kingdom

Simultaneous multi-slice imaging can accelerate image acquisition for commonly used diffusion and functional MRI sequences. The design of multiband pulses can be problematic due to their high peak amplitude. Another issue is that the necessary rapid phase and amplitude modulation can be problematic for some current MRI RF systems to reproduce. Phase related issues can be avoided by designing purely amplitude modulated waveforms. We describe how three current multiband pulse design techniques (phase optimisation, time shifting and root-flipping) can be modified to produce purely amplitude modulated pulses and find that the relative peak increase is only about 20-25%.

1884
Spatiotemporally encoded anatomical shape in-plane excitation with reduced profile distortion from field inhomogeneity
Ying Chen1, Song Chen1, Zhong Chen2, and Jianhui Zhong1,3

1Center for Brain Imaging Science and Technology, Zhejiang University, Hangzhou, China, People's Republic of, 2Department of Electronic Science, Xiamen University, Xiamen, China, People's Republic of, 3Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, Zhejiang University, Hangzhou, China, People's Republic of

In-plane reduced field-of-view excitation based on two-dimensional radio-frequency pulse (2DRF) has been widely used in many applications. The EPI-style gradient waveform is commonly used in 2DRF implementation. However, at high field, the off-resonance effects during excitation would result in distortions of the profiles obtained. This work is to investigate the feasibility to achieve in-plane selective excitation of anatomically pre-defined regions using SPEN-2DRF pulse under different shim conditions. Experimental results show that the proposed method can produce profiles with significantly improved robustness to distortions at high field than the Fourier-based 2DRF pulse.

1885
Comparison of Root-Flip and Quadratic-Phase RF Pulses for Outer Volume Suppression
Hong Shang1, Hai Luo2, Xia Liu2, Gaojie Zhu2, and Leping Zha2

1Bioengineering, UC Berkeley - UCSF, Berkeley/San Francisco, CA, United States, 2AllTech Medical Systems, Chengdu, China, People's Republic of

Two classes of previously proposed nonlinear phase RF pulses, the quadratic-phase pulse and root-flip optimized pulse, are compared in terms of selectivity, peak B1 value, pulse energy, and sensitivity to B1 variations, when applied for spatial outer volume suppression. Root-flip pulses have lower peak B1 and energy given the same transition width and pulse duration, or sharper transition given the same peak B1, while quadratic-phase pulses have less sensitivity to B1 variations that maintains profile shape with B1 deviations, and thus less prone to residual saturation band magnetization. This work provides insights to pulse designers in regards to nonlinear phase pulse design and application.

1886
B1-Insensitive T2-Preparation Sequence with Outer Volume Suppression and Fat Saturation
David Y. Zeng1, Jieying Luo1, Dwight G. Nishimura1, and Adam B. Kerr1

1Electrical Engineering, Stanford University, Stanford, CA, United States

A B1-insensitive T2-weighted preparation sequence with integrated fat saturation and outer volume suppression for localized cardiac imaging is proposed. The sequence is composed of a BIR-4 90° tip-down pulse, two spectral-spatial adiabatic refocusing pulses and a BIR-4 -90° tip-up pulse. Outer volume suppression is achieved by the spatial selectivity of the first refocusing pulse in x and spatial selectivity of the second refocusing pulse in y. Fat suppression is achieved by spectral selectivity of the refocusing pulses. Numerical simulation and phantom experiments verify the performance of the sequence.


1887
Reduction of RF Pulse Duration using Dephased Transition
Seohee So1, HyunWook Park1, Dongchan Kim1, Hyunseok Seo1, JaeJin Cho1, Young Woo Park1, and Kinam Kwon1

1Electrical Engineering, Korea Advanced Institute of Science and Technology, Daejeon, Korea, Republic of

  Slice profile used for magnetic resonance (MR) imaging has transition region between passband and stopband. Sharper transition performs better slice selection. This abstract proposes method to design short-duration RF pulse without increasing transition region width. Additional phase is merged into a transition region of slice profile. Two RF pulses having different phases are used alternately. The proposed algorithm produces about 30% reduction of RF pulse duration without transition increase.

1888
Minimum-Time VERSE Pulse Correction for Slice Selectivity Improvement in 2D-UTE Imaging
Lucas Soustelle1, Paulo Loureiro de Sousa1, Sascha Koehler2, Chrystelle Po1, François Rousseau3, and Jean-Paul Armspach1

1Université de Strasbourg, CNRS, ICube, FMTS, Strasbourg, France, 2Bruker BioSpin MRI, Ettlingen, Germany, 3Institut Mines Télécom, Télécome Bretagne, INSERM LaTIM, Brest, France

The Variable-rate Selective Excitation (VERSE) approach allows to achieve very short echo time in 2D-UTE sequences when applied on a selective half-pulse and its paired slice selection gradient. Unfortunately, the latter may suffer from non-linearities and eddy current effects, all the more important on preclinical scanners equipped with strong gradient systems.
An efficient method was implemented on a 7T preclinical scanner to measure the real slice selection gradient profile. A reshaping of the corresponding pulse was made, improving the slice selectivity.

 


1889
Slice-selective relaxation-matched half-pulses for cortical bone imaging
Ethan M Johnson1, Kim Butts Pauly2, Pejman Ghanouni2, and John M Pauly1

1Electrical Engineering, Stanford University, Stanford, CA, United States, 2Radiology, Stanford University, Stanford, CA, United States

A method for sensitising 3D UTE sequences to the short-$$$T_2$$$ range of cortical bone using scaled RF hard pulses has been previously demonstrated for creating CT-like contrast in MR imaging.  However whole-volume excitation and encoding is not practical in all contexts.  Here, an adaptation for slice-selective half-pulses is presented that enables 2D image encoding for MR-simulated-CT images.

1890
Reduce multislice excitation RF power by ROI optimization method
Yi-Cheng Hsu1, Ying-Hua Chu1, and Fa-Hsuan Lin1

1Institute of Biomedical Engineering, National Taiwan University, Taipei, Taiwan

A new simultaneous multi-slice excitation method was proposed to reduce RF power delivery by only concerning slice profiles within the imaging object. Compared to MultiPINS, our approach used only 79% of the RF energy to the same result (slice thickness = 3mm, MB factor = 5, 4 bandwidth time product, excitation duration 6380 $$$\mu s$$$). This excitation method was experimentally demonstrated in spin-echo EPI with blipped CAIPI acquisition.

1891
Low SAR RF-pulse design by joint optimization of RF and gradient shape with physical constraints
Christoph Stefan Aigner1,2, Christian Clason3, Armin Rund4, and Rudolf Stollberger1,2

1Institute of Medical Engineering, Graz University of Technology, Graz, Austria, 2BioTechMed Graz, Graz, Austria, 3Faculty of Mathematics, University of Duisburg-Essen, Essen, Germany, 4Institute for Mathematics and Scientific Computing, University of Graz, Graz, Austria

We demonstrate the joint optimization of RF and slice selective gradient shapes with hard constraints such as peak B1 of the pulse and peak slew rate of the gradient via a flexible approach based on optimal control of the full time-dependent Bloch equation and a novel semi-smooth Newton method. The presented approach allows optimization on a fine spatial and temporal grid while enforcing physical and technical limitations on the control variables. The results are validated on a 3T scanner, demonstrating the practical realizability of the presented approach even for short RF pulses.

1892
Reduced peak power in paired excitation and refocusing multiband pulses by quadratic phase modulation in the spatial domain
David G Norris1,2 and Jenni Schulz1

1Donders Institute for Brain Cognition and Behaviour, Radboud University Nijmegen, Nijmegen, Netherlands, 2Erwin L Hahn Institute, University Duisburg Essen, Essen, Germany

This abstract describes the use of pulses that have a quadratic phase profile in the spatial dimension for simultaneous multi-slice imaging. The quadratic profile reduces the peak voltage needed by an amount dependent on the number of simultaneously excited slices. The pulses have to be used as an excitation-refocusing pair, with the refocusing pulse having half the phase gradient. The echoes from each slice are simultaneously refocused and there are no additional constraints on the pulse duration.

1893
SPINS excitation versus DSC dynamic RF shimming for homogenising high field strength TSE imaging
Ronald Mooiweer1, Shaihan J Malik2, Joseph V Hajnal2, Nico van den Berg1, Peter R Luijten1, and Hans Hoogduin1

1UMC Utrecht, Utrecht, Netherlands, 2Division of Imaging Sciences and Biomedical Engineering, King’s College London, London, United Kingdom

In this work the design of SPINS excitation pulses has been expanded for use in TSE sequences and was compared to dynamic RF shimming using DSC in a standard T2w TSE sequence. We have demonstrated homogeneous 90 degree excitation, but in itself this was not sufficient to make TSE images uniform. Manipulating the refocusing pulses (using DSC) remains a necessity. 

1894
Slice Profile Effects on non-CPMG SS-FSE Acquisitions
Eric Kenneth Gibbons1, John Mark Pauly2, and Adam Bruce Kerr2

1Department of Bioengineering, Stanford University, Stanford, CA, United States, 2Department of Electrical Engineering, Stanford University, Stanford, CA, United States

SS-FSE is a robust method for fast image acquisition in areas where there is significant B0 inhomogeneity.  Recent efforts have led to expand the capabilities beyond traditional constraints of SS-FSE meeting the CPMG condition.  In this work, we examine the effects of various RF pulse types on the stability of the signal using a quadratic phase modulation as well as propose using a novel DIVERSE pulse.

1895
A Shinnar Le-Roux Transform for T1, T2 and Frequency Selective Pulses
Frank Ong1 and Michael Lustig1

1Electrical Engineering and Computer Sciences, University of California, Berkeley, Berkeley, CA, United States

We propose a generalized Shinnar-Le-Roux transform that maps $$$T_1$$$, $$$T_2$$$ and frequency selective pulses to multi-dimensional polynomials. We show that the polynomial mapping is one-to-one and hence designing these RF pulses reduces to multi-dimensional polynomial design. We describe a convex approach to the multi-dimensional polynomial design and show preliminary $$$T_2$$$ and frequency selective pulses.


Traditional Poster

Image Processing & Analysis

Exhibition Hall Tuesday, May 10, 2016: 16:00 - 18:00

1896
Simultaneous Estimation of Proton Densities and Receiver Coil Sensitivities using Optimized Basis Functions
Dietmar Cordes1,2, Zhengshi Yang1, Xiaowei Zhuang1, Karthik Sreenivasan1, and Le Hanh Hua1

1Cleveland Clinic Lou Ruvo Center for Brain Health, Las Vegas, NV, United States, 2Department of Psychology and Neuroscience, University of Colorado, Boulder, CO, United States

In this study, a new algorithm to better model the receiver coil sensitivities with the purpose of obtaining unbiased proton density maps is proposed. Using optimized orthonormal basis functions for the modeling produces an accurate fit of potential inhomogeneities of the signal due to receiver coil bias. The obtained final image of the proton density has low variance, suitable for quantitative diagnostic information of brain tissue. Results are shown for nine MS patients and one control subject.  

1897
Multidimensional Diffusion and Relaxation Data Acquisition for Improved Intravoxel Incoherent Motion Analysis
Anna Scherman Rydhög1, André Ahlgren1, Freddy Ståhlberg1,2,3, Ronnie Wirestam1, and Linda Knutsson1

1Department of Medical Radiation Physics, Lund University, Lund, Sweden, 2Department of Diagnostic Radiology, Lund University, Lund, Sweden, 3Lund Bioimaging Center, Lund University, Lund, Sweden

Intravoxel Incoherent Motion (IVIM) is a method for quantification of perfusion parameters, such as the perfusion fraction Fb. Unfortunately, CSF partial volume effects are often seen in the estimated blood compartment. This work introduces a novel version of the IVIM model, containing three compartments (tissue, CSF and blood), where multi-TE and multi-TI data are incorporated to yield a direct relaxation estimate. Using this relaxation-compensated model, results were obtained from in vivo measurements in a volunteer. Compared to a non-relaxation-compensated model, the three-compartment model with relaxation-compensated data reduced the CSF contamination.

1898
7TAMIbrainT1w_30 : Whole-brain ultra-high resolution average T1-weighted template at 7 Tesla to improve in vivo depiction of small brain structures
Pierre Besson1,2,3, Arnaud Le Troter1,2, Julien Sein1,2, Gilles Brun1,2, Maxime Guye1,2, and Jean-Philippe Ranjeva1,2

1Aix-Marseille Université, CNRS, Centre de Résonance Magnétique Biologique et Médicale (CRMBM) UMR 7339, Marseilles, France, 2APHM, Timone Hospital, Pôle d’Imagerie, Centre d’Exploration Métabolique par Résonance Magnétique (CEMEREM), Marseilles, France, 3Siemens Healthcare, St Denis, France

UHF 7T MR scanners offers the possibility to acquire very high resolution in-vivo images, providing a new insight into human brain structural characterization. Nevertheless, in order to obtain highly contrasted and highly spatially resolved atlas, and to compensate for the drop in SNR related to reduction of the voxel size, averaging data among several subjects is needed. We present in this abstract an automatic pipeline that generates a whole brain high-resolution T1-weighted template (called 7TAMIbrainT1w_30) built from MP2RAGE acquisitions obtained in 30 healthy controls at 7T.

1899
Complete partial volume solution for ASL brain perfusion data applied to relapsing-remitting multiple sclerosis patients
Ruth Oliver1,2, Linda Ly1,2, Chenyu Wang1,2, Heidi Beadnall2, Ilaria Boscolo Galazzo3,4, Michael Chappell5,6, Xavier Golay7, Enrico De Vita7, David Thomas7, and Michael Barnett1,2

1Sydney Neuroimaging Analysis Centre, Sydney, Australia, 2University of Sydney, Sydney, Australia, 3Institute of Nuclear Medicine, University College London, London, United Kingdom, 4Department of Neuroradiology, University Hospital Verona, Verona, Italy, 5Institute of Biomedical Engineering, University of Oxford, Oxford, United Kingdom, 6FMRIB Centre, University of Oxford, Oxford, United Kingdom, 7Institute of Neurology, University College London, London, United Kingdom

ASL is a low resolution imaging modality that suffers from the partial volume effect, leading to an underestimation of GM perfusion. This effect has two principle causes; blurring from the point spread function in the slice direction, and inadequate resolution due to the need for large voxels to achieve sufficient SNR. Both may act as confounders for measurement of GM CBF abnormalities. Decreased GM perfusion could reflect neuronal loss or metabolic dysfunction; PV correction allows a decoupling of structure and function. We present the first application of a complete PV correction solution for ASL to a cohort of MS patients.

1900
Anomalous relaxation in the human brain mapped using ultra-high field magnetic resonance imaging and time-fractional Bloch equation
Shanlin Qin1, Fawang Liu1, Ian William Turner1,2, Qiang Yu3, Qianqian Yang1, and Viktor Vegh3

1School of Mathematical Sciences, Queensland University of Technology, Brisbane, Australia, 2ARC Centre of Excellence for Mathematical and Statistical Frontiers, Melbourne, Australia, 3Centre for Advanced Imaging, University of Queensland, Brisbane, Australia

MRI models based on integer order calculus lack the ability to accurately map magnitude signal decay in the human brain, likely due to magnetic susceptibility and microstructure variations in tissues. We applied fractional calculus to the Bloch equation with the aim of developing a model capable of matching experimental findings. Solution of the time-fractional Bloch equation resulted in a new five parameter model. We analysed model parameters in nine brain regions using multiple echo gradient recalled echo MRI data from five participants. Time-fractional model parameters may provide new ways of studying microstructure and susceptibility induced changes in the human brain.

1901
Evaluation the cluster-size inference with random field and permutation methods for group-level MRI analysis
Huanjie Li1, Lisa D. Nickerson2, Yang Fan3, Thomas E. Nichols4, and Jia-Hong Gao5

1Department of Biomedical Engineering, Dalian University of Technology, Dalian, China, People's Republic of, 2McLean Imaging Center, McLean Hospital/Harvard Medical School, Belmont, MA, United States, 3GE Healthcare, MR Research China, Beijing, China, People's Republic of, 4Department of Statistics and Warwick Manufacturing Group, University of Warwick, Coventry, United Kingdom, 5Center for MRI Research, Peking University, Beijing, China, People's Republic of

Threshold-free cluster enhancement (TFCE) outperforms the cluster-size test (CST) based on random field theory and our recent papers provide two voxelation-corrected CST (v-CST and vn-CST) which also show the clear advantage over other CST as well. However, it’s not clear which one shows better performance for MRI data analysis. This work provides a very careful, fair and thorough evaluation of the powerful statistical methods,  which may be particularly appealing for group-level MRI data analysis.

1902
Arterial segmentation and visual stimulus-induced changes in diameter observed in the human brain
Alexandre Bizeau1,2, Guillaume Gilbert3, Minh Tung Huynh4, Michaël Bernier1,2, Christian Bocti5, Maxime Descoteaux2,6, and Kevin Whittingstall1,2,4

1Department of Radiation Sciences and Biomedical imagery, Université de Sherbrooke, Sherbrooke, QC, Canada, 2Centre d’Imagerie Moléculaire de Sherbrooke (CIMS), Centre de Recherche CHUS, Sherbrooke, QC, Canada, 3MR Clinical Science, Philips Healthcare, Markham, ON, Canada, 4Department of Diagnostic Radiology, Université de Sherbrooke, Sherbrooke, QC, Canada, 5Department of Medecine, Université de Sherbrooke, Sherbrooke, QC, Canada, 6Department of Computer Science, Université de Sherbrooke, Sherbrooke, QC, Canada

When undergoing stimulation, neurons need to be supplied with oxygen and glucose. This demand then induces vasodilation generated by the astrocytes which act on the muscles of the arteries of the human brain. Using time-of-flight magnetic resonance angiography acquisitions, we extracted the apparent diameter of arterial vessels. We then compared diameter with and without visual stimulation and demonstrated that smaller vessels dilate proportionally more than larger ones in the posterior cerebral arteries. Using this method, the investigation of the coupling between neural activity and regional cerebral vasodilation, also called functional hyperhemia, is now possible. 

1903
An Active Learning platform for automatic MR image quality assessment
Thomas Küstner1,2, Martin Schwartz1,2, Annika Kaupp2, Petros Martirosian1, Sergios Gatidis1, Nina F. Schwenzer1, Fritz Schick1, Holger Schmidt1, and Bin Yang2

1University Hospital Tübingen, Tübingen, Germany, 2Institute of Signal Processing and System Theory, University of Stuttgart, Stuttgart, Germany

Acquired images are usually analyzed by a human observer (HO) according to a certain diagnostic question. Flexible algorithm parametrization and the enormous amount of data created per patient make this task time-demanding and expensive. Furthermore, definition of objective quality criterion can be very challenging, especially in the context of a missing reference image. In order to support the HO in assessing image quality, we propose a non-reference MR image quality assessment system based on a machine-learning approach with an Active Learning loop to reduce the amount of necessary labeled training data. Labeling is performed via an easy accessible website.

1904
Brain Tissue Clustering Based on Cross-Correlation of Magnetic Resonance Fingerprinting
Mu Lin1, Xiaozhi Cao1, Congyu Liao1, Xu Yan2, and Jianhui Zhong1

1Center for Brain Imaging Science and Technology, Zhejiang University, Hangzhou, China, People's Republic of, 2MR Collaboration NE Asia, Siemens Healthcare, Hangzhou, China, People's Republic of

Multi-component tissue model with priori T1 and T2 have been used to decompose MRF data. We propose that tissue classification can be improved when the selection uses clustering method based on cross-correlation. Our results from phantom and in vivo measurements show that the method successfully separates signal from different tissue types, allows extraction of tissue fractions, and results are more robust with image quality.

1905
Toward a voxel-based analysis (VBA) of quantitative magnetic susceptibility maps (QSM): Strategies for creating brain susceptibility templates
Jannis Hanspach1, Michael G Dwyer1, Niels P Bergsland1,2, Xiang Feng3, Jesper Hagemeier1, Paul Polak1, Nicola Bertolino1, Jürgen R Reichenbach3,4, Robert Zivadinov1,5, and Ferdinand Schweser1,5

1Buffalo Neuroimaging Analysis Center, Department of Neurology, Jacobs School of Medicine and Biomedical Sciences, The State University of New York at Buffalo, Buffalo, NY, United States, 2MR Research Laboratory, IRCCS Don Gnocchi Foundation ONLUS, Milan, Italy, 3Medical Physics Group, Department of Diagnostic and Interventional Radiology, Jena University Hospital - Friedrich Schiller University Jena, Jena, Germany, 4Michael Stifel Center for Data-driven and Simulation Science Jena, Friedrich Schiller University Jena, Jena, Germany, 5MRI Molecular and Translational Research Center, Jacobs School of Medicine and Biomedical Sciences, The State University of New York at Buffalo, Buffalo, NY, United States

Quantitative susceptibility mapping (QSM) is a recent in vivo magnetic resonance imaging (MRI) technique that provides quantitative information about the bulk magnetic susceptibility distribution in tissues, a promising measure for studying brain iron. A voxel-based analysis (VBA) of susceptibility maps would facilitate a better understanding of the intricate anatomical structure (e.g. sub-nuclear regions) of deep gray matter and its relation to diseases and normal aging.

In the present work, we developed and quantitatively assessed six strategies for creating a susceptibility brain template for VBA based on ANTs, representing the first step toward an understanding of sub-nuclear susceptibility changes without the need for a priori information.


1906
Automated multi-parametric segmentation of brain veins from GRE acquisition
Serena Monti1,2, Pasquale Borrelli1, Sirio Cocozza3, Sina Straubb4, Mark Ladd4, Marco Salvatore1, Enrico Tedeschi3, and Giuseppe Palma5

1IRCCS SDN, Naples, Italy, 2Department of Electronics, Information and Bioengineering, Politecnico di Milano, Milan, Italy, 3Department of Advanced Biomedical Sciences, University "Federico II", Naples, Italy, 4Department of Medical Physics in Radiology, German Cancer Research Center (DKFZ), Heidelberg, Germany, 5Institute of Biostructure and Bioimaging, National Research Council, Naples, Italy

A new fully automated algorithm, based on structural, morphological and relaxometric information, is proposed to segment the entire brain deep venous system from MR images. The method is tested on brain datasets at different magnetic fields and its inter-scan reproducibility is also assessed. The proposed segmentation algorithm shows good accuracy and reproducibility, outperforming previous methods and becoming a promising candidate for the characterization of venous tree topology. 

1907
Human Head Models from MRI for Head Impact Analysis
Yash Agarwal1, Philippe Young1, Ross Cotton1, Chris Pearce2, Siddiq Qidwai3, Amit Bagchi3, and Nithyanand Kota3

1Simpleware Ltd., Exeter, United Kingdom, 2Atkins, Epsom, United Kingdom, 3U.S. Naval Research Laboratory, Washington, DC, United States

Image-based model generation methods demonstrate the value of creating realistic human head models based on high-resolution MRI data. Head models created by the U.S. Naval Research Laboratory and Simpleware (Exeter, UK) are being used to study head impact and traumatic brain injury; this offers a solution to the problem of limited experimental testing. Results from the modelling methodology and simulation demonstrate a good level of accuracy when compared to experimental benchmarks. The methodology and models have been extended for use in areas such as examining head impact in sports including American football, rugby and cricket.

1908
Improve the Detection of Cartilage Degradation by Dividing the Tissue Unequally – A Comparative Study of Two Methods
Farid Badar1, Ji Hyun Lee1, and Yang Xia1

1Department of Physics and Center for Biomedical Research, Oakland University, Rochester, MI, United States

The consequences of two different zone-division methods in MRI T2 of articular cartilage were studied, using an animal model of early osteoarthritis (OA). By dividing the cartilage thickness unequally, significant improvement in OA detection can be achieved – both in the deeper cartilage as well as between the contralateral and normal tissue. This improved detection may become important in the clinical diagnostics of early OA.

1909
Accurate Synthetic FLAIR Images Using Partial Volume Corrected MR Fingerprinting
Anagha Deshmane1, Debra McGivney2, Chaitra Badve3, Alice Yu4, Yun Jiang1, Dan Ma2, and Mark Griswold1,2

1Biomedical Engineering, Case Western Reserve University, Cleveland, OH, United States, 2Radiology, Case Western Reserve University, Cleveland, OH, United States, 3Radiology, University Hospitals of Cleveland, Cleveland, OH, United States, 4School of Medicine, Case Western Reserve University, Cleveland, OH, United States

Synthetic weighted images from quantitative parameter maps suffer from partial volume artifacts which can distort contrast.  In this work, Partial Volume MR Fingerprinting is applied to estimate and remove signal due to cerebrospinal fluid (CSF) in the brain, allowing for improved contrast in synthetic FLAIR images generated from MRF relaxation time maps.  

1910
Improvement in Glioma Visualization using Subtraction Maps Derived from Contrast-Enhanced T1- and T2-Weighted MR Images
Mohammed Goryawala1, Bhaswati Roy2, Rakesh K Gupta2, and Andrew A Maudsley1

1Department of Radiology, University of Miami, Miami, FL, United States, 2Department of Radiology, Fortis Memorial Research Institute, Gurgaon, India

Calculated differences between two images of differing T1 or T2 contrasts, or subtraction images, have been presented as a way to improve image contrast for imaging of brain tumors. In this study the performance of subtraction images for differentiation of tumor, edema, and normal appearing white matter (NAWM) is compared to traditionally acquired anatomic MRIs, diffusion tensor imaging (DTI), perfusion weighted imaging (PWI) and MR spectroscopy imaging (MRSI). Results showed a significant increase in contrast for differentiating between enhancing tumor and edematous regions from NAWM using the ΔT1 map and ΔT2 map, respectively, as compared to other parametric maps. 

1911
Resource-efficient architecture of FPGA-based 2D FFT processors
Limin Li1 and Alice M Wyrwicz1,2

1Center for Basic MR Research, Northshore University Healthsystem, Evanston, IL, United States, 2Department of Biomedical Engineering, Northwestern University, Evanston, IL, United States

The processing rate for real-time multi-slice image reconstruction on an FPGA can be improved significantly by taking advantage of its parallel processing capability. In particular, multiple 2D FFT processors can be embedded into a single FPGA and run simultaneously. In this abstract, we report a new design of a 2D FFT processor with significant reduced usage of hardware resource. Test results show that an important type of resource, DSP48 slice, can be reduced by up to 50% without degrading processing performance, which implies that more 2D FFT cores can be installed into a single FPGA with a given size.

1912
Quantitative image analysis based on Image registration of brain MR and SPECT for dopamine transporter imaging
Takeshi Hara1, Yuta Takeda1, Tetsuro Katafuchi2, Taiki Nozaki3, Masaki Matsusako3, and Hiroshi Fujita1

1Intelligent Image Information, Gifu University Graduate School of Medicine, Gifu, Japan, 2Health Science, Gifu University of Medical Science, Seki, Japan, 3Radiology, St. Luke's International Hospital, Tokyo, Japan

Features in Parkinson's disease (PD) are a degeneration and loss of the dopamine neurons in striatum. 123I-FP-CIT can visualize the distribution by binding to the dopamine neurons. The radioactivated medicine is used for diagnosis of PD and Dementia with Lewy Bodies (DLB). The material can visualize activities in corpus striatum on SPECT images, but the location of the corpus striatum on SPECT images are often lost because of the low uptake. To realize a quantitative image analysis for the SPECT images, image registration technique to determine the region of corpus striatum on SPECT images are required to measure precise uptakes. In this study, we proposed an image fusion technique for SPECT and MR images by intervening CT image taken by SPECT/CT. We employed 30 cases of SPECT/CT and MR cases for the evaluation. 25 of 30 cases were registered correctly with registration errors less than 5mm. These results enable to measure precise uptake on SPECT images based on the segmentation results on MR images.

1913
Incorporation of Nonzero Echo Times in the SPGR and bSSFP Signal Models used in mcDESPOT
Mustapha Bouhrara1 and Richard G. Spencer1

1NIA, NIH, Baltimore, MD, United States

Formulations of the two-component spoiled gradient recalled echo (SPGR) and balanced steady-state free precession (bSSFP) models that incorporate nonzero echo time (TE) effects are presented in the context of mcDESPOT and compared with the conventionally used SPGR and bSSFP models which ignore nonzero TEs. Relative errors in derived parameter estimates from conventional mcDESPOT, omitting TE effects, are assessed using simulations over a wide range of experimental and sample parameters. The neglect of nonzero TE leads to an overestimate of the SPGR and an underestimate of the bSSFP signals. These effects introduce large errors in parameter estimates derived from conventional mcDESPOT.

1914
A noise correction model incorporating weighted neighborhood information for liver R2* mapping
Changqing Wang1,2,3, Xinyuan Zhang2, Yanying Ma4, Xiaoyun Liu1, Diego Hernando3, Scott B. Reeder3,5,6,7,8, Wufan Chen1,2, and Yanqiu Feng2

1School of Automation Engineering, University of Electronic Science and Technology of China, Chengdu, China, People's Republic of, 2School of Biomedical Engineering and Guangdong Provincial Key Laboratory of Medical Image Processing, Southern Medical University, Guangzhou, China, People's Republic of, 3Radiology, University of Wisconsin-Madison, Madison, WI, United States, 4School of Mathematical Sciences, University of Electronic Science and Technology of China, Chengdu, China, People's Republic of, 5Medical Physics, University of Wisconsin-Madison, Madison, WI, United States, 6Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, United States, 7Medicine, University of Wisconsin-Madison, Madison, WI, United States, 8Emergency Medicine, University of Wisconsin-Madison, Madison, WI, United States

R2* mapping has the potential to provide rapid and accurate quantification of liver iron overload. However, conventional voxelwise liver R2* mapping methods are challenging when using echo images with low signal-noise ratio (SNR). The purpose of this work was to improve liver R2* mapping by a noise correction model incorporating weighted neighborhood information. Simulation and in vivo results demonstrate that the proposed method produces more accurate R2* maps with high spatial resolution compared to two recently proposed R2* mapping methods.

1915
Automatic MR-based Skull Segmentation using Local Shape and Global Topology Priors
Max W.K. Law1, Calvin M.H. Lee1, Gladys G. Lo2, Jing Yuan1, Oilei Wong1, Abby Y. Ding1, and Siu Ki Yu1

1Medical Physics and Research Department, Hong Kong Sanatorium & Hospital, Hong Kong, Hong Kong, 2Department of Diagnostic and Interventional Radiology, Hong Kong Sanatorium & Hospital, Hong Kong, Hong Kong

This abstract proposes a new algorithm that automatically segments the skull from gradient echo based magnetic resonance images to facilitate MR-based radiotherapy planning. The proposed algorithm compared the neighboring voxel intensity to capture local structural information of bone. The structural information was incorporated in a topology template which encapsulated global topology prior of skulls to achieve automatic segmentation. With the sequence-independent structural and topology priors, this method is potentially applicable to other scanning sequences. The segmented skull will be helpful for clinical applications such as cephalometry and MR-based radiotherapy planning to reduce ionizing-radiation received by patients.

1916
Image-based estimation of point spread function in distorted EPI images
Seiji Kumazawa1, Takashi Yoshiura2, Akihiro Kikuchi1, Go Okuyama1, Daisuke Shimao1, and Masataka Kitama1

1Hokkaido University of Science, Sapporo, Japan, 2Kagoshima University, Kagoshima, Japan

To correct the distortion in EPI due to field inhomogeneity, the information regarding the signal from adjacent points within each voxel is needed. The PSF approach can provide this information. Our purpose was to develop an image-based-method for estimating the PSF images in the distorted EPI image using T1WI. Our method synthesizes the distorted image to match the measured EPI image through the generation process of EPI image according to a single-shot EPI k-space trajectory and field inhomogeneity. The results demonstrate that the PSF image for each voxel in distorted EPI image can be estimated by proposed method using segmented T1WI instead of additional acquisitions for PSF measurement.

1917
Combining Multi-channel MP2RAGE Images with Minimized Noise
Jing Zhang1, Bruce Bjornson2, and Qing-San Xiang3

1Applied Science Laboratory, GE Healthcare Canada, Vancouver, BC, Canada, 2Department of Pediatrics, University of British Columbia, Vancouver, BC, Canada, 3Department of Radiology, Department of Physics and Astronomy, University of British Columbia, Vancouver, BC, Canada

Magnetization-prepared rapid gradient echo (MP-RAGE) has been widely used for T1-weighted imaging. In order to overcome B1 field inhomogeneity effect, the MP2RAGE sequence was introduced, with two complex images, GRETI1 and GRETI2, acquired at two inversion times TI1 and TI2. The MP2RAGE images are usually calculated from all the coils first and combined later into a final result. We propose an algorithm for  multi-channel MP2RAGE image combination with minimized resulting noise.

1918
Improving the Quality of the Multi-b Diffusion Weighted Images Using the Intrinsic Multi-Exponential Pattern
He Wang1, Kaining Shi1, Weibo Chen1, and Guilong Wang1

1Philips Healthcare, shanghai, China, People's Republic of

The study developed a methodology to improve the quality of the multi-b DWIs using the intrinsic multi-exponential pattern. It was evaluated on a healthy brain and compared with the mono-exponential model. In addition, its potential value of improving the robustness of IVIM was also evaluated. According to the results, the multi-exponential method can improve the image quality of the multi-b DWIs and may become an effective preprocessing way for the non-monoexponential models.

1919
Multi-Inversion EPI-based imaging of T1 distribution within individual voxels
Ville Renvall1 and Jonathan R. Polimeni2

1Department of Neuroscience and Biomedical Engineering, Aalto University School of Science, Espoo, Finland, 2Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, United States

T1 mapping using multiple inversion time IR-EPI can provide a large number of different TI values in a short time, which can be utilized to characterize the relaxation time distributions within individual voxels, as an extension to multi-parametric fitting.

1920
Generation of hybrid color images from T1 and T2 acquired simultaneously with MRF
Katherine L. Wright1, Peter Schmitt2, Dan Ma1, Anagha Deshmane3, Vikas Gulani1, and Mark Griswold1

1Radiology, Case Western Reserve University, Cleveland, OH, United States, 2Siemens Healthcare, Erlangen, Germany, 3Biomedical Engineering, Case Western Reserve University, Cleveland, OH, United States

This work proposes a method for the calculation of a single color image using quantitative T1 and T2 measurements acquired with Magnetic Resonance Fingerprinting. Quantitative MRF parameters are transformed and scaled with the goal of making normal tissues appear in grayscale and tissues with different T1 and T2 values (lesions) appear in color. 

1921
High-SNR susceptibility weighted venography (SWV) for multi-echo magnetic resonance (MR) images based on complex signal modeling
Taejoon Eo1, Dosik Hwang1, and Jinseong Jang1

1Yonsei University, Seoul, Korea, Democratic People's Republic of

The multi-echo SWV with the proposed complex signal modeling method can provide high-SNR and multi-contrast phase masks and SWV images. The multiplication number of the phase mask for SWV was increased up to 16 without image degradation even at the long TE of 49.8 ms. More detailed vein structures were visualized with higher- and multiple contrasts than the conventional single-echo GRE SWV.

1922
Estimating Registration Variance Using Deformation Field Perturbations
Jan Scholz1, Kaitlyn Easson2, and Jason P Lerch1,3

1Mouse Imaging Centre, Hospital for Sick Children, Toronto, ON, Canada, 2Department of Biomedical and Molecular Sciences, Queen's University, Toronto, ON, Canada, 3Department of Medical Biophysics, Department of Medical Biophysics, Toronto, ON, Canada

Most image registration algorithms do not output any information about the variance of the transformation estimates. Here we show that by perturbing input files we can recover this information without modifying the underlying algorithms. We demonstrate that local brain volume estimates can be improved by using the determinant of the average across the distribution of transformations. Our methods will improve morphological analyses, registration-based label alignment, and help find optimal registration parameters.

1923
Graph-based segmentation of signal voids in time series of diffusion-weighted images of musculature in the human lower leg
Martin Schwartz1,2, Günter Steidle1, Petros Martirosian1, Bin Yang2, and Fritz Schick1

1Section on Experimental Radiology, Department of Radiology, University of Tuebingen, Tuebingen, Germany, 2Institute of Signal Processing and System Theory, University of Stuttgart, Stuttgart, Germany

The segmentation of signal voids, which occur in time-series of single-shot diffusion-weighted images, is important for an accelerated evaluation providing larger studies on this phenomenon. The proposed segmentation is based on a two-stage detection and segmentation approach, which utilizes a graph-based representation with random walker optimization. It was demonstrated that the presented method enables a fast and accurate segmentation of signal voids in time-series of diffusion-weighted images.

1924
Power spectrum detects corpus callosum directionality using T2-weighted MRI in secondary progressive MS patients and controls
Shrushrita Sharma1 and Yunyan Zhang2

1Biomedical Engineering Program, University of Calgary, Calgary, AB, Canada, 2Departments of Radiology and Clinical Neurosciences, University of Calgary, Calgary, AB, Canada

Standard MRI is routinely collected in patient care but is limited in assessing changes in tissue microstructure. We developed a new method to assess tissue directionality using the power spectrum of T2-weighted MRI and validated it using the highly coherent structure, corpus callosum. In controls, power spectrum-derived angles corresponded exactly with the predicted aligning directions of the corpus callosum, and such aligning patterns were interrupted in advanced MS patients with increased variability and angular entropy. Fourier-based power spectrum may provide advanced measures of tissue directionality following myelin and axonal pathology using clinical scans.

1925
The Impact of Polar based initialization and frame time curve selection on Left Ventricle short axis Perfusion MR Segmentation
Doaa Mousa1, Nourhan Zayed1, and Inas Yassine2,3

1Computer and Systems, Electronic Research Institute, Giza, Egypt, 2Systems and Biomedical Engineering, Cairo University, Giza, Egypt, 3Medical Informatics and Image processing Lab, Nile University, Giza, Egypt

Cardiovascular diseases (CVDs) cause 31% of the death rate globally. Automatic accurate segmentation is needed for CVDs early detection. In this paper, we propose a modified workflow to automatically segment the left ventricle (LV) for the short axis cardiac perfusion MRI (perfusion CMR) images using levelset method. We propose mitigating the initial contour extraction, and modify the technique used to initialize the levelset algorithm in order to improve the accuracy of segmentation results. The system workflow consists of five main modules: preprocessing, localization, initial contour extraction, registration, and segmentation. Our results showed enhancement in the segmentation accuracy by 5%.

1926
Multi-layered Atlas Registrations for Multi-atlas Segmentation of Brain MRI
Han Sang Lee1 and Junmo Kim1

1School of Electrical Engineering, KAIST, Daejeon, Korea, Republic of

Multi-atlas segmentation has often suffered from the registration error. We propose a novel method for multi-atlas registration for multi-atlas segmentation inspired by the template generation and deep neural network. We first add an intra-atlas registration layer which performs image-based registration between atlas images to duplicate the atlases. We then add a label-wise registration layer which rectifies the registered images by label-based registration. We present preliminary results of our multi-layered atlas registration on brain MRI segmentation.

1927
The impact of data analysis method, scanner type and scan session on volume measurements of brain structures
Michael Amann1,2, Pavel Falkovskiy3,4,5, Alain Thoeni1, Tobias Kober3,4,5, Alexis Roche3,4,5, Bénédicte Maréchal3,4,5, Philippe Cattin6, Tobias Heye2, Oliver Bieri2, Till Sprenger7, Christoph Stippich2, Gunnar Krueger4,5,8, Ernst-Wilhelm Radue1, and Jens Wuerfel1

1Medical Image Analysis Center (MIAC), Basel, Switzerland, 2Department of Radiology, University Hospital of Basel, Basel, Switzerland, 3Advanced Clinical Imaging Technology, Siemens Healthcare AG, Lausanne, Switzerland, 4Department of Radiology, University Hospital (CHUV), Lausanne, Switzerland, 5École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland, 6Department of Biomedical Engineering, University of Basel, Basel, Switzerland, 7Department of Neurology, DKD Helios Klinik, Wiesbaden, Germany, 8Siemens Medical Solutions USA, Boston, MA, United States

Performance of FreeSurfer and FSL was compared on T1-weighted 3D MRI data of 22 controls as function of scan session, scanner type and segmentation pipeline. Intra-class correlation coefficients and percentage volume differences were calculated for the segmentation results of both pipelines. Strong agreement was found for whole brain, white matter and cortex. For each pipeline, the impact of experimental factors was assessed by linear mixed effects analysis. We found significant scanner effect on the results of both segmentation pipelines. For subcortical structures, segmentation reliability was higher in FSL than in FreeSurfer, whereas for cortex and WM, FreeSurfer was more stable.

1928
Image Inhomogeneity Correction using Geometric Average of Channels in Sum-of-Squares Multi-channel MR Imaging
Renjie He1, Yu Ding1, and Qi Liu1

1United Imaging Healthcare America, Houston, TX, United States

Geometric average is insensitive to the value variation between components to be averaged, this is used to noticeably reduce the inhomogeneity caused by Sum-of-Squares (SOS) in channel combination in parallel MR imaging.


1929
In-vivo characterization of grey matter microstructure at 3T from the transverse component of the MRI signal
Antoine Lutti1

1LREN, Dept. of Clinical Neurosciences, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland

The characterization of brain microstructure from MRI data requires the development of specific MRI tissue biomarkers and of advanced models linking microscopic tissue properties to MRI signals. We apply the Anderson-Weiss theory, which describes the transverse relaxation of the MRI signal as a function of tissue microstructure, on in-vivo MRI data acquired at 3T. In grey matter, parameter estimates show a strong correlation with histological measures of iron concentration. The time constants provided by the model yield realistic estimates of microscopic compartment size. These results offer a promising perspective for the histological assessment of brain tissue in-vivo using MRI.

1930
Hippocampal subfields segmentation derived from Freesurfer 6.0: a multisite 3T reproducibility study in healthy elderly
Moira Marizzoni1, Daniele Orlandi1, Luigi Antelmi2, Flavio Nobili3, Mira Didic4,5, David Bartrés-Faz6, Ute Fiedler7, Peter Schonknecht8, Pierre Payoux9,10, Andrea Soricelli11,12, Alberto Beltramello13, Lucilla Parnetti14, Magda Tsolaki15, Paolo Maria Rossini16,17, Pieter Jelle Visser18, Regis Bordet19, Oliver Blin20, Giovanni Battista Frisoni1,21, Jorge Jovicich22, and on behalf of the PharmaCog Consortium1

1LENITEM Laboratory of Epidemiology, Neuroimaging, & Telemedicine — IRCCS San Giovanni di Dio-FBF, Brescia, Italy, 2Health Department, Foundation IRCCS Neurological Institute Carlo Besta, Milan, Italy, 3Department of Neuroscience, Ophthalmology, Genetics and Mother–Child Health (DINOGMI), University of Genoa, Genoa, Italy, 4APHM, CHU Timone, Service de Neurologie et Neuropsychologie, Marseille, France, 5Aix-Marseille Université, INSERM U 1106, Marseille, France, 6Department of Psychiatry and Clinical Psychobiology, Universitat de Barcelona and IDIBAPS, Barcelona, Spain, 7LVR-Clinic for Psychiatry and Psychotherapy, Institutes and Clinics of the University Duisburg-Essen, Essen, Germany, 8Department of Neuroradiology, University Hospital Leipzig, Leipzig, Germany, 9INSERM, Imagerie cérébrale et handicaps neurologiques, UMR 825, Toulouse, France, 10Université de Toulouse, UPS, Imagerie cérébrale et handicaps neurologiques, UMR 825, CHU Purpan, Place du Dr Baylac, Toulouse, France, 11IRCCS SDN, Naples, Italy, 12University of Naples Parthenope, Naples, Italy, 13Department of Neuroradiology, General Hospital, Verona, Italy, 14Section of Neurology, Centre for Memory Disturbances, University of Perugia, Perugia, Italy, 153rd Department of Neurology, Aristotle University of Thessaloniki, Thessaloniki, Greece, 16Dept. Geriatrics, Neuroscience & Orthopaedics, Catholic University, Policlinic Gemelli, Rome, Italy, 17IRCSS S.Raffaele Pisana, Rome, Italy, 18Department of Neurology, Alzheimer Centre, VU Medical Centre, Amsterdam, Italy, 19Department of Pharmacology, EA1046, University of Lille Nord de France, Lille, Italy, 20Pharmacology, Assistance Publique-Hôpitaux de Marseille, Aix-Marseille University-CNRS UMR 7289, Marseille, France, 21Memory Clinic and LANVIE - Laboratory of Neuroimaging of Aging, University Hospitals and University of Geneva, Geneva, Switzerland, 22Center for Mind/Brain Sciences, University of Trento, Rovereto, Italy

In this study we quantify the across-session reproducibility of hippocampus subfields obtained from the recently proposed ex-vivo atlas tool available in Freesurfer version 6.0. We use structural 3T multisite data from 65 healthy elderly participants scanned twice at least a week apart. We show that several subfields  like Cornu Ammonis (CA) 1, hippocampal tail, molecular layer and subiculum offer, despite being smaller, comparable reliability errors to the whole hippocampus volume (2%). This suggests that these subfields may be valid and more specific markers to test disease progression in longitudinal studies, like for example Alzheimer's disease.

1931
Identification of Microbleeds on Postmortem Brain of Normal Aging Elderly and Dementia Patients
Shunshan Li1, Lily Zhou2, Mark J Fisher3, Ronald C Kim4, Vitaly Vasilevko5, David Cribbs5, Annlia Hill3, and Min-Ying Su6

1Tu & Yuen Center for Functional Onco-Imaging, Department of Radiological Sciences, university of california, irvine, irvine, CA, United States, 2Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, China, People's Republic of, 3Department of Neurology, University of California, Irvine, Irvine, CA, United States, 4Department of Pathology, University of California, Irvine, Irvine, CA, United States, 5Institute for Memory Impairments and Neurological Disorders, University of California, Irvine, irvine, CA, United States, 6Tu & Yuen Center for Functional Onco-Imaging, Department of Radiological Sciences, University of California, Irvine, irvine, CA, United States

The postmortem brain MR images include air-bubble artifacts and typical microbleeds(MBs) are less than 200 µm which make MBs detection very challenging. In this project we developed an optimization MR imaging method to detect possible MBs on postmortem brains of patients with and without dementia, hoping to provide information to guide neuropathological examination to sample the suspicious MBs areas, and improve the chance of identifying true MBs to better understand its role in normal aging and development/progression of dementia, and further develop streamlined automatic MBs detection software.

1932
Dynamic Contrast Enhanced MRI Measurements in Glioma: Comparison Between Two Models
Sameeha Fallatah1, Rolf Jäger1, and Xavier Golay1

1Brain Repair and Rehabilitation, UCL, Institute of Neurology, London, United Kingdom

Dynamic Contrast Enhanced MRI is used to assess the integrity of the blood brain barrier. A major difficulty for the method to be accepted in the clinics is the variety of pharmacokinetic models used and their strong dependence on the underlying assumptions and/or acquisition parameters. Thus the far simpler methods based on signal intensity curve characteristics are the most commonly used approaches in clinical practice. In this study we compare two different pharmacokinetic models, the extended Tofts model and Lawrence & Lee model in patients with primary brain tumours. 

1933
Development and Implementation of a Matlab-based multi-modal 3D visualization, co-registration and quantification platform for assessing brain tumor physiology and metabolism
Gaurav Verma1, Suyash Mohan1, Sanjeev Chawla1, John Y.K. Lee2, Sumei Wang1, Andrew Maudsley3, Steven Brem2, and Harish Poptani4

1Department of Neuroradiology, University of Pennsylvania, Philadelphia, PA, United States, 2Department of Neurosurgery, University of Pennsylvania, Philadelphia, PA, United States, 3Department of Radiology, University of Miami, Miami, FL, United States, 4Department of Cellular and Molecular Physiology, University of Liverpool, Liverpool, United Kingdom

A 3D visualization, co-registration and quantification platform was developed in Matlab to combine anatomical imaging with physiological and metabolic data from diffusion tensor, perfusion-weighted and echo-planar spectroscopic imaging. This data can be co-registered across modalities and imaging time-points to provide detailed information about the spatial extent of a brain tumor. 3D visualization was applied in datasets from patients undergoing neurosurgery and a separate cohort of patients undergoing long-term Tumor Treating Fields (TTFields) therapy. This visualization platform could have an impact in the planning of neurosurgery and the placement and monitoring of location-sensitive techniques like TTFields.

1934
Non-Contrast-Enhanced Perfusion and Ventilation Assessment of the Human Lung by Means Of Wavelet Decomposition in Proton MRI
David Bondesson1,2, Thomas Gaass1,3, Julien Dinkel1,2, and Berthold Kiefer4

1Josef Lissner Laboratory for Biomedical Imaging, Department of Clinical Radiology, Ludwig-Maximilians-University Hospital Munich, Munich, Germany, 2Comprehensive Pneumology Center, German Center for Lung Research, Munich, Germany, 3Comprehensive Pneumology Center,German Center for Lung Research, Munich, Germany, 4Siemens AG Healthcare Sector, Erlangen, Germany

Evaluating regional lung perfusion and ventilation is diagnostically valuable in regards of pulmonary diseases. Standard methods however, expose patients to risks from ionizing radiation and contrast agents. MRI screening is not based on radiation and a new method has previously been presented as a non-contrast-enhanced estimation. This work presents wavelet decomposition as a potential improvement to fourier decomposition for perfusion and ventilation assessment of the human lung in proton MRI.  

1935
Regional Brain Tissue Entropy Assessment in Patients with Obstructive Sleep Apnea
Sudhakar Tummala1, Bumhee Park1, Ruchi Vig1, Mary A Woo2, Daniel W Kang3, Ronald M Harper4,5, and Rajesh Kumar1,5,6,7

1Anesthesiology, University of California at Los Angeles, Los Angeles, CA, United States, 2UCLA School of Nursing, Los Angeles, CA, United States, 3Medicine, University of California at Los Angeles, Los Angeles, CA, United States, 4Neurobiology, University of California at Los Angeles, Los Angeles, CA, United States, 5Brain Research Institute, University of California at Los Angeles, Los Angeles, CA, United States, 6Radiological Sciences, University of California at Los Angeles, Los Angeles, CA, United States, 7Bioengineering, University of California at Los Angeles, Los Angeles, CA, United States

Obstructive sleep apnea subjects show gray matter volume loss in multiple brain areas, based on voxel-based morphometry procedures, which are less sensitive in detecting subtle chronic/acute gray or white matter changes. We assessed brain injury in recently-diagnosed, treatment naïve OSA subjects by evaluating regional entropy, which measures the extent of homogeneity or randomness in tissue texture, and found significantly decreased regional entropy values in areas regulating autonomic, respiratory, cognitive, and neuropsychologic functions that are deficient in the condition, suggesting predominantly acute tissue pathology in those sites.. The findings suggest that regional entropy can demonstrate acute tissue changes.

1936
Fast simulation of off-resonance artifacts in MRI using FORECAST (Fourier-based Off-REsonanCe Artifact Simulation in the STeady-State)
Frank Zijlstra1, Job G Bouwman1, Ieva Braškutė1, and Peter R Seevinck1

1Image Sciences Institute, UMC Utrecht, Utrecht, Netherlands

We present a fast alternative to Bloch simulation for simulation of off-resonance artifacts in steady-state imaging. By assuming a steady-state, the signal equation can be quickly evaluated by using multiple Fast Fourier Transforms. We show an acceleration factor of over 350 for a 2D simulation of a titanium cylinder phantom, while the differences with Bloch simulation were minor. The speed of the proposed method enables 3D simulations at high resolution and may benefit various applications.

1937
Estimation of voxel-wise phase offsets in a phased array coil using multi-echo GRE data
Minju Jo1, Yoonho Nam2, Jeehun Kim1, Hyeong Geol Shin1, and Jongho Lee1

1Laboratory for Imaging Science and Technology, Department of Electrical and Computer Engineering, Seoul National University, Seoul, Korea, Republic of, 2Department of Radiology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea, Republic of

In this work, we present a method of estimating the phase offsets in multi-echo GRE data, Multi-Channel Phase Combination using all N echoes (MCPC-N). MCPC-N, which calculates the phase offsets from all echoes, provides more accurate estimation of voxel-wise phase offsets particularly in low SNR.

1938
Characterization of atherosclerotic carotid plaque using MATCH with histopathologic validation: initial clinical experience
Lixin Yang1, Wei Yu1, Zhaoyang Fan2, and DeBiao Li3

1Department of Radiology, Beijing AnZhen Hospital, Beijing, China, People's Republic of, 2Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, CA, United States, 3Biomedical Imaging Research Institute, Cedars-Sinai Medical Center,Department of Bioengineering, University of California, Los Angeles, CA, United States

Purpose: Determine the accuracy of MATCH in the characterization of plaque composition in patients in comparison with the conventional multi-contrast approach, using histopathology as the gold standard.

Methods: Twenty-two patients scheduled for carotid endarterectomy underwent preoperative carotid MRI with MATCH and the conventional protocol, blinded image review for composition identification was performed by 2 radiologists. Carotid histopathological specimens stained with HE and Masson, matched with this two protocol images, Cohen kappa (K) was computed to quantify the agreement in the detection of components among this two protocols and histopathology.

Results: Moderate to good agreement was seen between histopathological specimens and multi-contrast protocol in the detection of plaque components (IH k=0.704 , CA k=0.763, LR/NC k=0.844). Similar results were seen between histopathological specimens and MATCH (IH k=0.703CA k=0.740, LR/NC k=0.850). 


1939
Optimized 4D flow MRI Processing for Evaluation of Abdominal Blood Flow
Eric James Keller1, Jeremy Douglas Collins1, Cynthia K Rigsby2, James C Carr1, Michael Markl1,3, and Susanne Schnell1

1Radiology, Northwestern University, Chicago, IL, United States, 2Radiology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, United States, 3Biomedical Engineering, Northwestern University, Evanston, IL, United States

4D flow MRI quantification of abdominal hemodynamics is challenged by a wide range of blood flow velocities and vessel diameters. By adjusting critical pre-processing steps required to analyze 4D flow MRI data, we were able to both recover vessels of interest lost by our previous method and significantly reduce the relative error in flow measurements. We conclude that it is critical to apply background phase error correction prior to any other filters and/or corrections to ensure accurate background offset estimation. Additionally, low venc acquisitions should not be noise corrected to ensure low flow data is not inadvertently deleted.

1940
MRI-SPAMM Based Magnetic Resonance Electrical Impedance Tomography
Kemal Sümser1, Nashwan Naji1,2, Mehdi Sadighi1, Hasan Hüseyin Eroğlu1,3, and Murat Eyüboğlu1

1Electrical and Electronics Engineering Department, Middle East Technical University, Ankara, Turkey, 2On Leave from Ibb University, Ibb, Yemen, 3TSK Rehabilitation and Care Center, Ankara, Turkey

In magnetic resonance electrical impedance tomography (MREIT) currents are injected to the object during MRI imaging sequence. In this study, we propose a new pulse sequence based on the spatial modulation of magnetization (SPAMM) to be used in MREIT applications. In this pulse sequence, the current is injected during a pre SPAMM module which can be followed by any conventional Magnetic Resonance Imaging pulse sequence for data acquisition. Experimental result in comparison with the simulation result shows that this method is an applicable technique for MREIT data acquisition.


 

1941
The Influence of Bolus Arrival Time in Pharmacokinetic Analysis of Dynamic Contrast-Enhanced MRI of Breast Masses
Endre Grøvik1,2, Atle Bjørnerud1,2, Tryggve Holck Storås1, Kjell-Inge Gjesdal3, and Kathinka Dæhli Kurz4

1The Intervention Centre, Oslo University Hospital, Oslo, Norway, 2Department of Physics, University of Oslo, Oslo, Norway, 3Sunnmøre MR klinikk AS, Ålesund, Norway, 4Department of Radiology, Stavanger University Hospital, Stavanger, Norway

The purpose was to evaluate the influence of BAT in pharmacokinetic analysis of breast masses, by estimating the kinetic parameters both with and without BAT-delay correction. Thirty-nine verified breast masses were examined using a high temporal resolution EPI sequence. The image-data were analyzed using a two-compartment kinetic model with and without BAT-delay correction. The relationship between the relative parametric error and BAT-delay were investigated. The result indicates that neglecting the delayed BAT leads to an overestimation of Ktrans, kep, and, ve, and a underestimation of vp, and that the delayed BAT needs to be accounted for in the model-based analysis.


Traditional Poster

Elastography

Exhibition Hall Tuesday, May 10, 2016: 16:00 - 18:00

1942
Liver stiffness in pediatric subjects is lower than in adults, and increases with age: a multifrequency MR elastography study
Emily Etchell1, Lauriane Jugé 1,2, Alice Hatt1, Ralph Sinkus3, and Lynne E. Bilston1,4

1Neuroscience Research Australia, Randwick, NSW, Australia, 2School of Medical Sciences, University of New South Wales, Kensington, NSW, Australia, 3BHF Centre of Excellence, Division of Imaging Sciences and Biomedical Engineering, King's College London, London, United Kingdom, 4Prince of Wales Clinical School, University of New South Wales, Kensington, NSW, Australia

Magnetic resonance (MR) elastography provides clinical information for chronic hepatic disorders by quantifying an increase in liver stiffness compared to heathy baseline values. Thus far however, baseline stiffness values have only been reported for adults. We aimed to fill this gap by quantifying healthy liver stiffness of children and adolescents. Results showed that pediatric liver stiffness increases with age during normal development, approaching adult values during adolescence. This implies that comparing pediatric liver stiffness measurements to adult baseline values when using MR elastography may miss disease or underestimate disease severity.

1943
MR elastography of intracranial tumors: Initial experience with high-resolution imaging and nonlinear inversion
Curtis L Johnson1, Emily S Matijevich1,2, Emily D Cullum1,2, Matthew DJ McGarry3, Keith D Paulsen3, Bradley P Sutton1,4, Tracey M Wszalek1,2, and William C Olivero1,2

1Beckman Institute for Advanced Science and Technology, University of Illinois at Urbana-Champaign, Urbana, IL, United States, 2Carle Neuroscience Institute, Carle Foundation Hospital, Urbana, IL, United States, 3Thayer School of Engineering, Dartmouth College, Hanover, NH, United States, 4Department of Bioengineering, University of Illinois at Urbana-Champaign, Urbana, IL, United States

MR elastography has emerged as an important tool for presurgical evaluation of intracranial tumors. Due to the localized nature of the lesion properties of interest, there is a need for high-resolution MRE methods for characterizing tumors. Here we present our initial experience with MRE of intracranial tumors using a protocol based on high-resolution imaging and nonlinear inversion. We found that glial tumors are soft and have a generally low viscosity, while meningeal tumors are stiff and have a very low viscosity.

1944
Cross vendor comparison of gradient recalled echo (GRE) and spin echo-echo planar imaging (SE-EPI) based MR elastography of the liver at 3T.
Suraj D Serai1, Jonathan R Dillman1, Hui Wang2, and Andrew T Trout1

1Radiology, Cincinnati Children's Hospital, Cincinnati, OH, United States, 2Philips Healthcare, Cincinnati, OH, United States

MR elastography (MRE) allows non-invasive evaluation of hepatic stiffness and samples a larger area of the liver than liver biopsy. The high accuracy of MRE for liver fibrosis staging suggests that MRE could potentially replace liver biopsy. MRE has traditionally been performed using a GRE sequence. GRE, however, has SNR limitations at higher field strengths that can result in under-sampling potentially leading to erroneous stiffness values. SE-EPI is an alternative means of performing MRE that has higher SNR, lower susceptibility related signal loss and increased speed. In this work, we compared GRE and SE-EPI MRE across two vendor platforms.  

1945

Increasing the Spatial Resolution and Sensitivity of High-Resolution Magnetic Resonance Elastography by Correcting for Subject Motion and Susceptibility-Induced Image Distortions
Andreas Fehlner1, Sebastian Hirsch1, Mykola Kadobianskyi2, Patric Birr1, Eric Barnhill1,3, Martin Weygandt2,4, Johannes Bernarding5, Jürgen Braun6, Ingolf Sack1, and Stefan Hetzer2,4

1Department of Radiology, Charité - Universitätsmedizin Berlin, Berlin, Germany, 2Berlin Center for Advanced Neuroimaging, Charité - Universitätsmedizin Berlin, Berlin, Germany, 3Clinical Research Imaging Centre, School of Clinical Sciences and Community Health, College of Medicine and Veterinary Medicine, The University of Edinburgh, Edinburgh, United Kingdom, 4Bernstein Center for Computational Neuroscience Berlin, Berlin, Germany, 5Institut für Biometrie und Medizinische Informatik, Universitätsklinikum Magdeburg, Magdeburg, Germany, 6Institute of Medical Informatics, Charité - Universitätsmedizin Berlin, Berlin, Germany

High-resolution Multifrequency MR Elastography (MMRE) is hampered by susceptibility-induced image distortions. We corrected MMRE data of a 3T and 7T MR scanner for motion and EPI distortion artefacts. The correction of subject motion significantly sharpened the images, which was demonstrated by a decrease of the point-spread function. The improvement was highly correlated with the degree of subject motion. Distortion correction enhanced the accuracy of normalization in the MNI152 space as shown by an increase of the correlation between individual and standard tissue probability maps. This method could help increasing the sensitivity of multi-subject studies exploring |G*| e.g. in small subcortical areas.

1946
In vivo multifrequency MR elastography of the human prostate using a surface-based compressed air driver operated in the lower frequency regime
Florian Dittmann1, Heiko Tzschätzsch1, Jing Guo1, Sebastian Hirsch1, Jürgen Braun2, and Ingolf Sack1

1Institute of Radiology, Charité, Berlin, Germany, 2Department of Medical Informatics, Charité, Berlin, Germany

We demonstrate the feasibility of in vivo prostate exam utilizing shear waves induced by pressurized-air actuators previously developed for abdominal MRE.  High wave amplitudes throughout the prostate were achieved in the lower frequency regime from 30 to 50 Hz. Using a 2D multifrequency wave number inversion algorithm, wave speed maps with sufficiently high resolution are obtained to discriminate between the central zone and peripheral zone despite longer wavelengths pertaining to lower vibration frequencies. The proposed MRE setup promises robust and easy-to-use applications in the clinic without the need of specialized hardware in addition to the abdominal MRE setup.

1947
Reproducibility of low-frequency MR elastography of the human brain
Florian Dittmann1, Sebastian Hirsch1, Jing Guo1, Jürgen Braun2, and Ingolf Sack1

1Institute of Radiology, Charité, Berlin, Germany, 2Department of Medical Informatics, Charité, Berlin, Germany

Since shear waves at low drive frequencies are nearly unaffected by attenuation, we introduce a brain MRE setup, which is based on remote excitation of intracranial shear waves by a pressurized-air actuator in the regime of 20 Hz. MRE-scans, which were repeated 27 times on three different days for each of six healthy volunteers, show differences between individuals as well as from day-to-day for the same individual. The investigation demonstrates that cerebral low frequency MRE provides a fast and reproducible novel source of mechanical information of brain tissue with less onerous head stimulation as required by conventional MRE.

1948
Quantification of Breast Stiffness using Magnetic Resonance Elastography at 3T: A Reproducibility Study
Prateek Kalra1, Arunark Kolipaka, PhD1, Jeffrey R. Hawley, MD1, and Brian Raterman1

1Radiology, Ohio State University Wexner Medical Center, Columbus, OH, United States

Magnetic resonance elastography (MRE) is a non-invasive technique to estimate stiffness of soft tissues and has been applied in the breast. However, none of the earlier studies have extensively tested MRE to induce vibrations in the breast using a soft sternum driver at higher field strength and its repeatability of stiffness measurements. The aim of the study is to estimate breast stiffness using MRE by inducing vibrations using a soft sternum driver in normal volunteers at 3T and to determine the reproducibility of stiffness measurements. Preliminary results show that the MRE-derived stiffness values are reproducible in normal volunteers at 3T and can be further extended to detect breast tumors in patients. 

1949
Assessing the viscoelastic properties of abdominal tumour models in vivo using MRE
Jin Li1, Lisa Asher1, Filipa Lopes2, Craig Cummings1, Alexander Koers2,3, Laura S. Danielson2,3, Louis Chesler2,3, Caroline J. Springer2, Jeffrey C. Bamber1, Ralph Sinkus4, Yann Jamin1, and Simon P. Robinson1

1Division of Radiotherapy & Imaging, The Institute of Cancer Research, London, United Kingdom, 2Division of Cancer Therapeutics, The Institute of Cancer Research, London, United Kingdom, 3Division of Clinical Studies, The Institute of Cancer Research, London, United Kingdom, 4Division of Imaging Sciences and Biomedical Engineering, King’s College London, King’s Health Partners, St. Thomas’ Hospital, London, United Kingdom

MRE was applied to assess the viscoelastic properties of orthotopic pancreatic ductal adenocarcinoma (PDAC) xenografts, and tumours arising in a transgenic mouse model of MYCN-amplified neuroblastoma, within the mouse abdomen. The stromal-rich PDAC tumours were quantified with markedly elevated elasticity (Gd) and viscosity (Gl), whilst the pathologically diverse neuroblastomas exhibit more heterogeneity in their biomechanical properties and were relatively soft. MRE can non-invasively assess the viscoelastic properties of deep-seated tumours arising within the abdomen of mice in vivo

1950
Comparison of breath-hold, respiratory navigated and free-breathing MR Elastography
Ian Gavin Murphy1, Martin Graves2, Scott Reid3, Andrew Patterson2, Ilse Gavin Joubert1, Andrew N Priest2, and David J Lomas2

1Radiology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom, 2Radiology, Cambridge University NHS Foundation Trust, Cambridge, United Kingdom, 3GE, Little Chafont, United Kingdom

In patients with liver disease, MR elastography (MRE) is a non-invasive method for evaluating fibrosis. MRE is phase-based and sensitive to motion artefact, and is typically performed in end expiration. We found that navigator timed MRE shows no statistical difference to breath-held techniques for stiffness and reproducibility in 6 healthy volunteers, and may prove superior in patients unable to adequately hold their breath 

1951
Brain MR elastography with multiband excitation and nonlinear motion-induced phase error correction
Curtis L Johnson1, Joseph L Holtrop1,2, Aaron T Anderson3, and Bradley P Sutton1,2

1Beckman Institute for Advanced Science and Technology, University of Illinois at Urbana-Champaign, Urbana, IL, United States, 2Department of Bioengineering, University of Illinois at Urbana-Champaign, Urbana, IL, United States, 3Department of Mechanical Science and Engineering, University of Illinois at Urbana-Champaign, Urbana, IL, United States

We propose a novel sequence for magnetic resonance elastography (MRE) of the brain based on multiband excitation and 3D encoding of the distributed slab with multishot spirals. This sequence allows access to optimal SNR efficiency and reduced distortions from field inhomogeneity, but also parallel imaging acceleration both in-plane and thru-plane without onerous artifacts and g-factor penalties. We also incorporate correction for nonlinear motion-induced phase errors through a kz-blipped spiral-in 3D navigator. In this abstract we demonstrate the performance of the sequence and its ability to capture whole-brain MRE data at 2x2x2 mm3 resolution in 3 minutes.

1952
Impact of Field Strength and Image Resolution on MRE Stiffness Estimation
Eric Barnhill1, Jing Guo2, Florian Dittmann2, Sebastian Hirsch2, Michael Perrins3, Lucy Hiscox3, Tim Herrmann4, Johannes Bernarding4, Neil Roberts3, Jürgen Braun1, and Ingolf Sack2

1Institute of Medical Informatics, Charité Universitätsmedizin Berlin, Berlin, Germany, 2Department of Radiology, Charité Universitätsmedizin Berlin, Berlin, Germany, 3Clinical Research Imaging Centre, The University of Edinburgh, Edinburgh, United Kingdom, 4Institute for Biometrics and Medical Informatics, Otto von Guericke University Magdeburg, Magdeburg, Germany

We investigated the impact of field strength and image resolution on brain MRE stiffness results.  A cohort of 18 healthy volunteer subjects was scanned at 1.5T (2mm isotropic voxels), 3T (2mm) and 7T (1mm), with a fourth set downsampling the 7T to 2mm.  Means were 1634 Pa (+/-613) for 1.5T, 1743 Pa (+/-811) for 3T, 1786 (+/-634) Pa for 7T 2mm, and 927 (+/-364) Pa for 7T 1mm. In the paired sign-rank tests, there were no significant effects for field strength. Examination of histograms of example slices suggests that a different distribution of features is being captured at the higher resolution.

1953
Investigation Of The Relationship Between Feature Detail And Stiffness Estimate In Magnetic Resonance Elastography (MRE) Elastograms
Eric Barnhill1, Florian Dittmann2, Sebastian Hirsch2, Jing Guo2, Jürgen Braun1, and Ingolf Sack2

1Institute of Medical Informatics, Charité Universitätsmedizin Berlin, Berlin, Germany, 2Department of Radiology, Charité Universitätsmedizin Berlin, Berlin, Germany

Magnetic Resonance Elastography (MRE) stiffness estimates show differentiated results by feature scale. Here progressive denoising was applied to study the relation between image sharpness (as meaured by Reduced Energy Ratio) and image stiffness estimate (as measured by complex shear modulus magnitude |G*|). Progressive complex-wavelet-based denoising appears to reach stable stiffness estimates in phantom and brain acquisitions. Images of maximum sharpness result in lower overall stiffness estimates than the stable global estimate, suggesting that coarse elasticity estimates do not average fine feature results, but measure a different stiffness scale.

1954
Reducing Time Samples Needed for MR Elastography
Roger Grimm1, Jun Chen1, and Richard Ehman1

1Mayo Clinic, Rochester, MN, United States

A 3D gradient recalled echo sequence has been developed that samples the three shear wave displacement polarization at 3 time points for a total of 9 image samples. A multi-coil recon generates phase difference images and then uses a 3 point discrete Fourier transform to provide the complex displacement fields. The sequence is shown in breast and head applications.

1955
MR Elastography using SS-SE-EPI with reduced FOV: phantom study and preliminary volunteer study for the pancreas
Yohei Itoh1, Yasuo Takehara2, Naoki Ooishi2, Masanori Kawade2, Tetsuya Wakayama3, Mikio Suga4, Takasuke Ushio1, Yuki Hirai1, Nobuko Yoshizawa1, Shuhei Yamashita1, Hatsuko Nasu1, and Harumi Sakahara1

1Diagnostic Radiology & Nuclear Medicine, Hamamatsu University school of medicine, Hamamatsu, Shizuoka, Japan, 2Department of Radiology, Hamamatsu University Hospital, Hamamatsu, Shizuoka, Japan, 3GEHCJ, Hino-shi, Tokyo, Japan, 4Center for Frontier Medical Engineering, Chiba University, Chiba, Japan

To achieve the high spatial resolution MR elastography(MRE), it has been reported that combining SS-SE-EPI with a spatially selective excitation provides an efficient way of reducing FOV. Using this technique, we performed phantom study and pancreatic MRE. We report the result of our study and the point we found when performing the reduced-FOV MRE.

1956
Noise-robust multifrequency wave number inversion for high-resolution MR elastography in the abdomen
Heiko Tzschätzsch1, Jing Guo1, Florian Dittmann1, Sebastian Hirsch1, Eric Barnhill1, Jürgen Braun2, and Ingolf Sack1

1Department of Radiology, Charité - University Medicine Berlin, Berlin, Germany, 2Institute of Medical Informatics, Charité - University Medicine Berlin, Berlin, Germany

Elastography often suffers from limited anatomical resolution due to noise and insufficient elastic deformation. We here introduce noise-robust multifrequency wave number inversion for multifrequency MR elastography. Compound maps of wave speed are obtained, which reveal variations in tissue elasticity in a tomographic fashion, i.e. an unmasked, slice-wise display of anatomical details at pixel-wise resolution. The method is demonstrated using data from the literature including abdominal and pelvic organs such as the liver, spleen, uterus and cervix. Elastic parameters consistent with literature values were obtained even in small regions with low wave amplitudes such as nucleus pulposus and spinal cord.

1957
Development of a novel phantom for routine quality assurance of an MR elastography system
Lumeng Cui1,2, Conrad Yuen3, Ted Lynch4, Paul Babyn5, Francis M. Bui6, and Niranjan Venugopal1,5

1Department of Medical Physics, Saskatchewan Cancer Agency, Saskatoon, SK, Canada, 2Division of Biomedical Engineering, University of Saskatchewan, Saskatoon, SK, Canada, 3Department of Medical Physics, BC Cancer Agency, Vancouver, BC, Canada, 4Non-ionizing Radiation, CIRS Inc., Norfolk, VA, United States, 5Department of Medical Imaging, University of Saskatchewan, Saskatoon, SK, Canada, 6Department of Electrical & Computer Engineering, University of Saskatchewan, Saskatoon, SK, Canada

Magnetic Resonance Elastography (MRE) is a new imaging technique that combines the acoustic waves and MRI to retrieve elastic properties of tissue. Because MRE is non-invasive, there is great clinical interest for its use in the detection of cancer. In this work, we focus on the design of an MRE phantom to be used in the clinical commissioning of an MRE System. With the aid of newly designed pulse sequences and inversion algorithms we have developed a quality assurance process to validate the efficacy of MRE for applications to many clinical sites (i.e. prostate, cervix, uterus).

1958
Compact and fully automated 3D multifrequency tabletop MR elastography for the measurement of viscoelastic parameters in small tissue samples
Navid Samavati1,2, Clara Körting1, Toni Drießle3, Stefan Wintzheimer3, Jing Guo1, Florian Dittmann1, Ingolf Sack1, and Jürgen Braun2

1Department of Radiology, Charité University Medicine, Berlin, Germany, 2Department of Medical Informatics, Charité University Medicine, Berlin, Germany, 3Pure Devices GmbH, Würzburg, Germany

A fully integrated tabletop MR elastography (MRE) system based on a 0.5-T permanent magnet for investigations of small tissue samples is introduced. A 3D spin echo MRE sequence allows control of all MRE parameters including frequency and amplitude of a piezoelectric actuator. The device enables fully automated measurements of maps of viscoelastic parameters in soft tissue samples by 3D multifrequency MRE. Initial results are in good agreement to published data and demonstrate the great potential of the system as a preclinical research unit in histopathological laboratories and operating rooms.

1959
Identification of Myocardial Anisotropic Material Properties using Magnetic Resonance Elastography and the Finite Element Method
Renee Miller1, Arunark Kolipaka2, Vicky Wang3, Martyn Nash3, and Alistair Young1

1Anatomy with Radiology, University of Auckland, Auckland, New Zealand, 2Radiology, Biomedical Engineering and Internal Medicine, The Ohio State University Wexner Medical Center, Columbus, OH, United States, 3Auckland Bioengineering Institute, University of Auckland, Auckland, New Zealand

In this study, we examined the determinability of anisotropic stiffness parameters using finite element analysis simulations of harmonic steady-state wave behaviour. Two simulation experiments, of cylindrical phantom and left ventricular geometries, and one phantom experiment using magnetic resonance elastography (MRE) were carried out. The transversely isotropic material properties were determined using a least-squares optimisation algorithm by matching a modelled displacement field to the reference, or MRE, displacement field. The results showed that the parameters were uniquely identifiable even in the presence of noise.

1960
Experimental Validation of High Shear Wave Displacement at Mode Frequencies in MR Elastography
Cemre Ariyurek1,2, Safa Ozdemir1,2, Arif Sanli Ergun3, Yusuf Ziya Ider1, and Ergin Atalar1,2

1Department of Electrical and Electronics Engineering, Bilkent University, Ankara, Turkey, 2National Magnetic Resonance Research Center (UMRAM), Ankara, Turkey, 3Department of Electrical and Electronics Engineering, TOBB-University of Economics and Technology, Ankara, Turkey

Experimental validation of modes of shear waves in MR elastography (MRE) is demonstrated. For the first time, frequency response of the actuator is investigated and actuator displacement is measured. Normalizing shear wave displacement to the actuator displacement removes the effect of actuation system and isolates shear wave resonance. It is demonstrated that 10-20 times greater shear wave displacement than applied displacement by the actuator can be observed at resonance. Thus, safety issues in MRE should be reconsidered. Presenting repeatability of determining mode frequency validates feasibility of detecting stiffness changes by observing any shift in mode frequency.

1961
Poroelastic mechanical properties of brain tumors using intrinsic actuation MR elastography
Ligin Solamen1, Matthew McGarry1, Elijah Van Houten2, Jennifer Hong3, John Weaver1,4, and Keith Paulsen1,5

1Thayer School of Engineering, Dartmouth College, Hanover, NH, United States, 2Department of Mechanical Engineering, University of Sherbrooke, Sherbrooke, QC, Canada, 3Department of Neurosurgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH, United States, 4Department of Radioogy, Dartmouth-Hitchcock Medical Center, Lebanon, NH, United States, 5Norris Cotton Cancer Center, Dartmouth-Hitchcock Medical Center, Lebanon, NH, United States

Intrinsically actuated poroelastic MR elastography (IA-pMRE) is a technique which estimates tissue mechanical and hydrodynamic properties using measurements of displacement during the cardiac cycle, and does not require external vibration as in traditional MRE. Compared to conventional MRE, which obtains displacements in the range of 25-100Hz, IA-pMRE uses intrinsically generated low frequency (1-2Hz) displacements for elastography reconstruction. IA-pMRE was applied to 7 brain tumor patients and showed a significant difference in both the shear modulus and hydraulic conductivity of brain tissue compared to healthy tissue. 

1962
Robust Harmonic Estimation for MR Elastography: Application to Brain
Joshua D. Trzasko1, Arvin Arani1, Armando Manduca1, Kevin J. Glaser1, Richard L. Ehman1, Philip A . Araoz1, and John Huston III1

1Mayo Clinic, Rochester, MN, United States

In this work, we adapt the previously-described robust harmonic estimation (RHE) strategy for magnetic resonance elastography (MRE) to brain imaging, and demonstrate that use of this novel signal processing tool improves the accuracy of estimated stiffness information both in a geometrically-accurate phantom and in vivo.


Traditional Poster

Diffusion: Clinical Applications

Exhibition Hall Wednesday, May 11, 2016: 10:00 - 12:00

1963
Prostate Cancer: Correlation of Intravoxel Incoherent Motion MR Parameters with Gleason Score
Dal Mo Yang1, Hyun Cheol Kim1, Sang Won Kim1, and Geon-Ho Jahng1

1Radiology, Kyung Hee University Hospital at Gangdong, Seoul, Korea, Republic of

Accurate assessment of prostate cancer aggressiveness is important for deciding treatment strategy. Functional MRI sequences such as DWI and DCE have been shown to provide information about tumor aggressiveness. Patients with high Gleason scores exhibited lower ADC values. In this study, we evaluated the potential of IVIM imaging to predict histologic prognostic parameters by investigating whether various IVIM parameters correlate with the Gleason score. The result indicates D is the best IVIM parameter for discriminating prostate cancers with low GS from prostate cancers with intermediate or high GS.


1964
Application of the inhomogeneous variable flip angle (I-VFA) scheme in hyperpolarized 129Xe DWI
Jianping Zhong1,2, Weiwei Ruan1, Xianping Sun1, Chaohui Ye1,2, and Xin Zhou1

1State Key Lab Magnet Resonance & Atom & Mol Phys, Wuhan Inst Phys & Math, Chinese Acad Sci, Wuhan, China, People's Republic of, 2School of Physics, Huazhong University of Science and Technology, Wuhan, China, People's Republic of

SNR and resolution are two important parameters for the quantitative assessment of MR images. In k-space, the central part contributes SNR, whereas the edges contribute details. The accuracy of the apparent diffusion coefficient (ADC) calibration was significantly affected by SNR. For hyperpolarized GRE sequences, the homogeneous variable flip angle scheme is sub-optimal and leads to low SNR images. We propose a simple method termed inhomogeneous variable flip angle (I-VFA) to derive ADC of hyperpolarized gases. Higher SNR images and more stable results can be achieved by this simple method.

1965
Is it well-thought-out to scan the preterm neonates at term-equivalent gestational age?
Yanyan Li1, Chao Jin1, Xianjun Li1,2, Miaomiao Wang1, Jie Gao1, Qinli Sun1, and Jian Yang1

1Department of Radiology, the First Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China, People's Republic of, 2Department of Biomedical Engineering, School of Life Science and Technology, Xi'an Jiaotong University, Xi'an, China, People's Republic of

Considering the extra-environmental associated effects on brain development, it may be unreasonable to scan preterm infants at term-equivalent GA. To clarify this, we aim to explore the effects of postnatal days on neonatal WM maturation by DTI. Results indicate that postnatal days at-scan may be a considerable factor to investigate the WM maturation: during a close to in-uterine period, the absent effects of postnatal days may suggest the reasonability of performing neonatal MR-scans in such period; while as postnatal days increases, observed FA changes may imply the bias of comparing the preterm neonates at term-equivalent GA to term ones.

1966
Exploring the impact of common sequence variations on ADC reliability of lung lesions prior to protocol implementation in multi-centre clinical trials
Marianthi-Vasiliki Papoutsaki1, Alex Weller1, Matthew R Orton1, and Nandita M de Souza1

1Radiotherapy and Imaging, The Institute of Cancer Research, Sutton, London, United Kingdom

Standardization of diffusion-weighted (DW) protocols in multi-centre clinical trials is challenging. Prior to protocol development, the effect of inter-vendor related sequence variations on the apparent diffusion coefficient (ADC) reliability should be explored. In this study, the reliability of ADC estimates of lung lesions using two optimised DW protocols was assessed by mimicking vendor-related sequence variations. Patients with lung lesions were scanned twice using two DW protocols with different fat suppression techniques, diffusion gradient modes and TEs. These key variations increased the coefficient of variation of the ADC estimates of lung lesions, although absolute values did not differ significantly.

1967
Evaluation of Chemotherapeutic Effects in Patients with Lung Cancer using iShim-integrated Whole-Body Diffusion-Weighted Imaging
Xing Tang1, Hong Wang2, Panli Zuo3, Shun Qi4, and Hong Yin4

1Department of Radiology,Xijing hospital, Xi‘an, China, People's Republic of, 2Department of Radiology,Xijing Hospital, Xi'an, China, People's Republic of, 3Siemens Healthcare, MR Collaborations NE Asia, Beijing, China, People's Republic of, 4Department of Radiology, Department of Radiology, Xijing Hospital, Xi'an, China, People's Republic of

Whole-body diffusion-weighted imaging (WB-DWI) is now increasingly utilized for evaluation of the patient’s response to treatment. The purpose of this study is to evaluate the feasibility of WB-DWI with integrated slice-by-slice shimming (iShim) in patients with lung cancer.We found the SCLC is more sensitive to the chemotherapy than NSCLC using WB DWI.

1968
Diffusion Kurtosis Imaging and Tensor Imaging for Evaluation of Renal Changes in Diabetic Nephropathy: Preliminary study
Fan Mao1, Lihua Chen1, Yu Zhang2, Tao Ren1, Chenglong Wen1, and Wen Shen1

1Tianjin First Center Hospital, Tianjin, China, People's Republic of, 2Philips healthcare, Beijing, China, People's Republic of

Diffusion Tensor Imaging (DTI) as a noninvasive technique can provide valuable information based on the Brownian motion of water. However, the diffusion of water molecules in biological tissue like kidney does not follow a Gaussian distribution. Diffusion Kurtosis Imaging (DKI) can reflect the degree of restriction of hydrogen diffusion movement, and might detect the diffusion changes of kidney diseases more sensitive than DTI. Our study compared diffusion changes of DKI with DTI in kidneys of DN and healthy controls. The result showed DKI can be used for detecting renal changes in diabetes nephropathy with higher sensitivity compared to DTI.

1969
Intravoxel incoherent motion MRI in primary rectal cancer: correlation with histologic prognostic factors
Zhe Han1,2, Juan Chen2, Min Chen2, Chen Zhang2, and Lizhi Xie3

1Chinese Academy of Medical Science and Peking Union Medical College, Beijing, China, People's Republic of, 2Department of Radiology, Beijing Hospital, Beijing, China, People's Republic of, 3GE Healthcare, MR Research China, Beijing, China, People's Republic of

In this study we compared the association of intravoxel incoherent motion (IVIM) derived parameters with the histologic grade, N-stage, EGFR expression and K-RAS gene mutation of primary rectal cancer. Significant correlations were found between D values and differentiation grade, D* values and N-stage, f values and N-stage. IVIM derived parameters may be a promising imaging biomarker of tumor aggressiveness and prognosis.

1970
Liver metastasis from colorectal cancer; a comparison of reproducibility of ADC between multiple sites and vendors, at 1.5 T and 3 T
Ryan Pathak1, Neil A Thacker2, David M Morris2, Philippe Garteiser3, Sabrina Doblas3, Bernard E. Van Beers3, Houshang Amiri4, Arend Heerschap4, and Alan Jackson1

1The Wolfson Molecular Imaging Centre, University of Manchester, Manchester, United Kingdom, 2Centre for Imaging Sciences, University of Manchester, Manchester, United Kingdom, 3Laboratory of imaging biomarkers, INSERM, Paris Diderot University, Paris, France, 4Radboud University Medical Center, Nijmegen, Netherlands

ADC, calculated from diffusion-weighted MRI, is a potential quantitative imaging biomarker for detection of early treatment response. Imaging in the liver suffers from poor reproducibility, mainly as a result of respiratory motion. In this study we compare reproducibility in a multi-site, multi vendor setting at both 1.5 T and 3 T field strengths, for patients histologically diagnosed with colorectal cancer, who have radiological evidence of liver metastasis.

1971
Differential Diagnosis of Intrahepatic Cholangiocarcinoma and Hepatocellular Carcinoma by Using Diffusion-tensor Imaging
chen lihua1, liu ailian1, song qingwei1, wang heqing1, sun meiyu1, li ye1, chen anliang1, and xie lizhi2

1The Affiliated Hospital of Dalian Medical University, Dalian, China, Dalian, China, People's Republic of, 2GE Healthcare, MR Research China, Beijing, Beijing, China, People's Republic of

The advent of functional MR imaging has facilitated an increased role for imaging in risk stratification and treatment planning. In this study, DTI and DWI MR measurements were performed to investigate the correlation of the FA and ADC values in ROIs of the intrahepatic cholangiocarcinoma (ICC) and hepatocellular carcinoma (HCC), and in further the sensitivity, specificity and accuracy of the parameters for the diagnosis. DTI working at present scanning hardware are more capable to detect the pathophysiological changes unattainable compare to conventional MRI techniques.

1972
Evaluation of pathological stage and grade of endometrial carcinoma using sagittal DWI
Shifeng Tian1, Ailian Liu1, Ye Li1, and Jinghong Liu1

1The First Affiliated Hospital of Dalian Medical University, Dalian, China, People's Republic of

It has been reported that DWI has a high accuracy in the evaluation of the depth of EC, and ADC can predict the pathological grade of EC.The preoperative staging of sag DWI with EC was similar to sag T2WI. ADC value can be used to identify different pathological grades and some different stages of EC, with the increase of the pathological grade the ADC value decreased.

1973
To evaluate renal dysfunction using diffusion weighted magnetic resonance imaging based on intra-voxel incoherent motion (IVIM) and a mono-exponential model – a comparison study
Jiule Ding1, Jie Chen1, Zhenxing Jiang1, Hua Zhou2, Jia Di2, Wei Xing1, and Yongming Dai3

1Department of Radiology, Third Affiliated Hospital of Suzhou University, Changzhou, China, People's Republic of, 2Department of Nephrology, Third Affiliated Hospital of Suzhou University, Changzhou, China, People's Republic of, 3Philips Healthcare, Shanghai, China, People's Republic of

 The IVIM model was compared with the mono-exponential model to be used to differentiate sRI from non-sRI in this study. Results indicated that IVIM contributed little to improving the differentiation, therefore the mono-exponential model based ADC, a combination of fast and slow diffusion, might be more suitable as a biomarker image for assessing renal dysfunction.


1974
Estimation of pseudo-diffusion coefficient D* using different settings of low b-values in liver IVIM imaging
Meng-Chieh Liao1, Cheng-Ping Chien1, Shih-Han Hung1, Feng-Mao Chiu2, and Hsiao-Wen Chung1

1Graduate Institute of Biomedical Electronics and Bioinformatics, National Taiwan University, Taipei, Taiwan, 2Philips Healthcare, Taipei, Taiwan

The pseudo-diffusion coefficient (D*) in the liver estimated using intravoxel incoherent motion (IVIM) MRI currently suffers from inconsistent values reported in the literature. This study investigated the effect of low b-value settings on the estimation of D*. Data from healthy subjects with sixteen b-values were analyzed, with b-values of 0, 5, 10, and 15s/mm2 selectively removed and D* computed using a bi-exponential model. Results show progressive increases in D* estimations, with difference in values by a factor of two, which strongly suggest that the IVIM signals in the low b-value range do not obey single exponential decaying behavior.

1975
Structural Changes of the Superior Longitudinal Fasciculus and Cingulate Gyrus in Post Stroke Depression
Chenfei Ye1, Heather T Ma1, Jun Wu2, Xuhui Chen2, and Changle Zhang1

1Department of Electronic and Information Engineering, Harbin Institution of Technology Shenzhen Graduate School, Shenzhen, China, People's Republic of, 2Department of Neurology, Peking University Shenzhen Hospital, Shenzhen, China, People's Republic of

This study aim to investigate the relationship between depression after onset of stroke and superior longitudinal fasciculus and cingulate gyrus with multi-parameter DTI comparisons. These two brain structures distal to infarct regions were obtained by automatic segmentation and four parameters based on intensity distribution (mean, standard deviation, skewness and kurtosis) were quantitatively measured on each structure. Significant difference in these two structures was found among major depression subjects, mild depression subjects and the normal control. Our results verified that PSD patients latently exhibit neuroanatomical changes in superior longitudinal fasciculus and cingulate gyrus.

1976
High Resolution Cervical Spine DTI in Axial View using Non-triggered Multi-shot Acquisition and SYMPHONY Reconstruction
Xiaodong Ma1, Zhe Zhang1, Yuhui Xiong1, Erpeng Dai1, Yishi Wang1, Le He1, Chun Yuan1,2, and Hua Guo1

1Center for Biomedical Imaging Research, Department of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing, China, People's Republic of, 2Vascular Imaging Laboratory, Department of Radiology, University of Washington, Seattle, WA, United States

In this study, 2D-navigated multi-shot EPI is used to achieve high resolution DTI in the cervical spine without cardiac triggering. A k-space reconstruction method, SYnergistic iMage reconstruction with PHase variatiOn and seNsitivitY (SYMPHONY), is used to correct the ghost artifacts caused by phase variations among different shots. The proposed technique is validated using quantitative analysis in healthy volunteers. Because no cardiac triggering is used, the scan time can be reduced. The improved spatial resolution and scan efficiency are beneficial for the quantitative evaluation of cervical spine in both neuroscience research and clinical diagnosis.

1977
Comparison of different mathematical models for IVIM in healthy human kidneys
Zhongwei Chen1, Youfan Zhao1, Zhenhua Zhang1, Haiwei Miu1, and Qiong Ye1

1Department of Radiology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China, People's Republic of

Various mathematical models have been applied in IVIM. Even with the same data, derived results change with the model used. Our study compared four popular mathematical models of IVIM in healthy human kidneys to explore this technique.

1978
Effects of variations in gestational age and birth anthropometric indicators on diffusion metrics of term neonatal white matter: a cohort study
Chao Jin1, Yanyan Li1, Xianjun Li1,2, Miaomiao Wang1, Jie Gao1, Qinli Sun1, and Jian Yang1

1Department of Radiology, the First Affiliated Hospital of Xi’an Jiaotong University, Xi'an, China, People's Republic of, 2Department of Biomedical Engineering, School of Life Science and Technology, University of Xi'an Jiaotong, Xi'an, China, People's Republic of

During the life span, brain development would be affected by numerous intra- and inter- factors in a short- or/and long-term period. To reveal typical birth indicators’ short-term effects, the effects of gestational age (GA), birth weight, crown-heel length and head circumference on term neonatal white matter were investigated by DTI. Results indicate that term neonates born with higher GA, birth weight and crown-heel length may hint better maturation of brain microstructure; among four birth indicators, GA was the main factor that influenced DTI-metrics. Particularly, longer crown-heel length with leftward superiority in corona radiata may presumably support early motor function.

1979
Assessment of fractional anisotropy of heart using ECG gating and second moment nulling pulse
Tomoya Nakamura1, Shuhei Shibukawa2, Yuma Sainokami2, Tomohiko Horie1, Isao Muro2, Terumitsu Hasebe1, Yutaka Imai2, and Tetsuo Ogino3

1Tokai University Hachioji Hospital, Hachioji, Japan, 2Tokai University Hospital, Isehara, Japan, 3Philips Healthcare Asia Pacific, Shinagawa, Japan

The purpose of this study is to assess the fractional anisotropy (FA) of heart using ECG gating and second moment nulling pulse which is intrinsically insensitive to motion. The FA at motion correction (MC) gradient was significantly higher than at acceleration motion correction (aMC) gradient, therefore, cardiac motion artifact resluts in an overestimation of FA. In conclusion, the use of second order motion correction gradient enables the quantification of FA at heart and has the potential to contribute to clinical cardiac imaging.

1980
Diffusion MRI of neuro-plasticity following complex motor learning
Maya Faraggi1, William D Richardson2, Derek K Jones3, and Yaniv Assaf4,5

1Neurobiology, Tel Aviv University, Tel Aviv, Israel, 2Wolfson Institute for Biomedical Research, University College London, London, United Kingdom, 3CUBRIC, Cardiff University, Cardiff, United Kingdom, 4Tel Aviv University, Tel Aviv, Israel, 5EMRIC, Cardiff University, Cardiff, United Kingdom

Neuroplasticity is the capacity of the nervous system to modify its organization as a result of a dynamic internal or external environment. In this study we aim to use DTI to characterize plasticity dynamics in the mouse brain as a result of a task with two degrees of difficulty.  In order to achieve that goal, we assessed motor learning ability using a running wheel with irregularly spaced rungs ("complex wheel"). Diffusion MRI revealed significant micro-structural changes in multiple brain areas expected to be affected by this task including the motor domain, sensory perception regions and white matter tracts .

1981
Fractional diffusion as a probe of microstructural change in a mouse model of Duchenne Muscular Dystrophy
Matt G Hall1, Paola Porcari2, Andrew Blamire2, and Chris A Clark1

1Institute of Child Health, University College London, London, United Kingdom, 2Newcastle Magnetic Resonance Centre, Newcastle University, Newcastle, United Kingdom

We apply a fractional diffusion model to preclinical data from a mouse model of Duchenne Muscular Dystrophy, and compare to histological measurements of the underlying tissue. We find that the alpha exponent of the model provides contrast which is indicative of the microstructural changes associated with DMD. We observe contrast between the wild type and mdx mouse model.

1982
Optimising Image Quality of Diffusion-Weighted Imaging of the Thyroid at 3.0 Tesla by Using iShim Sequence with iShim on
yin-chun liu1, meng-chao zhang2, hong zeng2, and lin liu2

1Ji Lin University sino-Japan hospital, chang chun, China, People's Republic of, 2chang chun, China, People's Republic of

My name is yin-chun liu.I am from Ji Lin University.

1983
Effects of Broad SPAIR Pulse, Continuous Fat Suppression Mode, Flow Compensation on Image Quality and Apparent Diffusion Coeffcient Reproducibility in iShim Diffusion-Weighted Imaging of the Abdomen at 3.0 T
He Sui1, Mengchao Zhang1, Hong Zeng1, and Lin Liu1

1Jilin University SINO-JAPAN Hospital, Changchun, China, People's Republic of

To detect the effects of Broad SPAIR Pulse, Continuous Fat Suppression Mode, Flow Compensation on Image Quality and Apparent Diffusion Coefficient Reproducibility in iShim Diffusion-Weighted Imaging of the Abdomen at 3.0 T

The continuous fat suppression technique and Broad SPAIR Pulse can increase the fat saturation efficiency and decrease the ghost artifacts, when combined with flow compensation technique, the image qualit y can be further improved without affect ADC values.

High quality of the  iShim Diffusion-Weighted Imaging can give a great help of detection of disease.


1984
Age-related changes of white matter diffusion anisotropy measures in old age observed with Double Diffusion Encoding
Marco Lawrenz1 and Juergen Finsterbusch1

1Systems Neuroscience, University Medical Center Hamburg-Eppendorf, Hamburg, Germany

With the help of double diffusion encoding experiments with two weighting periods applied successively microscopic tissue parameter can be gained. Rotationally invariant measures of the microscopic diffusion anisotropy such as the MA index may yield additional information complementary to DTI. Recent studies showed that MA can be determined in the living human brain, and normal values and their variation in groups of young and old healthy volunteers have been reported. In this study, the age-correlation of the diffusion anisotropy measures in terms of MA and FA values in a group of old volunteers (> 60 y) is discussed.

1985
Utility of histogram analysis of apparent diffusion coefficient value for distinguishing pituitary atypical adenomas from typical adenomas
Mariko Doai1, Naoko Tsuchiya1, Hisao Tonami1, and Osamu Tachibana2

1Radiology, Kanazawa Medical University, Kahoku, Japan, 2Neurosurgery, Kanazawa Medical University, Kahoku, Japan

The purpose of this study is to evaluate the utility of histogram analysis of apparent diffusion coefficient (ADC) value for distinguishing pituitary atypical adenomas from typical adenomas. The ADC maps were reviewed using Ziostation2, and placed a 3D volume-of interest on the tumor. The entire tumor were computed. Histogram parameters were then compared between atypical adenomas (n=3) and typical adenomas (n=11). Skewness and kurtosis of ADC histogram were significantly lower for atypical adenoma as compared with typical adenoma. ADC histogram analysis on the basis of the entire tumor volume can be useful in distinguishing atypical adenomas from typical adenomas.

1986
DW-MRI for evaluating lesions classified as responding and non-responding on RECIST criteria in patients with relapsed epithelial ovarian and primary peritoneal cancer re-challenged with platinum-based chemotherapy
Jennifer C Wakefield1,2, Jessica M Winfield1,2, Veronica Morgan2, Alison MacDonald2, Susana Banerjee1,2, Andrew N Priest3, Rebecca A Quest4, Susan Freeman3, Andrea G Rockall4, and Nandita M deSouza1,2

1Division of Radiotherapy and Imaging, Cancer Research UK Cancer Imaging Centre, The Institute of Cancer Research, London, United Kingdom, 2The Royal Marsden Hospital, Sutton, United Kingdom, 3Department of Radiology, Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom, 4Imaging Department, Imperial College Healthcare NHS Trust, London, United Kingdom

The utility of Diffusion-weighted MRI (DW-MRI) in defining response by volume reduction or for determining the time-course of apparent diffusion coefficient (ADC) changes indicative of response has not been evaluated in patients with relapsed ovarian or peritoneal cancer. We evaluated post-treatment change in volume and ADC in lesions classified by RECIST criteria as responders and non-responders. We found responding lesions show greater change in volume and equivalent change in ADC to non-responding lesions after one cycle of chemotherapy. In non-responding lesions, the change in these parameters continued at the same rate post-first cycle of chemotherapy, indicating a delayed response.

1987
Hemodynamic-independent fluctuation MRI using self-correction in idiopathic normal pressure hydrocephalus
Naoki Ohno1, Tosiaki Miyati1, Marina Takatsuji2, Mitsuhito Mase3, Tomoshi Osawa3, and Yuta Shibamoto4

1Faculty of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Japan, 2Division of Health Sciences, Graduate School of Medical Science, Kanazawa University, Kanazawa, Japan, 3Department of Neurosurgery and Restorative Neuroscience, Graduate School of Medical Sciences, Nagoya City University, Nagoya, Japan, 4Department of Radiology, Nagoya City University, Nagoya, Japan

Apparent diffusion coefficient (ADC) of the brain significantly changed during the cardiac cycle because of the water-molecule fluctuation. Moreover, this information assists in the diagnosis of idiopathic normal pressure hydrocephalus (iNPH). However, these changes (ΔADC) are affected by cerebral blood flow. Therefore, we corrected the effect of blood flow by using the diffusion data to evaluate hemodynamic-independent water fluctuation in iNPH. Corrected-ΔADC was significantly higher in iNPH group compared with control and atrophic ventricular dilatation groups. Hemodynamically independent analysis for water fluctuation MRI makes it possible to obtain more detailed information on biomechanical properties in iNPH.

1988
Diffusion weighted imaging of lymphedema post breast cancer treatment
Ned Charles1, Elizabeth Dylke1, David O'Brien1, Angela Borella2, Daniel Moses2, Sharon Kilbreath1, and Roger Bourne1

1University of Sydney, Sydney, Australia, 2Spectrum Medical Imaging, Sydney, Australia

Diffusion weighted imaging was performed in vivo in three patients with forearm lymphedema following lymphadenectomy for breast cancer.  The honeycomb-like structure of lymphedema was clearly visible on proton density images.  Parameter estimates from fitting monoexponential and kurtosis models to DWI data showed a shift in model parameters corresponding with the areas where lymphedema was present.  The parameter shifts suggest an increase in the partial volume of freely diffusing water consistent with edema, and suggest areas of increased interstitial water not visible in proton density images.

1989
The diagnostic value of Diffusion-weighted imaging in benign breast inflammatory lesions
Lina Zhang1, Jinli Meng2, Jianxun Qu 3, Jianguo Chu1, Ailian Liu1, Yanwei Miao1, Qingwei Song1, Zhijin Lang1, Jianyun Kang1, Qiang Wei1, and Bin Xu1

1The 1st affiliated hospital of Dalian Medical University, Da lian, China, People's Republic of, 2Chengban Branch of West China Hospital, Chengdu, China, People's Republic of, 3GE Healthcare, MR Research China, Beijing, Beijing, China, People's Republic of

To evaluate the diagnosis value of conventional MRI and Diffusion-weighted imaging in different subtypes of benign inflammation breast lesions. From the result we can see that morphological features as while as MR manifestations especially ADC findings may be of significant value for diagnosing different benign breast inflammatory lesions.

1990
High-resolution Multi-Station Diffusion imaging using accelerated Multi-Shot Acquisition Mode.
Arnaud Guidon1, Maggie M Fung2, Lloyd Estkowski3, Mei-Lan Chu4, Nan-Kuei Chen4, and Ersin Bayram5

1Global MR Applications & Workflow, GE Healthcare, Boston, MA, United States, 2Global MR Applications & Workflow, GE Healthcare, New York City, NY, United States, 3Global MR Applications & Workflow, GE Healthcare, Menlo Park, CA, United States, 4Brain Imaging and Analysis Center, Duke University Medical Center, Durham, NC, United States, 5Global MR Applications & Workflow, GE Healthcare, Houston, TX, United States

This study investigates the feasibility of a multishot acquisition method for high-resolution Whole-Body Diffusion Weighted Imaging (WBDWI) as compared to the standard single-shot EPI.  An accelerated Multishot acquisition mode is proposed to reduce the scan time of the high-resolution scan by half.


Traditional Poster

Diffusion: Microstructure

Exhibition Hall Wednesday, May 11, 2016: 10:00 - 12:00

1991
Reducing acquisition time for axon diameter mapping using global optimization in the spatial-angular-microstructure space
Anna Auria1, David Romascano1, Erick J. Canales-Rodriguez2, Tim B. Dyrby3, Daniel C. Alexander4, Jean-Philippe Thiran1,5, Yves Wiaux6, and Alessandro Daducci1,5

1LTS5, École polytechnique fédérale de Lausanne (EPFL), Lausanne, Switzerland, 2Centro de Investigacion Biomedica en Red de Salud Mental (CIBERSAM), Barcelona, Spain, 3Danish Research Centre for Magnetic Resonance, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark, 4Department of Computer Science and Centre for Medical Image Computing, University College London, London, United Kingdom, 5University Hospital Center (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland, 6Institute of Sensors, Signals, and Systems, Heriot-Watt University, Edimburgh, United Kingdom

State-of-the-art microstructure imaging methods usually fit biophysical models to the diffusion MRI data on a voxel-by-voxel basis using non-linear procedures that require both long acquisitions and processing time. We recently introduced AMICO, a framework to reformulate these techniques as efficient linear problems and enable faster reconstructions. Here, we propose an extension that enables robust reconstructions from a reduced number of diffusion measurements, thus leading to faster acquisitions, too. Our novel formulation estimates simultaneously the microstructure configuration in all voxels as a global optimization problem, exploiting information from neighboring voxels that cannot be taken into account with existing techniques.

1992
Characterization of Brain White Matter Tissue Structure with Double-Diffusion-Encoded MRI
Yasar Goedecke1 and Jürgen Finsterbusch1

1Systems Neuroscience, University Medical Center Hamburg-Eppendorf, Hamburg, Germany

Double-diffusion-encoding (DDE) or double-wave-vector (DWV) experiments show a signal behavior that is specific for restricted diffusion. Thus, these experiments could provide more direct insight into tissue microstructure than conventional experiments, especially when targeting axon diameters. In this study, a previous DDE-based approach to estimate axon diameters is extended (i) to be applicable without prior knowledge of the fiber orientation, (ii) by considering a more complex tissue composition including spherical cells and an unrestricted compartment to model glial cells and extracellular space, and (iii) using the multiple correlation function framework that provides a more accurate approximation of the MR signal.

1993
Numerical Simulations Comparing Pore Imaging Methods Based on Diffusion-Weighted MR Imaging
Yasar Goedecke1 and Jürgen Finsterbusch1

1Systems Neuroscience, University Medical Center Hamburg-Eppendorf, Hamburg, Germany

In a conventional diffusion-weighted MRI experiment, the signal amplitude depends on the squared magnitude of the Fourier transformation of the pore or cell geometry, i.e. the underlying cell or pore geometry cannot be reconstructed. Several approaches have been proposed that determine the otherwise missing phase information and, thus, can image the pore or cell geometry directly. Here, the performance of these methods is compared with respect to their applicability in practice, e.g. considering the impact of the noise level, mixtures of pore sizes, orientations, and shapes, and gradient pulse durations and diffusion times achievable on standard MRI systems.

1994
The effect of axon shape and myelination on diffusion signals in a realistic Monte Carlo simulation environment
Michiel Kleinnijenhuis1, Jeroen Mollink1, Errin E Johnson2, Vitaly L Galinsky3, Lawrence R Frank3, Saad Jbabdi1, and Karla L Miller1

1Oxford Centre for Functional MRI of the Brain, University of Oxford, Oxford, United Kingdom, 2Sir William Dunn School of Pathology, University of Oxford, Oxford, United Kingdom, 3Center for Scientific Computation in Imaging, University of California San Diego, La Jolla, CA, United States

The cylindrical models often used in Monte Carlo diffusion simulations do not resemble the shape of axons very well. In this work, a more realistic substrate derived from electron microscopy data is used to investigate the influence of axon shape and myelination on the diffusion signal. In the DifSim simulation environment, diffusion signals from EM-derived substrates are compared to those from cylindrical substrates matched for volume fraction. Furthermore, the effect of removing the impermeable myelin sheath from the substrate is assessed.

1995
Modelling of diffusion in cultured epithelial cell spheroids
Sisi Liang1, Madiha Yunus2, Eleftheria Panagiotaki 3, Byung Kim4, Timothy Stait-Gardner5, Mikhail Zubkov5, Brian Hawkett4, William Price5, Carl Power6, and Roger Bourne2

1College of Engineering and Science, Victoria University, Melbourne, Australia, 2Discipline of Medical Radiation Sciences, Faculty of Health Sciences, University of Sydney, Sydney, Australia, 3Center for Medical Image Computing, University College London, London, United Kingdom, 4Key Centre For Polymer Colloids, University of Sydney, Sydney, Australia, 5Nanoscale Organisation and Dynamics Group, School of Science and Health, Western Sydney University, Sydney, Australia, 6Mark Wainright Analytical Centre, The university of New South Wales, Sydney, Australia

Cultured epithelial cell spheroids demonstrate many of the physiological properties of glandular epithelia and provide an ideal experimental model for investigation of the distinctive structural properties that may contribute to the reported low water mobility in prostate, breast, and gut epithelia. The structural connections are very similar to those in intact tissue and thus they provide a more realistic model of tissue than previously investigated models based on pelleted yeast or erythrocyte cells. We report an investigation of the correlation between known cell sizes in a spheroid culture and restriction radius estimated by a model of diffusion MRI signals.

1996
Imaging Three Dimensional Temporal Diffusion Spectrum Dispersion Profiles in the Brain
Dan Wu1, Frances J Northington2, and Jiangyang Zhang1,3

1Radiology, Johns Hopkins University School of Medicine, BALTIMORE, MD, United States, 2Pediatrics, Johns Hopkins University School of Medicine, BALTIMORE, MD, United States, 3Radiology, New York University School of Medicine, New Yourk, NY, United States

The dispersion profile of the temporal diffusion spectrum has been linked to key properties of tissue microstructures, however, its directional variance has not been shown. In this study, we extended the conventional one-dimensional dispersion profile to three-dimensional profile, and characterized its directionality with a tensor representation. The temporal diffusion dispersion (TDD) tensor demonstrated unique contrasts that reflected distinct microstructural organization in the mouse brain, and the high anisotropy from TDD tensors correlated with anisotropic structural arrangements, e.g., in the crossing fiber regions. The TDD contrasts are also sensitive to disrupted microstructures in a neonatal mouse model of hypoxic-ischemic injury.

1997
Spatiotemporal dynamics and patterns of cortical mean kurtosis and fractional anisotropy in the preterm brains
Tina Jeon1, Aristeidis Sotiras2, Minhui Ouyang1, Min Chen3, Lina Chalak4, Christos Davatzikos2, and Hao Huang1,5

1Radiology Research, Children's Hospital of Philadelphia, Philadelphia, PA, United States, 2Center for Biomedical Image Computing and Analytics, University of Pennsylvania, Philadelphia, PA, United States, 3Department of Mathematical Sciences, University of Texas at Dallas, Richardson, TX, United States, 4Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX, United States, 5Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States

From early 3rd trimester to around birth, the cerebral cortex undergoes dramatic microstructural changes including dendritic arborization that disrupts the radial scaffold, a well-organized columnar organization. Decrease of cortical fractional anisotropy (FA) derived from DTI has been well documented. In this study, we hypothesized that non-Gaussian water diffusion properties (e.g. mean kurtosis or MK) from diffusion kurtosis imaging (DKI) offers unique and complementary information on cortical microstructural changes during this period. The spatiotemporal changes and patterns of cortical FA and MK from 32 to 41 postmenstrual weeks were revealed, demonstrating unique cortical MK maps and clustering patterns during preterm development.

1998
The influence of T2 relaxation in measuring the restricted volume fraction in diffusion MRI
Silvia De Santis1, Yaniv Assaf2, and Derek Jones1

1Cardiff University, CUBRIC, Cardiff, United Kingdom, 2Department of Neurobiology, Tel Aviv University, Tel Aviv, Israel

With the increasing popularity of multi-shell diffusion techniques to measure axonal density and diameter, the investigation of the exact origin of the contrast has become a hot topic. Here, we investigate the impact of the echo time in measuring the axonal density and show that the two water compartments are characterised by a different relaxation time T2, making the measures of the volume strongly dependent on the echo time. This suggests caution when comparing data acquired with different setups and introduces a new way of measuring the differential T2 properties of intra- and extra-axonal water pools.

1999
Diffusion MRI: Disentangling Micro- from Mesostructure and Bayesian Parameter Evaluation
Marco Reisert1, Elias Kellner1, Bibek Dhital1, Jürgen Hennig1, and Valerij G. Kiselev1

1Department of Radiology, Medical Physics, University Medical Center Freiburg, Freiburg, Germany

Diffusion-sensitized MRI probes the cellular structure of the human brain, but the primary microstructural information gets lost  in averaging over higher-level, mesoscopic tissue organization such as different orientations of neuronal fibers. While such averaging is inevitable due to the limited imaging resolution, we propose a method for disentangling the microscopic cell properties from the effects of mesoscopic structure. The proposed method finds detectable parameters of a given microstructural model and calculates them within seconds, which makes it suitable for a broad range of applications. 

2000
Intracellular volume fraction estimation in vivo in single and crossing fibre regions
Sjoerd B Vos1,2, Andrew Melbourne1, John S Duncan2,3, and Sebastien Ourselin1

1Translational Imaging Group, University College London, London, United Kingdom, 2MRI Unit, Epilepsy Society, Chalfont St Peter, United Kingdom, 3Department of Clinical and Experimental Epilepsy, UCL Institute of Neurology, London, United Kingdom

Intracellular volume fraction (ICVF) is a valuable biomarker of neurological disease. As one of two factors in g-ratio estimates it could potentially reveal axonal function from structural MRI measurements. Reliable ICVF estimation is critical for both purposes. With various diffusion models in existence for ICVF estimation, we compared the obtained ICVF values and their reproducibility in voxels with 1, 2, and 3 fibre populations between three diffusion modelling approaches. Absolute ICVF values vary significantly between models as well as between voxels with different fibre complexity.

2001
Modeling diffusion of intracellular metabolites in the mouse brain up to very high b: diffusion in long fibers (almost) accounts for non-monoexponential attenuation
Marco Palombo1,2, Clémence Ligneul1,2, and Julien Valette1,2

1CEA/DSV/I2BM/MIRCen, Fontenay-aux-Roses, France, 2CNRS Université Paris-Saclay UMR 9199, Fontenay-aux-Roses, France

We investigate how metabolite diffusion measured up to very high b (60 ms/µm2) at relatively short diffusion time (63.2 ms) in the mouse brain can be explained in terms of simple geometries. We model cell fibers as isotropically oriented cylinders of infinite length, and show this can account very well for measured non-monoexponential attenuation. The only exception is NAA, for which the model extracts fiber diameter equal to 0. We show that is theoretically and experimentally compatible with a small fraction of the NAA pool being confined in highly restricted compartments (with short T2), e.g. a mitochondrial pool.

2002
Evaluation of Diffusion MRI Based Feature Sets for the Classification of Primary Motor and Somatosensory Cortical Areas.
Tara Ganepola1,2, Jiaying Zhang2, Hui Zhang2, Martin I Sereno3, and Daniel C Alexander2

1Department of Cognitive, Perceptual and Brain Sciences, University College London, London, United Kingdom, 2Centre for Medical Image Computing, University College London, London, United Kingdom, 3Birkbeck-UCL Centre for Neuroimaging, University College London, London, United Kingdom

In the following work several diffusion based feature vectors (DTI, NODDI, spherical harmonic (SH) invariants and fourth order tensor invariants (T4)) are compared in order to validate their usability in grey matter investigations. It was found that using multi-shell data and non-biophysical models such as SH and T4 achieves the highest classification accuracy between the primary motor and somatosensory cortical areas, and thus is likely to characterise grey matter tissues domains more effectively.  

2003
Inferring axon diameter from the apparent cylindrical geocentric diameter in the longitudinal plane
Farshid Sepehrband1 and Kristi A Clark1

1Laboratory of Neuro Imaging, USC Mark and Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine of USC, Los Angeles, CA, United States

Recent diffusion-weighted imaging techniques have enabled the inference of axon diameter, a valuable neuroanatomical measure1,2. Current techniques fit a cylindrical model of axons to the acquired signal, primarily in the transverse direction. Despite many improvements, sensitivity to small axons is difficult to achieve, primarily due to the scanner’s physical limitations. Even with a strong gradient strength system such as the connectome scanner and high SNR, the minimum resolvable axon diameters are greater than 2μm, which accounts for only a small proportion of axons in the human brain. Here we utilize Neuman’s cylindrical model3, and generalize it to the geocentric direction in the longitudinal plane of axons (Figure 1) to decrease the minimum axon diameter resolvable with a given scanner.

2004
In vivo characterisation of mouse brain glioma using VERDICT MRI and validation with histology
Tom A Roberts1, Giulia Agliardi1, Andrada Ianus2, Ben Jordan1, James O Breen-Norris1, Rajiv Ramasawmy1, Angela D'Esposito1, Valerie Taylor1, Bernard Siow1, Eleftheria Panagiotaki2, Daniel C Alexander2, Mark F Lythgoe1, and Simon Walker-Samuel1

1Centre for Advanced Biomedical Imaging, London, United Kingdom, 2Centre for Medical Image Computing, London, United Kingdom

Vascular Extracellular and Restricted Diffusion for Cytometry in Tumours (VERDICT) is a diffusion MRI technique which uses a 3-compartment model to characterise the vascular (V), extracellular-extravascular (EES) and intracellular (IC) compartments in tumours. VERDICT allows for quantitation of tumour morphology including vascular fraction (fv), intracellular fraction (fic) and cellular radius, hence providing a non-invasive ‘biopsy’ that can be performed longitudinally. Previously, VERDICT has been applied to subcutaneous mouse tumours1 and human prostate cancer2. For the first time, we apply VERDICT in a mouse model of glioma, examine it in the context of other multi-compartment models and optimise it based on comparison with histological analysis.

2005
Generative statistical models of white matter microstructure for MRI simulations in virtual tissue blocks
Leandro Beltrachini1 and Alejandro Frangi1

1The University of Sheffield, Sheffield, United Kingdom

In silico studies of diffusion MRI are becoming a standard tool for testing the sensitivity of the technique to changes in white matter (WM) structures. To perform such simulations, realistic models of brain tissue microstructure are needed. However, most of the computational results are obtained considering straight and parallel cylinders models, which are known to be too simplistic for representing real-scenario situations. We present a statistical-driven approach for obtaining random models of WM tissue samples based on histomorphometric data available in the literature. We show the versatility of the method for characterising WM voxels representing bundles and disordered structures.

2006
Does Myelin Water Influence DWI?
Kevin D Harkins1 and Mark D Does1,2,3,4

1Institute of Image Science, Vanderbilt University, Nashville, TN, United States, 2Biomedical Engineering, Vanderbilt University, Nashville, TN, United States, 3Radiology and Radiological Sciences, Vanderbilt University, Nashville, TN, United States, 4Electrical Engineering, Vanderbilt University, Nashville, TN, United States

The presence and movement of myelin water is often neglected from models of DWI signal. This study presents a Monte Carlo simulation illustrating that myelin water diffusion can have a subtle but important impact on measured Dapp and Kapp values, and that incorporating myelin water diffusion can influence myelin-content dependent changes in Dapp and Kapp.

2007
Characterizing microstructural changes in Multiple Sclerosis lesions using advanced diffusion MRI at 3T and 7T
Silvia De Santis1,2, Matteo Bastiani2, Henk Jansma2, Amgad Droby3, Pierre Kolber3, Eberhard Pracht4, Tony Stoecker4, Frauke Zipp3, and Alard Roebroeck2

1Cardiff University, CUBRIC, Cardiff, United Kingdom, 2Dept. of Cognitive Neuroscience, Faculty of Psychology & Neuroscience, Maastricht University, Maastricht, Netherlands, 3Department of Neurology and Neuromaging Center, University Medical Center of the Johannes Gutenberg University, Mainz, Germany, 4German Center for Neurodegenerative diseases, Bonn, Germany

Aim of this work was to test the ability of conventional (i.e., DTI) and advanced (i.e., CHARMED, stretched exponential) diffusion methods to differentiate between Multiple Sclerosis lesions, normal appearing white matter and healthy controls, at both 3T and 7T. Advanced dMRI at 7T gives the best discriminating power between MS lesions and healthy tissue across WM; DTI is appropriate in areas of low fiber dispersion like the corpus callosum.

2008
Exploring Structural, Diffusive and Thermodynamic Properties of Model Systems with Molecular Dynamics Simulations
Jonathan Phillips1

1Institute of Life Science, College of Medicine, Swansea University, Swansea, United Kingdom

This work aims at introducing methods of molecular dynamics (MD) simulation into diffusion MRI modelling. MD allows the study of transport properties (e.g. diffusion), structural properties (e.g. radial distribution functions) and thermodynamic properties (e.g. pressure). Access to all of these properties allows investigation into the links between them. We present the first steps into studying all of these properties (including the diffusion coefficient and kurtosis) in model systems for comparison with MRI data. The system is a binary mixture which includes a diffusing species (the solvent e.g. water) and a larger spatially-fixed species (modelling cellular-sized colloid particles).

2009
Axon diameter distribution influences diffusion-derived axonal density estimation in the human spinal cord: in silico and in vivo evidence
Francesco Grussu1, Torben Schneider1,2, Ferran Prados1,3, Carmen Tur1, Sébastien Ourselin3, Hui Zhang4, Daniel C. Alexander4, and Claudia Angela Michela Gandini Wheeler-Kingshott1,5

1NMR Research Unit, Queen Square MS Centre, Department of Neuroinflammation, UCL Institute of Neurology, University College London, London, United Kingdom, 2Philips Healthcare, Guildford, Surrey, England, United Kingdom, 3Translational Imaging Group, Department of Medical Physics and Biomedical Engineering, University College London, London, United Kingdom, 4Department of Computer Science and Centre for Medical Image Computing, University College London, London, United Kingdom, 5Brain Connectivity Center, C. Mondino National Neurological Institute, Pavia, Italy

Diffusion MRI-derived neurite density is a potential biomarker in neurological conditions. In the brain, neurites are commonly modelled as sticks for sufficiently long diffusion times and gradient durations. However, in the spinal cord, large axons are present and typical diffusion times (20-30 ms) may not be sufficiently long to support this model. We investigate via simulations and in vivo whether neurite density estimation is affected by the diffusion time in the spinal cord. Short diffusion times lead to bias, while long diffusion times improve accuracy but reduce precision. Therefore, a trade-off accuracy-precision needs to be evaluated depending on the application.

2010
A quantitative measurement of the cell membrane water permeability of expression-controlled AQP4 cells with diffusion weighted MRI
Takayuki Obata1, Jeff Kershaw2, Yasuhiko Tachibana1, Youichiro Abe3, Sayaka Shibata2, Yoko Ikoma2, Hiroshi Kawaguchi4, Ichio Aoki2, and Masato Yasui3

1Applied MRI Research, National Institute of Radiological Sciences, Chiba, Japan, 2Molecular Imaging Center, National Institute of Radiological Sciences, Chiba, Japan, 3Department of Pharmacology, Keio University, Tokyo, Japan, 4Human Informatics Research Institute, National Institute of Advanced Industrial Science and Technology (AIST), Tsukuba, Japan

We performed multi-b and multi-diffusion-time DWI on aquaporin-4-expressing and non-expressing cells, and demonstrated a clear difference between the signals from the two cell types. The data was interpreted with a two-compartment model including inter-compartmental exchange. It was also assumed that restricted diffusion of water molecules inside the cells leads to the intracellular diffusion coefficient being inversely proportional to the diffusion-time. Estimates of the water-exchange times with this model were comparable with those measured using an independent optical imaging technique, which suggests that this method might be used to characterize cell-membrane water permeability. As the technique can be applied in routine clinical examination, it has the potential to improve clinical diagnosis.

2011
Acquisition Protocol Optimization for Axon Diameter Mapping at High-Performance Gradient Systems – A Simulation Study
Jonathan I Sperl1, Ek Tsoon Tan2, Miguel Molina Romero1,3, Marion I Menzel1, Chris J Hardy2, Luca Marinelli2, and Thomas K.F. Foo2

1GE Global Research, GARCHING, Germany, 2GE Global Research, NISKAYUNA, NY, United States, 3Institute of Medical Engineering, Technische Universität München, GARCHING, Germany

The measurement of axonal diameter by diffusion MRI techniques has assumed major interest in the research community. While most work has focused on developing and comparing various multi-compartment models, only minor efforts have been undertaken to optimize corresponding acquisition protocols. In this work we perform simulations using a rather simple two-compartment model, but study the effect of various choices of acquisition parameters on the precision and the bias of the fitted parameters. More precisely, we analyze potential sampling strategies in the 2D design space spanned by the two timing parameters (Δ, δ) of the diffusion encoding.

2012
NODDI and AxCaliber diffusion-weighted imaging at ultrahigh field for microstructural imaging of the mouse spinal cord
Ahmad Joman Alghamdi1,2, Hari K Ramachandran3, Ian M Brereton1, and Nyoman D Kurniawan1

1Centre for Advanced Imaging, The University of Queensland, Brisbane, Australia, 2College of Health Sciences, Taif University, Taif, Saudi Arabia, 3Computer Science and Engineering, SRM University, Kattankulathur, India

DTI has been used to measure changes in spinal cord WM, but lacks the specificity in measuring changes in GM and axonal diameter. This study aims to apply NODDI and AxCaliber techniques to measure characteristics of the lumbar spine in C57BL/6 mice, in-vivo at 9.4T and ex-vivo at 16.4T. The GM orientation distribution index is 3 times that of the WM, and the correlation of ODI to FA is r=–0.9, P<<0.01 for GM and r=–0.56, P<<0.01 for WM. AxCaliber analysis determined WM axon diameter populations with an average of 1.55±0.15mm (in-vivo); and 1.37±0.20 mm (ex-vivo). 

2013
White matter alterations in young adults born extremely preterm: a microstructural point of view.
Zach Eaton-Rosen1, Andrew Melbourne1, Joanne Beckmann2, Eliza Orasanu1, Nicola Stevens3, David Atkinson4, Neil Marlow2, and Sebastien Ourselin1

1TIG, UCL, London, United Kingdom, 2UCL EGA Institute for Women's Health, London, United Kingdom, 3UCLH, London, United Kingdom, 4CMIC, UCL, London, United Kingdom

We used NODDI and DTI in order to investigate the differences in white matter between young adults born at term, and those born at fewer than 26 weeks completed gestation, using TBSS. The differences in FA were closely mirrored by the differences in orientation dispersion index (ODI) while the intra-axonal volume fraction (Vi) did not show significant differences in the same regions. This suggests that the ODI may be more sensitive to indicators of being born preterm than Vi in the white matter.

2014
Statistical assessment of a model combining IVIM and T2 decay for multi-b-value, multi-echo-time DW-MRI in abdominal organs
Matthew R Orton1, Neil P Jerome1, Thorsten Feiweier2, Dow-Mu Koh3, Martin O Leach4, and David J Collins4

1Radiotherapy and Imaging, Institute of Cancer Research, London, United Kingdom, 2Siemens Healthcare, Erlangen, Germany, 3Department of Radiology, Royal Marsden NHS Foundation Trust, London, United Kingdom, 4CRUK Cancer Imaging Centre, Division of Radiotherapy and Imaging, Institute of Cancer Research, London, United Kingdom

The IVIM model is essentially a two-compartment model, and it has previously been noted that the T2 relaxation times in each compartment may not be equal.  This work uses the Akaike Information Criterion to compare two combined IVIM-T2 models using data acquired in various abdominal organs with all combinations of five echo-times and six b-values.  The first model has the same T2 in each compartment, the second has different T2s, and we show that the second model has greater statistical support in the liver (but not spleen or kidney), implying that both T2 values can be measured in this organ.  

2015
Extensive White Matter Damage in Neuromyelitis Optica Assessed by Neurite Orientation Dispersion and Density Imaging: A Tact-Based Spatial Statistics study
Tomohiro Takamura1, Shou Murata2, Koji Kamagata3, Kouhei Tsuruta2, Masaaki Hori3, Michimasa Suzuki3, and Shigeki Aoki3

1University of Yamanashi, Yamanashi, Japan, 2Tokyo Metropolitan University, Tokyo, Japan, 3Juntendo University, Tokyo, Japan

Recently, patients with neuromyelitis optica (NMO) have shown extensive white matter damage, which could be related not only to Wallerian degeneration resulting from lesions of spinal cord or optic tracts but also to demyelination by using diffusion-tensor (DT) MRI imaging. This study aimed to evaluate the expansion of white matter damage in NMO assessed using neurite orientation dispersion and density imaging (NODDI), as well as its relationship with disease severity by applying Tact Based Spatial Statistics (TBSS).

2016
Comparison of fast and conventional diffusion kurtosis imaging in an anisotropic synthetic phantom
Ganna Blazhenets1,2, Farida Grinberg1,3, Ezequiel Farrher1, Xiang Gao1, Mikheil Kelenjeridze4, Tamo Xechiashvili4, and N. Jon Shah1,3

1Institute of Neuroscience and Medicine - 4, Forschungszentrum Juelich, Juelich, Germany, 2Institute of Nuclear Physics, University of Cologne, Cologne, Germany, 3Department of Neurology, Faculty of Medicine, JARA, RWTH Aachen University, Aachen, Germany, 4Department of Physics, Georgian Technical University, Tbilisi, Georgia

We compare the sensitivity and applicability of two methods for the estimation of mean kurtosis in a multi-sectional, anisotropic diffusion phantom using conventional diffusion kurtosis imaging and a fast protocol for rapid mean kurtosis metric estimation suggested by Hansen et al. (2013). Both methods provide similar image quality and it can be concluded that fast estimation of mean kurtosis is a useful tool that can be used as a fast method for clinical applications. An interesting finding of this work is a stronger dependence of fast computed kurtosis metrics on the orientation of fibres with respect to the static magnetic field than of the conventional method.

2017
Evaluating mean diffusivity and mean kurtosis derived from different diffusion-encoding schemes and signal-to-noise ratio
Chia-Wen Chiang1, Shih-Yen Lin1,2, Yi-Ping Chao3, Yeun-Chung Chang4,5, Teh-Chen Wang6, and Li-Wei Kuo1

1Institute of Biomedical Engineering and Nanomedicine, National Health Research Institutes, Miaoli, Taiwan, 2Department of Computer Science, National Chiao Tung University, Hsinchu, Taiwan, 3Gradulate Institute of Medical Mechatronics, Chang Gang University, Taoyuan, Taiwan, 4Department of Medical Imaging, National Taiwan University Hospital, Taipei, Taiwan, 5Department of Radiology, National Taiwan University College of Medicine, Taipei, Taiwan, 6Department of Radiology, Taipei City Hospital Yang-Ming Branch, Taipei, Taiwan

Diffusion kurtosis imaging (DKI), evaluating the non-Gaussianity of water diffusion, has been demonstrated to be sensitive biomarker in many neurological diseases. However, number of repetition is one of the factors, but people is trying less to investigate it. In this study, normal rats were performed using two different diffusion scheme protocols (15 b-values with six diffusion directions vs. 3 b-values with thirty directions) and with different repetitions. Our results suggesting the protocol with one repetition provides good image quality for DKI analysis in this case.

2018
Maximum b-value dependence of Diffusion kurtosis imaging sensitivity in detecting white matter microstructure
Miao Sha1, Yuanyuan Chen1, Xin Zhao1, Man Sun2, Weiwei Wang1, Hongyan Ni2, and Dong Ming1

1Tianjin University, Tianjin, China, People's Republic of, 2Tianjin First Center Hospital, Tianjin, China, People's Republic of

Diffusion kurtosis imaging is a powerful technique to measure the non-gaussion diffusion as well as the complicated microstructure. In this paper, we conducted a comparison between different acquisitions with different maximum b-value on normal volunteers. We found that the outcome of diffusion kurtosis imaging was influenced by the maximum b-value in the acquisition. And this influence was highly associated with the microstructure, including both radial profile and angular profile in the structure reconstruction, which indicated the mechanism of non-gaussion under high b-value.

2019
Determination of Microvascular Parameters from Diffusion-Weighted Images
Robert J Loughnan1,2, Damien McHugh1,3, Hamied A Haroon1, Douglas Garratt2, Rishma Vidyasagar1,4, Hojjatollah Azadbakht1, Penny H Cristinacce1, Geoff JM Parker1,5, and Laura M Parkes1

1Centre for Imaging Sciences, Faculty of Medical and Human Sciences, The University of Manchester, Manchester, United Kingdom, 2School of Physics and Astronomy, The University of Manchester, Manchester, United Kingdom, 3CRUK & EPSRC Cancer Imaging Centre in Cambridge & Manchester, Manchester, United Kingdom, 4Melbourne Brain Centre, The Florey Institute of Neuroscience and Mental Health, Melbourne, Australia, 5Bioxydyn Limited, Manchester, United Kingdom

Diffusion imaging has been used to probe microstructure and to investigate perfusion via the IVIM model. However, the contribution of microvasculature structure to the diffusion signal has largely been overlooked. Presented here is a novel method for imaging blood velocity and capillary segment length using diffusion-weighted images. We apply a model for extracting perfusion parameters from diffusion-weighted images from 23 people with a range of diffusion times (∆=18, 35 and 55ms) and b-values (0-100s/mm2). Mean blood velocity was significantly slower (P<0.005) in white matter (0.92±0.03mm/s) compared to grey matter (0.95±0.04mm/s). Mean vessel segment length was significantly shorter (P<0.0001) in white matter (7.97±0.13µm) than in grey matter (10.35±0.20µm). 

2020
Detection of lymphocytes fractions using temporal diffusion spectroscopy
Johannes Riegler1, Maj Hedehus1, and Richard A. D. Carano1

1Biomedical Imaging, Genentech, South San Francisco, CA, United States

Inflammation and T-cell infiltration are important prognostic biomarkers for cancer immunotherapies.1 Current clinical practice relies on histological assessment of tissue biopsies which is invasive and prone to sampling errors. Temporal diffusion spectroscopy, particularly with short effective diffusion times can estimate cell sizes.2,3 Lymphocytes have small diameters compared to typical tumor cells. We therefore tested the ability of temporal diffusion spectroscopy to differentiate between pellets of tumor cells mixed with a varying amount of activated lymphocytes. We observed clearly separable diffusion characteristics for samples containing > 20% lymphocytes indicating that this approach may have potential to quantify inflammation in highly inflamed tissues.

2021
Estimation of Fiber Packing Correlation Length by Varying Diffusion Gradient Pulse Duration
Hong-Hsi Lee1, Gregory Lemberskiy1, Els Fieremans1, and Dmitry S. Novikov1

1New York University, Center for Biomedical Imaging, New York, NY, United States

Finite pulse duration $$$\delta$$$ of diffusion gradient has typically been a source of bias for quantifying microstructure. Here, we suggest to use the diffusivity dependence on $$$\delta$$$ to reveal the correlation length of the fiber packing, an essential μm–level characteristic of microstructure, thereby turning the finite pulse duration to our advantage. We validate our method in a fiber phantom that mimics an axonal packing geometry, and the estimated correlation length matches the fiber radius. Future work will focus on the evaluation of its potential as biomarkers for in vivo brain scans, such as axonal density and outer axonal diameters.

2022
Detection of Early Emphysema by Quantifying Lung Terminal Airways with Hyperpolarized 129Xe Diffusion MRI
Weiwei Ruan1, Jianping Zhong1, Ke Wang2, Yeqing Han1, and Xin Zhou1

1Wuhan Institute of Physical and Mathematics,Chinese Academy of Sciences, Wuhan, China, People's Republic of, 2Department of MRI, zhongnan hospital of wuhan university, Wuhan, China, People's Republic of

To detect the early emphysema, hyperpolarized xenon diffusion MRI with multi-b values was used to quantify the lung terminal airways in five initial stages of emphysematous rats and five control rats. The DL (longitudinal diffusion coefficient), r, h, LM and S/V in the emphysematous group showed significant differences compared to those in the control group (P<0.05) and also exhibited a strong linear correlation (|r|>0.8) to Lm from histology for all the rats. The results showed multi-b diffusion MRI of hyperpolarized xenon has potential for the diagnosis of emphysema at the early stage.

2023
A Time-Efficient Acquisition Protocol For Multi-Purpose Diffusion‑Weighted Microstructural Imaging At 7T
Farshid Sepehrband1,2, Kieran O’Brien1,3, and Markus Barth1

1Centre for Advanced Imaging, University of Queensland, Brisbane, Australia, 2Laboratory of Neuro Imaging, USC Mark and Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine of USC, Los Angeles, CA, United States, 3Siemens Healthcare Pty Ltd, Brisbane, Australia

Several diffusion-weighted MRI techniques for modeling tissue microstructure have been developed and validated during the past two decades. While offering various neuroanatomical inferences, these techniques differ in their proposed optimal acquisition design, which impede clinicians and researchers to benefit from all potential inference methods, particularly when limited time is available. We examined the performance of the most common diffusion models with respect to acquisition parameters at 7T when limiting the acquisition time to about 10 minutes. The most balanced compromise among all combinations in terms of the robustness of the estimates was a two-shell scheme with b-values of 1,000 and 2,500 s/mm2 with 75 diffusion-encoding gradients, 25 and 50 samples for low and high b-values, respectively. 

2024
Extraction of Tissue-Specific ADC Based on Multi-Exponential T2 Analysis
Qiqi Tong1, Mu Lin1, Hongjian He1, Xu Yan2, Thorsten Feiweier3, Hui Liu2, and Jianhui Zhong1

1Center for Brain Imaging Science and Technology, Department of Biomedical Engineering, Zhejiang University, Hangzhou, China, People's Republic of, 2MR Collaboration NE Asia, Siemens Healthcare, Shanghai, China, People's Republic of, 3Siemens Healthcare, Erlangen, Germany

Multi-component diffusion models with each component of its own T2 value have been studied previously. When the diffusion signal is decomposed into three compartments (short, intermediate and long T2), the respective ADC values can be obtained. Our results from simulations and in vivo measurements show that the model successfully separates signal from different tissue types, allows extraction of tissue-specific ADC, and results are mostly free of partial volume problem. Moreover, an ADC without T2 effect can also be generated by combining the ADCs of all components.

2025
Single Compartment model estimates of acinar duct measurements from inhaled noble gas MRI: Proof of Concept in alpha-1 antitrypsin deficiency emphysema
Eric Lessard1, Alexei Ouriadov1, David G McCormack2, and Grace Parraga1

1Robarts Research Institute, The University of Western Ontario, London, ON, Canada, 2Department of Medicine, The University of Western Ontario, London, ON, Canada

Diffusion-weighted MRI provides a way to non-invasively estimate in vivo morphometry measurements of the alveolar ducts. Current modelling approaches may not be appropriate for cases of severe tissue destruction where the geometry of the acinar ducts may not be uniform, nor cylindrical.  Therefore, in this proof-of-concept evaluation, we used a single-compartment model and multiple b-value diffusion-weighted noble gas pulmonary MRI to generate estimates of acinar duct surface-to-volume ratio and mean-linear-intercept.  In cases of very severe emphysema that accompany alpha-one antitrypsin deficiency, this approach well-approximated the severity of lung disease, while the cylindrical model did not.

2026
Use envelope bounding to improve the stability of intravoxel incoherent motion modeling
Cheng-Ping Chien1, Feng Mao Chiu2, and Queenie Chan3

1Institute of Biomedical Electronics and Bioinformatics, National Taiwan University, Taipei, Taiwan, 2Philips Healthcare, Taipei, Taiwan, 3Philips Healthcare, Hong Kong, China, People's Republic of

Intravoxel incoherent motion (IVIM) model is useful tool to observe the microcirculatory perfusion, but its stability still needs to be improved. We propose the envelope bounding technique to reduce the fluctuated signal at low b-value, and use this new signal profile to fit IVIM model. This improvement gives a more stable outcome with fast diffusion (D*) and perfusion fraction (PF).

2027
Modelling radial and tangential fibres in the neocortex
Luke J. Edwards1, Siawoosh Mohammadi1,2, Pierre-Louis Bazin3, Michiel Kleinnijenhuis4, Kerrin J. Pine1, Anne-Marie van Cappellen van Walsum5, Hui Zhang6, and Nikolaus Weiskopf1,3

1Wellcome Trust Centre for Neuroimaging, UCL Institute of Neurology, UCL, London, United Kingdom, 2Institut für Systemische Neurowissenschaften, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany, 3Department of Neurophysics, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany, 4FMRIB Centre, University of Oxford, Oxford, United Kingdom, 5Department of Anatomy, Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, Netherlands, 6Centre for Medical Image Computing, Department of Computer Science, UCL, London, United Kingdom

The structure of neocortical grey matter is complex due to the crossing intracortical neuronal connections involved in cortical processing. Herein we present a two-step method to capture radial and tangential fibre structure of neocortex from diffusion data: first the radial cortical orientation is extracted voxelwise using surface-based methods, and then a three-compartment diffusion model extracts radial and tangential fibre volume fractions. We demonstrate in a post mortem sample of human V1 tissue that this method captures structure known from histology and comparable diffusion models, implying potential future use as a probe of intracortical neuronal connectivity.

2028
Correlation of diffusion-weighted MRI with cellularity in glandular breast tissue
Narina Norddin1,2, Nyoman Kurniawan3, Gary Cowin3, Carl Power4, Geoffrey Watson5, Esther Myint6, Laurence Gluch7, and Roger Bourne1

1University of Sydney, Sydney, Australia, 2International Islamic University Malaysia, Pahang, Malaysia, 3University of Queensland, Brisbane, Australia, 4University of New South Wales, Sydney, Australia, 5Royal Prince Alfred Hospital, Sydney, Australia, 6Douglass Hanly Moir Pathology, Sydney, Australia, 7The Strathfield Breast Centre, Sydney, Australia

Although diffusivity (ADC) changes in tissue are commonly attributed to variations in ‘cellularity’, direct evidence from breast tissue studies is limited and inconsistent. Here we report a diffusion microimaging and histology investigation of the correlation of mean diffusivity (MD) with cellularity in the glandular component of breast tissue. Diffusion microimaging was performed at 16.4T on fixed normal and cancer tissue samples and matched with post MRI histology. There was a moderate correlation between MD and nuclear count, but only a weak correlation between MD and nuclear area.

2029
Time dependence of diffusion and kurtosis parameters in the rat spinal cord
Sune Nørhøj Jespersen1,2, Brian Hansen1, Daniel Nunes3, and Noam Shemesh3

1CFIN, Aarhus University, Aarhus, Denmark, 2Dep. Physics and Astronomy, Aarhus University, Aarhus, Denmark, 3Champalimaud Neuroscience Programme, Champalimaud Centre for the Unknown, Lisbon, Portugal

Non-vanishing diffusion kurtosis and time-dependent diffusion are both hallmarks of nongaussian diffusion in biological tissues. Here we combine measurements of time-dependent DTI parameters and time dependence of mean kurtosis using fast kurtosis imaging in rat spinal cord. We observe substantial time dependence of all parameters in both white and gray matter.

2030
Distinguishing between different microstructural changes using optimised diffusion-weighted acquisitions
Damien J. McHugh1,2 and Geoff J.M. Parker1,2,3

1Centre for Imaging Sciences, The University of Manchester, Manchester, United Kingdom, 2CRUK & EPSRC Cancer Imaging Centre in Cambridge & Manchester, United Kingdom, 3Bioxydyn Ltd., Manchester, United Kingdom

This work investigates the use of optimised diffusion-weighted acquisitions for distinguishing between different microstructural changes relevant to characterising tumour tissue. Optimised protocols are found for a 'baseline' microstructure, and for two distinct changes which would lead to an ADC increase: (1) volume fraction decrease with cell size constant (therefore a decrease in cell density), (2) cell size decrease and coupled volume fraction decrease (therefore a constant cell density). Model fitting simulations are performed with optimised and non-optimised protocols, demonstrating that the improved precision achieved with optimised protocols may be beneficial in terms of distinguishing between these microstructural changes.

2031
Oscillating Gradient Spin Echo Diffusion Tensor MRI of the Brain in Multiple Sclerosis Patients
Christian Beaulieu1, Corey Baron1, Penny Smyth2, Roxane Billey2, Leah White2, Fabrizio Giuliani1, Derek Emery3, and Robert Stobbe1

1Biomedical Engineering, University of Alberta, Edmonton, AB, Canada, 2Neurology, University of Alberta, Edmonton, AB, Canada, 3Radiology, University of Alberta, Edmonton, AB, Canada

In diffusion tensor imaging, oscillating gradient spin echo (OGSE) gradient waveforms enable much shorter diffusion times (4 ms) than the typical pulsed gradient spin echo (PGSE, 40 ms) and OGSE was applied here for the first time in multiple sclerosis patients. A different dependence on diffusion time would suggest a change in micro-structural scale within the MS lesions. Compared to normal appearing white matter (NAWM), FLAIR-visible lesions showed reductions of fractional anisotropy (FA) on both PGSE and OGSE. The proportional FA decrease between NAWM and lesions was similar for OGSE and PGSE. 

2032
Longitudinal stability of astriction cotton as an anisotropic diffusion phantom
Koji Sakai1, Toshiaki Nakagawa1, and Kei Yamada1

1Kyoto Prefectural University of Medicine, Kyoto, Japan

To obtain anisotropic diffusion phantom with ease, we evaluated the longitudinal stability of commercially available astriction cotton as an anisotropic diffusion phantom. DTI examinations were performed at 3 T using a whole-body scanner by 20ch head coil for 131 days intermittently (18 times). The DTI analysis was performed and diffusion metrics (ADC and FA) of the phantom were evaluated by comparing standard deviation in one day to the averaged change between two consequence days. The averaged changes of ADC and FA within the experimental term were 0.03 x 10-3sec/mm2  and 0.002, respectively. The commercially available astriction cotton showed stability on its diffusivity over four months.


Traditional Poster

Diffusion Analysis & Tractography

Exhibition Hall Wednesday, May 11, 2016: 10:00 - 12:00

2033
Brain white matter abnormalities in Alzheimer’s disease with and without cerebrovascular disease
Fang Ji1, Ofer Pasternak2, Yng Miin Loke1, Saima Hilal3,4, Mohammad Kamran Ikram1, Xin Xu3,4, Boon Yeow Tan5, Narayanaswamy Venketasubramanian6, Christopher Li-Hsian Chen3,4, and Juan Zhou1,4

1Center for Cognitive Neuroscience, Neuroscience and Behavioral Disorders Program, Duke-National University of Singapore Graduate Medical School, Singapore, Singapore, 2Department of Psychiatry, Brigham and Women's Hospital, Harvard Medical School, USA, Boston, MD, United States, 3Department of Pharmacology, National University Health System, Clinical Research Centre, Singapore, Singapore, 4Memory Aging & Cognition Centre, National University Health System, Singapore, Singapore, 5St. Luke’s Hospital, Singapore, Singapore, 6Raffles Neuroscience Centre, Raffles Hospital, Singapore, Singapore

Using a novel free-water method, we examined the white matter tissue deterioration and extracellular water content changes in Alzheimer’s disease with and without cerebrovascular disease and vascular dementia. We found that free-water and white matter hyperintensity (WMH) were highly correlated; both might reflect neuroinflammation in dementia. After correcting for increased extracellular water, the degree and extent of white matter integrity decreased in dementia subtypes; nevertheless, the cortical difference between groups remained. Intriguingly, free water compartment (but not WMH volume) was associated with symptom severity. Our findings suggested the potential of free-water method in differential diagnosis and disease progression monitoring. 

2034
In vivo exploration of the human brainstem complex pathways at 3 Tesla with track-density imaging: a digital three-dimensional microscope for anatomists
Sophie Sébille1, Romain Valabregue1, Anne-Sophie Rolland1, Chantal François1, and Eric Bardinet1

1Brain and Spine Institute, CNRS UMR 7225 - INSERM U 1127 - UPMC-P6 UMR S 1127, Paris, France

We applied super-resolution TDI, as a tool to gain spatial resolution using post-processing methods, to one healthy individual to highlight the fine details of the anatomical fibers tracts in the brainstem. A 1.25 mm isotropic diffusion data acquired in vivo at 3T was used to calculate a 0.2 mm isotropic TDI map. We demonstrated that the super-resolution TDI clearly improved the spatial resolution, as well as the emphasis on different contrast information. These maps can be of help to anatomists to explore the brainstem complex organization by identifying subject-specific tracts.

2035
Optimization of acquisition parameters for diffusion MRI using chemical tracing
Giorgia Grisot1,2, Julia Lehman3, Suzanne N Haber3, and Anastasia Yendiki2

1Harvard-MIT Health Sciences and Technology, Massachusetts Institute of Technology, Cambridge, MA, United States, 2Athinoula A. Martinos Center for Biomedical Imaging, MGH, Charlestown, MA, United States, 3University of Rochester School of Medicine, Rochester, NY, United States

Determining the optimal diffusion MRI (dMRI) acquisition scheme for reconstructing a brain network of interest with tractography is an open problem, and the lack of ground truth on brain connections makes it challenging to resolve. We use chemical tracing and ex vivo dMRI in macaques to optimize dMRI acquisition with respect to tractography accuracy. We present preliminary results illustrating that 1. There is an upper bound to the angular resolution of dMRI, beyond which tractography accuracy does not improve, and 2. That this finding likely generalizes to in vivo human dMRI.

2036
The best of both worlds: Combining the strengths of TBSS and tract-specific measurements for group-wise comparison of white matter microstructure
Greg D Parker1, Dafydd LLoyd2, and Derek K Jones1,3

1CUBRIC, School of Psychology, Cardiff University, Cardiff, United Kingdom, 2Ysgol Gyfun Gwyr, Swansea, United Kingdom, 3Neuroscience and Mental Health Research Institute (NMHRI), School of Medicine, Cardiff University, Cardiff, United Kingdom

Tract-specific microstructural measurements are key to many white matter studies. Common tract-specific measurement strategies average measurements along tracts of interest, but are insensitive to localised changes. Alternatively, by searching radially to a co-registered tract skeleton, tract based spatial statistics1 provides desirable localised comparisons. However, considering one value at each point (the highest value found by radial search), increases susceptibility to outliers, and misses the SNR benefit of averaging multiple estimates within a locale. We propose a hybrid method using tract skeletons to divide streamlines into localised sections, comparing averages within each section. Example results in remitted depression are presented.

2037
High-resolution DTI-based cortical connectome reconstructions match incompletely with true axonal projections in rat brain
Michel R.T. Sinke1, Willem M. Otte1,2, Annette van der Toorn1, R. Angela Sarabdjitsingh3, Marian Joëls3, and Rick M. Dijkhuizen1

1Biomedical MR Imaging and Spectroscopy Group, Center for Image Sciences, University Medical Center Utrecht, Utrecht, Netherlands, 2Department of Pediatric Neurology, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, Netherlands, 3Department of Translational Neuroscience, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, Netherlands

The exact relationship between DTI-based tract representations and true axonal projections remains uncertain. We compared the accuracy of tensor-based and constrained spherical deconvolution (CSD)-based tractography, against neuroanatomical tracer data in rat brain. Our study with high spatial and angular resolution postmortem DTI data revealed low tractography accuracy, characterized by significant amount of false positive and false negative streamline connections. Accounting for crossing fibers by CSD did not significantly improve sensitivity and specificity. Because DTI-based tract reconstructions correlate incompletely with true axonal projections in rat brain, even when using an advanced algorithm like CSD, DTI-based connectomics should be interpreted with care. 

2038
Model-free Global Tractography
Henrik Skibbe1, Elias Kellner2, Valerij G Kiselev2, and Marco Reisert2

1Faculty of Informatics, Ishii Lab, Kyoto University, Kyoto, Japan, 2Medical Physics, University Medical Center Freiburg, Freiburg, Germany

Tractography based on diffusion-weighted MRI investigates the large scale arrangement of neurite fibers in brain white matter. It is usually assumed that the signal is a convolution of a fiber response function (FRF)  with a fiber orientation distribution (FOD). The FOD is the focus of tractography. While in the past the FRF was estimated beforehand and was usually assumed to be fix, more recent approaches estimate the FRF during tractography. This work proposes a novel objective function independent of the FRF, just aiming for FOD reconstruction. The objective is integrated into global tractography showing promising results. 

2039
Application of a combined IVIM-DTI model in ECG-triggered imaging of the human kidney
Fabian Hilbert1, Simon Veldhoen1, Tobias Wech1, Henning Neubauer1, Thorsten Alexander Bley1, and Herbert Köstler1

1Department of Diagnostic and Interventional Radiology, University of Würzburg, Würzburg, Germany

Diffusion tensor imaging (DTI) accounts for anisotropy of diffusion, while the intravoxel incoherent motion (IVIM) model considers a fast moving pseudo-diffusion compartment. In the kidney DTI and IVIM parameters vary significantly depending on the time they are acquired within the cardiac cycle. A combined IVIM-DTI model incorporates anisotropic diffusion and anisotropic pseudo-diffusion parameters. The purpose of this study was to investigate the impact of the cardiac cycle on the combined IVIM-DTI model. While in DTI the fractional anisotropy of the diffusion tensor (FAD) varies within the cardiac cycle, FAD does not change in the IVIM-DTI model.

2040
Diffusion-weighted imaging with multiple diffusion time to assess water-exchange between restricted and hindered diffusion components in vivo
Yasuhiko Tachibana1,2, Takayuki Obata1,2, Hiroki Tsuchiya1, Tokuhiko Omatsu1,2, Riwa Kishimoto1,2, Thorsten Feiweier3, and Hiroshi Tsuji1

1Research Center of Charged Particle Therapy, National Institute of Radiological Science, Chiba, Japan, 2Applied MRI Research, National Institute of Radiological Science, Chiba, Japan, 3Siemens Healthcare GmbH, Erlangen, Germany

We performed multi-b and multi-diffusion-time DWI (MbMdt-DWI) on human brain to visualize the mixture of restricted and hindered diffusion components, and also the water exchange between them. The diffusion parameters including the exchange time were calculated. The observed signal patterns clearly indicated the existence of the inter-compartmental water exchange. The calculated exchange time was within the appropriate range assumed from a previous cell-based study in vitro. MbMdt-DWI may be useful for assessing micro-diffusion in human brain.

2041
Thinking Outside the Voxel: A Joint Spatial-Angular Basis for Sparse Whole Brain HARDI Reconstruction
Evan Schwab1, Rene Vidal2, and Nicolas Charon3

1Electrical and Computer Engineering, Johns Hopkins University, Baltimore, MD, United States, 2Biomedical Engineering, Johns Hopkins University, Baltimore, MD, United States, 3Applied Mathematics and Statistics, Johns Hopkins University, Baltimore, MD, United States

Sparse modeling of dMRI signals has become of major interest for advanced protocols such as HARDI which require a large number of q-space measurements.  With few exceptions, prior work have developed bases to sparsely represent q-space signals per voxel with additional constraints of spatial regularity.  In this work, we propose a single basis to represent an entire HARDI dataset by modeling spatial and angular domains jointly, achieving an unprecedented level of sparsity. With a globally compressed representation we can then redefine HARDI processing, diffusion estimation, feature extraction and segmentation, and drastically reduce acquisition time and data storage.

2042
Assessment of Early Renal Fibrosis Induced in a Murine Model of Streptozotocin Induced Diabetes
Yet Yen Yan1, Tiffany Hennedige1, Tong San Koh1, Lei Zhou2, Septian Hartono3, Helmut Rumpel3, Laurent Martarello4, James Boon Kheng Khoo1, Dow-Mu Koh5, Kai Hsiang Chuang6, Tony Kiat Hon Lim3, Yock Young Dan2, and Choon Hua Thng1

1National Cancer Centre Singapore, Singapore, Singapore, 2National University Hospital, Singapore, Singapore, 3Singapore General Hospital, Singapore, Singapore, 4Roche Translational Medicine Hub, Singapore, Singapore, 5Royal Marsden Hospital, London, United Kingdom, 6Singapore BioImaging Consortium, Singapore, Singapore

Streptozotocin induced diabetes was created in twenty mice while eighteen mice served as control. DTI & IVIM were performed at 0, 12 and 24 weeks after injection of streptozotocin. Histopathological analysis confirmed fibrosis in all diabetic mice. Increase in ADC & tissue diffusivity were found in the diabetes group at week 12, which might reflect an increased tubule volume that outweighed the effects of early fibrosis. FA was significantly reduced in the diabetes group at week 12 and represented tubular damage of renal fibrosis. This study showed the potential of FA as a biomarker of early diabetic nephropathy.

2043
Can Cramer-Ráo Lower Bound be used to find optimal b-values for IVIM?
Oscar Gustafsson1,2, Maria Ljungberg1,2, and Göran Starck1,2

1Department of Radiation Physics, Institute of Clinical Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden, 2Department of Medical Physics and Biomedical Engineering, Sahlgrenska University Hospital, Gothenburg, Sweden

Cramer-Ráo Lower Bound is commonly used in experiment design optimization. Here we use it to find optimal b-value schemes for IVIM imaging. The optimization was generalized with regard to averaging and the characteristics of the results, given the input and the constraints, were studied. The resulting schemes never included more than the minimum number of four unique b-values, even though multiple sets of tissue parameters were included in the optimization. The optimized b-value schemes were compared to a typical one using simulations.

2044
Abnormal brain white matter skeleton in patients with disorders of consciousness
Huan Wang1, Youqiu Xie2, Ling Weng1, Qing Ma2, Ling Zhao1, Ronghao Yu2, Miao Zhong1, Xiaoyan Wu1, and Ruiwang Huang1

1Center for the Study of Applied Psychology, Guangdong Key Laboratory of Mental Health and Cognitive Science, School of Psychology, South China Normal University, GuangZhou, China, People's Republic of, 2Coma research group and coma recovery unit, neuroscience institute, guangzhou general hospital of Guangzhou command, GuangZhou, China, People's Republic of

What we did was to use the tract-based spatial statistics (TBSS) approach to examine the changes of diffusion parameters in whole brain white matter of DOC patients relative to healthy controls, and to detect the correlation between the diffusion parameters of white matters and clinical variables.

2045

White matter microstructural deficits in schizophrenia using generalized kurtosis
Arash Nazeri1, Lipeng Ning2, Jon Pipitone1, David J. Rotenberg1, Yogesh Rathi2, and Aristotle N. Voineskos1

1Research Imaging Centre, Centre for Addiction and Mental Health, University of Toronto, Toronto, ON, Canada, 2Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States

Numerous studies have used diffusion tensor imaging to investigate schizophrenia-related white matter microstructural deficits. Diffusion tensor imaging assumes a Gaussian distribution for the water molecule displacement. However, this assumption may not be valid in the complex biological tissues such as white matter. Using directional radial basis function it is possible to estimate ensemble average diffusion propagator and generalized kurtosis of water diffusion (a measure of non-Gaussianity). Our results suggest that white matter generalized kurtosis is more sensitive to differences between persons with schizophrenia and healthy controls than diffusion tensor model parameters (particularly in frontotemporal superficial white matter areas).

2046
What is the best method for robust statistical inference on connectomic graph metrics?
Mark Drakesmith1,2, David Linden2, Anthony S David3, and Derek K Jones1,2

1CUBRIC, Cardiff University, Cardiff, United Kingdom, 2Neuroscience and Mental health Research Institute, Cardiff University, Cardiff, United Kingdom, 3Institute of Psychiatry, Psychology and Neurosceince, Kings College London, London, United Kingdom

Connectomic network analyses, while powerful, suffer from high instability, which is problematic for robust statistical inference. The area under the curve (AUC) across thresholds is a common approach, but lacks robustness to this instability. A superior approach is multi-threshold permutation correction (MTPC), but this is computationally expensive. Smoothed AUCs (smAUCs) are less costly and theoretically can achieve the same level of sensitivity as MTPC. smAUC was tested and compared with MTPC in a virtual patient-control comparison. Results show that smAUC sensitivity is not consistently comparable to MTPC and that exhaustive searching across the threshold space is required for robust inference. 

2047
Evaluation of IVIM Perfusion Parameters as Biomarkers for Paediatric Brain Tumours
Emma Meeus1,2,3, Jan Novak2,3, Stephanie Withey2,3,4, Lesley MacPherson3, and Andrew Peet2,3

1Physical Sciences of Imaging in Biomedical Sciences (PSIBS) Doctoral Training Centre, University of Birmingham, Birmingham, United Kingdom, 2Institute of Cancer and Genomic Sciences, University of Birmingham, Birmingham, United Kingdom, 3Department of Oncology, Birmingham Children's Hospital, Birmingham, United Kingdom, 4RRPPS, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom

This study investigated the bi-exponential IVIM fitting methods and their robustness for applications in the brain. Data simulations relevant to normal brain and tumour were computed to assess the accuracy and precision of the IVIM perfusion parameters.  The paediatric patient cohort evaluated the correlation between the IVIM and DSC-MRI derived parameters. The simulation results showed that the perfusion fraction (IVIM-f) was robust enough to provide reliable values using the constrained 1-parameter fit. The robustness was further confirmed with the significant correlation observed between the IVIM-f and DSC-CBV. Therefore, IVIM-f could provide an alternative non-invasive perfusion measure for paediatrics.

2048
Correcting spatial misalignment between fiber bundles segments for along-tract group analysis
Samuel St-Jean1, Max Viergever1, Geert Jan Biessels2, and Alexander Leemans1

1Image Sciences Institute, University Medical Center Utrecht, Utrecht, Netherlands, 2Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, Utrecht, Netherlands

For diffusion MRI studies relying on statistics computed along fiber trajectories, the extracted values might not be optimally aligned between subjects in the metric space, which could lead to subsequent erroneous statistical analysis. We thus propose a 1D fast Fourier transform based correction algorithm for a fast realignment (< 1 second) directly in the metric space. Our experiments with a) synthetic signals and b) FA values along the uncinate fasciculus from real data show that our fiber-tract realignment algorithm improves the overlap of extracted metrics. This could help researchers uncover relationships of interest which were hidden by residual misalignment at first.

2049
A Theoretical Framework for Sampling and Reconstructing Ensemble Average Propagators in Diffusion MRI
Divya Varadarajan1 and Justin P Haldar2

1University of Southern California, 90089, CA, United States, 2University of Southern California, Los Angeles, CA, United States

Diffusion MRI can be modeled as sampling the Fourier transform of the Ensemble Average Propagator (EAP). This is potentially advantageous because of extensive theory that has been developed to characterize sampling requirements, accuracy, and stability for Fourier reconstruction.  However, previous work has not taken advantage of this characterization.  This work presents a novel theoretical framework that precisely describes the relationship between the estimated EAP and the true original EAP.  The framework is applicable to arbitrary linear EAP estimation methods, and for example, provides new insights into the design of q-space sampling patterns and the selection of EAP estimation methods.

2050
Phase-correcting Non-local Means Denoising for Diffusion-Weighted Imaging
Sevgi Gokce Kafali1,2, Tolga Çukur1,2, and Emine Ulku Saritas1,2

1Electrical and Electronics Engineering, Bilkent University, Ankara, Turkey, 2National Magnetic Resonance Research Center (UMRAM), Bilkent University, Ankara, Turkey

Diffusion-weighted imaging (DWI) intrinsically suffers from low SNR due to diffusion-induced signal losses. Multiple acquisitions have to be averaged to attain reasonable SNR level in high-spatial-resolution DWI images. However, subject motion during diffusion-sensitizing gradients creates varying phase offsets between repeated acquisitions, prohibiting a direct complex averaging of the image repetitions. Here, we propose a phase-correcting non-local means denoising filter that combines multiple DWI acquisitions while effectively reducing noise and phase cancellations. Results are demonstrated in vivo in the cervical spinal cord at 3T, using a reduced field-of-view DWI with 0.9 x 0.9 mm2 in-plane resolution. 

2051
Rapid Estimation of IVIM Pseudo-Diffusion Fraction with Correction of TE Dependence
Neil Peter Jerome1, Matthew R Orton1, Thorsten Feiweier2, Dow-Mu Koh3, Martin O Leach1, and David J Collins1

1CRUK Cancer Imaging Centre, Division of Radiotherapy & Imaging, Institute of Cancer Research, London, United Kingdom, 2Siemens Healthcare GmbH, Erlangen, Germany, 3Department of Radiology, Royal Marsden Hospital, London, United Kingdom

The biexponential IVIM model of diffusion does not account for distinct T2 values for the two components, commonly interpreted as blood and tissue, leading to a TE dependence of the pseudo-diffusion volume fraction parameter f. In this volunteer study, the addition of a small number of DWI scans at different TEs allows for fitting of an extended T2-IVIM model, returning TE-independent estimations of liver f (18.26±7.3 % compared to 27.88±6.0 % from conventional IVIM fitting), and T2s of 77.6 ± 30.2 and 42.1 ± 6.8 ms for pseudo- and true diffusion compartments, respectively. 

2052
Validation of MD map calculation from DWI acquired on a 0.35T MRI scanner in Malawi for acute cerebral malaria
Yuchuan Zhuang1, Samuel D. Kampondeni2,3, Madalina Tivarus2, Michael J. Potchen2, Gretchen L. Birbeck4, and Jianhui Zhong2

1Electrical and Computer Engineering, University of Rochester, Rochester, NY, United States, 2Department of Imaging Sciences, University of Rochester Medical Center, Rochester, NY, United States, 3MRI Center, Queen Elizabeth Central Hospital, Blantyre, Malawi, 4Department of Neurology, University of Rochester Medical Center, Rochester, NY, United States

Cerebral malaria (CM) is an often fatal disease that still devastates children in Africa. In Malawi, MRIs at 0.35T are obtained on pediatric CM patients, but quantitative analysis remains challenging. This report validates the 0.35T DWI measurements by comparing diffusion scans of normal adult subjects on both 0.35T and 3T MRI scanners. We used ROI analysis, regression analysis and histogram for quantitative validation. Strong consistency between the two data sets indicates that the DWI findings obtained on the 0.35T in Malawi can be used despite its inherent limitations.

2053
Real valued diffusion weighted imaging using decorrelated phase filtering
Tim Sprenger Sprenger1,2, Jonathan I. Sperl2, Brice Fernandez3, Axel Haase1, and Marion Menzel2

1Technische Universität München, Munich, Germany, 2GE Global Research, Munich, Germany, 3GE Healthcare, Munich, Germany

Due to the intrinsic low signal to noise ratio in diffusion weighted imaging (DWI), magnitude processing often results in an overestimation of the signal’s amplitude. This results in low estimation accuracy of diffusion models and reduced contrast because of a superposition of the image signal and the noise floor. We adopt a new phase correction (PC) technique yielding real valued data and maintaining a Gaussian noise distribution. The advantage of PC is shown in a DSI experiment where the Ensemble average propagator is better delineated in the real valued data and delineation improves as the noise floor is lowered.

2054
Non-linear Distortion Correction in Human Optic Nerve Diffusion Imaging
Joo-won Kim1,2, Jesper LR Andersson3, Peng Sun4, Sheng-Kwei Song4, Robert Naismith5, and Junqian Xu1,2,6

1Department of Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, United States, 2Translational and Molecular Imaging Institute, Icahn School of Medicine at Mount Sinai, New York, NY, United States, 3Oxford Centre for Functional MRI of the Brain, University of Oxford, Oxford, United Kingdom, 4Department of Radiology, Washington University, St. Louis, MO, United States, 5Department of Neurology, Washington University, St. Louis, MO, United States, 6Department of Neuroscience, Icahn School of Medicine at Mount Sinai, New York, NY, United States

A major challenge in optic nerve diffusion MRI is the non-linear optic nerve distortion induced by eye-ball movement. In this work, we developed and evaluated a non-linear registration scheme to improve optic nerve edge alignment over conventional diffusion imaging distortion correction methods. Optic nerve edge plots (both 1D and 2D) were used to evaluate the optic nerve edge alignment for different non-linear registration methods (FSL/fnirt and ANTs) after FSL/topup and FSL/eddy correction of unprocessed diffusion images. Overall, the additional non-linear registration step, regardless of the non-linear registration method used, substantially improved optic nerve edge alignment along all diffusion measurement frames.

2055
Fast implementations of contextual PDE’s for HARDI data processing in DIPY
Stephan Meesters1, Gonzalo Sanguinetti1, Eleftherios Garyfallidis2, Jorg Portegies1, and Remco Duits1

1Department of Mathematics and Computer Science, Eindhoven University of Technology, Eindhoven, Netherlands, 2Computer Science Department, University of Sherbrooke, Sherbrooke, QC, Canada

We present a novel open-source module that implements a contextual PDE framework for processing HARDI data. It’s potential in enhancement of ODF/FOD fields is demonstrated where the aim is to enhance the alignment of elongated structures while preserving crossings. The method for contextual enhancement is based on a hypo-elliptic PDE defined in the domain of coupled positions and orientations and can be solved with a shift-twist convolution. The module is available in the DIPY (Diffusion Imaging in Python) software library, which makes it widely available for the neuroimaging community.

2056
Flow-based White Matter Supervoxel Parcellation using Functional Bregman Divergence between Orientation Distribution Functions
Teng Zhang1, Kai Liu1, Lin Shi2,3, and Defeng Wang4,5

1Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Hong Kong, Hong Kong, 2Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, Hong Kong, 3Chow Yuk Ho Technology Centre for Innovative Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong, 4Research Center for Medical Image Computing, Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Hong Kong, Hong Kong, 5Shenzhen Research Institute, The Chinese University of Hong Kong, Shenzhen, China, People's Republic of

We propose a flow-based supervoxel parcellation method to split white matter into supervoxels with homogeneous diffusion property. In particular, we defined a new similarity metric between orientation distribution functions derived from q-ball imaging according to functional Bregman divergence. The proposed method was applied to high quality data from Human Connectome Project. Our work demonstrated a methodological feasibility to generate supervoxel approach tractography, construction of WM connectivity network, etc.
 

2057
Generalisability of Image Quality Transfer: Can we approximate in-vivo human brains from dead monkey brains?
Aurobrata Ghosh1, Viktor Wottschel2, Enrico Kaden1, Jiaying Zhang1, Hui Zhang1, Stamatios N. Sotiropoulos3, Darko Zikic4, Tim B. Dyrby5, Antonio Criminisi4, and Daniel C Alexander1

1Centre for Medical Image Computing, University College London, London, United Kingdom, 2Institute of Neurology, University College London, London, United Kingdom, 3Oxford Centre for Functional Magnetic Resonance Imaging of the Brain (FMRIB), University of Oxford, Oxford, United Kingdom, 4Microsoft Research, Cambridge, United Kingdom, 5Danish Research Centre for Magnetic Resonance, Centre for Functional and Diagnostic Imaging and Research, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark

The Image-Quality Transfer (IQT) framework enhances low quality images by transferring information from high quality images acquired on expensive bespoke scanners. Although IQT has major potential in medical imaging, one key question is its dependence on training data. We demonstrate the generalisability of IQT used for super-resolution by showing that reconstruction of in-vivo human images degrades minimally from training on human data from the same study, to data from a different demographic and imaging protocol, to data from fixed monkey brains. Remarkably, a patchwork of fixed monkey brain image-pieces is hardly distinguishable from a reconstruction using pieces of human data.

2058

Anisotropic fractional-motion-based diffusion MRI in the human brain
Yun Liu1, Yang Fan1,2, and Jia-Hong Gao1

1Peking University, Beijing, China, People's Republic of, 2MR Research China, GE Healthcare, Beijing, China, People's Republic of

Several anomalous diffusion models, both empirical and theoretical, were proposed to explain the departure from purely mono-exponential decay of DWI signal in biological tissues. Recently, a fractional motion (FM) based diffusion MRI theory was proposed, which was claimed to be a proper model in the description of diffusion processes in biological systems. However, the tensorial properties of FM related parameters is still unknown. In this work, diffusion magnetic field gradients were applied in several non-linear directions to acquire DWI images. Then, the FM-based parameters were obtained in each diffusion direction and found direction dependent. 

2059
Perfusion-free Diffusion Tensor Imaging of Brain Tumors
Zhongwei Zhang1, Zhuhao Li2, Yu-Chien Wu3, Dawen Zhao4, and Mark E Schweitzer5

1Radiology, UT Southwestern Medical Center, Dallas, TX, United States, 2Radiology, The 1st Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China, People's Republic of, 3Radiology and Imaging Sciences, Indiana University, Indianapolis, IN, United States, 4Biomedical Engineering and Cancer Biology, Wake Forest School of Medicine, Winston-Salem, NC, United States, 5Radiology, Stony Brook University, Stony Brook, NY, United States

In conventional DTI, the quantitation of various DTI indices was strongly influenced by b-value. In this study, we proposed a new approach that perfusion-free DTI can be fulfilled using IVIM and DTI models.


2060
The value of DTI and DTT in evaluating the protective effect of neuregulin-1 on spinal cord transection models of Sprague–Dawley rats.
Tao Gong1, Guangbin Wang2, and Weibo Chen3

1Shandong University, Jinan, China, People's Republic of, 2Jinan, China, People's Republic of, 3Shanghai, China, People's Republic of

DTI can noninvasive evaluate the injury and prognosis of spinal cord, and NRG-1 has the function of protecting and repairing of injury spinal cord in rats.

2061
Is voxel-based apparent diffusion coefficient reproducible?
Masamitsu Hatakenaka1, Koichi Onodera1, Naomi Koyama1, and Mitsuhiro Nakanishi2

1Diagnostic Radiology, Sapporo Medical University, Sapporo, Japan, 2Division of Radiology, Sapporo Medical University Hospital, Sapporo, Japan

To evaluate reproducibility of voxel-based ADC, voxel-based ADC of  the phantom was measured using clinical 3T MRI system. The direction of motion probing gradient affected the voxel-based ADC significantly in both echo planar imaging and turbo spin echo diffusion-weighted imaging. Also voxel-based ADC differed both between identical positioning examinations and between slightly different positioning examinations. Voxel-based ADC could not be reproduced sufficiently even in a phantom study. It would be recommended to pay enough attention when performing voxel-based ADC study like histogram analysis for tumor ADC.


Traditional Poster

Diffusion: Analysis

Exhibition Hall Wednesday, May 11, 2016: 10:00 - 12:00

2062
Magnetic ROIs enable improved tractography accuracy through oriented prior
Maxime Chamberland1,2,3, Benoit Scherrer3, Sanjay Prabhu3, Joseph Madsen3, David Fortin4, Kevin Whittingstall2,5, Maxime Descoteaux1, and Simon K Warfield3

1Computer science, Université de Sherbrooke, Sherbrooke, QC, Canada, 2Nuclear Medicine and Radiobiology, Université de Sherbrooke, Sherbrooke, QC, Canada, 3Boston Children's Hospital, Harvard Medical School, Boston, MA, United States, 4Division of Neurosurgery and Neuro-Oncology, Université de Sherbrooke, Sherbrooke, QC, Canada, 5Department of Diagnostic Radiology, Université de Sherbrooke, Sherbrooke, QC, Canada

Streamline tractography algorithms infer connectivity by following directions which are maximally aligned at every voxel. This rule has even been the definition of the probability of connectivity, with the difference in current and next orientation being defined as uncertainty in connectivity. However, our experiments demonstrate that in regions where multiple fiber pathways interdigitate (e.g. temporal lobe), this heuristic is inadequate and does not necessarily reflect the underlying human brain architecture. Furthermore, we demonstrate that inference of connectivity can be improved by incorporating anatomical knowledge of the expected fiber orientation in regions where this information is known. We applied this heuristic through a new tractography region of interest (ROI) and demonstrate that it provides improved delineation of the expected anatomy. 

2063
Effects of cortical regions of interests on tractography and brain connectivity quantification
Tina Jeon1, Virendra Mishra2, and Hao Huang1,3

1Radiology Research, Children's Hospital of Philadelphia, Philadelphia, PA, United States, 2Lou Ruvo Center for Brain Health, Cleveland Clinic, Las Vegas, NV, United States, 3Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States

Dense white matter (WM) zones just beneath cerebral cortex impede tracking from a cortical region of interest with diffusion MRI data. To address this tracing problem, we can either dilate the parcellated cortex into the adjacent WM to initiate tracing or trace directly from WM interior to these dense WM zones. Here we evaluated with diffusion MRI data from three developmental age groups 1) how much dilation from the segmented cortical gyrus would be sufficient for appropriate WM tracing; and 2) if tracing directly from the WM immediately beneath the dense WM zones will yield the same tractography results. 

2064
LOCAL ANALYSIS OF TRACK DENSITY IMAGING FOR THE DETECTION OF WHITE MATTER ALTERATIONS
Rodrigo de Luis-Garcia1, Angel Luis Guerrero2, Miguel Angel Tola-Arribas3, and Santiago Aja-Fernandez1

1Universidad de Valladolid, Valladolid, Spain, 2Hospital Clinico Universitario, Valladolid, Spain, 3Hospital Universitario Rio Hortega, Valladolid, Spain

Track-Density Imaging (TDI) can provide super resolution images of the white matter of the brain. As it is based on the results of a whole brain tractography process, it comprises information from different features of the white matter diffusion. We exploit this information by proposing a local analysis approach for TDI, and test it on two different datasets where conventional TBSS analysis using FA did not yield any significant differences. Results revealed the proposed method to be extremely sensitive in the detection of white matter abnormalities, making it a promising tool for white matter group studies.

2065
Minimum number of diffusion encoding directions required to yield a rotationally invariant powder average signal in single and double diffusion encoding
Filip Szczepankiewicz1, Carl-Fredrik Westin2, Freddy Ståhlberg1, Jimmy Lätt3, and Markus Nilsson4

1Dept. of Medical Radiation Physics, Lund University, Lund, Sweden, 2Dept. of Radiology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, United States, 3Center for Medical Imaging and Physiology, Skåne University Hospital, Lund, Sweden, 4Lund University Bioimaging Center, Lund University, Lund, Sweden

Several analysis techniques of diffusion-weighted data make use of the powder average to yield signal that is invariant to rotation. However, rotational invariance is achieved only at a sufficient directional resolution, which depends on the tissue anisotropy and diffusion encoding strength. In this work we present the minimum number of diffusion directions necessary to yield a rotationally invariant powder average, at arbitrary anisotropy and encoding strength, for single and double diffusion encoding.

2066
Structural connectivity analysis at the voxel level
Jan-Gerd Tenberge1 and Patrick Schiffler1

1University of Münster, Münster, Germany

We present a GPU-accelerated method to compute a structural connectome of the human brain with voxel-level resolution from diffusion weighted images.

2067
On the feasibility of data-driven estimation of Markov random field parameters for IVIM modelling of abdominal DW-MRI: insights into which parameters can be reliably estimated from clinical data
Matthew R Orton1, Neil P Jerome1, Mihaela Rata1, David J Collins1, Khurum Khan2, Nina Tunariu3, David Cunningham2, Thorsten Feiweier4, Dow-Mu Koh3, and Martin O Leach1

1CRUK Cancer Imaging Centre, Division of Radiotherapy and Imaging, Institute of Cancer Research, London, United Kingdom, 2Department of Medical Oncology, Royal Marsden NHS Foundation Trust, London, United Kingdom, 3Department of Radiology, Royal Marsden NHS Foundation Trust, London, United Kingdom, 4Siemens Healthcare, Erlangen, Germany

The intravoxel incoherent motion model is of great interest as it gives a more complete characterization of DWI signals. However, estimates of the pseudo-diffusion coefficient D* are noisy, which can be mitigated using Markov random field (MRF) models.  The MRF smoothing weights are usually subjectively chosen; by removing this requirement, we show that while the smoothing weights for the pseudo-diffusion volume fraction and diffusion coefficient can be estimated from the data, smoothing weights for D* cannot.  This suggests that with currently available data, D* estimates require stabilization by imposing subjective constraints of some kind, such as the MRF used here.

2068
A T1 and DTI fused 3D Corpus Callosum analysis in MCI subjects with high and low cardiovascular risk profile
Yi Lao1,2, Binh Nguyen2, Sinchai Tsao2, Niharika Gajawelli1,2, Meng Law1,3, Helena Chui1,3, Yalin Wang4, and Natasha Lepore1,2

1Biomedical Engineering, University of Southern California, Los Angeles, CA, United States, 2Radiology, Children's Hospital Los Angeles, Los Angeles, CA, United States, 3Radiology, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States, 4School of Computing, Informatics, and Decision Systems Engineering, Arizona State University, Temple, AZ, United States

Understanding how vascular disease and its risk factors influence Alzheimer's disease (AD) progression may enhance predictive accuracy as well as guide early interventions. Here, we apply a novel T1 and DTI fusion analysis on the 3D corpus callosum (CC) of mild cognitive impairment (MCI) populations with different levels of cardiovascular risk, with the aim of decoupling vascular factors in the prodromal AD stage. Our new fusion method detected significant differences in the anterior CC between MCI subjects with high and low vascular risk profiles.  These findings may help to elucidate the interdependent relationship between MCI and vascular risk factors.

2069
Neuroimaging biomarkers for predicting treatment response in schizophrenia based on alteration patterns of the whole brain white matter tracts
Jing-Ying Huang1, Yu-Jen Chen1, Chih-Min Liu2, Tzung-Jeng Hwang2,3, Yun-Chin Hsu1, Yu-Chun Lo1, Hai-Gwo Hwu2,3, and Wen-Yih Isaac Tseng1,3,4,5,6

1Institute of Medical Device and Imaging, National Taiwan University College of Medicine, Taipei, Taiwan, 2Department of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan, 3Graduate Institute of Brain and Mind Sciences, National Taiwan University College of Medicine, Taipei, Taiwan, 4Institute of Biomedical Engineering, National Taiwan University, Taipei, Taiwan, 5Department of Medical Imaging, National Taiwan University Hospital, Taipei, Taiwan, 6Molecular Imaging Center, National Taiwan University, Taipei, Taiwan

This study aims to identify image biomarkers for schizophrenia patients in order to predict treatment responses on individual subject basis. We develop algorithm that can discriminate remission or non-remission in patients with schizophrenia based on the difference in microstructural integrity of the white matter tracts. The ROC analysis shows that the accuracy of the prediction is 76%.

2070
Individualized prediction of schizophrenia based on patterns of altered tract integrity over the whole brain using diffusion spectrum imaging
Yu-Jen Chen1, Chih-Ming Liu2, Tzung-Jeng Huang2, Yun-Chin Hsu1, Yu-Chun Lo1, Hai-Gwo Hwu2, and Wen-Yih Isaac Tseng1,3

1National Taiwan University, Institute of Medical Device and Imaging, Taipei, Taiwan, 2National Taiwan University Hospital, Department of Psychiatry, Taipei, Taiwan, 3National Taiwan University, Molecular Imaging Center, Taipei, Taiwan

In this study, we examined the performance of predicting patients with schizophrenia based on the patterns of altered tract integrity over the whole brain. The whole-brain tract information was compared with predefined differences between schizophrenia patients and healthy participants to calculate an index of SLI indicating the similarity to schizophrenia. Our results showed that the prediction performance was high (AUC = 0.86 for males; AUC = 0.77 for females) when we compared the white matter integrities at specific segments on fiber pathways. 

2071
De-noising of diffusion-weighted MRI data by averaging of inconsistent input data in wavelet space
Henrik Marschner1, Cornelius Eichner1, Alfred Anwander1, André Pampel1, and Harald E. Möller1

1Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany

Diffusion Weighted Images datasets with high spatial resolution and strong diffusion weighting are often deteriorated with low SNR. Here, we demonstrate the feasibility of a recently presented repetition-free averaging based de-noising (AWESOME). That technique reduces noise by averaging over a series of N images with varying contrast in wavelet space and regains intensities and object features initially covered by noise. We show that high resolution DWIs are achievable in a quality that almost equals to that obtained from 6fold complex averaging.

2072
Linear Acceleration of SADD Method for Three Compartments
Ana Karen Loya1 and Mariano Rivera1

1Computer Science, Centro de Investigacion en Matematicas AC, Guanajuato, Mexico

The proposal attempts to model more properly the intra-voxel information from DW-MRI signals in order to obtain tissue diffusion properties in white matter. The method is based on Sparse and Adaptive Diffusion Dictionary (SADD) strategy that dynamically adapts a dictionary of diffusion functions by changing size and orientation of the diffusion tensors. In ISMRM2015, we demonstrated that our accelerated version (LASADD) reduces complexity and computational cost wrt SADD with similar quality results. This work extends the idea of LASADD to three compartments (intracellular, extracellular and cerebrospinal fluid) and presents experimental results depicting the computed properties about the diffusion structure.

2073
Robust assessment of the brain's sheet structure using normalized convolution
Chantal M.W. Tax1,2, Carl-Fredrik Westin2, Tom Dela Haije3, Andrea Fuster3, Max A. Viergever1, Luc Florack3, and Alexander Leemans1

1Image Sciences Institute, University Medical Center Utrecht, Utrecht, Netherlands, 2Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States, 3Department of Mathematics and Computer Science, Eindhoven University of Technology, Eindhoven, Netherlands

The theory that brain fiber pathways cross in sheet-like structures has been a topic of debate. This theory is mainly supported by qualitative findings using diffusion MRI tractography, and a comprehensive quantitative analysis is necessary. To this end, an approach was developed to quantify the degree of “sheetness” based on constructing a large amount of loops with tractography. This approach, however, is computationally expensive, cannot cope well with missing peaks, and is only an approximation when the loops are not infinitesimally small. Here we present an alternative, fast, robust, and elegant approach for the computation of the degree of sheetness.

2074
Introducing a structural similarity index and map for quality control in tractography performed using multi-band EPI
Yuichi Suzuki1, Akira Kunimatsu1, Kouhei Kamiya1, Masaki Katsura1, Harushi Mori1, Katsuya Maruyama2, Thorsten Feiweier3, Kenji Ino1, Yasushi Watanabe1, Jiro Sato1, Keiichi Yano1, and Kuni Ohtomo1

1The Department of Radiology, The University of Tokyo Hospital, Bunkyo-ku, Japan, 2Siemens Japan K.K., Shinagawa-ku, Japan, 3Siemens AG, Erlangen, Germany

We quantitatively evaluated the quality of tractography images captured using the multi-band EPI (MBEPI) compared with those obtained without using MBEPI. We also demonstrated the potential weakness of classic Dice similarity coefficients (DSCs) and introduced a structural similarity (SSIM) index and map as a new method for evaluating the quality of tractography images. A numerical evaluation was enabled by the SSIM index and that the SSIM map was advantageous in that it allows visual confirmation of the structural similarity ratio; in contrast, the DSCs only offered a numerical evaluation.

2075
Single-shot diffusion mapping through overlapping-echo detachment planar imaging technique
Lingceng Ma1, Congbo Cai1, Shuhui Cai1, and Zhong Chen1

1Electronic Science Department, Xiamen University, Xiamen, China, People's Republic of

   Conventional diffusion MRI tends to be of limited use in real-time imaging, because motion can distort the images from multiple scans. In this study, we propose a new imaging method, single-shot diffusion mapping through overlapping-echo detachment planar (DM-OLED) method, together with corresponding signal separation algorithm, to achieve reliable single-shot diffusion mapping in the order of milliseconds. Numerical simulations were performed to verify the proposed method. The results show that the method is accurate and efficient.

2076
"Noise" in diffusion tractography connectomes is not additive
Michael Paquette1, Gabriel Girard1,2,3, Maxime Chamberland1,2,3, and Maxime Descoteaux1,2

1Sherbrooke Connectivity Imaging Lab, Computer Science, Université de Sherbrooke, Sherbrooke, QC, Canada, 2Centre de Recherche CHUS, Université de Sherbrooke, Sherbrooke, QC, Canada, 3Sherbrooke Neuro-Analysis Imaging Lab, Department of Nuclear Medicine and Radiobiology, Université de Sherbrooke, Sherbrooke, QC, Canada

With the increasing popularity of diffusion MRI tractography-based connectomes in the literature, a better analysis of their reproducibility is crucial. Studying connectome differences across a test-retest dataset allows us to investigate their variance. In this work we highlight the non-additive nature of tractography based connectome “noise”. This observation holds even when accounting for some of the biggest tractography biases such as seeding density, seeding region, tract volume and fiber length.

2077
Correcting diffusion weighted MR images for signal pile-up and distortions near gas pockets
Laurens D. van Buuren1, Daniel Polders1, Maaike T. Milder1, Floris J. Pos1, Stijn W. Heijmink1, Baukelien van Triest1, and Uulke A. van der Heide1

1Department of Radiation Oncology, The Netherlands Cancer Institute, Amsterdam, Netherlands

Echo-planar imaging is widely used to obtain diffusion images within acceptable time limits. These images suffer from geometric distortions. Additionally, the diffusion signal intensity can be obscured by signal pile-up, when strong variations of the magnetic field occur, for example near gas pockets. We demonstrate in a water phantom that both the signal pile-up and geometric distortions can be corrected by combining the information from EPI images obtained with opposite gradients and a magnetic field map. We applied this method in two patients and show a reduction in signal pile-up and geometric distortions near gas pockets in the rectum.

2078
FRACTAL DIMENSION AS A GLOBAL DESCRIPTOR OF THE WHITE MATTER IN DIFFUSION MRI GROUP STUDIES
Rodrigo de Luis-Garcia1, Miguel Angel Tola-Arribas2, Claudio Delrieux3, and Carlos Alberola-Lopez1

1Universidad de Valladolid, Valladolid, Spain, 2Hospital Universitario Rio Hortega, Valladolid, Spain, 3Universidad Nacional del Sur, Bahia Blanca, Argentina

Simple global measures describing the complexity of the white matter architecture can provide useful information when analyzing diffusion MRI data, and can be even capable of finding statistical differences between groups. We propose the use of the fractal dimension of the FA maps for that purpose, and illustrate its potential on a dataset composed of elderly subjects and patients from three different stages of Alzheimer’s disease.

2079
Sensitivity of diffusion metrics in complex white matter configurations
Pedro Angel Luque Laguna1,2, Luis Lacerda1,2, Steve C.R. Williams1, and Flavio Dell'Acqua1,2

1Neuroimaging, King's College London, LONDON, United Kingdom, 2Natbrainlab, LONDON, United Kingdom

In the context of studies using diffusion MRI, an important criterion to choose between the available diffusion metrics is the sensitivity to detect pathological changes. Sensitivity of diffusion metrics has been shown to vary widely across brain regions although the biological factors behind such variability remain undetermined. In this work we use computational simulations to evaluate the effect that different white matter configurations have on the sensitivity of existing metrics of diffusion and anisotropy. We show that for the same biological change, features of microstructural organisation like the angle of crossing fibres have a significant and characterising effect in the sensitivity of each particular metric.

2080
An assessment of Bayesian IVIM model fitting
Oscar Gustafsson1,2, Mikael Montelius1, Göran Starck1,2, and Maria Ljungberg1,2

1Department of Radiation Physics, Institute of Clinical Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden, 2Department of Medical Physics and Biomedical Engineering, Sahlgrenska University Hospital, Gothenburg, Sweden

Bayesian model fitting has been proposed as an alternative to the commonly used least squares fitting of the IVIM model. In this work we used Monte Carlo simulations to study the convergence of a Markov Chain Monte Carlo implementation of Bayesian model fitting and compared the resulting model parameters to two least squares model fitting methods.  We saw that the convergence of the Bayesian model fitting procedure was affected by noise and compartment sizes. Bayesian model fitting was beneficial for the diffusion coefficient and the perfusion fraction, especially at low SNR

2081
A Fast and Effective Strategy for Artifact Identification and Signal Restoring with HARDI data
Elisa Scaccianoce1,2, Francesca Baglio2, Giuseppe Baselli1, and Flavio Dell'Acqua3

1Department of Electrinics, Informations and Bioengineering, Politecnico di Milano, Milano, Italy, 2RM Lab, Don Carlo Gnocchi Foundation ONLUS, IRCCS S. Maria Nascente, Milano, Milano, Italy, 3NATBRAINLAB, Department of Neuroimaging, Institute of Psychiatry, Psychology and Neuroscience, King’s College, London, United Kingdom, London, United Kingdom

HARDI datasets are often prone to different type of artifacts, difficult to detect even by expert users. In this work we propose a fast and effective pipeline for outlier identification and correction of  HARDI datasets. Here corrupted data is first identified as outlier and then regenerated using a framework based on signal decomposition using spherical harmonics.  This approach was tested on healthy controls and validated with simulated dataset. Our study confirms the efficacy of using SH for artifacts identification and correction. 

2082
Novel Strategy for Quantitative Analysis of IVIM Diffusion MRI in Ewing’s Sarcoma Family of Tumours
Esha Baidya Kayal1, Devasenathipathy K2, Kedar Khare3, Jayendra Tiru Alampally2, Sameer Bakhshi4, Raju Sharma2, and Amit Mehndiratta1,5

1Centre for Biomedical Engineering, Indian Institute of Technology Delhi, New Delhi, India, 2Department of Radiology, All India Institute of Medical Sciences, New Delhi, India, 3Department of Physics, Indian Institute of Technology Delhi, New Delhi, India, 4BRA IRCH, All India Institute of Medical Sciences, New Delhi, India, 5Department of Biomedical Engineering, All India Institute of Medical Sciences, New Delhi, India

Quantitative analysis of IVIM effect revels both diffusion and perfusion component of tissue. As widely used bi-exponential model is not very reliable, we propose two penalty function: a) Total Variation and b) Huber Penalty function with bi-exponential model for IVIM parametric analysis of soft tissue tumours. Results show better fit to IVIM dataset by our two methods compared to standard BE model and freeware Osirix. IVIM analysis using Total Variation Reduction methodology showed qualitatively and quantitatively better estimation of both perfusion and diffusion component in soft tissue tumours. 

2083
Spatial Heterogeneity Mapping of Brain Tumors from 3.0 T Diffusion MR: Quantitative Results Versus Histological Tumour Grade
Lalit Gupta1, Sundararaman VK1, and Rakesh K Gupta2

1Philips India Ltd., Bangalore, India, 2Department of Radiology, Fortis Memorial Research Institute, Gurgaon, India

In a previous study a method based on “texture analysis” of apparent diffusion coefficient maps was proposed for tumor grading, with validation on limited 1.5T data. In this study, we use a modified method and show additional results (46 patients’ data) on 3.0 T data. There was significant difference between high and low grade tumors using heterogeneity measure (p<0.05). 39 out of 46 patients were found to be correctly classified using a threshold in-between mean values of high and low grade tumors. In the other seven patients, the tumors were either very small or had undergone surgical interventions.

2084
The Apparent Range of Spin Movement in Diffusion MRI Data
Tom Dela Haije1, Andrea Fuster1, and Luc Florack1

1Mathematics and Computer Science, Eindhoven University of Technology, Eindhoven, Netherlands

In this work we investigate the potential of diffusion MRI to measure the maximum range of motion due to diffusion within spatially homogeneous voxels. We show that it is possible to characterize this range even in clinical scanners, and show in data of the human brain how this leads to interesting new ways to extract information from diffusion MRI.

2085
Comparison of Image Quality and Apparent Diffusion Coefficient Reproducibility with Water Exitation Using Binominal Scheme 11, 121, 1331, 14641 in iShim Sequence
Xiaolu Li1, Mengchao Zhang1, Hong Zeng1, and Lin Liu1

1Jilin University Sino-Japan Hospital, Chang Chun, China, People's Republic of

Our study is to compare the homogeneity and degree of fat saturaton when using water excitation at different binominal scheme (11, 121, 1331, 14641) in iShim (sequence integrated shimming) DWI of liver.We found that the binominal scheme 1331 and 14641 in water excitation can improve the homogeneity of fat saturation in abdominal iShim DWI without effecting ADC values.We believe that it will be good for the clinical image quality. 

2086
The Influence of Parallel Imaging in Diffusion Tensor Imaging Using Slice Accelerated Multiband Sequence
Yuanyuan Chen1, Miao Sha1, Xin Zhao1, Xu Yan2,3, Weiwei Wang1, Xiong Zhang1, Hongyan Ni3, and Dong Ming1

1Tianjin University, Tianjin, China, People's Republic of, 2MR Collaboration NE Asia, Siemens Healthcare, Shanghai, China, People's Republic of, 3Tianjin First Central Hospital, Tianjin, China, People's Republic of

The use of simultaneous multiband radiofrequency (RF) pulses to accelerate volume coverage along the slice direction is becoming increasingly popular. In this work, we attempt to evaluate the impact on parameter calculations of parallel imaging in combination with multiband excitation for DTI applications. The image quality as well as the indexes was compared. This experiment shows that the accelerated multiband sequence are highly reproducible in voxel-based analysis for different parallel imaging factors, with no significant differences (p < 0.001). In addition, the parallel imaging factor may have an influence on SNR and distortion of the diffusion images.

2087
A Novel and Cost-effective IVIM MRI Quality Assurance Method
LEI JIANG1 and CHEN LIN1

1Radiology and Imaging Sciences, Indiana University School of Medicine, Indianapolis, IN, United States

Intravoxel incoherent motion (IVIM) MRI measures the combined effect of perfusion in the capillaries and water diffusion in the extracellular extravascular space. However, verification of the accuracy of IVIM is not performed routinely as it requires a flow phantom and a pump with accurate and constant output. Our goal is to develop a practical IVIM quality assurance method based on a simple and compact flow phantom driven by a power injector. We have demonstrated that using a simple phantom and a power injector as standard is feasible and can be easily implemented on many clinical/research scanners

2088
Combining TBSS and atlas-based analysis may reveal white matter abnormalities in Early Tourette Syndrome Children
Yue Liu1, Jishui Zhang1, Yue Zhang1, Hongwei Tian1, and Yun Peng1

1Beijing Children's hospital, Beijing, China, People's Republic of

Tourette syndrome (TS) is a childhood-onset neurobehavioral disorder. The present study investigate the microstructural changes of the white matter involved in children with TS by Diffusion tensor imaging (DTI). This is the first study that used both Tract-Based Spatial Statistics (TBSS) and Atlas-based approach to analyze DTI data of TS children.We found that FA/AD decrease and RD/MD increase in white matter tracts in cortico-striato-thalamo-cortical(CSTC) as well as basalganglia and thalamus. The positive relation between higher RD, MD and more tics and the negative correlation between higher regional FA values and fewer tics, suggests that these alterations of white matter microstructure represent adaptive reorganization of somatosensory and motor processing in TS.

2089
Brain Structural Connectome using PROPELLER Echo-planar Diffusion Tensor Imaging and Probabilistic Tractography
Ya-Ling Lin1,2, Tsyh-Jyi Hsieh3, and Ming-Chung Chou1

1Department of Medical Imaging and Radiological Sciences, Kaohsiung Medical University, Kaohsiung, Taiwan, 2Department of Radiation Oncology, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung, Taiwan, 3Department of Radiology, Chi-Mei Medical Center, Tainan, Taiwan

Diffusion tensor imaging (DTI) was demonstrated to successfully trace three-dimensional trajectory of neuronal fiber tracts in vivo and has been widely utilized in many clinical applications. However, there are two major disadvantages when using conventional single-shot DTI, including the problems of intra-voxel fiber crossings and susceptibility distortions. Therefore, the purpose of this study was to utilize PROPELLER echo-planar DTI technique and probabilistic tractography to construct brain connectivity networks. The results showed that susceptibility distortions significantly deteriorated the results of brain connectivity networks and might erroneously enhance the network difference in clinical applications.

2090
Denoised diffusion spectrum imaging of white matter tracts in the brainstem
Cristina Granziera1,2,3,4, Samuel St-Jean5, Alessandro Daducci3, Gunnar Krueger6, and Maxime Descoteaux7

1Radiology, A.A. Martinos Center for Biomedical Imaging, Massachussetts General Hospital and Harvard Medical School, Charlestown, MA, United States, 22. Neuroimmunology Unit, Neurology, Department of Clinical Neurosciences, Centre Hospitalier Universitaire Vaudois (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland, 3Signal Processing Laboratory 5 (LTS5), Ecole Polytechnique Féderale Lausanne (EPFL), Lausanne, Switzerland, 4Advanced Clinical Imaging Technology (HC CMEA SUI DI BM PI), Siemens Healthcare AG, Lausanne, Switzerland, 56. Image Sciences Institute, University Medical Center Utrecht, Utrecht, Netherlands, 6Siemens Medical Solutions USA, Inc., Boston, MA, United States, 7Sherbrooke Connectivity Imaging Laboratory (SCIL), University of Sheerbrooke, Sherbrooke, Canada

High-angular resolution diffusion (HARDI) MRI, like diffusion spectrum imaging-DSI, provides an attractive tool to investigate the complex white matter structure in the brainstem. However, due to the application of high b-values in the HARDI acquisition, the raw images are SNR limited (SNR<10). In this study, we applied a novel  denoising alogorithm to low-SNR  DSI data. Our results showed that Generalized Anisotropy maps and tractography seeding the periacqueductal grey matter, a small structure in the mesencephalon, match more   accurately the underlying anatomy when applying the denoising algorithm.



Traditional Poster

Interventional

Exhibition Hall Wednesday, May 11, 2016: 13:30 - 15:30

2091

Monitoring temperature changes in the brain during high flow cold air cooling
Åsmund Kjørstad1, Fabian Temme1, Jens Fiehler1, and Jan Sedlacik1

1Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany

Targeted temperature management is a treatment that seeks to reduce and control the body temperature. We demonstrate a novel localized cooling technique using high flow cold air applied nasally and orally to the airways by monitoring the brain temperature using gradient echo phase imaging at 3T. 2 healthy volunteers were investigated, with one subject being scanned twice and the other once. A significant temperature reduction (p<0.05) was seen in the inferior frontal lobe in all three experiments with an average cooling effect of -0.33°C. This demonstrates the feasibility of our proposed high flow cold air system. 

2092
Early Assessment of MRgFUS Thalamotomy Using a Diffusion Weighted Steady State MRI Sequence in an In-vivo Porcine Model
Juan Camilo Plata1, Sam Fielden2, Bragi Sveinsson3, Brian Hargreaves4, and Craig Meyer2

1Bioengineering, Stanford University, Las Vegas, NV, United States, 2Biomedical Engineering, University of Virginia, Charlottesville, VA, United States, 3Electrical Engineering, Stanford University, Palo Alto, CA, United States, 4Stanford University, Palo Alto, CA, United States

Early detection of thermal lesions generated using MR-guided focused ultrasound systems is critical for treatment feedback. Irreversible changes in the apparent diffusion coefficient (ADC) have been previously shown to be an early indicator for loss of viability in the prostate. Due to poor image quality using standard diffusion weighted imaging strategies inside the focused ultrasound system, radiologists rely on T2-weighted fast spin echoes (FSE) for lesion detection. T2-weighted changes due to lesion formation develop more slowly than  ADC changes. We propose using a diffusion-weighted steady state sequence for early detection of thermal lesions inside the focused ultrasound system.

2093
Fast Temperature Estimation from Undersampled k-Space with Fully Sampled Center for Real Time MR Guided Microwave Ablations
Fuyixue Wang1, Zijing Dong1, Shuo Chen2, Bingyao Chen3, Jiafei Yang3, Xing Wei3, Shi Wang2, and Kui Ying2

1Department of Biomedical Engineering, Tsinghua University, Beijing, China, People's Republic of, 2Key Laboratory of Particle and Radiation Imaging, Ministry of Education, Medical Engineering and Institute, Department of Engineering Physics, Tsinghua University, Beijing, China, People's Republic of, 3Department of Orthopedics, First Affiliated Hospital of PLA General Hospital, Beijing, China, People's Republic of

Real time thermometry is desirable for thermal therapy such as microwave ablation to ensure patient safety. MR temperature imaging using proton resonance frequency (PRF) shift technique can provide temperature maps during the treatment. In this work, we proposed a novel reconstruction framework that estimates temperature changes from undersampled k-space with a few fully sampled k-space points. Simulation studies, phantom heating experiments and human experiments were performed to validate the proposed method. The proposed method can provide temperature images with relatively high accuracy and short reconstruction time at a reduction factor of 4 in presence of motion.

2094
Temporal Weighted Sliding Window SPIRiT with Golden Angle Radial Sampling for Real Time MR Temperature Imaging
Fuyixue Wang1, Zijing Dong1, Haikun Qi2, Shi Wang3, Huijun Chen2, and Kui Ying3

1Department of Biomedical Engineering, Tsinghua University, Beijing, China, People's Republic of, 2Center for Biomedical Imaging Research, Department of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing, China, People's Republic of, 3Key Laboratory of Particle and Radiation Imaging, Ministry of Education, Medical Engineering and Institute, Department of Engineering Physics, Tsinghua University, Beijing, China, People's Republic of

Real time MR temperature imaging during thermal therapy is beneficial for monitoring and controlling the treatment in clinical applications. In this work, we explored correlations in the temporal dimension of temperature imaging and proposed a novel method, temporal weighted sliding window SPIRiT using motion-insensitive golden angle radial sampling, to achieve real time temperature imaging. Through simulation studies and phantom heating experiments, we validated the ability of the proposed method to obtain temperature images with relatively high temperature accuracy at a reduction factor of 8.

2095
Spatially-segmented undersampled temperature map reconstruction for transcranial MR-guided focused ultrasound
Pooja Gaur1, Xue Feng2, Samuel Fielden2, Craig H Meyer2, Beat Werner3, and William A Grissom1

1Vanderbilt University, Nashville, TN, United States, 2University of Virginia, Charlottesville, VA, United States, 3University Children's Hospital, Zurich, Switzerland

Accelerated temperature imaging is desirable to improve spatiotemporal coverage during MR-guided focused ultrasound procedures in the brain. Circulating water prevents skull overheating, but also creates signal variations that disrupt correlations between images collected before and during treatment (which are relied on to overcome undersampling artifacts), leading to errors in temperature measurements. We propose a spatially-segmented iterative reconstruction method, which applies the k-space hybrid model to reconstruct temperature changes in the brain and a POCS method to reconstruct the image in the water bath. Separately reconstructing brain and water bath signal results in lower temperature error when undersampling k-space.

2096
3D UTE MR thermometry of frozen tissue: feasibility and accuracy during cryoablation at 3T
Christiaan G. Overduin1, Jurgen J. Fütterer1,2, and Tom W.J. Scheenen1

1Radiology, Radboud University Medical Centre, Nijmegen, Netherlands, 2MIRA Institute for Biomedical Engineering and Technical Medicine, University of Twente, Enschede, Netherlands

Our study assessed the feasibility and accuracy of 3D ultrashort TE (UTE) MR thermometry to dynamically track temperatures across frozen tissue during cryoablation on a clinical MR system at 3T. We demonstrated 3D UTE imaging to achieve measurable MR signal from frozen tissue down to temperatures as low as -40°C within a clinically realistic time-frame (~1min) and with sufficient spatial resolution (1.63mm isotropic). Using a calibration curve, we could derive 3D MR-estimated temperature maps of the frozen tissue, which showed good agreement with matched temperature sensor readings on statistical analysis.

2097
Acceleration of Temperature Mapping with an Ascending Threshold Low Rank Constraint (AscLR)
Fuyixue Wang1, Zijing Dong1, Bingyao Chen2, Jiafei Yang2, Xing Wei2, Shi Wang3, and Kui Ying3

1Department of Biomedical Engineering, Tsinghua University, Beijing, China, People's Republic of, 2Department of Orthopedics, First Affiliated Hospital of PLA General Hospital, Beijing, China, People's Republic of, 3Key Laboratory of Particle and Radiation Imaging, Ministry of Education, Medical Engineering and Institute, Department of Engineering Physics, Tsinghua University, Beijing, China, People's Republic of

Thermal therapies such as microwave ablation require temperature imaging with high temporal resolution to calculate thermal absorption and evaluate the curative effects of the ablation. Thus, acceleration techniques of data acquisition for MR temperature imaging using PRF shift technique are desirable. In this work, we explored the low rank property of k-t space in dynamic MR temperature imaging and proposed a novel fast reconstruction method AscLR with an ascending-threshold low rank constraint. Through simulation studies and microwave heating experiments, we validated the ability of the proposed method to provide relatively accurate temperature estimation at a reduction factor of 8.

2098
Feasibility of Absolute Thermometry of Knee Joint Cartilage using Spin-lattice Relaxation Time
Tomoya Kimura1, Atsushi Shiina1, Kenji Takahashi2, and Kagayaki Kuroda1,3

1Course of Electrical and Electronic Engineering, Graduate School of Engineering, Tokai University, Hiratsuka, Japan, 2Department of Orthopaedic Surgery, Nippon Medical School, Tokyo, Japan, 3Center for Frontier Medical Engineering, Chiba University, Chiba, Japan

Temperature dependence of T1 of tissue water in the porcine knee joint cartilage in vitro was examined at 9.4T in comparison with that of the water proton resonance frequency. The absolute value of T1 at each temperature between room temperature and 60oC was reproducible. Hysteresis was negligible during heating and cooling processes. The correlation coefficient with temperature was higher than 0.998, and hence that with water proton chemical shift was also high (>= 0.996). The temperature coefficient was 1.28%/oC at 30oC for heating and 1.24%/oC for cooling. These results suggested that T1 is a favorable index for thermometry of the knee joint cartilage under thermal therapies.

 


2099
A Hybrid Model Integrated with Correction of Susceptibility Induced Phase Error in Magnetic Resonance Thermometry
Kexin Deng1, Yuxin Zhang1, Yu Wang1, Bingyao Chen2, Xing Wei2, Jiafei Yang2, Shi Wang3, and Kui Ying3

1Biomedical Engineering, Tsinghua University, Beijing, China, People's Republic of, 2Department of Orthopedics, First Affiliated Hospital of PLA General Hospital, Beijing, China, People's Republic of, 3Key Laboratory of Particle and Radiation Imaging, Ministry of Education, Department of Engineering Physics, Tsinghua University, Beijing, China, People's Republic of

The temperature dependency of susceptibility, especially for fat, could introduce errors in temperature estimation. To address this problem, a hybrid model integrated with susceptibility change induced phase is proposed to reduce the phase error. Simulation was conducted to validate the proposed model and a water-fat phantom was made and heated to illustrate the effect of susceptibility-induced phase error correction. The proposed model shows more accurate temperature estimation near the water-fat interface both in simulation and phantom heating experiment. 

2100
Patient preparation by oral fluid intake for proton resonance frequency shift based MR thermometry in the pancreas
Cyril J Ferrer1, Lambertus W Bartels1, Marijn van Stralen1, Chrit T.W Moonen1, and Clemens Bos1

1University Medical Center Utrecht, Utrecht, Netherlands

Magnetic Resonance Imaging-guided High Intensity Focused Ultrasound has recently been suggested as an alternative treatment modality for pancreatic cancer that is non-invasive, and may be suited for treatment in cases where surgery is not an option. However, using proton resonance frequency shift based thermometry in this area is highly challenging, because of motion and air in the digestive tract near the pancreas. We have shown experimentally that patient preparation by filling the stomach and duodenum with juice can be a pragmatic solution for more precise temperature monitoring during MR-HIFU therapy particularly in the head of the pancreas. 

2101
Magnetic Resonance Acoustic Radiation Force Imaging for interventional planning of HIFU therapy in the kidney
Johanna Maria Mijntje van Breugel1, Martijn de Greef2, Charles Mougenot3, Maurice AAJ van den Bosch2, Chrit CW Moonen2, and Mario AAJ Ries2

1Radiology, University Medical Center Utrehct, Utrecht, Netherlands, 2University Medical Center Utrehct, Utrecht, Netherlands, 3Torontp, Canada

Hypothesis: MR-ARFI can be deployed in the kidney as an alternative for the thermal test shot at low power.

The employed respiratory gated MR-ARFI sequence in combination with a 450 W excitation tone-burst is sensitive enough to exceed the noise level and to clearly display the focal point of the HIFU beam. Both at 450W and at 1000W the displacement due to the radiation force coincided with the location of the temperature rise due to thermal ablation at equivalent power. Hence, radiation force in combination with a pencil beam navigator to compensate for respiratory motion is a reliable indicator of the location of the thermal lesion and might be an alternative to the low power thermal test shot in highly perfused organs such as the kidney.


2102
MR-Shear Wave Elasticity Imaging (SWEI) with Bipolar Motion-Encoding Gradients
Yuan Zheng1, Michael Marx1, Rachelle R. Bitton1, and Kim Butts Pauly1

1Radiology, Stanford University, Stanford, CA, United States

We have demonstrated a method for shear wave elasticity imaging (SWEI). A shear wave was generated by a short focused ultrasound (FUS) pulse, and was tracked by collecting images with different delays (tdelay) between the FUS pulse and bipolar motion-encoding gradients (MEG). The time-of-flight (TOF) at each pixel was determined by the zero-crossing of the image phase as a function of tdelay. Based on the TOF map, a shear wave velocity map was generated in polar coordinates. 

2103
Rapid HIFU refocusing based on MR-ARFI
Charles Mougenot1, Samuel Pichardo2,3, Steven Engler2,4, Adam Waspe5,6, Elodie Constanciel5, and James Drake5,6

1Philips Healthcare, Toronto, ON, Canada, 2Thunder Bay Regional Research Institute, Thunder Bay, ON, Canada, 3Electrical Engineering, Lakehead University, Thunder Bay, ON, Canada, 4Computer Science, Lakehead University, Thunder Bay, ON, Canada, 5Hospital for Sick Children, Toronto, ON, Canada, 6University of Toronto, Toronto, ON, Canada

Algorithms have been developed that use Magnetic Resonance Acoustic Radiation Force Imaging (MR-ARFI) to maximize the intensity at the focal point of a high intensity focused ultrasound beam in order to compensate for tissue related phase aberrations. A combination of two methods is proposed to achieve refocusing using a clinically acceptable acquisition time at 3T. Compensation of three aberrators inducing a relative intensity of 95%, 67.4% and 25.3% were successfully evaluated in a phantom to retrieve a relative intensity of 101.6%, 91.3% and 93.3% in 10 minutes or 103.9%, 94.3% and 101% in 25 minutes.
 

 

2104
High Speed, High Sensitivity MR-ARFI Using a Balanced Steady-State Free Precession Pulse Sequence
Yuan Zheng1, Michael Marx1, G. Wilson Miller2, and Kim Butts Pauly1

1Radiology, Stanford University, Stanford, CA, United States, 2Radiology and Medical Imaging, University of Virginia, Charlottesville, VA, United States

We have developed a novel MR-ARFI technique that makes use of transition band balanced steady-state free precession (bSSFP). Due to the strong dependence of image phase on the motion-encoded phase, this technique improves the sensitivity of MR-ARFI measurements over commonly used spoiled sequences. The proposed technique also features high speed, as an ARFI contrast image can be acquired in a few seconds. With its high speed and high sensitivity, the bSSFP-ARFI technique could be useful in confirming/calibrating the HIFU focal spot before thermal ablation treatment.

2105
A Novel method for developing clinical grade active devices dedicated to interventional MRI procedures
Korel Dursun Yildirim1, Engin Baysoy1, Zahid Sagiroglu2, Çağla Özsoy1, Ozgur Kocatürk1, and Şenol Mutlu2

1Biomedical Engineering, Boğaziçi University, Institute of Biomedical Engineering, Istanbul, Turkey, 2Electrical and Electronics Engineering, Boğaziçi University, Institute of Graduate Studies in Science and Engineering, Istanbul, Turkey

In this study, A Novel method and system were devoloped for developing clinical grade active devices dedicated to interventional MRI procedures. Before prototype fabrication, according to desired component dimensions, component values were simulated. With the exact dimensions used in simulations, component prototypes were fabricated via conductive ink as component material. Finally, simulation results and banch top measurements of component values were compared and reliability of simulation results were comfirmed.

2106
Real-Time Hemodynamic Monitoring during MR Imaging and Interventional Procedures derived from induced Magnetohydrodynamic Voltages
T. Stan Gregory1, Ehud Schmidt2, John Oshinski3, and Zion Tsz Ho Tse1

1College of Engineering, The University of Georgia, Athens, GA, United States, 2Radiology, Brigham and Women's Hospital, Boston, MA, United States, 3Radiology, Emory University Hospital, Atlanta, GA, United States

Magnetic Resonance Imaging (MRI) is increasingly becoming the preferred diagnostic and interventional imaging modality for a variety of diseases.  Despite the increasing clinical merit, practical implementation of these procedures in the clinic is oftentimes limited due to the high risk associated with these patient groups and the subsequent need for advanced physiological monitoring for each patient to be cleared for MRI imaging and interventional workflows.  The presented method for beat-to-beat SV and continuous aortic flow monitoring within the MRI bore based on Magnetohydrodynamic Voltages (VMHD) induced onto 12-lead Electrocardiograms (ECG), enables MR imaging and MRI-guided interventional procedures for these patients. 

2107
Accelerated MR Thermometry in the Presence of Uncertainties
Reza Madankan1, Wolfgang Stefan1, Christopher MacLellan1, Samuel Fahrenholtz1, Drew Mitchell1, R.J. Stafford1, John Hazle1, and David Fuentes1

1Imaging Physics, MD Anderson Cancer Center, Houston, TX, United States

Compressive sensing and sparse image reconstruction has received significant attention and has demonstrated potential in reduction of acquisition times. However, in many methods, under-sampling strategies are heuristically chosen and empirically validated. This often leads to a relatively larger number of k-space samples than needed for a particular application. The presented work develops a mathematically rigorous and quantitative methodology for k-space under-sampling with respect to model-based reconstruction of MR thermometry. The key idea of the proposed approach is to detect the useful samples of k-space in order to refine the model, and then the refined mathematical model is utilized to reconstruct the image.

2108
Kalman Filtered Bio Heat Transfer Model Based Self-adaptive Hybrid Magnetic Resonance Thermometry
Yuxin Zhang1, Kexin Deng1, Shuo Chen2, Bingyao Chen3, Xing Wei3, Jiafei Yang3, Shi Wang2, and Kui Ying2

1Biomedical Engineering, Tsinghua University, Beijing, China, People's Republic of, 2Key Laboratory of Particle and Radiation Imaging, Ministry of Education, Department of Engineering Physics, Tsinghua University, Beijing, China, People's Republic of, 3Department of Orthopedics, First Affiliated Hospital of PLA General Hospital, Beijing, China, People's Republic of

The proposed Kalman filtered Bio Heat Transfer Model Based Self-adaptive Hybrid MR Thermometry, abbreviated as KalBHT hybrid algorithm, introduced the BHTE model to synthesize a window on the regularization term of the hybrid algorithm, which leads to a self-adaptive regularization both spatially and temporally with change of temperature. Further, to decrease the sensitivity to accuracy of the BHTE model, Kalman filter is utilized to update the window at each iteration time. Besides, the BHTE model is able to interpolate temperature maps during the acquisition and reconstruction of the next MR image to make real time temperature monitoring possible. To investigate the effect of the proposed model, phantom microwave heating experiment and in-vivo experiment with heating simulation were conducted in this study.

2109
Evaluation of the Effect of Trajectory Correction with Radial Sampling on Temperature Imaging
Tongxin Chen1, Fuyixue Wang1, Zijing Dong1, Haikun Qi2, Shi Wang3, Huijun Chen2, and Kui Ying3

1Department of Biomedical Engineering, Tsinghua University, Beijing, China, People's Republic of, 2Center for Biomedical Imaging Research, Department of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing, China, People's Republic of, 3Key Laboratory of Particle and Radiation Imaging, Ministry of Education, Medical Engineering and Institute, Department of Engineering Physics, Tsinghua University, Beijing, China, People's Republic of

Radial sampling is sensitive to trajectory errors and can cause image distortions. To investigate the effect of trajectory errors on temperature imaging, we first evaluated the use of Trajectory Auto-Corrected Image Reconstruction (TrACR), a method to reconstruct radial images without trajectory errors, for radial temperature imaging. Then, we examined the feasibility of TrACR with only one calibration on dynamic temperature imaging based on the assumption that gradient errors are time-invariant. Through phantom heating experiments, we validated that both of the TrACR and the single-calibration TrACR can correct the errors of normal and golden angle radial sampling and provide improved temperature accuracy.

2110
On-Demand Dynamic Updating of the Temporal Resolution of Interleaved PRFS and T2 Temperature Mapping Methods for MR-HIFU
Steven Engler1,2, Charles Mougenot3, Jochen Keupp4, Steffen Weiss4, Edwin Heijman5, and Samuel Pichardo1,6

1Thunder Bay Regional Research Institute, Thunder Bay, ON, Canada, 2Lakehead University, Computer Science, Thunder Bay, ON, Canada, 3Philips Healthcare, Toronto, ON, Canada, 4Philips Research, Hamburg, Germany, 5Philips Research, Eindhoven, Netherlands, 6Lakehead University, Electrical Engineering, Thunder Bay, ON, Canada

Temperature changes can be assessed in non-adipose tissue using proton resonance frequency shift MR-thermometry methods based on gradient-echo sequences, and in adipose tissue using apparent T2-mapping MR-thermometry methods based on multi-echo fast spin-echo sequences. It has been previously demonstrated that these sequences can be interleaved to simultaneously monitor temperature in all tissues. In this study we show the feasibility of controlling the sequence duty-cycle of the aforementioned interleaved scanning technique on-demand in order to dynamically change the temporal resolution of the two interleaved scans in response to actual temperature changes and the stage of the hyperthermia application.

2111
Model predictive filtering MR thermometry utilizing ultrasound beam modeling SAR predictions
Henrik Odéen1, Scott Almquist2, Joshua de Bever1, and Dennis L Parker1

1Utah Center for Advanced Imaging Research, Department of Radiology, University of Utah, Salt Lake City, UT, United States, 2School of Computing, University of Utah, Salt Lake City, UT, United States

Thermal model based reconstruction of subsampled MR temperature data for focused ultrasound applications rely on acoustic and thermal parameters that are often analytically determined from a pre-treatment sonication. In this work we combine a thermal model based reconstruction method with ultrasound beam simulations to determine the specific absorption rate in order to avoid potentially damaging the tissue during a pre-treatment sonication. Proof-of-concept experiments are performed in a homogenous gelatin phantom and a gelatin phantom embedded with a plastic skull. The temperature estimations using US modeling show the same accuracy as those using a pre-treatment sonication.

2112
Investigation of temperature dependent changes in signal intensity, T1 and T2* in cortical bone
Henrik Odéen1, Bradley Bolster2, Eun Kee Jeong1, and Dennis L Parker1

1Utah Center for Advanced Imaging Research, Department of Radiology, University of Utah, Salt Lake City, UT, United States, 2Siemens Healthcare, Salt Lake City, UT, United States

Measurements of changes in signal intensity and T1 relaxation time with temperature has been suggested for temperature monitoring in cortical bone during MR guided focused ultrasound treatments. In this study we compare changes in signal intensity, T1, and T2* with temperature using a 3D ultrashort echo time pulse sequence and a 2D gradient recalled echo pulse sequence with short TE. The effects of T1 and T2* change with temperature counteract each other making the change in signal intensity small, and therefore T1 and T2* appears to have the greatest sensitivity to changes in temperature.

2113
Simultaneous PRFS and T1 quantification using bSSFP for Temperature Monitoring
Mingming Wu1, Matthew Tarasek2, Axel Haase3, and Silke Lechner-Greite4

1IMETUM, Technische Universität München, Garching, Germany, 2GE Global Research, Niskayuna, NY, United States, 3Technische Universität München, Garching, Germany, 4GE Global Research, Garching, Germany

Inversion Recovery prepared bSSFP sequence is used to quantify T1 and PRFS simultaneously based on a phase sensitive bSSFP readout. This technique allows for temperature mapping in both adipose and aqueous tissues at the same time. The feasibility of this method is shown with means of a cooling down experiment of a heterogeneous phantom. B0 drift correction is performed based on neighboring voxels in the fatty tissue.

2114
MRI-guided robotic arm (MgRA) to target deep brain nuclei in vitro
Yi Chen1,2, Filip Sobczak1, and Xin Yu1,2

1Research Group of Translational Neuroimaging and Neural Control, High-Field Magnetic Resonance, Max Planck Institute for Biological Cybernetics, Tuebingen, Germany, 2Graduate School of Neural Information Processing, University of Tuebingen, Tuebingen, Germany

A key challenge of the fiber optic-mediated multi-model fMRI methodologies is locating the fiber tip accurately and precisely to target  deep brain nuclei. The requirement of precision is only several hundreds of microns in the animal brains. In this work, a multi degree of freedom robotic arm was developed with the use of step motors. The setup is in compatible with 14.1T MRI scanner. This MRI-guided robotic arm provides visually monitored fiber insertion to reduce the position error significantly in the perfused rat brain.

2115
Fast generation of pseudo-CT in the Head and Neck for MR guided Radiotherapy: Comparison of different UTE readout strategies
Michaela A U Hoesl1, Peter R Seevinck1, Matteo Maspero1, Gert J Meijer2, Jan J W Lagendijk1, Bas W Raaymakers1, and Cornelis A T van den Berg1

1Center of Image Sciences, University Medical Center Utrecht, Utrecht, Netherlands, 2Radiotherapy, University Medical Center Utrecht, Utrecht, Netherlands

Pseudo-CT (pCT) generation for Head and Neck region based on ultrashort echo time and radial under sampling is investigated in order to reach a clinical acceptable time frame for image acquisition. Two different UTE sequences, a 3D radial “kooshball” and a 3D radial “stack-of-stars” k-space acquisition are compared for image acquisition and pCT result using tissue classification and bulk density assignment. The results suggest that radial undersampling is feasible and thus results in a time frame of clinical relevance of 3 min for image acquisition plus 1 min for post-processing pCT generation.

2116
Iron-based T1 MRI contrast agent for MR-guided drug delivery from temperature sensitive liposomes
Esther Kneepkens1, Adriana Fernandes2, Klaas Nicolay3, and Holger Grüll3,4

1Biomedical NMR, Biomedical Engineering, Eindhoven University of Technology, Eindhoven, Netherlands, 2Universidade de Lisboa, Lisbon, Portugal, 3Eindhoven University of Technology, Eindhoven, Netherlands, 4Philips Research, Eindhoven, Netherlands

The aim of this study was to investigate the potential of Fe(III) N-succinyl deferoxamine (Fe-SDFO) as a safe T1 contrast agent  for encapsulation in temperature sensitive liposomes (TSLs) in order to visualize drug release from TSLs when using Magnetic Resonance-guided High Intensity Focused Ultrasound (MR-HIFU).  Two TSLs were developed that contained either Fe-SDFO or doxorubicin. Both TSLs showed suitable release and stability characteristics in vitro.  An in vivo proof-of-concept study was carried out in tumor-bearing rats treated with MR-HIFU. Treated tumors showed an increase in R1 and future work aims to correlate the R1 change with tumor drug concentrations.

2117
MR-guided focused ultrasound for antibody delivery in a brain metastasis model
Thiele Kobus1,2, Yongzhi Zhang2, Natalia Vykhodtseva2, and Nathan McDannold2

1Radiology and Nuclear Medicine, Radboud University Medical Center, Nijmegen, Netherlands, 2Radiology, Brigham and Women's Hospital, Boston, MA, United States

We studied the treatment effect of HER2-targeting antibodies in combination with MR-guided focused ultrasound (FUS) to disrupt the blood-brain barrier in a breast cancer brain metastasis model. Tumors were implanted in rats and animals either received no treatment, six weekly treatments with antibodies, or six treatments of the antibodies combined with FUS-mediated BBB disruption. MR was used to guide the treatments and monitor tumor volume. 4/10 animals in the FUS+antibody-group responded to the treatment, but none of the other animals did. We could not explain with our results why only some of the FUS+antibody-animals responded and this requires further investigation. 

2118
An ultrasound compatible rat RF array for MRI guided high intensity focused ultrasound
Xiao Chen1, Rou Li1, Changjun Tie1, Xiaoqing Hu1, Xiaoliang Zhang2,3, Chao Zou1, Xin Liu1, Hairong Zheng1, and Ye Li1

1Paul C. Lauterbur Research Center for Biomedical Imaging, Shenzhen Institutes of Advanced Technology, CAS, Shenzhen, China, People's Republic of, 2Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, United States, 3UCSF/UC Berkeley Joint Graduate Group in Bioengineering, San Francisco, CA, United States

Due to MRI’s unique capability of providing accurate, non-invasive and real-time target localization and temperature monitoring, MRI guided high intensity focused ultrasound (HIFU) has been a critical modality for imaged guided thermal therapy. We propose a 3 channel ultrasound compatible rat array to obtain high resolution and homogeneous rat brain images at 3T for temperature monitoring. Phantom and in-vivo imaging experiments in temperature mapping demonstrate the capability of the proposed array to provide homogenous and high SNR images and temperature map in the whole rat brain at 3T, which provides the possibility to perform MRI guided HIFU treatment in-vivo.

2119
MR-guided high intensity focused ultrasound mediated hyperthermia for targeted drug delivery to treat pancreatic cancer
Navid Farr1, Yak-Nam Wang2, Samantha D’Andrea3, Frank Starr2, Ari Partanen4, Kayla Gravelle3, Donghoon Lee5, and Joo Ha Hwang1,3

1Department of Bioengineering, University of Washington, Seattle, WA, United States, 2Applied Physics Laboratory, University of Washington, Seattle, WA, United States, 3Department of Medicine, University of Washington, Seattle, WA, United States, 4Philips Healthcare, Andover, MA, United States, 5Department of Radiology, University of Washington, Seattle, WA, United States

Pancreatic cancer has one of the lowest survival rates because current therapies are ineffective. Dense stromal tissue and poor vascular perfusion limits drug penetration and uptake into the tumor. Growing evidence suggests that hyperthermia in combination with temperature sensitive liposomal drug delivery can lead to increased organ perfusion and drug extravasation resulting in high local drug concentration. We performed MR-guided heating methods that enable accurate and precise spatial and temporal control of heating. Enhanced drug delivery was achieved to treat pancreatic tumors using Magnetic Resonance-guided High Intensity Focused Ultrasound (MR-HIFU) in conjunction with a heat triggered drug delivery system. 

2120
An improved tracking technique for real-time MR-guided beam therapies in moving organs
Cornel Zachiu1, Nicolas Papadakis2, Mario Ries1, Chrit Moonen1, and Baudouin Denis de Senneville1,2

1Imaging Division, University Medical Center Utrecht, Utrecht, Netherlands, 2Institut de Mathématiques de Bordeaux, Bordeaux, France

Current methods for real-time MR-guided HIFU and EBRT interventions in moving organs rely on an algorithm that is sensitive to gray-level intensity variations from other sources than motion. In this work, an improved real-time tracking algorithm with increased robustness to such effects is proposed and experimentally compared to the existing methods. Results have shown a notable improvement in the quality of the motion estimates when the proposed method was used, while maintaining real-time capabilities. Our method was shown to be potentially beneficial for MR-guided HIFU and EBRT interventions in the abdomen, where cardiac activity might become problematic for current approaches.

2121
Monitoring tissue damage during MRgHIFU of bone metastases: relating intra-procedural DWI changes to post-procedural appearances
Sharon L Giles1, Matthew Brown2, Jessica M Winfield1, David J Collins3, Ian Rivens4, John Civale4, Gail R ter Haar4, and Nandita M deSouza1

1CRUK Cancer Imaging Centre, The Royal Marsden Hospital NHS Foundation Trust and The Institute of Cancer Research, London, United Kingdom, 2Anaesthetic Department, The Royal Marsden Hospital NHS Foundation Trust, London, United Kingdom, 3CRUK Cancer Imaging Centre, The Institute of Cancer Research, London, United Kingdom, 4Therapeutic Ultrasound, The Institute of Cancer Research, London, United Kingdom

This study assessed intraprocedural DWI for detecting extra- and intra-osseous tissue change during MRgHIFU treatment of bone metastases by comparing appearances with post-procedural and Day-30 DWI and T1-W contrast-enhanced image appearances. Change in image appearances for n=9 patients was assessed by 2 observers assigning a consensus score where 0=no, 1=mild, 2=moderate and 3=striking change. Extra-osseous DWI changes were more conspicuous than intra-osseous DWI changes, but were less striking than immediate post-procedural contrast-enhanced changes. However, intra-procedural DWI changes significantly correlated with post-procedural and Day-30 DWI and contrast-enhanced changes, suggesting that intra-procedural DWI can provide an indicator of subsequent extra-osseous tissue damage.

2122
Response of MR Contrast Parameters in Tissues and Tissue Mimicking Phantoms to Histotripsy
Steven P Allen1, Luis Hernandez-Garcia2, Charles A Cain1, and Timothy L Hall1

1Biomedical Engineering, University of Michigan, Ann Arbor, MI, United States, 2fMRI Lab, University of Michigan, Ann Arbor, MI, United States

We estimate the R2 relaxation rate and the apparent diffusion coefficient at 7T in a variety of in vitro tissues and tissue mimicking phantoms after they have been subjected to homogenization by ultrasonic cavitation (histotripsy). The estimated R2 rate of these lesions decreases with increased treatment so long as the lesions are made in materials with high iron content. When lesions are made in brain tissue or phantoms with low iron content, the R2 rate remains unperturbed by homogenization. The apparent diffusion coefficient increases with increasing treatment for all tissues and phantoms.

2123
T2-Mapping as a Predictor for Non-Perfused Volume in MRgFUS Treatments of Desmoid Tumors
Eugene Ozhinsky1, Matthew D. Bucknor1, and Viola Rieke1

1Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, United States

Desmoid tumors are benign but locally aggressive soft tissue tumors that arise from fibroblast cells. Focused ultrasound has shown promising results in reduction of tumor volume without significant side effects. Post-treatment contrast enhanced MR imaging allows assessment of the non-perfused volume (NPV), the gold standard assessment of the quantity of tumor ablation. However, safety concerns regarding heating of tissue after gadolinium injection prevent further treatment following the NPV assessment. We have shown that T2 mapping can be used to visualize the extent of ablation with focused ultrasound and be used as a predictor of NPV without the need for contrast injections.

2124
Validation of a 4D-MRI motion framework using an MRI-compatible motion phantom
Bjorn Stemkens1, Rob HN Tijssen1, Jan JW Lagendijk1, and Cornelis AT van den Berg1

1Department of Radiotherapy, University Medical Center Utrecht, Utrecht, Netherlands

Geometric accuracy is vital for MR-guided radiotherapy.  In this study we quantify the geometric fidelity of a retrospectively sorted 4D-MRI and 2D MS cine-MR acquisition, which serve as input for a motion model for dose accumulation mapping and tumor tracking. A linearly moving MRI-compatible motion phantom was used to quantify the positional error in the 4D-MRI and 2D MS acquisitions using a range of user-defined motion trajectories.  Geometrical errors were found to be smaller than the voxel or pixel size.

2125
Robust and flexible real-time MRI-guided interventions using coRASOR-mediated passive device tracking
Peter Roland Seevinck1, Frank Zijlstra1, Jouke Smink2, Sascha Krueger3, Frebus Jan van Slochteren4,5, Steven A.J. Chamuleau4, Max A Viergever1, and Marinus Adriaan Moerland1

1Center for Image Sciences, University Medical Center Utrecht, Utrecht, Netherlands, 2Philips Healthcare, Best, Netherlands, 3Innovative Technologies, Philips Research Laboratories, Hamburg, Germany, 4Department of Cardiology, University Medical Center Utrecht, utrecht, Netherlands, 5ICIN, Utrecht, Netherlands

The Co-RASOR imaging technique for high temporal resolution passive device visualization was implemented in the interventional Suite software package. This facilitates MRI-guided device tracking by combining high temporal resolution color overlays on top of high spatial resolution 3D roadmaps. Titanium needles were accurately depicted in two orthogonal planes with 2.5Hz framerate, facilitating easy freehand needle targeting.  The ability to adapt crucial Co-RASOR reconstruction parameters, including the off-resonance value, during the intervention was demonstrated to provide unprecedented flexibility and robustness in device visualization.


Traditional Poster

RF Coils & Arrays

Exhibition Hall Wednesday, May 11, 2016: 13:30 - 15:30

2126
Design of a forward view antenna for prostate imaging at 7 Tesla
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

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. 

2127
Multi-Channel Helical-Antenna Inner-Volume RF Coils for Ultra-High-Field MR Scanners
Pranav S. Athalye1, Milan M. Ilic1,2, Pierre-Francois Van de Moortele3, Andrew J. M. Kiruluta4, and Branislav M. Notaros1

1Department of Electrical and Computer Engineering, Colorado State University, Fort Collins, CO, United States, 2School of Electrical Engineering, University of Belgrade, Belgrade, Yugoslavia, 3Center for Magnetic Resonance Research, Department of Radiology, University of Minnesota, Minneapolis, MN, United States, 4Radiology Department, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States

RF coil design for human ultra-high-field scanners is an area of intense development, to address difficult challenges including RF excitation spatial heterogeneity and low RF efficiency. We present the development and testing of a novel category of multi-channel RF volume coil structures at both 7T and 10.5T based on a subject-loaded multifilar helical-antenna RF coil. Phantom data show excellent consistency between numerical simulations and experimental results with 4- and 8-channel helical-antenna coil prototypes. This design shows capability for multi-channel RF-transmit technology and parallel imaging. This work may help decide which coil structure should be used for future studies at 10.5T.

2128
A proton-free birdcage coil to enable zero-echo-time MRI without background signal
Markus Weiger1, David Otto Brunner1, Thomas Schmid1, Romain Froidevaux1, Manuela Barbara Rösler1, Simon Gross1, and Klaas Paul Pruessmann1

1Institute for Biomedical Engineering, University and ETH Zurich, Zurich, Switzerland

MRI of tissues with very short T2s below 1 ms, such as bone, lung, or myelin is usually performed with 3D radial sequences with ultra-short or even zero TE. However, with these techniques also signals from hardware parts are detected, in particular from the RF coils. Especially the ZTE method is highly sensitive also to materials with extremely short T2 of tens of us. In this work, it is demonstrated how the undesired signal is avoided during coil design and production, presenting for the first time a birdcage coil which is virtually free of proton signal.

2129
Traveling wave MR using an array of regular RF resonators
Xinqiang Yan1,2 and Xiaoliang Zhang3

1Institute of Imaging Science, Vanderbilt University, Nashville, TN, United States, 2Radiology, Vanderbilt University, Nashville, TN, United States, 3Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, United States

In this study, we investigate the feasibility of using regular microstrip resonators as RF array elements for traveling wave parallel imaging. In the proposed microstrip array, electromagnetic decoupling between the array elements is sufficient for the practical use. Additionally, geometric factors and diverse B1 fields from individual array elements can be obtained in a relatively large area in the magnet bore. Furthermore, in non-accelerated imaging applications, this decoupled multi-channel traveling wave method could improve sensitivity of traveling wave MRI, which is currently a main issue for traveling wave MRI.

2130
Slotted-tube-resonator design for whole-body MR imaging at 14T
Jérémie Daniel Clément1, Arthur Magill2, Hongxia Lei3, Özlem Ipek3, and Rolf Gruetter4,5,6

1CIBM-LIFMET, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland, 2Forschungszentrum Jülich, Jülich, Germany, 3CIBM-AIT, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland, 4LIFMET, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland, 5Department of Radiology, University of Geneva, Geneva, Switzerland, 6Department of Radiology, University of Lausanne, Lausanne, Switzerland

The purpose of the study was to build a slotted-tube resonator for whole-body MR imaging at 14T. Flip angle maps were computed to assess the transmit field distribution in a phantom. A longitudinal coverage of 8 cm and flip angle homogeneity are observed and spin-echo images were acquired.

2131
An 8Tx/32Rx RF Coil for 7T UHF Body MRI
Stefan HG Rietsch1,2, Stephan Orzada1, and Harald H Quick1,2

1Erwin L. Hahn Institute for MR Imaging, University of Duisburg-Essen, Essen, Germany, 2High Field and Hybrid MR Imaging, University Hospital Essen, Essen, Germany

In order to allow for improved SNR and higher acceleration during image acquisition in the body at 7T, we present a coil with 8Tx/Rx microstrip line elements with meanders and 24Rx loop elements. This coil comprises 8 building blocks each consisting of one Tx/Rx element and 3 overlapping loops which are actively detuned during transmit. With about -19 dB reflection and an average decoupling of more than -30 dB, the SNR can be boosted by about 21% in the abdomen. Evaluation of g-factors as well as in vivo images of healthy volunteers in both abdomen and heart show promising results.

2132
A 7T head coil with 16-channel dual-row transmit and 32-channel receive array for pTx applications and high SNR
Shajan Gunamony1, Jens Hoffmann1, Gregor Adriany2, Kamil Ugurbil2, and Klaus Scheffler1

1Max Planck Institute for Biological Cybernetics, Tuebingen, Germany, 2Center for Magnetic Resonance Research, University of Minnesota, Minneapolis, MN, United States

Transmit elements arranged in multiple rows are beneficial in extending longitudinal coverage and achieve whole brain excitation at ultra-high field strengths. Furthermore, studies have shown that dual-row arrays produce less local SAR. Receive arrays shaped to the contours of the anatomy improves the signal-to-noise ratio (SNR) of the image. In this work, we develop a 2x8 transmit array for spin excitation in combination with a 32-channel high sensitive receive array for human brain imaging at 7T. Critical coil performance parameters like transmit efficiency and SNR were evaluated. 

2133
A 7-Tesla Transmit with 32-Channel Receive-Only Array Head Coil for fMRI
Matthew Finnerty1, Derick Petrey1, Paul Taylor1, Luke Beery1, Tsinghua Zheng1, Xiaoyu Yang1, Hiroyuki Fujita1,2,3,4, Se-Hong Oh5, Ken Sakaie5, and Mark Lowe5

1Quality Electrodynamics, LLC, Mayfield Village, OH, United States, 2Department of Physics, Case Western Reserve University, Cleveland, OH, United States, 3Department of Radiology, University Hospitals of Cleveland, Cleveland, OH, United States, 4School of Information Technology and Electrical Engineering, The University of Queensland, Brisbane, Australia, 5Imaging Institute, Cleveland Clinic, Cleveland, OH, United States

While fMRI at 7-Tesla can provide clinically relevant increases in functional sensitivity over 3-Tesla, it also typically uses visual and audio stimulation devices that require additional space accommodations inside the RF coil.  In order to accommodate a wider range of stimulus devices than possible with high filling factor designs, a head array coil utilizing a volume transmitter and 32 receive elements for 7-Tesla was constructed inside a versatile mechanical package to support fMRI and other applications.

2134
A Hybrid 8 channel TR Dipole and 8 channel Rx Birdcage Body Coil Array for 7T
Jan Paska1,2, Martijn Cloos1,2, Gillian Haemer1,2,3, Bei Zhang1,2, and Graham C Wiggins1

1Center for Biomedical Imaging, Department of Radiology, NYU School of Medicine, Newyork, NY, United States, 2Center for Advanced Imaging Innovation and Research (CAI2R), NYU School of Medicine, Newyork, NY, United States, 3The Sackler Institute of Graduate Biomedical Sciences, NYU School of Medicine, Newyork, NY, United States

A body array at 7T was optimized in simulation for potential hybrid elements, including dipoles, loops, and birdcage arrays. The optimal coil, consisting of 8 transmit/receive dipoles and an 8ch birdcage receive coil, was built and tested as proof of principle.

2135
Design and construction of a triple-tuned RF probe for 23Na/31P/1H using traps
Arthur W. Magill1, Chang-Hoon Choi1, Yonghyun Ha1, and N. Jon Shah1,2

1Institute of Neuroscience and Medicine - 4, Forschungszentrum Juelich GmbH, Juelich, Germany, 2Department of Neurology, JARA, RWTH Aachen University, Aachen, Germany

Traps may be used to dual-tune an RF probe, either by splitting the resonance of a single tuned circuit, or by blocking coupling at the higher frequency when using a pair of resonant circuits. This work combines both methods to construct a triple-tuned probe consisting of a nested pair of loops. The inner loop incorporates two traps, one to prevent coupling to the outer loop, which is tuned to 1H, and a second to simultaneously tune the loop to 23Na and 31P. The probe is designed for use at 4T, with resonances at 45MHz (23Na), 69MHz (31P) and 170MHz (1H).

2136
Design of quadrature-compensated double-tuned RF surface coil using trap circuits
Chang-Hoon Choi 1, YongHyun Ha1, Arthur W. Magill1, and N. Jon Shah1,2

1Institute of Neuroscience and Medicine-4, Research Centre Juelich, Juelich, Germany, 2Faculty of Medicine, Department of Neurology, JARA, RWTH Aachen University, Aachen, Germany

A novel double tuned (1H/23Na) butterfly/loop surface coil using LCC traps was designed whereby the sodium mode was operated in a quadrature. The performance of this coil was evaluated on a 4T whole-body scanner and compared with a single-tuned butterfly and a loop coil. Images obtained by the quadrature-compensated double-tuned RF coil were more uniform in each slice and the SNRs were slightly higher over the selected ROIs compared to those from the reference coils.

2137
Evaluation of Spiral Extended Monopole Antenna Array with Individual Whields (SEMAS) at 7T
Myung Kyun Woo1, Chang-Ki Kang2, and Zang-Hee Cho3

1Electrical and Computer Engineering, Seoul National University, Seoul, Korea, Republic of, 2Neuroscience Research Institute, Incheon, Korea, Republic of, 3Seoul National University, Seoul, Korea, Republic of

This abstract is to propose and evaluate the Spiral Extended Monopole antenna Array with individual Shield (SEMAS) coil. This coil was compared with the original Monopole antenna Array (MA) coil and an Spiral Monopole antenna Array coil with no shield (SMA) coil. The SEMAS coil showed larger flip angle than the MA and SMA coils in the inferior areas of the brain and relatively uniform flip angles across the brain.

2138
End-Loaded Dipole Array for 10.5T Head Imaging
Russell Luke Lagore1, Lance DelaBarre1, Jinfeng Tian1, Gregor Adriany1, Yigitcan Eryaman1, and J. Thomas Vaughan1

1Center for Magnetic Resonance Research, University of Minnesota, Minneapolis, MN, United States

The feasibility of human head imaging at 10.5T is demonstrated by the successful acquisition of in vivo porcine head images. This is achieved with an 8-element end-loaded dipole array resonant at 10.5T (447MHz). This dipole array is compared in terms of transmit efficiency and signal-to-noise ratio to a high-pass birdcage coil and loop array at 3T, 7T, and 10.5T. All coils share identical dimensions and element count. While both transmit arrays have comparable SNR performance at 7T, the dipole array is inferior in terms of transmit efficiency compared to the loop array and birdcage coil at all field strengths examined.

2139
Transceive surface array of dipole antennas for multi-transmit imaging at 3T
Aidin Ali Haghnejad1, Shaihan J. Malik2, Francesco Padormo2, Cornelis A.T. van den Berg1, Peter R. Luijten1, Dennis W.J. Klomp1, Joseph V. Hajnal 2, and Alexander J.E. Raaijmakers1

1UMC Utrecht, Utrecht, Netherlands, 2King's College London, London, United Kingdom

The birdcage body coil at 3T has some considerable disadvantages. Most of all it has very large power requirements. The use of local transmit arrays severely reduces these power requirements. In this study, we intend to explore the use of dipole antennas as transceive surface array elements at 3T. Three designs are investigated after which a strongly meandering dipole antenna is selected. An array of eight of these element is used for prostate imaging at 3T in a 8ch. multi-transmit MRI system. Using 8x200W input power, 12 µT is achieved inside the prostate. Relatively homogeneous T2w images have been acquired

2140
A Mixed Dipole and Microstrip Transmit/Receive Array
Xinqiang Yan1,2, John C. Gore1,2,3, and William A. Grissom1,2,3

1Institute of Imaging Science, Vanderbilt University, Nashville, TN, United States, 2Radiology, Vanderbilt University, Nashville, TN, United States, 3Biomedical Engineering, Vanderbilt University, Nashville, TN, United States

Dipole and microstrip coils produce different and somewhat complementary B1 patterns and hybrid E-field distributions. Based this observation, we developed a 16-channel transmit/receive array for 7T head imaging by interleaving dipole and microstrip elements. Mutual coupling among any elements is <-14 dB without including any other decoupling. Compared with 8-channel microstrip-only and dipole-only arrays, the proposed 16-ch dipole+microstrip array has a higher SNR gain and lower g-factor. No decoupling treatment is needed for the mixed dipole and microstrip array, so it can be used as a flexible transceiver array at ultrahigh field.

2141
Design of RF Coils Mixing Elements of Dissimilar Radiation Pattern
Ian RO Connell1,2 and Ravi S Menon1,2

1Centre for Functional and Metabolic Mapping, Robarts Research Institute, London, ON, Canada, 2Department of Medical Biophysics, University of Western Ontario, London, ON, Canada

At ultra-high field (UHF), multi-channel radio-frequency (RF) arrays have found increasing utility in mitigating wave-like behaviour during transmission (1), while continuing to provide increases in sensitivity to MRI signal with densely filled conformal receive arrays (2).  In an effort to more efficiently excite spin populations, and increase sensitivity to the transverse magnetization during relaxation, work into mixing array elements of dissimilar radiation pattern has been demonstrated to better encapsulate UHF ideal current patterns (3). Application of our method - coupling matrix synthesis - is used to robustly decouple a sample of these array-types.

2142
Cost-Efficient 7ch Rx Shoulder Array for 7T UHF MRI Featuring External Switchbox Detuning
Stefan HG Rietsch1,2, Oliver Kraff1, Stephan Orzada1, Andrea Lazik3, and Harald H Quick1,2

1Erwin L. Hahn Institute for MR Imaging, University of Duisburg-Essen, Essen, Germany, 2High Field and Hybrid MR Imaging, University Hospital Essen, Essen, Germany, 3Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany

MRI at 7T and above opens the field for high resolution human imaging for example in the shoulder. In order to improve a present setup consisting of an 8ch Tx/Rx shoulder coil using microstrip line elements with meanders, we present an additional low cost 7ch Rx loop coil and utilize a simple approach for detuning of this coil during transmit via a custom built 8ch Tx/Rx switchbox. With the additional 7ch Rx coil a factor of 2 in SNR can be achieved in the center of the humeral head in proton-density weighted images with a spatial resolution of 0.4x0.4x2.5 mm3.

2143
Interchangeable Patient-Specific Receive-Only Carotid Coils for Simultaneous Imaging with Radio Frequency Head Coils at 3 Tesla
Michael J Beck1, Dennis L Parker1, Bradley D Bolster, Jr.2, Seong-Eun Kim1, J Scott McNally1,3, Gerald S Treiman1,4,5, and J Rock Hadley1

1Utah Center for Advanced Imaging Research, Salt Lake City, UT, United States, 2Siemens Healthcare, Salt Lake City, UT, United States, 3University of Utah Department of Radiology, Salt Lake City, UT, United States, 4University of Utah Department of Surgery, Salt Lake City, UT, United States, 5Veterans Affairs Department of Surgery (VASLCHCS), Salt Lake City, UT, United States

We developed interchangeable carotid coils that can image simultaneously with clinical head coils. Both 7 and 9 channel carotid coils were built to demonstrate the interchangeability concept.  SNR results show that the 7 channel coil has ~4x the SNR and the 9 channel coil has ~3x the SNR of the commercial neck coil at the carotids.  The carotid coils image simultaneously with a head coil providing greater coil sensitivity at the carotid bifurcation and extending total coverage from the carotid bifurcation to the circle of Willis.

2144
A Cervical Spine Array Coil with Volume Transmitter at 7 Tesla
Tsinghua Zheng1, Matthew Finnerty1, Xiaoyu Yang1, Matthew Diprimio1, Luke Beery1, Paul Taylor1, Johanna Vannesjo2, Stuart Clare2, and Hiroyuki Fujita1,3,4,5

1Quality Electrodynamics, LLC, Mayfield Village, OH, United States, 2FMRIB Centre, Oxford University, Oxford, United Kingdom, 3Physics, Case Western Reserve University, Cleveland, OH, United States, 4Radiology, University Hospital of Cleveland, Cleveland, OH, United States, 55School of Information and Electrical Engineering, the University of Queensland, Brisbane, Australia

A cervical spine array coil with a volume transmit coil for 7.0 Tesla was constructed and tested. The coil uses one partially shielded birdcage volume transmit coil for generating uniform excitation throughout the cervical spine region and an array of sixteen loop coils for receiving. Initial volunteer imaging demonstrated good coverage and uniformity along cervical spine.

2145
A 6 Channel Transmit-Receive Coil Array for 7T Cervical Spine Imaging
Zidan Yu1,2, Bei Zhang1, Jerzy Walczyk1, Gang Chen1,2, and Graham Wiggins1

1The Bernard and Irene Schwartz Center for Biomedical Imaging, Department of Radiology, New York University School of Medicine, New York, NY, United States, 2The Sackler Institute of Graduate Biomedical Sciences, New York University School of Medicine, New York, NY, United States

The cervical spine presents a challenging target for 7T RF coils. In this work, we describe a 6 channel transmit-receive cervical spine coil constructed like a cervical collar, wrapping around the back of the neck. In-vivo experiments demonstrate higher transmit efficiency, better B1+ uniformity in the transverse plane and equivalent SNR compared to a RAPID Biomedical cervical spine coil.

2146
Printed Receive Coil Arrays with High SNR
Joseph Corea1, Balthazar P. Lechene1, Thomas Grafendorfer2, Fraser Robb3, Ana Claudia Arias1, and Michael Lustig1

1UC Berkeley, Berkeley, CA, United States, 2GE Healthcare, Stanford, CA, United States, 3GE Healthcare, Aurora, OH, United States

Extremely thin, lightweight, and flexible receive arrays can be achieved by the use of printed electronics. Coil arrays printed layer-by-layer from solution have shown potential to deliver a comfortable customized fit for many patients. However, relatively low SNR and poor mechanical robustness prevented these devices from performing to their full potential. Here we offer SNR within 3% of a traditionally made coil by using high quality polymeric films as dielectric layers in capacitors, high conductivity inks, and a mechanically robust fabrication processes using fewer printed layers and stronger connections. Using these techniques shoulder and elbow images of a volunteer were obtained. 

2147
3D-printed RF Probeheads for Low-cost, High-throughput NMR
R. Adam Horch1,2 and John C. Gore1,2

1Vanderbilt University Institute of Imaging Science, Vanderbilt University, Nashville, TN, United States, 2Department of Radiology & Radiological Sciences, Vanderbilt University, Nashville, TN, United States

3D printing is demonstrated as a new means to fabricate complete RF probeheads for solution-state NMR. Current 3D printing methods yield mm-scale RF coils with integral sample chambers for self-contained NMR probes, and 3D-printed microcoils are imminent given ongoing advances in technology. The unique properties of 3D printing enable facile construction of potentially thousands of coils at low cost, giving way to dense coil arrays for high-throughput NMR and novel coil geometries.

2148
Inverse Design of Dielectric Pads based on Contrast Source Inversion
Wyger Brink1, Jeroen van Gemert2, Rob Remis2, and Andrew Webb1

1Radiology, Leiden University Medical Center, Leiden, Netherlands, 2Circuits and Systems, Delft University of Technology, Delft, Netherlands

The design of passive dielectric pads can be an exhaustive procedure with many degrees of freedom to address. In this study we developed a constrained inverse design approach based on the contrast source inversion method. The procedure can yield design guidelines efficiently, enabling automated design of dielectric pads.

2149
Improvement of B1+ Homogeneity along Z-Direction Using Top-Hat Dipole-Antenna pTX Array for Body Imaging at 7 Tesla
Suchit Kumar1, Joshua Haekyun Park2,3, Young-Seung Jo2,4, Jeong-Hee Kim2,3, Chulhyun Lee2, and Chang-Hyun Oh1,4,5

1Department of Biomicrosystem Technology, Korea University, Seoul, Korea, Republic of, 2Korea Basic Science Institute, Cheongju, Chungcheongbuk-do, Korea, Republic of, 3Industrial Technology Institute, Korea University, Sejong City, Korea, Republic of, 4Department of Electronics and Information Engineering, Korea University, Seoul, Korea, Republic of, 5ICT Convergence Technology Team for Health&Safety, Korea University, Seoul, Korea, Republic of

In ultra-high field (UHF), body imaging suffers from B1 inhomogeneity due to shorter wavelength. A range of new RF coil designs has been proposed to overcome this problem. But, B1 inhomogeneity in the coronal plane still exists due to limited coverage. In this work, a novel design of an 8-channel top-hat dipole antenna with parallel transmission is proposed to improve B1+ homogeneity along Z-direction. B1+ field distribution and SAR field were simulated in FDTD solver. Comparison with original dipole antenna array confirms the improved B1+ homogeneity in proposed design.

2150
TMS positioning in MRI using NMR probes
Yi-Cheng Hsu1, Ying-Hua Chu1, Pu-Yeh Wu1, Shang-Yueh Tsai2, and Fa-Hsuan Lin1

1Institute of Biomedical Engineering, National Taiwan University, Taipei, Taiwan, 2Institute of Applied Physic, National Chengchi University, Taipei, Taiwan

We propose a method and a system to precisely place the TMS coil inside the MRI using NMR probes.The positioning can be completed in 0.1 s with high translation (0.015 mm) and rotation precision (0.0047°) as well as low bias (~0.8 mm in 50 mm FOV). 

2151
Copper plating of conductive silver ink coils for improved SNR performance
J. Rock Hadley1, Emilee Minalga1, and Dennis L. Parker1

1Radiology, University of Utah, Salt Lake City, UT, United States

This work tests how much loop conductivity and SNR is improved with copper plating of the silver ink trace.  Coils made with a silver ink base and different amounts of copper plating were compared against solid copper. This work demonstrates that copper plating of silver ink coils is possible and it indicates that significant improvements in coil trace conductivity can be achieved.  Consequently, the SNR performance of silver ink coils that have been plated with copper improves over silver ink coils without plating.

2152
13C RF coil combination for cardiac and abdominal human and pig studies
Steffen Ringgaard1, Rolf F Schulte2, James Tropp3, Carsten Kögler4, Titus Lanz4, Miguel A Navarro5, Jan Henrik Ardenkjaer-Larsen6,7, Fraser J Robb5, Hans Stødkilde-Jørgensen1, and Christoffer Laustsen1

1MR Research Centre, Aarhus University, Aarhus, Denmark, 2GE Global Research, Munich, Germany, 3GE Healthcare, Fremont, CA, United States, 4Rapid Biomedical, Rimpar, Germany, 5GE Healthcare, Cleveland, OH, United States, 6GE Healthcare, Copenhagen, Denmark, 7DTU, Copenhagen, Denmark

We have developed and validated a dedicated coil system for human and large animal hyperpolarised 13C measurements. The system consists of an outer two-element transmit coil and an inner 16-element receive coil. It was validated by hyperpolarised experiments in two healthy pigs using a multi-echo spiral CSI sequence. The 13C metabolic images showed good SNR and there was low noise correlation between the receive elements. Hence, the coil system is promising for future human hyperpolarised examinations.

2153
A new monopole intravascular coil with three parasitic elements optimized for MRI 1.5 T
mohammad mohammadzadeh1,2 and alireza ghasempour Shirazi1

1ICT, University of applied science and technology, Tehran, Iran, 2Shahid Beheshti, Tehran, Iran

Monopole coil has a thin and flexible structure provides high-resolution MR images from the internal vessels such as aorta and coronary arteries. However, its SNR homogeneity decreases at higher Tesla MRI systems, leading to increasing the image artifact caused by the wall movement which is not fully compensated using the post processing algorithms. In this study, we introduced a monopole coil with tree parasitic elements and compared its ISNR (Intrinsic SNR) magnitude and distribution homogeneity to a conventional monopole coil with one parasitic element for MRI 1.5 T at 64MHz . We optimized the coil geometry using a fast genetic algorithm written in MATLAB and performed the simulation of the ISNR indices by Involving HFSS and MATLAB inside a saline phantom.

2154
Experimental Implementation of Array-compressed Parallel Transmission at 7T
Zhipeng Cao1,2, Xinqiang Yan1,3, and William A. Grissom1,2,3

1Vanderbilt University Institue of Imaging Science, Vanderbilt University, Nashville, TN, United States, 2Biomedical Engineering, Vanderbilt University, Nashville, TN, United States, 3Radiology, Vanderbilt University, Nashville, TN, United States

With a constructed 8 channel transmit array and a tunable 2 channel-to-8 coil compression matrix, the array-compressed parallel transmit pulse design is demonstrated on 7T MRI through B1+ mapping and accelerated spiral excitation. Results showed more accurate excitation pattern can be achieved with the compression matrix hardware and compressed parallel transmit pulses than two-channel CP-mode pulses.

2155
Array-compressed parallel transmit pulse design with optimized coil-channel assignments and coil pruning for simultaneous multislice and 3D reduced-field-of-view excitations
Zhipeng Cao1,2, Xinqiang Yan1,3, and William A. Grissom1,2,3

1Vanderbilt University Insitute of Imaging Science, Vanderbilt University, Nashville, TN, United States, 2Biomedical Engineering, Vanderbilt University, Nashville, TN, United States, 3Radiology, Vanderbilt University, Nashville, TN, United States

An improved array-compressed parallel transmit pulse design is proposed and validated to optimally connect transmit arrays with a large number of elements to a few transmit channels. It is further demonstrated to achieve better performance with array-compressed coil designs than conventional designs for multiband RF shimming for human brain imaging and 3D spatially selective excitation for human occipital lobe imaging.

2156
Increasing transmit coil efficiency without local transmit coils: a novel device for locally concentrating B1
Tracy Wynn1, Olli Friman1, and Randy Duensing1

1Technology Architecture, Philips/Invivo, Gainesville, FL, United States

Bore size increases can contribute to decreased efficiency of transmit body coils, but modern protocols often increase the requirements for B1 power. This paper describes a novel solution for concentrating B1 power without the use of a traditional local transmit coil, based on the observation that roughly half of the transmit field from a traditional birdcage coil comes from the end rings. A dual-ring structure, modeled on a birdcage without rungs, was built and shown to enable head imaging with up to a 30% reduction in required RF input power. Uniformity was maintained.

2157
SNR simulations including coupled preamplifier noise
Matthias Malzacher1,2, Markus Vester3, Robert Rehner3, Christopher Stumpf1, and Patrick Korf1

1Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany, 2Computer Assisted Clinical Medicine, University Heidelberg, Medical Faculty Mannheim, Mannheim, Germany, 3Siemens Healthcare GmbH, Erlangen, Germany

Using reciprocity, available SNR from a receive coil array can be calculated by maximizing B1- at the target voxel for unit input power. However, for strongly coupled or lightly loaded coil elements, the noise figure degradation due to coupled preamplifier noise becomes significant. It is shown here that this effect can be modeled by power loss in a resistive attenuator at each coil port. Thus, it is now possible to simulate any coil configuration, including those where coil coupling cannot be neglected.

2158
New decoupling method for receiver arrays with small coils
Xueming Cao1, Elmar Fischer1, Oliver Gruschke2, Jan Korvink2, Jürgen Hennig1, and Maxim Zaitsev1

1University Medical Center Freiburg, Freiburg, Germany, 2Karlsruher Institut für Technologie, Karlsruher, Germany

In receiver coil arrays, the most commonly used decoupling methods are overlap together with low-input-impedance preamplifiers. But very small receiver coils can not be decoupled effectively with these two methods. A new decoupling method, which is helpful for receiver coil arrays with very small coils, is developed here. The coil arrays decoupled with this method have less noise correlation and better performance in highly accelerated imaging in the sample periphery.

2159
Effect of the RF Shield on the Mutual Coupling Between Adjacent and Non-Adjacent Array Elements
Andreas Pfrommer1, Nikolai I Avdievich1, and Anke Henning1,2

1Max Planck Institute for Biological Cybernetics, Tuebingen, Germany, 2Institute for Biomedical Engineering, UZH and ETH Zurich, Zurich, Switzerland

In this study we investigated the effect of an RF shield on the mutual coupling between adjacent and non-adjacent array elements in a simple model mimicking our previously developed cylindrical eight channel transceiver head array. Both numerical EM simulations and experimental measurements suggest that at 124 MHz and 400 MHz an RF shield can substantially decrease S12 for non-adjacent-array elements.

2160
Transmission Line Resonator Segmented with Series Capacitors
Vitaliy Zhurbenko1, Vincent Boer 2, and Esben Thade Petersen 2

1Technical University of Denmark, Kgs. Lyngby, Denmark, 2Danish Research Centre for Magnetic Resonance, Centre for Functional and Diagnostic Imaging and Research, Copenhagen University Hospital Hvidovre, Hvidovre, Denmark

Transmission line resonators are often used as coils in high field MRI. Due to distributed nature of such resonators, coils based on them produce inhomogeneous field. This work investigates application of series capacitors to improve field homogeneity along the resonator. The equations for optimal values of evenly distributed capacitors are presented. The performances of the segmented resonator and a regular transmission line resonator are compared.

2161
Tunable Defected Ground Structure for Decoupling Monopole Antenna Transmit/Receive Arrays in 7T MRI
Xinqiang Yan1,2 and William A. Grissom1,2,3

1Institute of Imaging Science, Vanderbilt University, Nashville, TN, United States, 2Radiology, Vanderbilt University, Nashville, TN, United States, 3Biomedical Engineering, Vanderbilt University, Nashville, TN, United States

Radiative dipole and monopole coil arrays are increasingly used for ultrahigh field MRI, but few decoupling methods have been proposed for radiative arrays. To overcome this problem, we propose a Tunable-Defected-Ground-Structure (TDGS) method to decouple monopole arrays at 7T. This concept was successfully validated by EM simulation, bench test and MR experiments. By using the TDGS method, the cross-talk between two closely-spaced monopoles was reduced from -7 dB to -25 dB. It was also found that the TDGS method had little effect on the original B1 fields of the individual monopole elements.

2162
Electric-LC resonators decoupling approach for monopole antenna arrays at 7T
Xinqiang Yan1 and Xiaoliang Zhang2

1Key Laboratory of Nuclear Analysis Techniques, Institute of High Energy Physics, Chinese Academy of Sciences, Beijing, China, People's Republic of, 2Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, United States

Induced current elimination (ICE) method could efficiently reduce the element coupling in monopole and dipole arrays, and ultimately improve their SNR and parallel imaging performance. Nevertheless, in current ICE method, the decoupling element has possible effect on the original B1 field, leading to dark spots at the areas near decoupling elements. To address such effects, we introduce a new structure, electric-LC (ELC) resonator, for decoupling monopole arrays.  Based on the simulation and experimental results, ELC resonators could also effectively reduce the coupling of monopoles and meanwhile have less influence on the original B1 fields of the elements.

2163
RF coil design using circulant and block circulant matrix algebra
Sasidhar Tadanki1

1Electrical and Computer Engineering, Worcester Polytechnic Institute, Worcester, MA, United States

In this work a simple, efficient method to designing a transmission line volume resonator coil for MR applications is presented. A multiconductor transmission line is represented as a multiport network using its port admittance matrix. Closed form solutions for port resonant mode frequencies are calculated by solving the eigenfunctions of the port admittance matrix using block matrix and circulant block matrix algebra. Detailed analysis and simulated results are presented and compared with standard published results. A dual-tuned surface coil is developed to demonstrate the efficacy of the proposed method.

2164
Analytical theory, circuit and numerical simulations to design a splittable degenerate birdcage for MSK applications.
Riccardo Stara1,2,3, Fabio Morsani2, Gianluigi Tiberi4,5, Maria Evelina Fantacci2,3, Massimo Marletta6, Virna Zampa6, Brian Rutt1, Alessandra Retico2, and Michela Tosetti5

1Stanford University, Stanford, CA, United States, 2Istituto Nazionale di Fisica Nucleare (Pisa), Pisa, Italy, 3Dipartimento di Fisica, Universita' di Pisa, Pisa, Italy, 4IMAGO7, Pisa, Italy, 5IRCCS Stella maris, Calambrone (Pisa), Italy, 6Dipartimento di radiologia diagnostica ed interventistica AOU, Pisa, Italy

The degenerate birdcage is not a common design for ultra-high field transmit array due to the technical difficulties in its construction, such as the interdependence of tuning and degeneracy on the value of capacitors. We present here a combination of an analytical theory, circuit simulations and numerical simulations to be used for an efficient design and construction of the degenerate birdcage at 7T. We demonstrate satisfactory performance in terms of decoupling, B1+ homogeneity and B1+ efficiency on the workbench and with scanner measurements on phantoms and human volunteers.

2165
Simulation, measurement, and optimization of a microcoil design for MR Microscopy at 9.4 T
Mohammad Mohammadzadeh1,2 and Mohammad Mohammadi2

1ICT, University of Applied Science and Technology, Tehran, Iran, 2Nuclear Engineering, Shahid Beheshti, Tehran, Iran

MR micro coils provide high SNR images of the mass limited samples. To increase the coil sensitivity and then the image SNR, microcoils geometries are adapted to the sample dimension. However, differences between magnetic susceptibility of the coil conductor and its surrounding materials distorts the B0 magnetic fields homogeneity across the sample. In this study, we measured 2D  maps of a solenoid of 1mm diameter and compared them with the simulated results at 9.4 T. Considering the good agreement of the computed and measured maps, effects of the shimming and susceptibility matching processes were assessed in removing the B0 fields inhomogeneities. Simulated results verify that shimming coils are not able to fully cancel the B0 field inhemogenities but embedding the micro coils in susceptible materials will remove the B0 inhomogeneity completely.

2166
Numerical Comparison of Stacked and Planar Coil Reception Arrays for Prostate MRI at 3 T
Jorge Chacon-Caldera1, Javier Uranga Solchanga1, Paulina Koziol1,2, and Lothar R Schad1

1Computer Assisted Medical Medicine, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany, 2Department of Medical Physics and Biophysics, Faculty of Physics and Applied Computer Science, AGH University of Science and Technology, Krakow, Poland

Prostate MRI is commonly performed using endorectal coils which are invasive. This is done since body planar arrays are not sensitive enough for prostate imaging. Increasing sensitivity of an array for deep structures in the body is not trivial. In this study, we extended the traditional stacked figure-8 and single loop quadrature pair to add more single loop coils and enhanced the sensitivity at the depth of the prostate without increasing the field over a larger lateral area. We compared these arrays to classical planar approaches and found a factor 1.35 increase in maximum localized |B1-| using numerical simulations. 

2167
Improvement of B1+ Homogeneity and Reduction of Transmit RF Power Using 4-channel Regional RF Shimming in L-spine Imaging at 3T
Yukio Kaneko1, Kosuke Ito2, Masahiro Takizawa2, Yoshihisa Soutome1,2, Hideta Habara1,2, Yusuke Seki1, Tetsuhiko Takahashi2, Yoshitaka Bito2, and Hisaaki Ochi1

1Research and Development Group, Hitachi Ltd., Tokyo, Japan, 2Healthcare Company, Hitachi, Ltd., Chiba, Japan

The B1+ inhomogeneity in a human body increases as the strength of a static magnetic field increases. Previous studies showed the effect of the number of RF transmit channels in RF shimming. However, the effect for a partial region of the lumbar spine in a sagittal plane has not yet been investigated. In this study, the effect of the number of RF transmit channels for regional RF shimming in the lumbar spine region was investigated. The results show that 4-channel RF shimming can contribute to improving B1+ homogeneity and reducing the transmit RF power more than 2-channel RF shimming.

2168
Optimized MRI RF Body Coil for Integration with In-bore Therapy or Biopsy System
Jiaqi Li1, Masahiro Fujimoto1, Amy Sue Meyers1, Qiong Zhang2, and Huaiyu Dong2

1GE Healthcare, Waukesha, WI, United States, 2GE Healthcare, Beijing, China, People's Republic of

An optimized MRI RF coil for integration with in-bore therapy or biopsy system is discussed. The RF coil is optimally designed into an open Ω shape to allow a much bigger room for therapy or biopsy system. Horizontal rails as well as coil support brackets are integrated with body coil. Such that, the in-bore treatment system can have bigger space and more power. The optimized design also separated HIFU or SWL sub-assembly from high voltage RF parts, which reduces EMI between those two, and safety issue due to liquid leakage from HIFU or SWL sub-assembly is also greatly reduced.


Traditional Poster

MR Engineering Beyond RF Coils

Exhibition Hall Wednesday, May 11, 2016: 13:30 - 15:30

2169
Frequency-agnostic inexpensive modular FDM receiver design
Edwin Eigenbrodt1 and Mary Preston McDougall2

1Texas A&M University, College Station, TX, United States, 2Biomedical Engineering, Texas A&M University, College Station, TX, United States

Here we describe a six channel inexpensive FDM receiver, agnostic to the nuclei of interest or magnetic field strength, implemented straightforwardly using off-the-shelf products, portable, and easily used in conjunction with any system with a single trigger line. The architecture is straightforwardly scalable to 16 channels at a cost of approximately $1300 per channel. This work describes the receiver architecture and the capabilities are demonstrated by acquiring six channel images from a previously reported mouse array coil, two-channel 13C spectra, and comparing the SNR of the receiver to the Varian Inova system.

2170
Scalable, In-Bore Array Receiver Platform for MRI
Jonas Reber1, Josip Marjanovic1, David Otto Brunner1, Andreas Port1, and Klaas Paul Pruessmann1

1Institute for Biomedical Engineering, University and ETH Zurich, Zurich, Switzerland

With the number of RF receive channels cable routing and data handling becomes and increasing problem in particular for demanding applications requiring high acquisition duty cycles and bandwidths. To overcome this we present an MR acquisition platform that is capable of acquiring MR signal in-bore and scales its data handling ability with the number of channel. Furthermore the system provides ample, configurable real-time computational power for advanced in-line data processing and low-latency applications.

2171
Frequency Translation for 1H Decoupled Multichannel 13C Spectroscopy
Stephen Ogier1, Mary McDougall1,2, and Steve Wright1,2

1Electrical and Computer Engineering, Texas A&M University, College Station, TX, United States, 2Biomedical Engineering, Texas A&M University, College Station, TX, United States

Frequency translation is a technique that uses radiofrequency mixers to convert the received signal from one nucleus to another.  This technique can be used to adapt 1H array receivers for use with other nuclei, such as 13C.  This facilitates the use of arrays with less sensitive nuclei, which will benefit greatly from the SNR enhancement arrays provide.

Frequency translation has been shown to provide a flexible means of adapting receivers for use with other nuclei without signal degradation or corruption.


2172
Explorations of Non-Magnetic Amplifiers for MRI Applications
Sawson Taheri1, Pascal Stang2, John Pauly1, and Greig C. Scott1

1Stanford University, Stanford, CA, United States, 2Mountain View, CA, United States

Broadcast amplifier pallets offer a low-cost solution in creating MR compatible non-magnetic transmit array systems capable of operating in both 1.5T and 3T B0 fields. We developed a locally deployable PTx array utilizing readily available broadcast amplifier pallets. The conversion of a conventional slow-gated, non-linear FM band (88-108MHz) 1kW pallet to a fast-gated, linear non-magnetic amplifier targeting transmit array deployment in both 1.5T and 3T B0 fields is demonstrated.

2173
Digital RF Current Sources for safer, adjust-free MRI scanners
Oliver Heid1, Juergen Heller1, Xiaoyu Yang2, and Hiroyuki Fujita2

1Corporate Technology, Siemens AG, Erlangen, Germany, 2Quality Electrodynamics, Mayfield Village, OH, United States

We propose direct digital RF switch mode current sources to eliminate image artifacts due to B1 field amplitude errors without time consuming transmitter calibration and adjustment. In difference to all known linear analog or switch mode RF amplfiers our proposal maintains high efficiency under modulation, and thus provides sufficent average RF power even at low flip angles, e.g. in FLASH sequences. We thus avoid significant, safety critical transmitter oversizing as in conventional MRI scanners.


2174
A Q-switch system for an MRI RF coil operating at 2.5 MHz.
Nicholas R. Payne1, Lionel M. Broche1, and David J. Lurie1

1Bio-Medical Physics, University of Aberdeen, Aberdeen, United Kingdom

RF coil ringing following an excitation pulse is particularly problematic at low frequency and can prevent the measurement of signals from short-T2 samples or tissues; this issue can be addressed by Q-switching. A Q-switch circuit, designed to operate at 2.5 MHz and reduce the dead-time of an RF coil following an RF pulse, is described. The resulting reduction in coil dead-time allows signal to be detected earlier and RF pulses to be spaced closer together. MOSFETs are used in our design to isolate RF from the DC control system and the circuit can be inductively coupled to any RF coil. The device was found to reduce the duration of coil ringing by a factor of five.

2175
High Powered GaN HEMT devices for Low Powered Q-spoiling at 3T MRI
Jonathan Y Lu1, Thomas Grafendorfer2, Tao Zhang1, Kamal Aggarwal1, Fraser Robb3, John M Pauly1, and Greig C Scott1

1Electrical Engineering, Stanford University, Stanford, CA, United States, 2Advanced Coils, GEHC Coils, Stanford, CA, United States, 3GE Healthcare, Aurora, OH, United States

We examine different power depletion mode GaN HEMT devices for use in low power MRI Q-spoiling at 3T. These devices range in their on-resistance and off-capacitance, yielding different blocking impedances. We prototyped FET based Q-spoiling surface coils and compared SNR performances with conventional PIN diode Q-spoiling coils. Our coils enable Q-spoiling when unpowered providing a good safety feature. We tested the robustness of the FET devices in the coils by running fast spin echo sequences at 3T. The SNR performances of our FET based coils are comparable with conventional PIN diode coils without the high current draw.

2176
Analysis of Eddy Currents for High Field RF Coil Design
Yu Li1, Fangfang Tang1, Bassem Henin1, Fabio Freschi1,2, Feng Liu1, and Stuart Crozier1

1School of ITEE, The University of Queensland, Brisbane, Australia, 2Department of Energy, Politecnico di Torino, Torino, Italy

Eddy currents are inevitably induced in the electrically conductive surroundings including the magnet cryostat vessel, RF coil, RF shield and other peripheral metallic structures.  This results in image distortion and artefacts. In order to control eddy currents, some studies have also discussed the issue of eddy currents on magnet cryostat vessel and RF shields. In this work, the eddy currents on a 12 channel micro-strip RF array head coil for 7T MRI were analysed and compared with that of a slotted, double-sided copper RF shield. A preliminary approach is proposed to reduce the eddy current effect, without compromising RF performance. 

2177
Proton Imaging at 4.7 T Using a Piezoelectric-based Automation System for impedance matching of Monolithic Transmission Line Resonators
Zhoujian Li1, Sajad Hosseinnezadian1, Geneviève Guillot1, Georges Willoquet1, Laurène Jourdain1, Marie Poirier-Quinot1, Luc Darrasse1, and Jean-christophe Ginefri1

1Laboratoire d'Imagerie par Résonance Magnétique Médicale et Multi-Modalités, Université Paris-Sud, Orsay, France

We have implemented a piezo-motor based automation system for contactless impedance matching of a monolithic Transmission Line Resonator (TLR) operating at 4.7 T. The automation system successfully achieved inductive matching to more than -30dB of the TLR inside the magnet and no artifacts was observed on the image of a rectangular box-shaped water phantom. A second image, acquired in the same condition but in the presence of another piezo-motor fixed on a side of the sample revealed that the close proximity of the piezo-motor to the sample brings B1-field inhomogeneity.

2178
Spherical droplet design and adiabatic excitation for enhanced performance and flip angle control of NMR field probes
Jennifer Nussbaum1, Simon Gross1, David O. Brunner1, Christoph Barmet1,2, Thomas Schmid1, Benjamin E. Dietrich1, Markus Weiger1, and Klaas P. Pruessmann1

1Institute for Biomedical Engineering, University and ETH Zurich, Zurich, Switzerland, 2Skope Magnetic Resonance Technologies, Zurich, Switzerland

To measure the spatiotemporal magnetic field evolution during MR procedures for image reconstruction and real-time field control, best field probe performance is desired. We propose improved field probes with 19F spherical droplet samples formed and positioned with gelled deuterium oxide.  It is shown that these spherical samples have an isotropic k-space range and thus de-phase less along the capillary than the common probes. Furthermore, with BIR-4 adiabatic plane rotation pulses the flip angle can be perfectly adjusted, opening a new realm of field monitoring methods.

2179
In vivo Concurrent Excitation and Acquisition MRI with Self-referenced Active Decoupling
Ali Caglar Özen1, Jan Korvink2, Ergin Atalar3, and Michael Bock1

1Dept. of Radiology - Medical Physics, University Medical Center Freiburg, Freiburg, Germany, 2Institute of Microstructure Technology, Karlsruhe Institute of Technology, Karlsruhe, Germany, 3Electrical and Electronics Engineering, Bilkent University, Ankara, Turkey

MRI with Concurrent Excitation and Acquisition (CEA) was shown to be feasible by achieving 80 dB analog isolation between transmit and receive coils using an active decoupling method. In this work, active decoupling system was upgraded using pick-up coils for simultaneous recording of the transmit signals. Preliminary results for MRI of a human wrist are represented and discussed. 

2180
Wireless Probe Detection For Auxiliary Control Syncing
Jonathan Y Lu1, Thomas Grafendorfer2, Fraser Robb3, John M Pauly1, and Greig C Scott1

1Dept of Electrical Engineering, Stanford University, Stanford, CA, United States, 2Advanced Coils, GEHC Coils, Stanford, CA, United States, 3GE Healthcare, Aurora, OH, United States

We aim to demonstrate methods to wirelessly probe the MRI transmit state without access to the internal MRI hardware itself. We demonstrate two forms of RF pulse detection during a scan with simple magnetic field probes: 1) an electrical link undergoing peak detection and 2) an optical link. We process this signal as an external hardware interrupt into a microcontroller, which can be easily used to bias a coil between receive and transmit mode. Such a setup can be useful in future wireless receive coils.

2181
Monitoring of RF transmit signal in on-coil current-source switch-mode amplification
Natalia Gudino1, Jacco A de Zwart1, Qi Duan1, Peter van Gelderen1, and Duyn Jeff H1

1Advanced MRI section, LFMI, NINDS, National Institutes of Health, Bethesda, MD, United States

We demonstrate a new on-coil current-source switch-mode amplifier and communication setup for 7T imaging, which allows monitoring of the RF phase, frequency and amplitude at the amplifier output. This information is made available through a single optical signal per amplifier, making it a practical approach for safety monitoring and fast calibration of on-coil amplifier technology for parallel RF transmission.

2182
Investigation of systematic errors in NMR field probes
Spencer Baird Parent1, William Bradfield Handler 2, and Blaine A. Chronik2

1Medical Biophysics, Western University, London, ON, Canada, 2Physics and Astronomy, Western University, London, ON, Canada

Using finite elements methods, an investigation of the systematic errors in magnetic field NMR probes is investigated. A NMR field probe is modeled and the field broadening and field offset is investigated as a function of the susceptibility of epoxy. It is shown that susceptibility matching the epoxy drastically reduces field broadening with a minimal effect on field offset. Additionally the effect of air bubbles present in cured epoxy is modeled and the results show that for certain critical regions of the probe the presence of an air bubble can be disadvantageous to the quality of the field probe. 

2183
RF field penetrability study of an electrically floating PET insert for simultaneous PET/MRI
Brian J Lee1,2, Ronald D Watkins1, Chen-Ming Chang1,3, and Craig S Levin1,4,5,6

1Radiology, Stanford University, Stanford, CA, United States, 2Mechanical Engineering, Stanford University, Stanford, CA, United States, 3Applied Physics, Stanford University, Stanford, CA, United States, 4Physics, Stanford University, Stanford, CA, United States, 5Electrical Engineering, Stanford University, Stanford, CA, United States, 6Bioengineering, Stanford University, Stanford, CA, United States

We have developed a RF-penetrable PET insert for simultaneous PET/MRI and investigated the RF-penetrability with MR experiments and electromagnetic simulations. We have shown that the RF field from the MR body coil penetrates through the inter-module gaps and the ends of the PET insert. We found that ~60% of the RF field transmitted through the ends contributes to the B1 magnitude while the RF field entering through the gaps improves the uniformity provided the ends are also opened. The simulations also show that either shortening the length/height of the modules, or widening the gaps enhances the RF-penetrability by ~16%.

2184
Miniaturized MRI System for Diagnosis of Samples of Low Physical Dimensions using Piezoelectric Receiver and Transmitter
Dhiraj Sinha1 and Shao Ying Huang1

1Engineering Product Development, Singapore University of Technology and Design, Singapore, Singapore

  An MRI system at small physical dimensions can be developed using a piezoelectric-microcantilever system with the capability of sensing  magnetic fields in the range of microtesla to picotesla at room temperature conditions . The RF magnetic field induces voltage in the piezoelectric material which is amplified by the microcantilever which also filters out the signal around its resonant frequency. The cantilever vibration is measured using an optical detection system or by using capacitance to impedance converter. A thick block of piezoelectric material is used as a transmitter in order to replace the transmitting coil.

2185
Clinical-Scale, Stopped-flow 129Xe Hyperpolarizer Development
Aaron M. Coffey1, Panayiotis Nikolaou1, Kaili Ranta2, Iga Muradyan3, Matthew S. Rosen4, Samuel Patz3, Michael J. Barlow5, Boyd M. Goodson2, and Eduard Y. Chekmenev1

1Radiology, Vanderbilt University Institute of Imaging Science, Nashville, TN, United States, 2Southern Illinois University, Carbondale, IL, United States, 3Brigham & Women's Hospital, Boston, MA, United States, 4Harvard University, Cambridge, MA, United States, 5University of Nottingham, Nottingham, United Kingdom

We report on the development of a first and second generation 129Xe hyperpolarizers, capable of producing high (~25-90%) 129Xe hyperpolarization at high Xe densities (up to 2000 Torr partial pressure), suitable for clinical and materials MRS/MRI applications.

2186
A hybrid-segmentation atlas method to construct the attenuation correction factor for human pelvic PET/MRI
Hiroshi Kawaguchi1,2, Tkayuki Obata2,3, Hiromi Sano2, Eiji Yoshida2, Mikio Suga4, Yoko Ikoma2, Yukari Tanikawa1, and Taiga Yamaya2

1Human Informatics Research Institute, National Institute of Advanced Industrial Science and Technology (AIST), Tsukuba, Japan, 2Molecular Imaging Center, National Institute of Radiological Sciences, Chiba, Japan, 3Research Center for Charged Ion Therapy, National Institute of Radiological Sciences, Chiba, Japan, 4Center for Frontier Medical Engineering, Chiba University, Chiba, Japan

The current attenuation correction method for human pelvic PET/MRI contains several problems such that the attenuation due to bone is not considered and a specific MR imaging, intended for attenuation correction only, is needed. In this study, we proposed a method to generate the distribution of attenuation correction factors with considering the bone attenuation using diagnostic T1-weighted MRI for pelvic PET/MRI scanning. The proposed method is the hybrid of the tissue segmentation based on Gaussian mixture model and the non-liner registration of tissue probability to a subject image. The simulation results showed that attenuation correction using the proposed hybrid method reduced the error on PET image than the conventional method.

2187
Concept of an RF penetrable oval PET insert for MRI system: initial study of the shielding effect
Md Shahadat Hossain Akram1, Craig S. Levin2, Takayuki Obata1, Fumihiko Nishikido1, Eiji Yoshida1, and Taiga Yamaya1

1Molecular Imaging Center, National Institute of Radiological Sciences, Chiba, Japan, 2School of Medicine, Stanford University, Stanford, CA, United States

A prototype of a novel oval shape PET insert for simultaneous body imaging with the MRI systems has been proposed in this study. The smaller prototype has the minor axis and major axis of 14 cm and 21 cm. 16 copper shielded boxes are positioned on the periphery of the oval frame. The shielding boxes were kept floating to let the RF field penetrate through the gaps in between the 16 modules. To get the required RF field distribution inside the oval PET, the gaps between the shielded modules were varied by doing assumptions following the conformal electric phase angle methods. B1 maps and GRE and SE images were taken and they have a good agreement with the results for without shielding materials. We have found a reduced RF field value with increased noise in the FOV which is mostly due to shielding materials. The images of GRE and SE have shape distortions due eddy currents. 

2188
Extension of the MR field-of-view with HUGE for MR-based attenuation correction in integrated PET/MR
Maike E. Lindemann1, Jan Ole Blumhagen2, and Harald H. Quick1,3

1High Field and Hybrid MR Imaging, University Hospital Essen, Essen, Germany, 2Siemens Healthcare GmbH, Erlangen, Germany, 3Erwin L. Hahn Institute for Magnetic Resonance Imaging, University Duisburg-Essen, Essen, Germany

In quantitative PET-imaging, it is essential to correct the attenuation of photons in tissue. In combined PET/MR-imaging the attenuation correction (AC) is based on MR-data and subsequent tissue class segmentation. The MR-FOV is limited due to B0-inhomogeneities and gradient nonlinearities. Therefore, the AC-map is truncated and reconstructed PET-data are biased. HUGE (B0-Homogenization using gradient enhancement), which determines an optimal readout gradient to compensate gradient nonlinearities, is evaluated in phantom experiments and applied to MR-imaging of volunteers. The extension of the MR-FOV for MR-based AC showed an improvement of PET-quantification in integrated PET/MR-imaging by reducing the truncated areas of the AC-map.

2189
T1-enhanced segmentation and selection of linear attenuation coefficients for PET/MRI attenuation correction in head/neck applications
Meher Juttukonda1, Bryant Mersereau1, Yi Su2, Tammie Benzinger2, David Lalush1, and Hongyu An2

1Joint Department of Biomedical Engineering, The University of North Carolina at Chapel Hill and North Carolina State University, Chapel Hill, NC, United States, 2Mallinckrodt Institute of Radiology, Washington University, St. Louis, MO, United States

We propose a mapping-based, quantitative T1 method with patient-specific thresholding for tissue segmentation and assignment of continuous-valued LACs for soft tissues and bone. The proposed method utilizes images from a dual flip angle, dual echo UTE-MR acquisition to segment air, bone, GM, WM, CSF, fat and soft tissue. A conversion from MR relaxation rate R1 is then utilized to derive continuous-valued LACs to major tissues in the head/neck. The method has been validated in PET data from 23 subjects and has been shown to outperform the vendor UTE method in PET reconstruction accuracy.

2190
Comparison of ECG and Novel Ultrasound Triggering with Spatially Resolved MR-compatible Doppler for Cardio-vascular MRI.
Lindsey Alexandra Crowe1, Gibran Manasseh1, Aneta Chmielewski2, Thomas de Perrot1, Hajo Müller3, Rares Salomir1, and Jean-Paul Vallée1

1Division of Radiology, Faculty of Medicine, Geneva University Hospital, Geneva, Switzerland, 2University of Toronto, Hospital for Sick Children, Toronto, ON, Canada, 3Division of Cardiology, Geneva University Hospital, Geneva, Switzerland

A new cardiac MRI triggering method is sought for cases of ECG signal complications due to pathology, or for fetal imaging. We propose feasibility of triggering to carotid ultrasound using an MRI compatible probe using spatially resolved Doppler compared to gold standard ECG. Retrospective processing using Metric Optimized Gating (MOG), is also included for comparison. Imaging modalities were compatible and the positioning of the US probe stable and patient friendly. Phase contrast flow and cine images were successfully obtained in healthy volunteers with ECG, Doppler triggering and MOG.  Image quality is highly comparable and accurate functional parameters accessible.

2191
A Combination of Radiomic Features from MRI and Ultrasound Appears to better predict presence of prostate cancer: Validation against whole mount pathology
Mahdi Orooji1, Mehdi Alilou2, Rachel Sparks3, Mirabela Rusu4, Nicolas Bloch5, Ernest Feleppa6, Dean Barratt7, Lee Ponsky8, and Anant Madabhushi2

1Biomedical Engineering, CenteCase Western Reserve University, Cleveland, OH, United States, 2Biomedical Engineering, Case Western Reserve University, Cleveland, OH, United States, 3Centre for Medical Image Computing, University College of London, London, United Kingdom, 4Albany, NY, United States, 5Boston Medical Center, Boston, MA, United States, 6Lizzi Center for Biomedical Engineering, Riverside Research, New York, NY, United States, 7University College London, London, United Kingdom, 8University Hospital Case Medical Center, Cleveland, OH, United States

To evaluate whether the combination of computer extracted or radiomic image parameters from two complementary modalities, MRI-TRUS can enable better prediction of presence of prostate cancer compared to either modality individually. We considered 12 slides who underwent MRI, TRUS prior to radical prostatectomy. Deformable co-registration methods were used for spatially aligning the pre-operative in vivo MRI and ultrasound with the ex vivo whole mount radical prostatectomy specimens to establish the ground truth for cancer extent on the imaging. It yielded the best separability between cancer and non-cancer regions with an Area under the operating characteristic curve of 0.88.

2192
An initial experiment of "Flexible PET/MRI" for CNS tumors
Takuya Hinoda1, Yasutaka Fushimi1, Tomohisa Okada1,2, Ryusuke Nakamoto1, Yuji Nakamoto1, and Kaori Togashi1

1Radiology, Graduate school of Mediine, Kyoto University, Kyoto, Japan, 2Human Brain Research Center, Graduate school of Mediine, Kyoto University, Kyoto, Japan

“Flexible PET (fxPET)”, a dual-head mobile DOI-TOF PET system with MR compatibility, is a newly developed device which enable us to examine the positron-emission tomography. In this first trial of the central nervous system (CNS), we tried to confirm the clinical feasibility of the fxPET with a 1.5T MRI scanner. The result of this study showed that fxPET have clinical feasibility in comparison with PET-CT. PET/MRI is an emerging modality. PET/MRI can provide us useful metabolic information to MRI images. 

2193
Bo and SAR calculation for a full-ring human head PET system integrated with an 8-element Birdcage coil at 3T
Md Shahadat Hossain Akram1, Takayuki Obata1, Mikio Suga2, Fumihiko Nishikido1, Eiji Yoshida1, and Taiga Yamaya1

1National Institute of Radiological Sciences, Chiba, Japan, 2Chiba University, Chiba, Japan

Simultaneous PET/MRI system has attracted much because of its both functional and anatomic imaging capability. In our laboratory, we have developed a human head-size PET/RF-coil integrated modality to be used with existing clinical 3T MRI system (Siemens Magnetom Verio). Eight PET detector modules are integrated with a cylindrical 8-element Birdcage RF coil for simultaneous PET and MRI imaging. In the design each detector has been integrated in between two coil elements. RF interference to PET detector circuits affects PET performance. Also noise generated from PET circuits affects MR image quality. For proper simultaneous operation, PET circuits in each detector-module were installed inside a copper-shielded box. But shielding materials very close to RF coil elements and close to imaging region adversely affects MR imaging quality. In this study we performed Bo and SAR calculation of our hybrid system. Though there have noticeable changes in the Bo values, the SAR remains very low.

2194
Realistic Patient-Based E-Phantoms and Simulation of PET-MR Neuroimage Data
Bryant G. Mersereau1, Meher R. Juttukonda1, Hongyu An2, and David S. Lalush1

1Joint Department of Bioengineering, The University of North Carolina at Chapel Hill and North Carolina State University, Chapel Hill, NC, United States, 2Mallinckrodt Institute of Radiology, Washington University in St. Louis, St. Louis, MO, United States

Acquired PET-MR datasets can be problematic to build due to the high logistical and monetary cost associated with recruiting and scanning patients. We propose a new electronic PET phantom (E-phantom) platform to streamline the PET-MR research process. The proposed platform is shown to produce results consistent with acquired PET data reconstructed on manufacturer software and to provide high configurability and flexibility as a simulation tool.

2195
Impact of spatio-temporal resolution on MR-based cardiac motion correction PET-MR
Camila Munoz1, Christoph Kolbitsch1,2, and Claudia Prieto1

1Department of Biomedical Engineering, King's College London, London, United Kingdom, 2Division of Medical Physics and Metrological Information Technologies, Physikalisch-Technische Bundesanstalt, Berlin, Germany

MR-based PET motion correction has been shown to improve image quality in cardiac PET-MR imaging. Here we present a numerical simulation study analysing the impact of temporal and spatial resolution of motion fields on the final image quality of myocardial perfusion PET scans in order to find the most efficient parameters yielding accurate cardiac motion compensation in the shortest possible scan time. Results show that cardiac motion correction is important for accurate assessment of myocardial lesions and that temporal resolution of the motion fields can be strongly optimised without losing diagnostic accuracy, reducing the total exam time in PET-MR imaging.

2196
Removing Gradient Induced Voltages from 12-lead ECGs acquired during DW-EPI and fMRI brain Imaging
Mikayel Dabaghayan1, Shelley Hua Lei Zhang1, Zion Tsz Ho Tse2, Charles L Dumoulin3, Ronald Watkins4, Wei Wang1, Jay Ward5, and Ehud Jeruham Schmidt6

1Radiology, Brigham and Womens Hospital, Boston, MA, United States, 2Engineering, University of Georgia, Athens, GA, United States, 3Radiology, Cincinatti Childrens Hospital Medical Center, Cincinatti, OH, United States, 4Radiology, Stanford University, Stanford, CA, United States, 5E-Trolz Inc., North Andover, MA, United States, 6Radiology, Brigham and Womens Hospital, Newton, MA, United States

We developed a technique to restore the ECG signals distorted by MRI gradient-induced voltages (GIV) acquired during fMRI and DW-EPI brain imaging sequences. Brain EPI sequences produce the largest ECG artifacts, presenting a large challenge to GIV removal. We used a theoretical equation with 19 parameters, which characterized the GIVs at each ECG electrode based on the simultaneously recorded gradient waveforms.  A rapid training sequence permitted computing the equation coefficients, followed by real-time gradient-induced voltage removal during imaging. FIR notch filters were subsequently applied to remove some residual spikes. The method succeeded in removing most GIVs, excluding artifacts at the beginning and end of imaging periods, which resulted from amplifier non-linearity.  

2197
Real time tracking in the fringe field of a MRI scanner: a solution for more accurate MR guided breast biopsies
Ileana Hancu1, Robert Darrow1, Eric Fiveland1, Elizabeth Morris2, Dominic Graziani1, and Mauricio Castillo-Effen1

1GE Global Research Center, Niskayuna, NY, United States, 2Memorial Sloan Kettering Cancer Center, New York City, NY, United States

Many factors contribute to the inaccuracy of MR-guided breast biopsies. Significantly, the lack of real-time visualization of tool advancement towards the biopsy site increases their duration and rate of false negatives. In this work, a novel approach for instrument tracking, relying on the spatial variation of the magnetic field, and using a set of 3 axis accelerometers/gyroscopes/magnetic field sensors, is presented. One dimensional tracking with 1.3mm rms error was demonstrated in the fringe field of a 3T magnet.

2198
STEREO-MC for Connected Spatiotemporal Excitation
Mohan Lal Jayatilake1, Christoph Juchem 2, Michael Mullen1, Gregor Adriany1, Robin de Graaf2, and Michael Garwood1

1Center for Magnetic Resonance Research, University of Minnesota, Minnesota, MN, United States, 2Department of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, CT, United States

A highly uniform magnetic field (B0) is typically required to generate MR images. In the original STEREO (for STEering REsonance over the Object) method, spatial variations in B0 are compensated by adjusting pulse amplitudes and frequencies in a temporal manner. Here we present a novel design of a limited set of well-defined multi-coil (MC) arrays that can optimize magnetic field distortions across the object of interest. 

2199
Planar-type multi-circular shimming for a 1.0 T permanent magnet
Ryota Yamada1, Makoto Tsuda1, Katsumi Kose1, and Yasuhiko Terada1

1Institute of Applied Physics, University of Tsukuba, Tsukuba, Japan

A multi-circular shim coil (MCSC), which consists of a set of localized circular current coils, provides the flexibility to design and produce linear and higher-order magnetic fields that compensate for a given B0 imhomogeneity both statically and dynamically. However, the concept of the MCSC has currently been realized only for cylindrical base geometries. Here we translated the concept of the MCSC to a biplanar geometry, and a planar-type MCSC was designed and fabricated for an open, 1.0 T permanent magnet system. We concluded that the planar MCSC is a useful devise to achieve field homogeneity with reasonable accuracy.

2200
COSI Measure - Open Source Multipurpose Measurement System
Lukas Winter1, Haopeng Han1, and Thoralf Niendorf1,2,3

1Berlin Ultrahigh Field Facility (B.U.F.F.), Max Delbrück Center for Molecular Medicine, Berlin, Germany, 2Experimental and Clinical Research Center (ECRC), a joint cooperation between the Charité Medical Faculty and the Max Delbrück Center for Molecular Medicine, Berlin, Germany, 3MRI.TOOLS GmbH, Berlin, Germany

Cost effective open source imaging (COSI) is a collaborative initiative currently building an affordable low field open source MR scanner with the technical documentation available at www.opensourceimaging.org. As part of this initiative COSI Measure has been developed in order to automatically map the static magnetic field. COSI Measure is an open source multipurpose 3-axis system for ~3000€, which can be equipped with other field mapping probes like electromagnetic field sensors, used for 3D printing / CNC machinery application or other applications, that require programmable submillimeter movement and sensor readouts in space and time.

2201
NiftyWeb: web based platform for image processing on the cloud
Ferran Prados1,2, Manuel Jorge Cardoso1, Ninon Burgos1, Claudia Angela Michela Gandini Wheeler-Kingshott2,3, and Sebastien Ourselin1

1Translational Imaging Group, Medical Physics and Biomedical Engineering, University College London, London, United Kingdom, 2NMR Research Unit, Queen Square MS Centre, Department of Neuroinflammation, UCL Institute of Neurology, University College London, London, United Kingdom, 3Brain Connectivity Center, C. Mondino National Neurological Institute, Pavia, Italy

This work proposes a new way to publicly distribute image analysis methods and software. This approach is particularly useful when the software code and the datasets cannot be made open source. We leverage the use of Internet and emerging web technologies to develop a system where anyone can upload their image datasets and run any of the proposed algorithms without the need of any specific installation or configuration. This service has been named NiftyWeb (http://cmictig.cs.ucl.ac.uk/niftyweb).

2202
About the application of the ICNIRP Guidelines for motion-induced electric fields in MRI
Luca Zilberti1, Oriano Bottauscio1, and Mario Chiampi2

1Istituto Nazionale di Ricerca Metrologica, Torino, Italy, 2Dipartimento Energia, Politecnico di Torino, Torino, Italy

This contribution reports the results of an extended survey, in which the exposure indexes provided by the current Guidelines dealing with motion-induced fields in MRI environments have been computed. The analysis is carried out through numerical simulations, using detailed human models that experience realistic exposure conditions (motion trajectories and MRI scanners). Besides identifying some critical situations (where the exposure indexes may be exceeded), the research puts in evidence some degree of freedom in the evaluation procedure, which might lead to inconsistences between different assessment approaches.

2203
Semi-automatic multi-feature bone segmentation in the pelvic region using Dixon MRI images acquired in 2 minutes: a preliminary result
Yi Gao1,2,3 and Chuan Huang4,5

1Biomedical Informatics, Stony Brook Medicine, Stony Brook, NY, United States, 2Applied Mathematics and Statistics, Stony Brook Medicine, Stony Brook, NY, United States, 3Computer Sciences, Stony Brook Medicine, Stony Brook, NY, United States, 4Radiology, Stony Brook Medicine, Stony Brook, NY, United States, 5Psychiatry, Stony Brook Medicine, Stony Brook, NY, United States

In simultaneous PET-MRI, attenuation correction is still a major hurdle due to the high attenuation of the bones and the lack of MR signal in conventional sequences. So far, several approaches have been proposed for bone attenuation correction, including bone segmentation and direct bone imaging. However, almost all available bone segmentation literatures focused on the head, which is arguably one of the easier regions because of its smaller field-of-view (FOV) requirement and the absence of major motion artifacts. Direct bone imaging is another promising approach which is accomplished by using zero-TE imaging, but its application in the body is challenging due to the larger FOV requirement and current instrumentation limitation such as peak B1. Recent research has demonstrated that PET quantitation can be largely improved even by assigning a fixed bone attenuation value (0.120 cm-1) to all bones. In light of this, we developed a technique that is able to produce good bone segmentation in the pelvic region using a 2-minute 6-echo DIXON MRI acquisition.

2204
100% efficient motion corrected coronary MR angiography using a gradient echo sequence in a 3T PET-MR system
Camila Munoz1, Radhouene Neji2, Peter Weale2, Rene Botnar1, and Claudia Prieto1

1Department of Biomedical Engineering, King's College London, London, United Kingdom, 2MR Research Collaborations, Siemens Healthcare, Frimley, United Kingdom

Respiratory motion remains a challenge for coronary MR angiography at 3T. Here we propose an inline 2D translational motion correction scheme using an image-based navigator. Low-resolution navigators are acquired at each heartbeat by spatially encoding the start-up echoes of an ECG-gated gradient echo sequence, allowing for 100% scan efficiency. Results from healthy volunteers show that motion correction improves visualization of the right and left anterior descending coronary arteries. The proposed scheme potentially allows for performing a comprehensive diagnosis of coronary artery disease by acquiring both diagnostic and motion information from MR, that can also be used to correct PET data.

2205
Rapid Eddy Currents Insensitive Field Map Estimation for Accurate B0 Shimming
Hai Luo1, Bin Wang1, Gaojie Zhu1, Wenzhou Wang1, Xiang Zhou1, Ziyue Wu1, and Leping Zha1,2

1AllTech Medical Systems, Chengdu, China, People's Republic of, 2AllTech Medical Systems, Cleveland, OH, United States

3D dual echo gradient echo sequence is commonly used to obtain the field map for B0 shimming. The maps contain the true B0 fields mixed with eddy currents induced magnetic field changes averaged over the echo time difference, which compromise the shimming accuracy. A calibration sequence with alternating gradient polarities is proposed to measure the eddy currents term. Quadratic surface fitting is then applied to produce smooth eddy currents calibration maps over the full imaging volume containing only the first and second order components. The actual rapid in-vivo shimming sequence runs later, using the calibration maps to remove the eddy currents influences during the post-processing, with partial Fourier acquisition on phase encoding and slice encoding directions to reduce the scan time. The fast method provides means of eddy currents insensitive shimming, as well as reduced sensitivity to motion.

2206
Feasibility of Non-invasive Proton-Density Fat Fraction Evaluation using a Single-sided MR device
Vanessa L. Landes1, Eamon K. Doyle1,2, Pablo J. Prado3, John C. Wood1,2, and Krishna S. Nayak4

1Biomedical Engineering, University of Southern California, Los Angeles, CA, United States, 2Cardiology, Children's Hospital Los Angeles, Los Angeles, CA, United States, 3One Resonance, LLC, San Diego, CA, United States, 4Electrical Engineering, University of Southern California, Los Angeles, CA, United States

We investigate the use of a magnet with flat field isosurfaces over 4 cm for assessment of proton density fat fraction (PDFF). We experimentally demonstrate a correlation between PDFF and apparent T2 in phantoms. Apparent T2 measurement variability is low enough to produce invertible curves of T2 vs. PDFF in intervals of 2% PDFF for a 0 – 17% PDFF range at 0ºC and intervals of 4% PDFF for a 0 – 12% PDFF range at 23ºC in milk and cream mixtures. The long-term goal is to use this device for in-vivo clinical applications, such as measurement of intra-hepatic and intra-muscular fat.  

2207
Ultra-Low-Field Spin Manipulation for Precise Flip-Angle and T$$$_1$$$-Determination
Kilian Wolfgang1, Frank Seifert1, Silvia Knappe-Grüneberg1, Jens Voigt1, Eva Al-Dabbagh1, and Isaac Fan1

1Physikalisch-Technische Bundesanstalt (PTB), Braunschweig and Berlin, Germany

Two distinct methods for precise flip angle determination for hyperpolarized rare gas samples are presented and were performed in ultra low magnetic field environment ($$$\approx\,\mu$$$T). The repetitive coherent excitation method is rather fast and allows for preserving most of the initial polarization whereas the incoherent excitation method is time consuming but determines the relaxation parameters $$$T_1$$$ and $$$T_2^\star$$$ inherently.

2208
Optimization of a switching circuit for a matrix gradient coil
Stefan Kroboth1, Kelvin J. Layton1, Feng Jia1, Sebastian Littin1, Huijun Yu1, Jürgen Hennig1, and Maxim Zaitsev1

1Medical Physics, University Medical Center Freiburg, Freiburg, Germany

A matrix gradient coil consisting of 84 small coil elements was designed and constructed at our institution. Driving each coil element with an individual amplifier is impractical due to the high current requirements. To resolve this limitation, groups of coil elements can be connected in series and driven by a limited number of amplifiers. Such grouping configurations are obtained for one or several target fields. In the latter case, the configurations need to be switched with a switching circuit. We propose an algorithm to minimize the number of necessary switches to reduce the complexity and cost of this circuit.


Traditional Poster

MR Safety

Exhibition Hall Wednesday, May 11, 2016: 13:30 - 15:30

2209
Magnetically Induced Force Measurements per ASTM F2052 of Active Implantable Medical Device Lead Materials
Michael Childers1, Roya Hashemi Rad1, Richard Williamson1, and Shiloh Sison1

1St. Jude Medical, Sylmar, CA, United States

This abstract presents magnetically induced force measurements per ASTM F2052 of materials commonly used in implantable leads.  Implantable leads which are constructed solely from tested materials which pass the magnetically induced force testing acceptance criteria (i.e. gravity force), may not require magnetically induced force testing per ASTM F2052 for MR conditionality with 3 T MR scanners.

2210

Detailing the MR Safety of Intraocular Tantalum Markers Used for Treatment Planning of Proton Beam Therapy of Uveal Melanoma: A 7.0T Study
Eva Oberacker1, Katharina Paul1, Lukas Winter1, Celal Oezerdem1, Antje Els1, Andreas Pohlmann1, Laura Boehmert1, Stefanie Kox1, Min-Chi Ku1, Till Huelnhagen1, Oliver Stachs2, Jens Heufelder3,4, Andreas Weber3,4, and Thoralf Niendorf1,5

1Berlin Ultrahigh Field Facility (B.U.F.F.), Max Delbrück Center for Molecular Medicine in the Helmholtz Association, Berlin, Germany, 2Department of Ophthalmology, University of Rostock, Rostock, Germany, 3Department of Ophthalmology, Charité University Medicine, Berlin, Germany, 4BerlinProtonen, Helmholtz Zentrum Berlin, Berlin, Germany, 5Experimental and Clinical Research Center (ECRC), a joint cooperation between the Charité Medical Faculty and the Max Delbrück Center for Molecular Medicine in the Helmholtz Association, Berlin, Germany

This work examines the MR safety of intraocular tantalum markers used in proton beam therapy of uveal melanoma. RF power deposition induced heating was studied using electromagnetic field and temperature simulations. Magnetic force acting on the marker was investigated and image artifacts were assessed. Minor local increase of RF power deposition was observed for SAR0.075g but not detectable for SAR1g. Measurements showed no detectable magnetic attraction of the implant. FSE based imaging showed only small artifacts barely exceeding the thickness of the sclera. Our studies indicate that intraocular tantalum markers do not constitute a per se contraindication for 7.0T MRI.

2211

SAR/B1+ calibration workflow for safe, high duty-cycle parallel transmission imaging at ultra-high field
Filiz Yetisir1, Bastien Guerin2, Lawrence Wald2,3, and Elfar Adalsteinsson1,3

1Electrical Engineering and Computer Science, Massachusetts Institute of Technology, Cambridge, MA, United States, 2Dept.of Radiology, Martinos Center for Biomedical Imaging, Charlestown, MA, United States, 3Harvard-MIT Division of Health Sciences Technology, Institute of Medical Engineering and Science, Cambridge, MA, United States

In this work, we propose a pTX safety workflow that will enable high duty cycle imaging at high field systems. Several SAR and B1+ calibration steps are suggested for a complete analysis including modeling the TX array, testing it over time and different loads and finding a safety margin to account for RF system imperfections. Good qualitative agreement was achieved between the simulated and measured B1+ maps for the TX array. 11% and 6° standard deviation was observed in the magnitude and the relative phase maps over time. A maximum difference of 16% was observed between offline and online calculated local SAR values due to RF system imperfections.

2212
Direct optical measurement of the RF electrical field for MRI
Isabelle Saniour1, Anne-Laure Perrier2, Gwenaël Gaborit2,3, Jean Dahdah3, Lionel Duvillaret3, and Olivier Beuf1

1CREATIS, Université de Lyon ; CNRS UMR5220 ; Inserm U1044 ; INSA-Lyon ; Université Claude Bernard Lyon 1, Villeurbanne, France, 2IMEP-LAHC, UMR 5130 ; Université de Savoie, Le Bourget-du-Lac, France, 3Kapteos, Sainte-Hélène du Lac, France

In MRI, a real time monitoring of the magnitude of the electric field prevents the patient from safety hazards due to heating phenomenon. A sub-cm electro-optical probe was used to localize and measure the E-field in 4.7-T MRI. This probe is formed from an electro-optic crystal that changes its refractive indexes according to the applied E-field. The results show that the probe is non-perturbative regarding the E-field and does not affect the quality of MR images. Six clear E-field concentrations were localized at proximal and distal sides of the transceiver coil. Their magnitudes vary between 10000V/m and 20000V/m.   

2213
On Peripheral Nerve Stimulation of a Compact, Asymmetric Head-Only Gradient Coil: Head Orientation Dependence
Seung-Kyun Lee1, Kishore V. Mogatadakala2, Dominic Graziani1, Jean-Baptiste Mathieu2, Thomas K.-F. Foo1, and Matt A. Bernstein3

1GE Global Research, Niskayuna, NY, United States, 2GE Healthcare, Florence, SC, United States, 3Mayo Clinic, Rochester, MN, United States

Head orientation dependence of the peripheral nerve stimulation (PNS) thresholds and the induced electric fields of a high-performance, asymmetric head-only gradient coil were studied experimentally and by numerical simulation. In the experiment, the gradient field direction was fixed and the subject head was rotated in the transverse plane. The subject-reported PNS thresholds nearly doubled when the head's anterior-posterior direction was parallel to the gradient compared to when the head was approximately perpendicular to the gradient. Human-body-model simulation suggested that the orientation dependence may be primarily due to locally concentrated electric fields in the corrugated regions of the face.

2214
Positioning to decrease hot spots caused by an intramedullary rod implanted in a forearm
Yu Kikuchi1, Minghui Tang1, and Toru Yamamoto2

1Graduate School of Health Sciences, Hokkaido university, sapporo, Japan, 2Faculty of Health Sciences, Hokkaido university, sapporo, Japan

RF heating causes most of incidents during MRI examinations. There still are patients who were implanted metallic products before the advent of MRI and MR compatibility of most such products is unknown.  It was reported that an MRI examination of a patient implanted an intramedullary rod in his forearm was aborted due to a heating claim from the patient. In this study, we confirm RF heating of such patient by using an electromagnetic analysis software dedicated for MRI, and shows that positioning of an implanted arm can decrease SAR sufficiently enough to take MRI examinations.

2215
Assessment of Radio Frequency Induced Heating On or Near Implants during MRI – some open issues
Mikhail Kozlov1,2 and Gregor Schaefers1,3

1MR:comp GmbH, Gelsenkirchen, Germany, 2Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany, 3Magnetic Resonance Institute for Safety, Technology and Research GmbH, Gelsenkirchen, Germany

We evaluated locations of maximum temperature rise (max(ΔT)) and the dependence of maxT) on RF-induced power deposition (Ptotal) for some generic implants. ΔT spatial and temporal variations were investigated. To fulfill ASTM F2182-11a setup requirements, the temperature probe should be placed with submillimetre precision at location that cannot be predicted by a full wave electromagnetic simulation alone. It is a challenge to validate with small uncertainty Ptotal calculated using EM simulation by only measuring SAR or VLD value at some points in space, if the field probe sensor size is larger than one tenth of the wire diameter.

2216
Reduction of the E field at the tip of implanted wires generated by pTx coils using RF current measurements
Gerd Weidemann1, Frank Seifert1, and Bernd Ittermann1

1Physikalisch-Technische Bundesanstalt (PTB), Braunschweig and Berlin, Germany

The possibility to reduce implant heating is an added value option of parallel transmission. An orthogonal-projection method (OPM) is presented to reduce the E fields at the tip of wire type implants by using voltage vectors orthogonal to the vector inducing the worst case RF current at the protruding end of the implant. Experiments confirm that the minimization of RF current at the protruding end leads to a distinct reduction of the electric field at the tip of the wire. Low-hazard steering conditions for n-element pTx coils can be determined in real time during an MR investigation from the measurement of only n complex valued RF currents at the protruding end of the implant.

2217
Visualization and Localization of Implanted Devices with Parallel Transmit Array Using Reversed RF Polarization
Parnian Zarghamravanbakhsh1, John M Pauly1, and Greig Scott1

1Electrical Engineering, Stanford University, Stanford, CA, United States

The radiofrequency (RF) transmit field can induce current in implanted devices; therefore, it is essential to detect and minimize coupling to stimulator leads and guide-wire structures. Reverse polarization has been proposed as low-RF-power method to safely detect current in the implanted devices using birdcage coil. The purpose of this study is to demonstrate feasibility of combining knowledge of coil current and location with reverse polarization method using parallel transmit array to detect and localize implanted wires. 

2218
Heating of lead electrodes disconnected from sacral stimulator during routine lumbar MRI at 3T with receive-only coil
Pallab K Bhattacharyya1, Howard Goldman2, Mark J Lowe1, Adrienne Quirouet2, and Stephen E Jones1

1Imaging Institute, Cleveland Clnic, Cleveland, OH, United States, 2Glickman Urological Institute, Cleveland Clnic, Cleveland, OH, United States

RF heating testing during lumbar scans of Medtronic Interstim II (Model 3058) implantable pulse generator (IPG) connected to Medtronic Quadipolar Nerve Stimulator Lead (Model 3889) at 3T whole body Siemens TIM Trio scanner with receive-only cervical-lumbar-thoracic coil was performed. Temperatures of the electrodes were measured by using fiber optic sensors with fluoroptic monitoring with the IPG and lead placed inside an ASTM gel phantom. No electrode heating was observed when the lead was connected with the IPG in any of the scans, while considerable heating was observed when the IPG was disconnected and taken out of the phantom.

2219
Comparing RF heating simulations and experimental results in pTx coils: an evaluation of three simulation methods
Hongbae Jeong1, Peter Jezzard1, and Aaron Hess2

1FMRIB Centre, University of Oxford, Oxford, United Kingdom, 2Department of Cardiovascular Medicine, University of Oxford, Oxford, United Kingdom

In this study, we conducted thermal simulations using EM simulation software and compared these to proton resonance frequency (PRF) thermometry using an ultra-high-field MR phantom. RF heating was measured in the magnet environment using a PRF-based 3D GRE on a 8-channel pTx coil. Three types of simulation method were assessed and compared with experimental data. Amongst the three simulation methods the realistic capacitance simulation was closest to the experimental measurement. In conclusion, PRF RF heating measurements with real fiber optic temperature changes can be used to assess and validate different types of RF simulation. 

2220
Statistical Equivalence Test Protocol for RF Performance of AIMD Systems
Li-Yin Lee1, Shiloh Sison2, Shi Feng3, Kishore Kondabatni4, and Richard Williamson5

1BioStatistics, St. Jude Medical, Sylmar, CA, United States, 2Electrical Engineering, St. Jude Medical, Sunnyvale, CA, United States, 3Electrical Engineering, St. Jude Medical, Sylmar, CA, United States, 4St. Jude Medical, Sylmar, CA, United States, 5Program Management, St. Jude Medical, Sylmar, CA, United States

Test methods for MRI safety and RF safety of AIMD systems has been defined through ISO/TS 10974 are cumbersome to perform on every device and lead combination.  A clear method for determination that two likely equivalent systems has not been described.  The Concordance Correlation Coefficient has been described for this purpose in assay comparison.  This paper evaluates the CCC method for RF equivalence in presence of measurement uncertainty, and confirms that the CCC method is simple and robust for this purpose.    

2221
Modelling the RF safety of tattoo pigment ink for subjects undergoing 7 Tesla MRI
Hongbae Jeong1, Aaron Hess2, and Peter Jezzard1

1FMRIB Centre, University of Oxford, Oxford, United Kingdom, 2Department of Cardiovascular Medicine, University of Oxford, Oxford, United Kingdom

Despite many reports of skin burns in the region of tattoos, there are few safety studies concerning RF heating caused by tattoos. Manufacturers of tattoo ink are numerous and use a range of dye ingredients, making it difficult to assess the electromagnetic properties of each ink pigment. An anchor-shaped tattoo was modelled 1mm under the skin layer in the region of the cervical spine to predict a possible skin burn generated by RF coil. A simulation model of RF heating in tattoo pigment is proposed, which shows that certain tattoo pigments may lead to severe skin burns when performing high field MRI.

2222
Heterogeneous gelatin-based head phantom for evaluating DBS heating
Clare McElcheran1, Benson Yang2, Fred Tam2, Laleh Golenstani-Rad3, and Simon Graham2

1University of Toronto, Toronto, ON, Canada, 2Sunnybrook Health Sciences Centre, Toronto, ON, Canada, 3Massachusetts General Hospital, Charlestown, MA, United States

A method to create a heterogeneous head phantom with long implanted wires to improve the evaluation of tissue heating surrounding deep brain stimulation (DBS) leads is presented.  The phantom consists of three different oil-in-gelatin dispersions with electrical properties that mimic grey matter, white matter and cerebral spinal fluid (CSF) as well as a human skull.  3D printing technology was used to create gelatin moulds and an acrylic casing.  A CT scan of the human skull was obtained to create a mesh-based digital representation.  Thus, the physical phantom has an associated mesh-based digital model which can be used in electromagnetic simulation.

2223
Potentially hazardous materials left behind after an MRI installation
Ken E Sakaie1, Wanyong Shin1, and Lowe J Mark1

1Imaging Institute, The Cleveland Clinic, Cleveland, OH, United States

We share our experience discovering and removing metallic objects left behind after a routine MRI hardware upgrade. The results suggest that vigilance is necessary despite the routine nature of such an upgrade.

2224
Increased Signal Intensity of brain structures on unenhanced T1-weighted images following 35 or more GBCA administrations
Yang Zhang1,2, Yan Cao1, George Shih1, Elizabeth Hecht3, and Martin R Prince1,4

1Radiology, Weill Cornell Medical Center, New York, NY, United States, 2Radiology, Qilu Hospital, Shandong University, Jinan, China, People's Republic of, 3Columbia University, New York, NY, United States, 4Radiology, Columbia University, New York, NY, United States

In 16 patients with 35 or more linear GBCA administrations increased T1 signal on unenhanced images was observed in dentate nucleus (100%), globus pallidus (100%), cerebral peduncles (100%), substantial nigra (88%), red nucleus (88%), colliculi (81%), posterior thalamus (75%), superior cerebellar peduncle (56%), internal capsule (50%), head of caudate nucleus (31%), body of caudate nucleus (25%) , whole thalamus (25%), pons (13%), anterior commissure (13%), posterior brain stem (6%), pituitary gland (6%), mammillary body (6%) and putamen (6%).  The source of T1 signal increase is unknown but may relate to GBCA administration. No clinical significance was identified.

2225
Power deposition into a metallic hip prosthesis exposed to switched gradient fields
Luca Zilberti1, Oriano Bottauscio1, Mario Chiampi2, Jeffrey Hand3, Hector Sanchez Lopez4, Rüdiger Brühl5, and Stuart Crozier6

1Istituto Nazionale di Ricerca Metrologica, Torino, Italy, 2Dipartimento Energia, Politecnico di Torino, Torino, Italy, 3Division of Imaging Sciences and Biomedical Engineering, King’s College London, London, United Kingdom, 4Department of Engineering, Universitas Dian Nuswantoro, Semarang, Indonesia, 5Physikalisch-Technische Bundesanstalt, Berlin, Germany, 6School of Information Technology and Electrical Engineering, University of Queensland, St. Lucia, Australia

Concern has been recently raised about the possible heating of massive metallic implants, in particular hip prostheses, due to the gradient fields used in MRI. Thus, this contribution discusses the computation of the power density deposited by the magnetic field into the implant, which represents the first step to estimate the thermal heating. The analysis is based on numerical simulations, performed through a computational formulation applied to an anatomical model of the body. The results provide evidence of the role of the three gradient coil axes and of the different harmonic components of the signals in this power deposition process.

2226
Testing of a compact ultrasound scanner for use inside clinical interventional MRI suite
Chi Ma1, Zaiyang Long1, Diana M Lanners1, Donald J Tradup1, Joel P Felmlee1, David A Woodrum1, Nicholas J Hangiandreou1, and Krzysztof R Gorny1

1Department of Radiology, Mayo Clinic, Rochester, MN, United States

The suitability of a compact Samsung ultrasound (US) system for real-time imaging guidance of treatment device positioning inside 1.5T interventional magnetic resonance imaging (iMRI) suite was assessed. The US system was tested in a proposed site-specific configuration. Magnetic displacement forces exerted by the static magnetic field on each of the US system components were estimated at the proposed locations. Image quality of both MRI and US systems with the US system set to different operating modes were evaluated.  Results demonstrate that this particular US system is suitable for use in the site-specific configuration at our 1.5T iMRI suite. 

2227
An Evaluation of Radio Frequency Induced Power Deposition of Coaxial Leads with an Implant Model
Mikhail Kozlov1,2 and Gregor Schaefers1,3

1MR:comp GmbH, Gelsenkirchen, Germany, 2Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany, 3Magnetic Resonance Institute for Safety, Technology and Research GmbH, Gelsenkirchen, Germany

We performed 3-D electromagnetic simulations of coaxial leads and numerically obtained the lead models to evaluate power deposition and the voltage induced at the lead proximal end with the lead models. No correlation between peak volume loss density and deposited powers at the tip and the ring was observed. In some cases deposited power at the ring exceeded deposited power at the tip. However further extensive simulations of induced heating behavior should be done before final conclusions regarding coax lead design preferences are made.

2228
Influence of electrical properties of lead insulation on radio frequency induced heating during MRI
Mikhail Kozlov1,2 and Gregor Schaefers1,3

1MR:comp GmbH, Gelsenkirchen, Germany, 2Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany, 3Magnetic Resonance Institute for Safety, Technology and Research GmbH, Gelsenkirchen, Germany

We evaluated the dependence of RF-induced power deposited at a hot spot (p) on insulating electrical properties for insulated stainless steel wires of 1.5 mm in diameter with insulation thickness of 0.5 mm. Lead transfer functions (TF) were obtained by 3-D electromagnetic simulations. TF and p depended significantly on electrical properties of insulation. Increased insulator conductivity resulted in decreased p. For all insulated wires investigated non-uniform RF excitation resulted in higher power deposition than uniform RF excitation.

2229
Design and simulation of a nested 4 channel 1H and 3 channel 13C coil for glycogen NMR experiments in the calf muscle at 7 T
Sigrun Goluch1,2,3, Roberta Kriegl2,3, Elmar Laistler2,3, Martin Gajdošík 4,5, and Martin Krššák 1,4,5

1Division of Endocrinology and Metabolism, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria, 2MR Center of Excellence, Medical University of Vienna, Vienna, Austria, 3Center for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria, 4High-Field MR Center, Department of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Vienna, Austria, 5Christian Doppler Laboratory for Clinical Molecular MR Imaging, Medical University of Vienna, Vienna, Austria

Due to the inherently low sensitivity of carbon-13 NMR, 13C spectroscopic experiments at 7T require specifically optimized double tuned local RF transceive arrays for high SNR, exhibiting sufficient electrical isolation between the arrays to enable 1H decoupling and high SAR efficiency as to not invoke SAR limits during proton decoupling. In this work we present the simulation and optimization of a 7 channel nested 1H/13C RF transceive coil array for 13C metabolic studies in the human calf muscle at 7 T.

2230
Assessment of RF induced heating of intracranial Micro-depth electrodes during MRI
Anastasia Papadaki1,2, David Carmichael3, Andrew McEvoy4,5, Anna Miserocchi4,5, Tarek Yousry1,2, Beate Diehl4,6, Louis Lemieux4, and John S Thornton1,2

1Lysholm Department of Neuroradiology, National Hospital for Neurology and Neurosurgery, UCLH, London, United Kingdom, 2Department of Brain Repair and Rehabilitation, UCL Institute of Neurology, London, United Kingdom, 3Imaging and Biophysics Unit, UCL Institute of Child Health, London, United Kingdom, 4Department of Clinical and Experimental Epilepsy, UCL Institute of Neurology, London, United Kingdom, 5Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, United Kingdom, 6Department of Neurophysiology, National Hospital for Neurology and Neurosurgery, London, United Kingdom

In this study we assessed temperature changes (∆T) during MRI in the vicinity of microwires EEG electrodes in a phantom. Measurements were performed at 1.5T during a high SAR TSE sequence for two different depth electrode arrangements with and without microwires. Although we observed a small temperature rise due to the presence of microwires the maximum temperature change ∆T did not exceed 1°C at 1.5T. 

2231
SAR and patient orientation for 3 T 2-channel parallel transmit pelvis imaging
Mariya Lazebnik1

1GE Healthcare, Waukesha, WI, United States

This work investigates the impact of patient orientation on SAR for 3 Tesla two-channel parallel transmit (pTx) pelvis imaging. SAR simulations were performed on two human body models in a supine position in a 70 cm-diameter 3 T body coil in a pelvis landmark, in both “head first” and “feet first” patient entry orientations. Whole body SAR, peak spatial SAR, and SAR ratio (= peak SAR / whole body SAR) were computed for quadrature and pTx excitations. Patient position and orientation can cause peak SAR and SAR ratio to vary significantly and must be considered when evaluating pTx excitation.

2232
Subject-specific SAR prediction in adults and children at 7.0T
Gianluigi Tiberi1,2, Mauro Costagli1,2, Laura Biagi2, Alessio De Ciantis3, Nunzia Fontana4, Riccardo Stara5,6, Mark R Symms7, Mirco Cosottini8, Renzo Guerrini3, and Michela Tosetti1,2

1Imago7, Pisa, Italy, 2IRCCS Stella Maris Foundation, Pisa, Italy, 3Meyer Children’s Hospital, Firenze, Italy, 4Dipartimento di Ingegneria dell'Informazione, Pisa, Italy, 5National Institute of Nuclear Physics (INFN), Pisa, Italy, 6Stanford University, Stanford, CA, United States, 7General Electric ASL Scientist (EMEA), Pisa, Italy, 8Department of Translational Research and New Surgical and Medical Technologies, Pisa, Italy

In this study we propose a procedure which allows the prediction of global and local subject-specific SAR exposure for commonly used 7.0T sequences. Prerequisites for such prediction are: sequences’ SAR exposure simulated on the generic anatomic models; subject-specific measured B1+ maps. Validation has been provided through phantom experiment. We observed that: SILENT and FLAIR can be safely used in all subjects, both adults and children; FLAIR is more SAR demanding than SILENT; predicted SAR exposure does not show a significant variation with subject weight.

2233
Safety of MR Imaging of Patients with Cardiac Implanted Devices
El-Sayed H. Ibrahim1, Laura Horwood1, Jadranka Stojanovska1, Luba Frank1, Anil Attili1, Hakan Oral1, and Frank Bogun1

1University of Michigan, Ann Arbor, MI, United States

This study examines whether MRI is safe in patients with cardiac implantable electronic device (CIED) excluded from published protocols, e.g. patients with abandoned leads or pacemaker dependency. A total of 162 MRI scans were obtained in 142 consecutive patients with CIED’s. Cardiac scans were performed in 94 patients and spinal/brain scans were performed in 47 patients. Only one patient developed ventricular tachycardia during a spine scan and was removed from the scanner for device reactivation without consequences. No other adverse events were noted. The devices interrogated parameters essentially remained the same immediately, 1-week after, and 3-months after the scans. 

2234
The Potential for Eddy Current Induced Peripheral Nerve Stimulation from an Active Implanted Device Canister
Xin Chen1, Jonathan Edmonson2, and Michael Steckner1

1Toshiba Medical Research Institute USA, Inc., Mayfield Village, OH, United States, 2Medtronic CRHF, Mounds View, MN, United States

We used numerical simulations to investigate the potential for increased PNS likelihood with implanted device. Modeling of a gradient coil loaded with a human subject with a metallic implanted canister showed that the electric field around the device can increase by up to 3 fold, suggesting increased PNS likelihood.

2235
Prospective Observational Post-marketing Study on the Safety of Gadoterate Meglumine - Final Results in the pediatric cohort of over 1,600 children
Yun Peng1

1Beijing Children's Hospital, Beijing, China, People's Republic of

An observational post-marketing study was conducted in 10 countries to prospectively collect safety data in adults and children who were scheduled to undergo routine Magnetic Resonance Imaging (MRI) with administration of gadoterate meglumine (Dotarem®). The incidence of Nephrogenic Systemic Fibrosis (NSF) in routine practice was assessed through specific follow-up of patients with moderate to severe renal impairment. Final results in a large pediatric sub-population of over 1,600 children showed a very good safety profile of gadoterate meglumine with only one adverse event reported in a child and no suspicion of NSF reported.

2236
Scanner-specific verification of Transmit RF Body Coil B1-field to inform clinical triage of patients with implanted devices
Chi Ma1, Krzysztof R Gorny1, Christopher P Favazza1, Robert E Watson1, and Heidi A Edmonson1

1Radiology, Mayo Clinic, Rochester, MN, United States

Exclusion of scanning with transmit RF body coil may prohibit access to life-saving diagnoses for patients with MR-conditional implantable devices. Manufacturer provided plots of RF B1-field indicate that RF energy over the implant may be significantly reduced if the implant is kept outside of the 50-55cm long transmit RF body coil.  Scanner-specific B1-field measurements and RF-induced heating measurements confirm reduction in heating as conductive material moves away from scanner isocenter.  B1-field measurements lateral to the central scanner axis demonstrate local peaks in the B1-field that would not be identified from the IEC-required manufacturer plots.

2237
Magnetic Displacement Force and Safety of Coronary Artery Stents at 7 Tesla.
Christian Hamilton-Craig1,2, Jess Cameron1, Gregory Brown1, and Graham Galloway1,3

1Centre for Advanced Imaging, University of Queensland, Brisbane, Australia, 2Richard Slaughter Centre of Excellence in CVMRI, The Prince Charles Hospital, Brisbane, Australia, 3Translational Research Institute, Brisbane, Australia

Currently, there are minimal data regarding the magnetically induced displacement force of coronary artery stents, in 7.0 T MR.  We tested a range of commonly implanted coronary artery stents for maximal displacement force at 7T.  CoCr stents appear to have safe deflection properties at 7T. However 316L-SS and PtCr stents exhibit increased magnetically induced displacement forces, and may be not be considered conditionally safe at 7.0T

2238
Electrocorticography grids might cause excessive heating during MR imaging
Emad Ahmadi1, Reza Atefi1, Emad Eskandar2, Alexandra J. Golby3, Michael H. Lev1, Rajiv Gupta1, and Giorgio Bonmassar1

1Radiology, Massachusetts General Hospital, Boston, MA, United States, 2Neurosurgery, Massachusetts General Hospital, Boston, MA, United States, 3Neurosurgery, Brigham and Women's Hospital, Boston, MA, United States

Electrocorticography grids are routinely implanted over the cortex for pre-surgical planning in epilepsy surgery. We propose that MR imaging at 3T might cause heating injury in patients  with implanted electrocorticography grids.

2239
Sugar free tissue-mimicking MRI phantoms for improved signal-to-noise ratio
Carlotta Ianniello1,2, Ryan Brown1, Martijn Cloos3, Qi Duan4, Jerzy Walczyk3, Graham Wiggins3, Daniel K Sodickson2,3, and Riccardo Lattanzi2,3

1Radiology, Center for Advanced Imaging Innovation and Research (CAI2R) and Center for Biomedical Imaging, Department of Radiology, New York University School of Medicine, New York, NY, United States, 2The Sackler Institute of Graduate Biomedical Science, New York University School of Medicine, New York, NY, United States, 3Center for Advanced Imaging Innovation and Research (CAI2R) and Center for Biomedical Imaging, Department of Radiology, New York University School of Medicine, New York, NY, United States, 4Laboratory of Functional and Molecular Imaging, NINDS, National Institutes of Health, Bethesda, MD, United States

We investigated Polyvinylpyrrolidone (PVP) as an alternative to sugar to control relative permittivity in tissue-mimicking MR phantoms. We constructed a two-compartment phantom filled with water solutions of PVP and NaCl, the latter used to control conductivity. A lower amount of PVP than sugar is required, allowing low permittivity materials to be realized. While signal decreases rapidly in sugar-based phantoms, PVP materials have long T2*/T2, making PVP-based phantoms suitable for the validation of MR-based electrical properties mapping techniques that rely on high SNR of signal and B1+ maps. PVP solutions are relatively inexpensive, easy to mix and do not require preservatives. 

2240
Experimental evaluation of heating and SAR reduction with a dielectric insert at 3T
Christopher Sica1, Sebastian Rupprecht1, and Qing X Yang1

1Radiology, Penn State College of Medicine, Hershey, PA, United States

Prior work has suggested that a dielectric insert can reduce the SAR in the brain at 3T. These previous results were obtained via electromagnetic simulations. Here, we present an experimental evaluation of SAR reduction in a phantom with a dielectric insert.


Traditional Poster

MSK

Exhibition Hall Wednesday, May 11, 2016: 16:00 - 18:00

2241
Multi-parametric assessment of thigh muscles in patients with limb girdle muscular dystrophies (LGMD): preliminary results.
Alberto De Luca1,2, Maria Grazia D'Angelo3, Denis Peruzzo2, Fabio Triulzi4, Alessandra Bertoldo1, and Filippo Arrigoni2

1Department of Information Engineering, University of Padova, Padova, Italy, 2Neuroimaging Lab, Scientific Institute IRCCS Eugenio Medea, Bosisio Parini (LC), Italy, 3Functional Rehabilitation Unit, Neuromuscular Disorders, Scientific Institute IRCCS Eugenio Medea, Bosisio Parini (LC), Italy, 4Department of Neuroradiology, Scientific Institute IRCCS Ca Granda Foundation - Ospedale Maggiore Policlinico, Milan, Italy

Limb girdle muscular dystrophies (LGMD) are a heterogeneous family of disorders characterized by the substitution of muscles with fat and fibrotic tissue. In this work we show the initial results of our acquisition protocol, that included DW-MRI, T2 mapping and DIXON imaging, on two subtypes of LGMD (type 2A and 2B). Statistical tests and Pearson’s correlation were performed on parametric maps at single muscle level. Preliminary results show that multi-parametric MRI is promising in the characterization of LGMD subtypes on the thigh. Considered MRI techniques show different sensibilities to damages induced by muscular dystrophies and can be considered complimentary.

2242
Multiparametric voxel-based analysis of standardized uptake values and apparent diffusion coefficients in soft-tissue tumors with a positron emission tomography-magnetic resonance system: Application for evaluation of treatment effect
Koji Sagiyama1, Yuji Watanabe2, Ryotaro Kamei1, Sungtak Hong3, Satoshi Kawanami2, Yoshihiro Matsumoto4, and Hiroshi Honda1

1Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan, 2Department of Molecular Imaging and Diagnosis, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan, 3Healthcare, Philips Electronics Japan, Fukuoka, Japan, 4Department of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan

A combination of single measurements would be necessary to improve the efficacy of evaluating the treatment effect in heterogeneous soft-tissue tumors. This study aimed to investigate the feasibility of direct voxel-by-voxel comparison of SUVs and ADCs with the PET/MR system in the evaluation of the treatment effect in soft-tissue tumors. The ADCs and SUVs were recorded on a voxel-by-voxel basis for all slices. The scatter plots clearly demonstrated significant difference between pre- and post-treatment. Multiparametric voxel-based analysis of SUVs and ADCs could be a promising tool for evaluating the treatment effect in soft-tissue tumors.

2243
Predicting re-tear after repair of full-thickness rotator cuff tear: 2-Point Dixon MR quantification of fatty muscle degeneration – Initial experience with 1-year follow-up
Taiki Nozaki1, Atsushi Tasaki2, Saya Horiuchi1, Junko Ochi1, Jay Starkey1, Takeshi Hara3, Yukihisa Saida1, Yasuyuki Kurihara1, and Hiroshi Yoshioka4

1Radiology, St.Luke's International Hospital, Tokyo, Japan, 2Orthopaedic Surgery, St.Luke's International Hospital, Tokyo, Japan, 3Intelligent Image Information, Gifu University, Gifu, Japan, 4Radiological Sciences, University of California, Irvine, Orange, CA, United States

Rotator cuff tear is a common cause of shoulder pain and disability. Minimally-invasive arthroscopic rotator cuff repair is increasingly popular for treatment of full-thickness rotator cuff tear. However, operative outcomes are far from perfect. Postoperative re-tears are associated with greater fatty degeneration. The purpose of this study was to quantify the pre- and post-operative muscular fatty degeneration using a 2-Point Dixon sequence in patients with rotator cuff tears treated by arthroscopic rotator cuff repair. Further, we aim to assess the relationship of preoperative fat fraction values within rotator cuff muscles between patients who experience re-tear and those who do not.

2244
In vivo 1H MRS using 3 Tesla to investigate the metabolic profiles of joint fluids in different types of knee diseases
Geon-Ho Jahng1, Wook Jin1, Dong-Cheol Woo2, Chanhee Lee1, Chang-Woo Ryu1, and Dal-Mo Yang1

1Department of Radiology, Kyung Hee University Hospital at Gangdong, Kyung Hee University, Seoul, Korea, Republic of, 2Biomedical Research Center, Asan Institute for Life Sciences, Asan Medical Center, Seoul, Korea, Republic of

To assess the ability of proton MR spectroscopy to identify the apparent heterogeneous characteristics of metabolic spectra in effusion regions in human knees using a high-field MRI system, 84 patients with effusion lesions underwent proton MRS with PRESS single-voxel MRS using a clinical 3.0 Tesla MRI system. Nonparametric statistical comparisons were performed to investigate any differences in metabolites among the degenerative osteoarthritis, traumatic diseases, infectious and an inflammatory disease groups. There were no significant differences among the three groups for the CH3 (p=0.9019), CH2 (p=0.6406), and CH=CH lipids (p=0.5467) and water (p=0.2853). 

2245
Reliability of MR quantification of rotator cuff muscle fatty degeneration using a 2-point Dixon technique in comparison with the qualitative modified-Goutallier classification
Saya Horiuchi1, Taiki Nozaki1, Atsushi Tasaki2, Akira Yamakawa2, Yasuhito Kaneko3, Takeshi Hara4, Yasuyuki Kurihara1, and Hiroshi Yoshioka3

1Radiology, St Luke's International Hospital, Tokyo, Japan, 2Orthopedics, St Luke's International Hospital, Tokyo, Japan, 3Radiological Sciences, University of California, Irvine, Orange, CA, United States, 4Department of Intelligent Image Information, Gifu University, Gifu, Japan

The assessment of presurgical rotator cuff muscle fatty degeneration is a main determinant of management in patients with rotator cuff tears. The modified-Goutallier classification has been widely accepted as a qualitative method for evaluation of fatty degeneration in current practice. However, reproducibility is insufficient because it is shown to be highly observer-dependent. The objective of this study was to quantify fatty degeneration of the supraspinatus muscle by using 2-point Dixon technique, and to evaluate the inter- and intra-observer reliability of quantitative analysis of fatty degeneration in comparison with the qualitative modified-Goutallier classification.

2246
T2 and T1rho values of grade 1 early degenerative cartilage in the distal femur using angle/layer dependent approach
Yasuhito Kaneko1,2, Taiki Nozaki1,3, Hon Yu1,4, Kayleigh Kaneshiro1, Ran Schwarzkopf5, and Hiroshi Yoshioka1

1Radiological Sciences, University of California, Irvine, Orange, CA, United States, 2Orthopaedic Surgery, Saitama City Hospital, Saitama, Japan, 3Radiology, St. Luke's International Hospital, Tokyo, Japan, 4John Tu and Thomas Yuen Center for Functional Onco-Imaging, University of California, Irvine, Orange, CA, United States, 5Orthopaedic Surgery, University of California, Irvine, Orange, CA, United States

We assessed patterns of T2 and T1rho value change with Outerbridge grade 1 lesions in OA patients compared to healthy control cartilage utilizing angle and layer dependent approach. T1rho values were more sensitive than T2 values to detect early cartilage degeneration with higher values in OA cartilage than in healthy control. However, T2 and T1rho values in grade 1 cartilage degeneration with signal heterogeneity can be lower compared to those in healthy cartilage.

2247
Morphological, Compositional, and Fiber Architectural Changes in from Unilateral Limb Suspension Induced Acute Atrophy Model in the Medial Gastrocnemius Muscle.
Shantanu Sinha1, Vadim Malis2, Robert Csapo1, Jiang Du1, and Usha Sinha3

1Radiology, University of California at San Diego, San Diego, CA, United States, 2Physics, University of California at San Diego, San Diego, CA, United States, 3Physics, San Diego State University, San Diego, CA, United States

Acute muscle atrophy is characterized by a loss of muscle mass and muscle force.  Changes are likely to occur in muscle composition, microenvironment, and fiber architecture which could impact muscle function. This study focuses on the changes in these parameters using MR based fat and connective tissue quantification and DTI in a model of acute atrophy induced by Unilateral limb suspension (ULLS).  The % changes in fat and connective tissue were minimal while significant decreases were found in fiber diameter (decrease) and in the pennation angle.  These changes could be primarily responsible for muscle force loss in acute atrophy.

2248
Usefulness of thin-slice 3D MR imaging using 3D FSE sequence with variable flip-angle refocusing RF pulses for assessing the popliteomeniscal fascicles of the lateral meniscus in knee MR imaging at 3T
Masayuki Odashima1, Tsutomu Inaoka1, Hideyasu Kudo1, Tomoya Nakatsuka1, Rumiko Ishikawa1, Shusuke Kasuya1, Noriko Kitamura1, Hiroyuki Nakazawa1, Koichi Nakagawa2, and Hitoshi Terada1

1Radiology, Toho University Sakura Medical Center, Sakura, Japan, 2Orthopedic Surgery, Toho University Sakura Medical Center, Sakura, Japan

Thin-slice 3D MR imaging of the knee joint using 3D FSE sequence with variable flip-angle refocusing RF pulses may improve the visualization of the three popliteomeniscal fascicles of the lateral meniscus in comparison with conventional 2D MR imaging of the knee joint.

2249
Quantitative knee cartilage T2 mapping with in situ mechanical loading using prospective motion correction
Thomas Lange1, Benjamin R. Knowles1, Michael Herbst1,2, Kaywan Izadpanah3, and Maxim Zaitsev1

1Department of Radiology, University Medical Center Freiburg, Freiburg, Germany, 2John A. Burns School of Medicine, University of Hawaii, Honolulu, HI, United States, 3Department of Orthopedic and Trauma Surgery, University Medical Center Freiburg, Freiburg, Germany

Robust T2 mapping of knee cartilage with in situ mechanical loading using prospective motion correction is demonstrated for the patellofemoral and tibiofemoral knee compartments. T2 maps are reconstructed from multiple spin-echo data acquired with slice position updates before every excitation. While T2 maps of the tibiofemoral joint do not show significant changes in response to loading, maps of the patellofemoral joint show a substantial load-induced T2 reduction in the superficial cartilage layers. In particular, the T2 of tangential fibers at the cartilage surface appears to undergo a strong reduction due to a load-induced increase of tissue anisotropy.

2250

CSF-Free Imaging of the Lumbar Plexus using Sub-Millimeter Resolutions with 3D TSE
Barbara Cervantes1, Houchun Harry Hu2, Amber Pokorney2, Dominik Weidlich1, Hendrik Kooijman3, Ernst Rummeny1, Axel Haase4, Jan S Kirschke5, and Dimitrios C Karampinos1

1Diagnostic and Interventional Radiology, Technische Universität München, Munich, Germany, 2Radiology, Phoenix Children’s Hospital, Phoenix, AZ, United States, 3Philips Healthcare, Hamburg, Germany, 4Zentralinstitut für Medizintechnik, Garching, Germany, 5Neuroradiology, Technische Universität München, Munich, Germany

High-resolution MRI with 3D turbo spin echo (TSE) is arising as an accurate, non-invasive method for detecting disease and injury in the nerves of the lumbar plexus. Imaging of the lumbar plexus with 3D TSE frequently faces signal contamination of the cerebrospinal fluid (CSF) within the spine. Increasing spatial resolution in 3D TSE can affect flowing signal. The present study describes numerically the effects of the imaging gradients in 3D TSE on flowing CSF and demonstrates in vivo that CSF can be completely suppressed without modifications to refocusing angle modulation when sub-millimeter voxel sizes are used with 3D TSE.

2251
An assessment of the repeatability and sensitivity of T2 mapping in low-grade cartilage lesions at 3 and 7 Tesla
Vladimir Juras1,2, Laurent Didier3, Vladimir Mlynarik1, Pavol Szomolanyi1, Stefan Zbyn1, Nicole Getzmann3, Joerg Goldhahn3, Stefan Marlovits4, and Siegfried Trattnig1,5

1Department of Biomedical Imaging and Image-Guided Therapy, High Field MR Centre, Medical University of Vienna, Vienna, Austria, 2Department of Imaging Methods, Institute for Measurement Science, Bratislava, Slovakia, 3Novartis Institutes for Biomedical Research, Basel, Switzerland, 4Department of Traumatology, Medical University of Vienna, Vienna, Austria, 5Christian Doppler Laboratory for Clinical Molecular MR Imaging, Vienna, Austria

An assessment of the reliability of T2 mapping was achieved with a 3D-TESS sequence in patients with cartilage lesions ICRS Grade I-II. Since low-grade cartilage lesions are not usually accompanied by collagen matrix remodeling, we tested the sensitivity of T2 to detect these lesions at 3 and 7T. It seems that the reproducibility of 3T T2 mapping is higher than that of 7T; however, the sensitivity of T2 mapping for the detection of low-grade cartilage lesions was greater at the ultra-high field. T2 mapping could be used in the future as a good alternative to cartilage biopsies in future clinical trials on new therapies aimed at cartilage regeneration.

2252
Non-Contrast, Flow-Independent, Relaxation-Enhanced Subclavian MR Angiography Using Inversion Recovery and T2 Prepared 3D Gradient-Echo DIXON Sequence
Masami Yoneyama1, Nobuyuki Toyonari2, Seiichiro Noda2, Yukari Horino2, Kazuhiro Katahira2, and Marc Van Cauteren3

1Philips Electronics Japan, Tokyo, Japan, 2Kumamoto Chuo Hospital, Kumamoto, Japan, 3Philips Healthcare Asia Pacific, Tokyo, Japan

This study showed a novel non-contrast MR angiography sequence based on gradient echo DIXON sequence with flow-independent relaxation-enhanced method (Relaxation-Enhanced Angiography without Contrast and Triggering: REACT) for evaluating thoracic outlet syndrome. This could provide high-quality MRA with robust fat suppression entire the subclavian area with/without arm abduction.

2253
Toward a 7T MRI protocol for the evaluation of early osteoarthritis in knee cartilage
Daniel J. Park1, Neal K. Bangerter2,3, Antony J. R. Palmer1, Haonan Wang2, Bragi Sveinsson4, Brian Hargreaves4, and Siôn Glyn-Jones1

1Nuffield Department of Orthopaedics, Rheumotology, and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom, 2Department of Electrical and Computer Engineering, Brigham Young University, Provo, UT, United States, 3Department of Radiology, Univerisity of Utah, Salt Lake City, UT, United States, 4Radiology, Stanford University, Stanford, CA, United States

Osteoarthritis, a disease that is a burden to society and individuals, has 3 major stages of progression in cartilage: (1) glycosaminoglycan loss; (2) collagen matrix degeneration; and (3) fissures and volume and thickness loss.  A protocol is proposed to measure the progression of each of these stages of OA at 7 Tesla in about 30 minutes: (1) T1ρ to measure glycosaminoglycan changes; (2) modified DESS measurements of T2 and ADC to measure collagen matrix integrity; and (3) high resolution phase cycled bSSFP images to measure changes in morphology.

2254
3D Longitudinal MRI studies on novel tissue-engineered bone constructs in living rats : Volume & Perfusion assessments
Neha KOONJOO1,2, Clément Tournier3, Aurélien Trotier1,2, Didier Wecker4, William Lefrançois1,2, Didier Letourneur5, Joëlle Amédée Vilamitjana3, Sylvain Miraux1,2, and Emeline J Ribot1,2

1CNRS-UMR 5536, Centre de Résonance Magnetique des Systèmes Biologiques, Bordeaux, France, Metropolitan, 2University of Bordeaux, Bordeaux, France, Metropolitan, 3U1026, Bioingénierie Tissulaire (BioTis), Bordeaux, France, Metropolitan, 4Bruker Biospin MRI GMBH, Ettlingen, Germany, 5INSERM U 1148, Cardiovascular Bio-engineering Laboratory, Paris, France, Metropolitan

In tissue engineering, correct bone regeneration in large bone defects is a major issue. MRI has revealed its high potential to assess continuous tracking of three differently conditioned bone constructs implanted in the rats’ femoral condyles. These constructs aimed at evaluating cumulative effects of hydroxyapatite and/or fucoidan in osteogenesis and vascularization. A water-selective bSSFP sequence with fat suppression and banding artifacts correction was implemented for volumetric measurements. 3D Dynamic-contrast enhanced MRI was applied and pixel-wise analysis resulted in fairly good constructs perfusion evaluation. 3D images spotted distinct volume changes and promising area under curve evolution.

2255
Quantifying bone marrow inflammatory edema in psoriatic arthritis using pixel-based morphometry
Ioanna Chronaiou1,2, Ruth Stoklund Thomsen 3, Else-Marie Huuse-Røneid 2,3, and Beathe Sitter1

1Department of Radiography, Sør-Trøndelag University College, Trondheim, Norway, 2Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Norway, 3St Olav's University Hospital, Trondheim, Norway

Psoriatic arthritis (PsA) is a highly heterogeneous inflammatory disease that manifests with inflammation in sacroiliac (SI) joints and spine among other symptoms. PsA patients (N=12) underwent magnetic resonance (MR) imaging examinations to assess the extent of SI joint inflammation. A pixel-based morphometric method for accurate quantification of bone marrow inflammatory edema was compared to SPARCC assessment in MR images of psoriatic arthritis patients with low or very low inflammatory activity. A significant correlation was found, suggesting pixel-based morphometry as a reliable and sensitive quantitative method for measuring inflammation in bone marrow. 

2256
Statistical Comparison of Commonly Used Kinetic Models for Dynamic Contrast Enhanced Magnetic Resonance Imaging of Rheumatoid Arthritis in the Wrist
Sameer Khanna1,2, Nicolas Pannetier1, Jing Liu1, and Xiaojuan Li1

1Radiology, University of California, San Francisco, San Francisco, CA, United States, 2University of California, Berkeley, Berkeley, CA, United States

  There has been a lack of statistical analysis to determine which kinetic model is best suited for analysis of the wrist. This study aims to rectify this by comparing the most commonly used models: Modified Tofts (MT), Two Compartment Uptake (2CU), and Two Compartment Exchange (2CX). Goodness of fit is analyzed by reduced chi squared, while statistical signifance between models is determined by wilcoxon signed-rank.

2257
Reduced Field of View Multi-Spectral Imaging through Coupled Coil and Frequency Bin Encoding
Andrew S. Nencka1, Shiv S. Kaushik1, and Kevin M. Koch1

1Radiology, Medical College of Wisconsin, Milwaukee, WI, United States

Advanced methods for imaging around metallic implants yield most benefit in the neighborhood around the implant. However, due to the extent of the anatomy in the region of the implant, large field of view acquisitions are often required. In this work, it is shown that a low-resolution acquisition can be used to inform a subsequent reduced field of view acquisition. Significant reductions in the imaged field of view are possible due to the combination of both spatially varying coil sensitivity profiles along with spatially varying resonance frequency bins. Artifact free regions in the neighborhood of the implant are possible with extreme field of view reductions because of the rapid spatial variability of the imaged resonance frequency bins.

2258
Cortical bone quality as a biomarker for diabetes risk in post-menopausal Chinese-Singaporean women: a preliminary study
Francesca A. A. Leek1, Anna Therese Sjoholm1, Christiani Jeyakumar Henry2, Xiaodi Su3, Marlena C. Kruger4, and John J. Totman1

1A*STAR-NUS Clinical Imaging Research Centre, Singapore, Singapore, 2A*STAR Clinical Nutrition Research Centre, Singapore, Singapore, 3A*STAR Institute of Materials Research and Engineering, Singapore, Singapore, 4School of Food and Nutrition, College of Health, Massey University, Palmerston North, New Zealand

The feasibility of utilising proximal femur cortical bone quality as a biomarker for diabetes risk in post-menopausal Chinese-Singaporean women was investigated. Non-dominant proximal femurs were imaged with quantitative CT (QCT) and MR for the assessment of volumetric bone mineral density (vBMD) and cortical bone porosity. A significant (p<0.01; n=8) positive correlation between MRI vBMD and QCT vBMD for the region of maximum cortical thickness was shown. Whether MRI vBMD is associated with fracture risk and if it is sensitive to changes due to dietary or drug intervention needs to be investigated to fully assess the clinical potential of this method.

2259
Assessment of trabecular bone quality of the proximal femur in vivo: A Preliminary Study
Maria Kalimeri1, Christiani Jeyakumar Henry2, Xiao Di Su3, Marlena C. Kruger4, and John J. Totman1

1A*STAR-NUS Clinical Imaging Research Centre, Singapore, Singapore, 2Clinical Nutrition Research Centre, Singapore, Singapore, 3Institute of Materials Research and Engineering, Singapore, Singapore, 4School of Food and Nutrition, College of Health, Massey University, Palmerston North, New Zealand

Osteoporosis is a skeletal disorder that affects predominantly postmenopausal women. The screening method for osteoporosis is Dual X-ray Absorptiometry (DXA), which has several limitations, including the inability to differentiate between trabecular and cortical bone. 3D imaging modalities can give information about each bone component, which contribute to bone strength in different ways. MRI is an attractive alternative due to lack of ionising radiation. In this abstract, we present a method for bone density assessment of trabecular bone in the proximal femur using MRI. Strong correlations with both DXA and Quantitative Computed Tomography (QCT) measurements of similar regions were observed.  

2260
T2-weighted Multispectral Imaging for Postoperative Imaging of Patients with Lumbar Spinal Fusion
Daehyun Yoon1, Kathryn Stevens1, and Brian Hargreaves1

1Radiology, Stanford University, Palo Alto, CA, United States

T2-weighted MRI is essential to detect neural compression in the lumbar spine after spinal fusion surgery in patients with recurrent radicular symptoms. Unfortunately, off-resonance artifacts induced from lumbar fusion devices make the conventional T2-weighted MR images extremely challenging or impossible to interpret. We present a modified version of MAVRIC-SL, an MR sequence designed to correct for metal-induced artifacts, to allow T2 contrast, significantly improving diagnostic capabilities in the postoperative lumbar spine.

2261
Evaluation of Chronic Inflammatory Demyelinating Polyneuropathy: New Simultaneous T2 mapping and neurography method with 3D Nerve-Sheath Signal Increased with Inked Rest-Tissue Rapid Acquisition of Relaxation Enhancement Imaging (SHINKEI Quant)
Akio Hiwatashi1, Osamu Togao1, Koji Yamashita1, Kazufumi Kikuchi1, Masami Yoneyama2, and Hiroshi Honda1

1Clinical Radiology, Kyushu University, Fukuoka, Japan, 2Philips Electronics Japan, Tokyo, Japan

MR neurography (MRN) is a useful technique with which to evaluate abnormal conditions of the peripheral nerves such as chronic inflammatory demyelinating polyradiculoneuropathy (CIDP). We have developed a new simultaneous T2 mapping and MRN method called SHINKEI Quant. Patients with CIDP could be distinguished from normal subjects in size and T2 value of the peripheral nerves with SHINKEI Quant.

2262
Vertebral Bone Marrow Fat Quantification and its Relationship with Bone Mineral Density: Using Multi-Echo MRS and Multi-Echo Dxion
Na Chai1, Panli Zuo2, Stephan Kannengiesser3, Andre De Oliveira3, Shun Qi1, and Hong Yin1

1Department of Radiology, Xijing Hospital, Xi'an, China, People's Republic of, 2Siemens Healthcare, MR Collaborations NE Asia, Beijing, China, People's Republic of, 3Application Predevelopment, Siemens Healthcare, Erlangen, Germany

Using the multi-echo 1H-MRS and multi-echo Dixon VIBE, we measured the proton density fat fraction (PDFF) using MR imaging in the bone marrow of L2-L4 vertebra, and compared with the bone mineral density (BMD) measured using computed tomography (CT). The resutls showed a significant correlation between PDFF measured using the two methods, and also PDFF with BMD.

2263
Calcific Longus Colli Tendinitis: Emphasis on MRI Appearance with Variations in Anatomical Correlation
Tamami Shirakawa1, Kazutoshi Inamura2, Yasuhisa Tanaka3, Takeshi Hoshikawa3, Megumi Kuchiki1, and Atsuko Oda1

1Radiology, Tohoku Central Hospital, Yamagata, Japan, 2Otolaryngology, Tohoku Central Hospital, Yamagata, Japan, 3Orthopaedic Surgery, Tohoku Central Hospital, Yamagata, Japan

Calcific longus colli tendinitis is an inflammatory lesion in the prevertebral space. When prevertebral effusion is observed on MRI, awareness of the prevertebral muscle swelling with signal change and the associated mass effect would suggest that the main site of the lesion is the prevertebral space, not the retropharyngeal space and may thus prevent both misdiagnosis as a retropharyngeal abscess and unnecessary treatment. The variability in the level of calcification and prevertebral effusion is highlighted in the present study in order to assist in the establishment of the correct radiological diagnosis.

2264

Combined Spiroergometry and 31P MRS in human calf muscle during high intense exercise
Kevin Tschiesche1, Alexander Gussew1, Christian Hein2, and Jürgen Rainer Reichenbach1

1Medical Physics Group, Institute of Diagnostic and Interventional Radiology, Jena University Hospital - Friedrich Schiller University Jena, Jena, Germany, 2Ganshorn Medizin Electronic GmbH, Niederlauer, Germany

The aim of this work was the implementation of combined spirometric and 31P MRS measurements. We adapted a commercial gas exchange system by extending the gas sampling line from 3 m to 5 m to perform acquisitions of pulmonary ventilation in a MR scanner. Calibration measurements showed changes in an appropriate range in the delay- and response time.

2265

Observation of in vivo lactate metabolism in skeletal muscle using hyperpolarized 13C MRS
JAE MO PARK1, Sonal Josan1, Dirk Mayer2, Ralph E Hurd3, Youngran Chung4, David Bendahan5, Daniel M Spielman1, and Thomas Jue4

1Radiology, Stanford University, Stanford, CA, United States, 2Diagnostic Radiology and Nuclear Medicine, University of Maryland, Baltimore, MD, United States, 3Applied Sciences Laboratory, GE Healthcare, Menlo Park, CA, United States, 4Biochemistry and Molecular Medicine, University of California - Davis, Davis, CA, United States, 5Centre de Resonance Magnetique Biologique et Medicale, Aix-Marseille University, Marseille, France

The present study reports the use of hyperpolarized [1-13C]lactate and [2-13C]pyruvate to measure the rapid pyruvate and lactate kinetics in rat skeletal muscle. The results provide support for a critical underpinning of both the glycogen shunt model and the intracellular lactate shuttle hypothesis, and cautions against an overly simplistic view of glycolytic end products as merely hypoxia biomarkers.

2266
Quantitative magnetization transfer MRI of in-situ and ex-situ meniscus
Mikaël Simard1, Emily J. McWalter2, Garry E. Gold2, and Ives R. Levesque1,3

1Medical Physics, McGill University, Montreal, QC, Canada, 2Radiology, Stanford University, Stanford, CA, United States, 3Research Institute of the McGill University Health Centre, Montreal, QC, Canada

Quantitative magnetization transfer (QMT) probes macromolecular content in tissue and may be a useful tool in the early detection of meniscal degeneration. QMT mapping of the meniscus was performed in 3 cadaver knee specimens in situ, and repeated ex situ following dissection and immersion in perflubron. After extraction, a decrease in the restricted pool fraction f was noted, while T1obs and T1f increased. A trend towards lower values of the exchange rate kf was noted after excision. T2 and T2r were relatively constant. The variation in QMT parameters may be caused by the diffusion of perflubron into the ex situ samples.

2267
Ultrashort echo time magnetization transfer (UTE-MT) imaging and modeling – magic angle independent biomarkers of tissue properties
Yajun Ma1, Hongda Shao1, Michael Carl2, Eric Chang1, and Jiang Du1

1Department of Radiology, UCSD, San Diego, CA, United States, 2Global MR Application & Workflow, General Electric, San Diego, CA, United States

Magnetic resonance imaging biomarkers such as T2 and T1rho have been widely used in the evaluation of osteoarthritis (OA). The principal confounding factor for T2 and T1rho measures is the magic angle effect, which may result in a several fold increase in T2 and T1rho values when the fibers are oriented near 55° (the magic angle) relative to the B0 field. This often far exceeds the changes produced by OA, and may make definitive interpretation of elevated T1rho and T2 values difficult or impossible. Magic angle independent MR biomarkers are highly desirable for more accurate assessment of OA. In this study we report the use of two-dimensional ultrashort echo time magnetization transfer (UTE-MT) imaging and modeling for magic angle independent assessment of the tissue properties.

2268
NEW MR PARAMETERS TO ASSESS AND MONITOR TENDON XANTHOMAS
James F Griffith1, Teresa M Hu2, David KW Yeung1, D F Wang1, Fan Xiao1, and Brian Tomlinson2

1Imaging and Interventional Radiology, The Chinese University of Hong Kong, Hong Kong SAR, Hong Kong, 2Medicine, The Chinese University of Hong Kong, Hong Kong SAR, Hong Kong

Achilles tendon xanthoma is a key clinical indicator of familial hypercholesteraemia (FH) and associated cardiovascular disease. Treatment that reduces the size of tendon xanthoma also benefits the arterial manifestations of FH. Ultrasound and MRI are often used to detect and monitor treatment response of tendon xanthomas using parameters such as tendon thickness, width and cross-sectional area. However, MR-based parameters derived from the DIXON technique to determine tendon volume and intratendinous percentage fat fraction may be more sensitive than traditional US and conventional MRI.

2269
Magnetic resonance imaging evaluation of acetabular morphology and long-term prognosis in developmental dysplasia of the hip in childhood
Mingming Lu1, Peng Peng1, Yu Zhang2, and Fei Yuan1

1Affiliated Hospital of Logistics University of Chinese People's Armed Police Forces, Tianjin, China, People's Republic of, 2Philips Healthcare, Beijing, China, People's Republic of

This study aimed to investigate the efficacy of MRI for evaluating morphology and long-term prognosis of acetabulum in pediatric patients with DDH. The bony acetabular index (BAI), cartilaginous acetabular index (CAI), acetabular anteversion index of bone (BAAV) and cartilage (CAAV) were measured and cartilaginous index (CI=(BAI-CAI) / BAI) was computed. There was obvious differences with statistical significance in the CI between non-reduced group and reduced group (t=-2.315, P=0.24), and age was also negatively correlated with the CI (r = -0.345, P =0.01) . The CI can preliminarily predict the long-term prognosis of DDH after reduction.

2270
Use of Adding T2 Mapping Sequence to a Routine MR Imaging Protocol to Evaluate of the Articular Cartilage Changes of the Knee and Ankle Joint with Hemophilia in Children
Ningning Zhang1, Yanqiu Lv1, Kaining Shi2, Di Hu1, Huiying Kang1, Yue Liu1, Runhui Wu3, and Yun Peng1

1Imaging Center, Beijing Children's Hospital, Capital Medical University, Beijing, China, People's Republic of, 2Imaging System Clinical Science, Philips Healthcare, Beijing, China, People's Republic of, 3Hematology Center, Beijing Children's Hospital, Capital Medical University, Beijing, China, People's Republic of

T2 mapping sequences can help detect changes in the water and collagen content. This sequence have been used extensively in osteoarthritis research studies to detect disease and treatment related changes in articular cartilage(1-3). However, little is known about the early cartilage changes in hemophilia patients, and once established, arthropathy follows a progressive and non-reversible process despite the use of factor concentrates.

2271
DTI can monitor changes in articular cartilage after a mechanically induced injury
Uran Ferizi1, Ignacio Rossi2, Oran Kennedy2, Thorsten Kirsch2, Jenny Bencardino1, and Jose Raya1

1Department of Radiology, New York University School of Medicine, New York, NY, United States, 2Orthopaedic Surgery, New York University School of Medicine, New York, NY, United States

The development of novel treatment strategies that would prevent joint replacement surgery at young age, as a result of PTOA, is critical. Hours after non-contact rupture of the anterior cruciate ligament, high concentrations of PG and type II collagen fragments are found in the synovial fluid. DTI has emerged as an imaging biomarker that can assess both PG content and collagen architecture with greater accuracy than T2 or Na imaging. The current interpretation of DTI measurements is that changes in the level of proteoglycans (PG) affect the mean diffusivity (MD) index from the DTI, while the collagen structure affects the fractional anisotropy (FA).
This study examines the feasibility of DTI, by using biomechanics for simulating a controlled cartilage damage. We find that DTI metrics are sensitive to the early changes in the cartilage as a result of injury. Specifically, the correlations of the mean diffusivity (MD) are statistically significant, but those of fractional anisotropy (FA) are not. The additional validation with histology, as well as a clinical scanning environment make these results important in the translation of DTI to clinical practice.

2272
A new method for accurate detection of cartilage lesions in femoroacetabular impingement using quantitative T2 mapping: preliminary validation against arthroscopic findings at 3 T
Noam Ben-Eliezer1,2, Akio Ernesto Yoshimoto2, KAI Tobias Block1,2, Roy Davidovitch3, Thomas Youm3, Robert Meislin3, Michael Recht1,2, Daniel K Sodickson1,2, and Riccardo Lattanzi1,2

1Center for Advanced Imaging Innovation and Research (CAI2R), New York University School of Medicine, New York, NY, United States, 2Bernard and Irene Schwartz Center for Biomedical Imaging, Department of Radiology, New York University School of Medicine, New York, NY, United States, 3Department of Orthopedic Surgery, New York University Hospital for Joint Diseases, New York, NY, United States

Early diagnosis of cartilage defects is critical for the success of corrective surgical procedures in patients with femoroacetabular impingement (FAI). T2 is a biomarker for early biochemical degeneration of cartilage, but in vivo T2 mapping is challenging while commonly used techniques based on exponential fit of multi spin-echo protocols are inaccurate. We used a Bloch simulation based T2 mapping technique – the EMC algorithm – to retrospectively quantify reliable T2 values in the hip cartilage of FAI patients. We then defined a normalized T2-index using an internal reference and showed that it allows detection of surgically confirmed cartilage lesions with 95% accuracy.

2273
Elevated adiabatic $$$T_{1\rho}$$$ and $$$T_{2\rho}$$$ in articular cartilage are associated with symptoms and structural changes in early osteoarthritis
Victor Casula1,2, Mikko J. Nissi3,4, Jana Podlipská1,5, Marianne Haapea6,7, Simo Saarakkala1,2,7, Ali Guermazi8, Eveliina Lammentausta2,7, and Miika T. Nieminen1,2,7

1Research Unit of Medical Imaging, Physics and Technology, University of Oulu, Oulu, Finland, 2Medical Research Center, University of Oulu and Oulu University Hospital, Oulu, Finland, 3Department of Applied Physics, University of Eastern Finland, Kuopio, Finland, 4Diagnostic Imaging Center, Kuopio University Hospital, Kuopio, Finland, 5Infotech Oulu, University of Oulu, Oulu, Finland, 6Department of Psychiatry, Oulu University Hospital, Oulu, Finland, 7Department of Diagnostic Radiology, Oulu University Hospital, Oulu, Finland, 8Department of Radiology, Boston University School of Medicine, Boston, MA, United States

Adiabatic $$$T_{1\rho}$$$, adiabatic $$$T_{2\rho}$$$ and $$$T_2$$$ of articular cartilage (AC) were compared between patients with pre- or early radiographic knee osteoarthritis (OA) (KL=1,2) and volunteers. Further comparisons were performed after classifying the subjects according to different signs of OA, including symptoms and functional impairment assessed by the Western Ontario and McMaster Universities questionnaire (WOMAC) and presence of structural changes assessed by MRI OA Knee Score (MOAKS). Increased adiabatic $$$T_{1\rho}$$$ and $$$T_{2\rho}$$$ were significantly associated with clinical signs of OA. The findings suggest that novel rotating frame of reference techniques have considerable potential for in vivo OA research and clinical use.  

2274
ZTE Imaging of Joints: Unmasking the Bone
Ryan Breighner1, Sonja Eagle1, Gaspar Delso2, Hollis G. Potter1, and Matthew F. Koff1

1Department of Radiology and Imaging - MRI, Hospital for Special Surgery, New York, NY, United States, 2General Electric Healthcare, Zurich, Switzerland

Standard magnetic resonance imaging protocols fail to generate sufficient positive contrast for the direct imaging of bone. This study demonstrates the use of zero echo time (ZTE) imaging of the appendicular skeleton. Knee, shoulder, ankle, and wrist joints were imaged and scan parameters were varied between subjects to optimize acquisition of joints of interest. ZTE images permitted the visualization of fine tendinous structures in addition to bone. ZTE may prove useful when concurrent imaging of tendon and bone is required or when bone imaging is necessary but radiation dose is undesirable, due to patient age or anatomy. 

2275
Study of Hemodynamics in Human Calf Muscle during Low-Intensity Exercise Using Single-Subject Independent Component Analysis
Zhijun Li1, Prasanna Karunanayaka1, Matthew Muller2, Christopher Sica1, Jian-Li Wang1, Lawrence Sinoway2, and Qing X. Yang1,3

1Center for NMR Research, Department of Radiology, College of Medicine, The Pennsylvania State University, Hershey, PA, United States, 2Heart and Vascular Institute, College of Medicine, The Pennsylvania State University, Hershey, PA, United States, 3Department of Neurosurgery, College of Medicine, The Pennsylvania State University, Hershey, PA, United States

Unlike in human brain imaging, normalization to a common template during exercising is a difficult proposition in muscle-imaging studies. Still, motion artifact has been an issue for dynamic analysis of exercise paradigm. We used individual Independent Component Analysis (ICA) to identify the “motion component” during exercise (rhythmic plantar-flexion) and anatomical and temporal features of BOLD signal. We simultaneously identified the lower leg muscle groups and their common hemodynamic behaviors under a low-level exercise paradigm and revealed an intriguing hemodynamic respond characteristic with a prominent transient increase and followed by a negative BOLD signal sustained to the end of exercise.

2276
The Effect of Physical Activity on 31P-MRS Bioenergetic Measurements and Assessment of Muscle Quality in the Baltimore Longitudinal Study of Aging
Ariel C. Zane1, Donnie Cameron1, Seongjin Choi1, David A. Reiter2, Kenneth W. Fishbein2, Christopher M. Bergeron1, Eleanor Simonsick1, Richard G. Spencer2, and Luigi Ferrucci3

1Translational Gerontology Branch, NIH/National Institute on Aging, Baltimore, MD, United States, 2Laboratory of Clinical Investigation, NIH/National Institute on Aging, Baltimore, MD, United States, 3Intramural Research Program, NIH/National Institute on Aging, Baltimore, MD, United States

We examined the effect of high intensity physical activity on the post-exercise PCr recovery rate (kPCr), testing whether the decline in muscle quality may be attributed to an age-related decline in muscle mitochondrial capacity. In-vivo 31P MRS measurements were obtained before, during, and after a rapid knee-extension exercise. The cross-sectional results in the BLSA show that both age and frequency of physical activity are significant predictors of kPCr. However, neither is significantly correlated with a strength-based assessment of muscle quality.

2277
Classification of signal voids in time-series of diffusion-weighted images of the lower leg by simultaneous MRI and EMG measurements: Initial findings
Martin Schwartz1,2, Günter Steidle1, Petros Martirosian1, Ander Ramos-Murguialday3, Bin Yang2, and Fritz Schick1

1Section on Experimental Radiology, Department of Radiology, University of Tuebingen, Tuebingen, Germany, 2Institute of Signal Processing and System Theory, University of Stuttgart, Stuttgart, Germany, 3Institute for Medical Psychology and Behavioural Neurobiology, University of Tuebingen, Tuebingen, Germany

Diffusion-weighted images of the lower leg have shown to be impaired by signal voids in different muscle groups with unknown underlying physiological processes. For more detailed insight into this topic, simultaneous surface electromyography measurements of the electrical activity of muscles during the MR scan were recorded. A classification of the appeared signal voids in the diffusion-weighted images based on initial findings in the EMG measurements is demonstrated.

2278
Noninvasive Evaluation of Foot Oxygen Extraction Fraction with Multi-shot Asymmetric Spin Echo Method
Fei Gao1, Chengyan Wang2, Rui Zhang1, Xiaodong Zhang3, Kai Zhao3, Jue Zhang1,2, Xiaoying Wang2,3, and Jing Fang1,2

1College of Engineering, Peking University, Beijing, China, People's Republic of, 2Academy for Advanced Interdisciplinary Studies, Peking University, Beijing, China, People's Republic of, 3Department of Radiology, Peking University First Hospital, Beijing, China, People's Republic of

In this study, a multi-shot ASE sequence with 32 varied echo shifts was implemented  to acquire the source images for foot muscle OEF quantification. Three healthy volunteers (mean age 23 ± 1 years, range 22-24) were recruited to undergo the imaging of the foot using a 3.0-T whole-body scanner. The OEF and R2' maps indicate the feasibility of the proposed multi-shot ASE sequence in quantifying foot muscle OEF. These results hold promise for some clinical uses, for example, to study vascular function in peripheral artery disease.

2279
Comparison of Single-shot ASE and Multi-shot ASE Sequence for Measurement of Lower Extremity Muscle Oxygenation
CY Wang1, L Jiang2, R Zhang3, XD Zhang4, H Wang2, K Zhao4, LX Jin2, J Zhang1,3, XY Wang1,4, and J Fang1,3

1Academy for Advanced Interdisciplinary Studies, Peking University, Beijing, China, People's Republic of, 2Philips Healthcare, Suzhou, China, People's Republic of, 3College of Engineering, Peking University, Beijing, China, People's Republic of, 4Department of Radiology, Peking University First Hospital, Beijing, China, People's Republic of

Recently, MRI based methods for measuring muscle oxygen extraction fraction (OEF) have been reported. Asymmetric spin-echo (ASE) sequence combining with a susceptibility model is the most widely used approach. However, conventional ASE sequence uses single-shot (SS) EPI for data acquisition, which suffers from the problem of severe susceptibility artifacts and distortion due to the relatively long echo train length (ETL). One solution is to employ multi-shot (MS) EPI instead of SS EPI for data acquisition. With the use of MS-ASE technique, much higher spatial resolution could be achieved for lower extremity muscle imaging.

2280
A simplified method to determine tissue-water T2 from CPMG image data in fat infiltrated skeletal muscle: application in the forearm in Duchenne muscular dystrophy
Nick Zafeiropoulos1, Valeria Ricotti2, Matthew Evans1,3, Jasper Morrow3, Paul Matthews4, Robert Janiczek5, Tarek Yousry1,3, Christopher Sinclair1,3, Francesco Muntoni2, and John Thornton1,3

1Neuroradiological Academic Unit, UCL Institute of Neurology, London, United Kingdom, 2Dubowitz Neuromuscular Centre, UCL Institute of Child Health, London, United Kingdom, 3MRC Centre for Neuromuscular Diseases, London, United Kingdom, 4Imperial College London, London, United Kingdom, 5GlaxoSmithKline, London, United Kingdom

A simplified CPMG signal decay model was used to determine muscle-water T2 (T2m) in fat-infiltrated skeletal muscle, using a predetermined mono-exponential approximation to the fat decay component. This approach enabled the stable estimation of T2m in the forearm muscles of non-ambulant Duchenne muscular dystrophy patients and healthy controls from a multi-echo CPMG acquisition with only 12 echo-times. Values obtained were in good agreement with previous reports, and largely independent of muscle fat content.

2281
Quantification of Cartilage Loss of Knee Joints using Automated Segmentation in Patients with Osteoarthritis and Meniscus Tears: a primary study
Wen-Jing Hou1, Pan-Li Zuo2, Esther Meyer3, Jun Zhao1, and Wei Chen1

1Radiology, Southwest Hospital, Third Military Medical University, Chongqing, China, People's Republic of, 2Siemens Healthcare, MR Collaboration NE Asia, Beijing, China, People's Republic of, 3Siemens Healthcare, Erlangen, Germany

Quantitative cartilage morphometry on MR images is a valuable tool to reveal changes of cartilage in pathological knees. In this study, we used an automated cartilage segmentation software to quantifying the cartilage loss in osteoarthritis patients, meniscus tears patients and compared with the control healthy subjects. The aim of this study was to examine whether there is dominant cartilage which has the most loss in cartilage volume in osteoarthritis and meniscus tears. The outcome is that using the precise quantification of cartilage change in percentage is valuable to specify the most venerable cartilage in pathological knees.

2282
Increased heterogeneity in T2-relaxation times in the dystrophic soleus muscle
Constantinos Anastasopoulos1,2, Melissa Hooijmans1, Jedrek Burakiewicz1, Andrew G. Webb1, Janbernd Kirschner2, Jan J.G.M. Verschuuren3, Erik H. Niks3, and Hermien E. Kan1

1Gorter Center, Leiden University Medical Center, Leiden, Netherlands, 2Pediatric Neurology and Muscle Disorders, University Clinic Freiburg, Freiburg, Germany, 3Department of Neurology, Leiden University Medical Center, Leiden, Netherlands

The interpretation of muscle T2 relaxation times in muscular dystrophies is complicated by the disease progression, as both inflammation and increased fat content result in a longer T2. We measured water-T2 in two muscles of the lower leg using a tri-exponential fitting of the T2 decay in patients with DMD and healthy controls. We found a significantly higher T2-heterogeneity in the soleus muscle of patients, with no significant difference between the two groups in average T2 values. T2-heterogeneity should be taken into consideration when using the water T2 of the diseased muscle as an outcome measure for therapeutic interventions.

2283
Reliability of fat content measurement of lumbar vertebrae marrow and lumbar paraspinal muscle using 3D DIXON Fat Fraction Quantification
Yong Zhang1, Aihong Yu1, Yu Zhang2, Chao Wang3, Yangyang Duan Mu1, Chenxin Zhang1, Zhuang Zhou4, Wei Zhao1, Ling Wang1, and Xiaoguang Cheng1

1radiology, Beijing Jishuitan hospital, Beijing, China, People's Republic of, 2radiology, Philips Healthcare, Beijing, China, Beijing, China, People's Republic of, 3Beijing Institute of Traumatology and Orthopedics, Beijing, China, People's Republic of, 4Orthopedics, The Third Hospital of Hebei Medical University, Beijing, China, People's Republic of

This study aimed to evaluate the reliability of fat content measurement of lumbar vertebrae marrow and lumbar paraspinal muscle using an multi-echo 3D DIXON method. A total of 31 volunteers (15 males and 16 females) were included in this study and underwent liver mDIXON-quant MR imaging by an radiologist and this examinations were repeated by another radiologist within 2 weeks. The radiologists measured fat content of L3, psoas (PS), erector spinae (ES), and multifidus (MF) muscles on the central L3 axial MR images on ISP V7 workstation and after 2 weeks they repeated the same measurements. Our results showed mean fat content of L3, PS, ES, MF was 38.19%, 3.52%, 3.48%, 3.53% for males and 32.11%, 3.40%, 7.06%, 7.14% for females. The repeatability and reproducibility of measurement of fat content, T2* and R2* of L3, PS, ES, MF was high (the intra-observer ICC and inter-observer ICC all>0.9). Fat content measurement of lumbar vertebrae marrow and lumbar paraspinal muscle using mDIXON-quant imaging has high reliability and be potentially used in clinical practice.

2284
Investigating Regional Variations of Acetyl Carnitine In Thigh and Calf Muscles In Vivo using PRESS Localized Long TE-based MR Spectroscopy
Rajakumar Nagarajan1, Zohaib Iqbal1, Manoj K Sarma1, S. Sendhil Velan2, and M.Albert Thomas1

1Radiological Sciences, University of California Los Angeles, Los Angeles, CA, United States, 2Laboratory of Molecular Imaging, Singapore Bioimaging Consortium, Singapore, Singapore

Skeletal muscle plays a major role in the development of insulin resistance (IR) and progression to type 2 diabetes.  A recent work has used long TE (350ms) based PRESS localized spectrum in the vastus lateralis region of thigh muscle without any exercise to investigate acetylcarnitine, a compound formed when acetyl-Coenzyme A exceeds use by the tricarboxylic cycle in the mitochondria. This work focused on examining regional variations of acetylcarnitine in the thigh and calf muscles using the long TE MRS. Our preliminary results show the unequivocal presence of acetylcarnitine in lean, young healthy thigh muscle regions and decreased level in one diabetic type 2 patient. 

2285
Quantitative Off-Resonance-Based Metallosis Assessment Near Total Hip Replacements:  Correlating an Imaging Biomarker with Histology
Kevin M Koch1, Matthew F Koff2, Parina Shah2, S S Kaushik1, Andrew Nencka1, and Hollis G Potter2

1Radiology, Medical College of Wisconsin, Milwaukee, WI, United States, 2Magnetic Resonance Imaging, Hospital for Special Surgery, New York, NY, United States

The failure of hip arthroplasty may be attributed to metallic or polyethylene debris generated from implant components.  The metallic components, and their associated debris are composed of cobalt-chromium alloys, which have a strong paramagnetic magnetic susceptibility relative to biological materials.  Previously, we demonstrated a mechanism to utilize MRI data to qualitatively highlight cobalt-chromium debris deposits in vivo.  In the current study, we extend this work to provide a quantifiable regional metallosis metric.  In addition, this regional quantitative metric is shown to statistically correlate with local histology metallosis scores in subjects undergoing total hip revision surgery.     

2286
Slab Thickness Calibration for Selective 3D-MSI
Kevin M Koch1 and S S Kaushik1

1Radiology, Medical College of Wisconsin, Milwaukee, WI, United States

Slab selection is a crucial component of 3D-MSI metal artifact reduction sequences, due to the need to reduce phase-encoded fields of view for body imaging applications in the hip, spine, and shoulder.  However, existing commercial 3D-MSI sequences are prone to signal loss at the edges of prescribed slabs.  Here, we explain the source of this signal loss and demonstrate a calibration algorithm that can be used to reduce this slab-boundary signal loss in 3D-MSI. The presented methods are demonstrated on a calibrated 3D-MSI total hip replacement dataset acquired at 1.5T.  

2287
Diffusion Tensor Imaging for Peripheral Nerves in the Upper Extremities using Realtime B0 Correction & Image based Distortion Correction: A feasibility study
Maggie Mei Kei Fung1, Ek Tsoon Tan2, David Soon Yiew Sia3, and Darryl Sneag3

1MR Apps & Workflow, GE Healthcare, New York, NY, United States, 2MR, GE Global Research Center, Niskayuna, NY, United States, 3MRI Research Lab, Hospital of Special Surgery, New York, NY, United States

Diffusion tensor imaging (DTI) can potentially be helpful in visualizing peripheral nerves and assessing nerve damages. However, upper extremity DTIs (wrist, elbows & arm) are susceptible to distortion and fat suppression failure, especially in arms-down position where the area of interest is far from iso-center and can have more B0 inhomogeneity. In this study, we aim to investigate whether a combination of B0 correction methods can help reduce fat suppression failure, improve spatial misalignment and thus improve nerve tracking. We observed consistent fat suppression improvement at the wrist, but no significant improvement in spatial accuracy.

2288
Development of an Automated Shape and Textural Software Model of the Paediatric Knee for Estimation of Skeletal Age.
Caron Parsons1,2, Charles Hutchinson1,2, Emma Helm2, Alexander Kenneth Clarke3, Asfand Baig Mirza3, Qiang Zhang4, and Abhir Bhalerao4

1Division of Health Sciences, University of Warwick, Coventry, United Kingdom, 2Department of Radiology, University Hospital Coventry & Warwickshire, Coventry, United Kingdom, 3Warwick Medical School, Coventry, United Kingdom, 4Department of Computer Sciences, University of Warwick, Coventry, United Kingdom

There are multiple methods available for skeletal age determination in the paediatric endocrine population. Only two methods, using left hand and wrist x-rays are in frequent clinical use, however Greulich & Pyle is based on data collated between 1931 and 1942 and Tanner Whitehouse uses data from as far back as 1949. We present the initial results of an automated software model of shape and textural analysis of the physes of the knee. 

2289
3D Printed Phantom for Optimization of Trabecular Bone Structure Imaging
Cem M Deniz1,2, Greg Chang3, and Ryan Brown1

1Department of Radiology, Center for Advanced Imaging Innovation and Research (CAI2R) and Bernard and Irene Schwartz Center for Biomedical Imaging, New York University School of Medicine, New York, NY, United States, 2The Sackler Institute of Graduate Biomedical Sciences, New York University School of Medicine, New York, NY, United States, 3Department of Radiology, Center for Musculoskeletal Care, New York University Langone Medical Center, New York, NY, United States

Phantoms have been used in MRI for sequence optimization and scanner calibrations. Recent developments in 3D printing technology have provided tools to manufacture application specific phantoms in a fast and reliable way. In this work, we used 3D printing technology to build a resolution phantom for optimization of trabecular bone structure imaging. We used rods with different thickness, orientation and spacing for capturing the range of possible trabecular bone structures. Developed phantom was used to investigate the effect of slice thickness on trabecular bone structure imaging.  

2290
High resolution 3D steady-state imaging for peripheral nerves at 7T
Daehyun Yoon1, Sandip Biswal1, Brian Rutt1, Amelie Lutz1, and Brian Hargreaves1

1Radiology, Stanford University, Palo Alto, CA, United States

For the past few decades, MRI has been increasingly used for identifying peripheral nerve injury, causing chronic and neuropathic pain. Unfortunately, a substantial number of MRI examinations fails to find the causative nerve damage, possibly because it is too subtle or small. Recent developments of PET-MRI demonstrated improved detection capability of the nerve damage, but the precise anatomic characterization of the detected lesion still remains challenging. We introduce high-resolution 3D steady-state imaging sequences at 7T that enable examination of microstructures of peripheral nerves in extremities. We believe our methods have great potential for improving diagnosis of various pain syndromes.

2291
Diagnostic performance of susceptibility-weighted magnetic resonance imaging (SWMRI) for the assessment of subacromial spur formation causing subacromial impingement syndrome (SAIS)
Dominik Nörenberg1,2, Marco Armbruster1, Yi-Na Bender2, Thula Walter2, Gerd Diederichs2, Bernd Hamm2, Ben Ockert3, and Marcus R. Makowski2,4

1Department of Clinical Radiology, Munich University Hospitals Campus Großhadern, Germany, Munich, Germany, 2Department of Radiology, Charité, Berlin, Germany, Berlin, Germany, 3Department of Trauma and Orthopedic Surgery, Shoulder and Elbow Service, Munich University Hospitals Campus Großhadern, German, Munich, Germany, 4King’s College London, Division of Imaging Sciences and Biomedical Engineering, London, United Kingdom, London, United Kingdom

Shoulder pain is regarded as the second most common musculoskeletal disorder in the general population. 44 % of shoulder pain syndromes are related to subacromial shoulder impingement (SAIS) due to rotator cuff tear (RCT) and glenohumeral joint arthritis. Especially subacromial spur formation is associated with SAIS and RCT. Our study demonstrates that SWMRI allows for a reliable detection and precise 3D-localization of subacromial spur formation under the coracoacromial arch in patients with SAIS and provides superior evaluation of diamagnetic spur formation compared to standard shoulder MRI using conventional radiography as a reference.

2292
Metal implant imaging using highly undersampled phase-cycled 3D bSSFP
Damien Nguyen1,2, Tom Hilbert3,4,5, Jean-Philippe Thiran5,6, Tobias Kober3,4,5, and Oliver Bieri1,2

1Radiological Physics, Dep. of Radiology, University of Basel Hospital, Basel, Switzerland, 2Department of Biomedical Engineering, University of Basel, Basel, Switzerland, 3Advanced Clinical Imaging Technology (HC CMEA SUI DI BM PI), Siemens Healthcare AG, Lausanne, Switzerland, 4Department of Radiology, University Hospital (CHUV), Lausanne, Switzerland, 5LTS5, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland, 6Department of Radiology, University Hospital Lausanne (CHUV), Lausanne, Switzerland

In this study, we explore the possibility of using a highly undersampled 3D phase-cycled balanced Steady-State Free-Precession (bSSFP) sequence (trueCISS) to image metal implants in the body and compare it to the Slice Encoding for Metal Artifact Correction (SEMAC) method. We show that the trueCISS approach not only offers qualitatively good morphological images, but also delivers quantitative maps that could potentially improve the overall diagnostic quality and efficiency within a clinically reasonable time.

2293
Diagnosis of Chronic Hip Pain After Total Hip Arthroplasty Using SEMAC-VAT MR Imaging
Yimin Ma1, Panli Zuo2, Mathias Nittka3, and Xiaoguang Cheng4

1Department of radiology, Department of radiology, Jishuitan Hospital, Beijing, China, Beijing, China, China, People's Republic of, 2Siemens Healthcare, MR Collaborations NE Asia, Beijing, China, Beijing, China, China, People's Republic of, 3Siemens Healthcare, Erlangen, Germany, Erlangen, Germany, 4Department of Radiology, Department of Radiology, Jishuitan Hospital, Beijing, China, Beijing, China, China, People's Republic of

With the rapid development of medicine technology, total hip arthroplasty (THA) is now widely used in the treatment of endstage hip osteoarthritis, severe hip fracture, hip bone tumor, and so forth. THA can relieve hip pain and improve the activity of the joints, while it still brings some unexpected complications, such as periprothesis bone resorption, periprothesis fractures, and metallic implants dislocation. Since then, distortion-free MRI near metal, like SEMAC-VAT MR, has shown its great clinical potential in diagnosing patients treated with THA.

2294
The changes in vertebra subchondral bone and cartilage endplate perfusion of degenerated intervertebral disks :a quantitative DCE-MRI study
Jiao WANG1, Yun fei ZHA1, Dong XING1, Lei HU1, Chang sheng LIU1, Hui LIN2, and Yuan LIN1

1Department of Radiology,Renmin Hospital of Wuhan University ,Wuhan 430060,China, Wu han, China, People's Republic of, 2GE Healthcare China, Shanghai 200000,China, Shang hai, China, People's Republic of

To explore the relationship between the vertebra subchondral bone (VSB), the cartilage endplate (CEP) perfusion with intervertebral disc degeneration (IVDD). 18 individuals underwent lumbar conventional and DCE-MRI. The cranial and caudal VSB and CEP perfusion parameters (Ktrans, Kep, Ve) were measured. The VSB perfusion parameters Kep of Pfirrmann I and II, Pfirrmann I and IV, Pfirrmann III and IV,the cranial CEP Kep of Pfirrmann III and II showed significant difference. In the early progress of IVDD, its metabolism increase compensatory, clinical research should put more emphasis on early onset stage of IVDD such as in Pfirrmann II.

2295
Mitochondrial function as measured by 31P Magnetic Resonance Spectroscopy between lean Chinese and Asian-Indian males
Ivan P.W. Teng1, Jamie X.M. Ho1, Trina Kok1, Philip Lee2, Melvin K.S. Leow3, Hong Chang Tan4, Chin Meng Khoo5, George K Radda6, and Mary C Stephenson1,5

1Clinical Imaging Research Centre, A*STAR-NUS, Singapore, Singapore, 2SBIC, A*STAR, Singapore, Singapore, 3SICS, A*STAR, Singapore, Singapore, 4Department of Endocrinology, SGH, Singapore, Singapore, 5Department of Medicine, NUS, Singapore, Singapore, 6Biomedical Research Council, A*STAR, Singapore, Singapore

Previous studies have indicated differences in insulin sensitivity between lean Indian and Chinese men. In this study we used 31P MRS and a dorsiflexion task to assess muscle mitochondrial function, thought to be associated with insulin sensitivity, via PCr recovery rates. No inter-ethnic group differences were observed in measured blood parameters (HbA1c, fasting blood glucose level and M-value) between groups. However, positive correlations were observed between τPCr and both HbA1c and fasting blood glucose levels suggesting poorer mitochondrial function. No correlation was observed with M-value. Larger sampling sizes are necessary for these correlations and group differences to reach statistically-significant conclusions.

2296
Quantification of Magnetization Transfer parameters in across different muscle groups
Chun Kit Wong1, Jamie X. M. Ho1, and Mary Stephenson1,2

1A*STAR-NUS Clinical Imaging Research Centre, Singapore, Singapore, 2Department of Medicine, National University of Singapore, Singapore, Singapore

Quantitative magnetization transfer (qMT) parameters can potentially be used as biomarker of diseases. In this study, qMT parameters’ nominal value are determined for selected muscle groups in healthy human subjects’ forearm, mid-thigh, and calf. Nominal values of qMT parameters are determined by taking the mean value across the subjects for each muscle group. From the results, strong correlations of qMT parameters between certain muscle groups within the same individual subjects are observed, suggesting that the qMT parameters' variation is biological in origin.

2297
Articular Cartilage Assessment Using T1ρ Mapping in Early Osteoarthritis Patients with Knee joint Pain
Jin Qu1, Xinwei Lei1, Ying ZHAN1, Huixia Li1, and Yu Zhang2

1Tianjin First Center Hospital, Tianjin, China, People's Republic of, 2Philips Healthcare, Beijin, China, People's Republic of

The purpose of this study was to evaluate articular cartilage degeneration in healthy subjects and patients with knee joint-pain as the only clinical manifestation using T1ρ measurements and to examine the interrelationship between cartilage abnormalities. Quantitative assessment of cartilage was performed using T1ρ mapping technique in 5 healthy volunteers and 17 knee joint-pain patients. T1ρ values were significantly elevated among patients with knee joint-pain compared to normal controls. Proteoglycan reduced in patients with knee joint-pain as the only clinical manifestation. Comparing to routine MR, T1ρ mapping could be more useful for these patients

2298
Bone marrow perfusion study on different BMD groups in elderly female
Chaoyang Zhang1, Hu Xianghui2, Heather T. Ma2, Li Liang2, and Chenfei Ye2

1Harbin Institute of Technology Shenzhen Graduate School, Shenzhen, China, People's Republic of, 2Shenzhen, China, People's Republic of

This study utilized dynamic contrast enhanced (DCE) MRI and blood oxygen level dependent (BOLD) MRI as imaging method, using half quantitative analysis of two kinds of methods to study the relationship between the marrow blood perfusion, oxygen metabolism and bone mineral density. The research found that significant differences were observed in A, MaxEn and Halflife parameters among different BMD groups (p<0.05).In conclusion, different BMD groups has significant difference in perfusion ability on marrow. There is a link between the bone mineral density and marrow blood circulation and metabolism of oxygen. The changed blood circulation may be one of the reasons induced osteoporosis.

2299
Qualitative and Quantitative Diagnosis of Meniscal Tears Using SWI Compared with T2mapping at 3-Tesla MRI
Jun Zhao1, Wei Chen1, Jian Wang1, Shuai Li2, and Wen-Jing Hou1

1Radiology, Southwest Hospital, Third Military Medical University, Chongqing, China, People's Republic of, 2MR Collaborations NE Asia, Siemens Healthcare, Beijing, China, People's Republic of

In the past reports, invariably irregularity and high-signal-intensity changes of the free edge of meniscus may lead to a false-positive MR imaging, in addition, MR imaging of the knee invariably missed small meniscal tears, tears and abnormalities of the meniscal free edge, and at times large, unstable tears, result in false-negative. In recent decades, new MR image of water-tissues and collagen-rich tissues, including cartilage, menisci and tendon, has undergone significant progress, which are biological MR image techniques for the characterization tissues .This study was to compare the diagnostic performance of SWI (Susceptibility Weighted Imaging) in the evaluation of meniscal tears at 3T MR with those of a T2 Mapping sequence, using phase value and T2 value as  the quantitative parameters. The phase value was a good predictor to diagnose meniscal tears.

2300
Magnetization transfer MRI Evaluation of Autologous Chondrocyte Membrane Transplantation in The Knee Joint
Yi-Bin Xi1, Fan Guo1, Chun-Li Zhang1, Hu Xu1, Long-Biao Cui1, Chen Li1, Ping Tian1, Wei-Guo LI2, and Hong Yin1

1Xijing Hospital, Fourth Mililtary Medical University, Xi'an, China, People's Republic of, 2Bioengineering, University of Illinois at Chicago, Chicago, IL, United States

 Magnetization transfer MRI Evaluation of Autologous Chondrocyte Membrane Transplantation in The Knee Joint

2301
Structural and Biomechanical Properties of Hypertrophic Articular Cartilage Using Microscopic Magnetic Resonance Imaging
David J Kahn1, Daniel Mittelstaedt1, and Yang Xia1

1Physics and Center for Biomedical Research, Oakland University, Rochester, MI, United States

High-resolution T2 imaging of AC is able to quantitatively measure depth-dependent features of articular cartilage (AC). When the cartilage articular surface (AS) is oriented normal (0°) to the external magnetic field, healthy AC takes on a laminar appearance that indicates the superficial zone (SZ), transitional zone (TZ), and radial zone (RZ), where collagen fibers are oriented parallel, random, and perpendicular to the AS [1]. When the AS is oriented at the magic angle (55°), the nuclear dipolar interaction is minimized and the tissue appears homogeneous. Compression of AC has effects that change many zonal properties [2,3], and hypertrophy may alter the biomechanical function and depth-dependent collagen ultra-structure of AC.

2302
quantitative UTE imaging of the Achilles tendon enthesis of PsA patients and healthy volunteers
Bimin Chen1,2, Hongda Shao1, Michael Carl3, Arthur Kavanaugh4, Graeme M Bydder1, and Jiang Du1

1Radiology Department, UCSD, San Diego, CA, United States, 2Radiology Department, The first affiliated hospital of Jinan University, Guangzhou, China, People's Republic of, 3GE Healthcare, San Diego, CA, United States, 4Center for Innovative Therapy Division of Rheumatology, Allergy, and Immunology, UCSD, San Diego, CA, United States

Achilles tendon enthesitis is the source of the the heel pain of PsA patients. The current measures based on  pressure being placed on various entheses during physical examination are both insensitive and non-specific.Also it’s very time consuming and poorly reproducible.MR imaging with ultrashort echo time (UTE) sequences provides a good option for assessing entheses, which has a relatively short T2 and largely “invisible” with clinical MR sequence.

2303
Assessment of Tibial Nerve and Common Peroneal Nerve in Diabetic by Diffusion Tensor Imaging: a Feasibility Study
Chao Wu1, Bin Zhao1, Guangbin Wang1, Shanshan Wang1, and Hongjing Bao1

1Shandong Medical Imaging Research Institute, Shandong university, Jinan, China, People's Republic of

This study aimed to measure the FA and ADC values by quantitative DTI at the tibial nerve and common peroneal nerve and determine whether DTI can be used in the DPN. 25 healthy volunteers and 13 patients with DPN were underwent MR examinations at 3T including DTI of knee. The FA values of both tibial nerve and common peroneal nerve in DPN patients were significantly lower than those in healthy volunteers. The ADC values in DPN patients were higher than those in healthy groups. DTI may thus be a reliable method to added diagnostic value in patients with DPN.


Traditional Poster

Molecular Imaging & Contrast Agents

Exhibition Hall Wednesday, May 11, 2016: 16:00 - 18:00

2304
Fluorescence-based Quantification of Gadolinium-bound Liposomes using Carbostyril 124-sensitized DTPA
Lindsay Kathleen Hill1,2, Stewart Russell3,4, Dung Minh Hoang1, and Youssef Zaim Wadghiri1

1Radiology, NYU School of Medicine, New York, NY, United States, 2Biomedical Engineering, SUNY Downstate Medical Center, Brooklyn, NY, United States, 3Thayer School of Engineering, Dartmouth College, Hanover, NH, United States, 4Department of Mechanical Engineering, The City College of New York, New York, NY, United States

Advancement in the field of Gadolinium-bound contrast agent discovery is reliant on the development and characterization of novel constructs made in-house. However, the assessment of physicochemical properties and in vivo pharmacokinetics, requiring highly sensitive measurements, is often impeded by the lack of analytical techniques that are simultaneously sensitive, affordable, and accessible. Here we demonstrate that Carbostyril 124-sensitized DTPA can be incorporated into a lipid-based microparticle, allowing for rapid quantification of Gadolinium concentration with nanomolar sensitivity using a readily available fluorescence plate reader. This sensitive and convenient technique could rapidly propel the characterization of novel MR contrast agents. 

2305
Nanocrystal Loaded Polymeric Microbubbles for Multimodal Imaging
Nutte Teraphongphom1, Peter Chhour2, John Eisenbrey3, Pratap Chandra Naha2, Walter Witschey2, Borirak Opasanont4, Lauren Jablonowski1, David Peter Cormode2, and Margaret Wheatley1

1Biomedical Engineering, Drexel University, Philadelphia, PA, United States, 2Radiology, University of Pennsylvania, Philadelphia, PA, United States, 3Radiology, Thomas Jefferson University, Philadelphia, PA, United States, 4Chemical and Biological Engineering, Drexel University, Philadelphia, PA, United States

To create multimodal contrast agents, we hypothesized that the shell of polymeric microbubbles could accommodate additional payloads. We therefore modified microbubbles by encapsulating nanoparticles including quantum dots, magnetic iron oxide nanoparticles, or gold nanoparticles to create bi-modality platforms in a manner that minimally compromised the performance for each individual imaging technique (ultrasound, fluorescence imaging, computed tomography and MRI). 

2306
Development of facile protocols for stable nanoparticle formulations of 19F MR molecular imaging probes
Eric A Tanifum1,2, Chandresh Patel1, Robia Pautler2, and Ananth Annapragada1,2

1Texas Children's Hospital, Houston, TX, United States, 2Baylor College of Medicine, Houston, TX, United States

Perfluorocarbons and perfluoropolyethers are currently the major molecules of choice in 19F MRI contrast agents. These molecules generally have magnetically diverse 19F atoms and are very hydrophobic. The later characteristic greatly hinders easy access to stable formulations for broad usage and the former generates chemical shift artifacts which result in blurred images. We have synthesized several hydrophilic organofluorine molecules all bearing magnetically equivalent 19F atoms and demonstrated that they are amenable to facile liposome nanoparticle formulation protocols. The resulting particles are highly stable and present a great potential for diverse applications as 19F MRI molecular imaging probes. 

2307
A Ratiometric Bioresponsive MRI Contrast Agent for Rapid Monitoring of Biological Processes
Tanja Savić1, Serhat Gündüz2, Rolf Pohmann3, Nikos Logothetis4, Klaus Scheffler3, and Goran Angelovski1

1Research group "MR Neuroimaging agents", Max Planck Institute for Biological Cybernetics, Tübingen, Germany, 2Research Group "MR Neuroimaging agents", Max Planck Institute for Biological Cybernetics, Tübingen, Germany, 3High-Field Magnetic Resonance, Max Planck Institute for Biological Cybernetics, Tübingen, Germany, 4Physiology of Cognitive Processes, Max Planck Institute for Biological Cybernetics, Tübingen, Germany

A number of bioresponsive MRI contrast agents have been developed, with the aim of producing the maximal signal difference for a given biological event. This paper introduces an approach which substantially improves the detection of physiological events with fast kinetics. A nanosized, calcium-sensitive dendrimeric probe was developed and characterized by means of a balanced steady-state free precession imaging protocol. Results show an almost four times greater contrast gain per unit of time as compared to conventional T1-weighted imaging with small sized contrast agents. Consequently, this ratiometric methodology has a profound significance for future studies of biological dynamic processes by means of MRI.

2308
A Targeted Host-Guest MRI Contrast Agent for Breast Cancer Molecular Imaging
Zhuxian Zhou1,2, Zheng Han1, and Zheng-Rong Lu1

1Biomedical Engineering, Case Western Reserve University, Cleveland, OH, United States, 2Chemical and Biological Engineering, Zhejiang University, Hangzhou, China, People's Republic of

To produce MRI detectable signal enhancement for the biomarker on cancer cell surface, we developed a targeted host-guest nanosized contrast agent cRGD-POSS-βCD-(DOTA-Gd)-Cy5. The nanosized host-guest systems are preferable for facile synthesis of customized and functionalized imaging agent. Here, a cyclic peptide cRGD targeting to cancer cell αvβ3-integrin, a macrocyclic Gd(III) chelate and Cy5 fluorescent probes were loaded on the nanosized carrier by host-guest interaction. cRGD-POSS-βCD-(DOTA-Gd)-Cy5 can provide strong contrast enhancement to delineate malignant tumors during molecular MR and fluorescent imaging in a mouse 4T1 breast cancer model.

2309
Biodegradable glycoged-based nanoprobe as a multimodal tumor-targeting contrast agent
Andrea Galisova1, Daniel Jirak1, Marketa Jiratova1, Martin Hruby2, Maria Rabyk2, Aneta Pospisilova2, and Milan Hajek1

1MR Unit, Institute for Clinical and Experimental Medicine, Prague, Czech Republic, 2Academy of Sciences, Institute of Macromolecular Chemistry, Prague, Czech Republic

An effective cancer diagnostic and therapeutic contrast agent with suitable properties including high specificity and safety is on high demand. In this study, accumulation of a biocompatible and biodegradable glycogen-based nanoprobe (GG-Gd-DOTA-Dy) was tested and compared to a commercially available contrast agent (gadoterate meglumine). Relaxivity and MR imaging of the probe was performed on the phantoms. The uptake of the agents was measured on the tumor-bearing rats at several time points after the contrast agent administration by MRI and fluorescence imaging. We found out that the novel probe is superior to a commercially available contrast agent regarding the relaxivity and accumulation in the tumor tissue.

2310
In-vivo quantification of focal vessel wall changes following vascular injury in a murine model of atherosclerosis
Begona Lavin Plaza1, Alkystis Phinikaridou1, Marcelo Andia2, Silvia Lorrio Gonzalez1, and Rene Botnar1

1Imaging Sciences and Biomedical Engineering, King's College London, London, United Kingdom, 2Pontificia Universidad Catolica de Chile, Santiago de Chile, Chile

Despite the beneficial effect of percutaneous transluminal coronary angioplasty and stent implantation, negative vascular remodeling remains as one of the most important complications of interventional cardiology. These procedures may damage the vessel wall, particularly the endothelium, leading to a dysfunctional state characterized by impaired vasodilation, increased leukocyte adhesion and permeability that constitute the initial steps of atherosclerosis. The arterial tree can be divided in either “athero-susceptible” areas, e.g. arterial branches and curvatures, where blood flow is turbulent and shear stress is multidirectional or “athero-resistant” areas, e.g. abdominal aorta, where blood flow is laminar and shear stress is low. In this study, we investigated (1) whether an “atherosclerotic-resistant” segment of the vascular tree, like the aorta, can be switched into an “atherosclerotic-susceptible” area following endothelial injury and (2) whether such a switch in vessel wall remodeling is associated with changes in vascular permeability that can be assessed in-vivo using the albumin binding MR contrast agent, gadofosveset.

2311
Vascular-targeted Magnetic Nanoparticles for Image-guided Cancer Therapy
Sudath Hapuarachchige1, Robert Ivkov2, and Dmitri Artemov1

1Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 2Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, United States

Bionized nanoferrites are magnetic nanoparticles, which can be used as contrast agents and therapeutic platforms for alternating magnetic field (AMF) induced hyperthermia. One important application is enhancing of vascular permeability in tumors for delivery of nanodrugs. We studied BNF nanoparticles specifically targeted to the tumor vasculature via VEGF receptors ligands. Targeted BNF particles were visualized by intravital multiphoton and MR imaging, and increased accumulation of targeted BNF was detected in breast cancer models.

2312
BBN-assembled Gadolinium oxide nanoprobe for targeted bimodal imaging in vitro and in vivo
Danting Cui1, Xiaodan Lu1, Chenggong Yan1, Xiang Liu1, Yingjie Mei2, Meirong Hou1, Yikai Xu1, and Ruiying Liu3

1Department of Medical Imaging Center, Nanfang Hospital, Southern Medical University, Guangzhou, China, People's Republic of, 2Philips Healthcare, Guangzhou, China, People's Republic of, 3School of Pharmaceutical Sciences, Southern Medical University, Guangzhou, China, People's Republic of

Bombesin (BBN) is a peptide exhibiting high affinity for the gastrin-releasing peptide receptor (GRPr), To develop a BBN-assembled nanoprobe based on Gd2O3 was efficent for earlier tumor detection. Gd2O3 was conjugated with 5(6)-carboxyfluorescein and bombesin for MR/optical bimodal imaging of GRPr positive tumor. Gd2O3-FI-PEG NPs without bombesin-modified NPs were tested as non-targeted control.  MRI and opitical  imaging in vitro and vivo confirmed BBN-assembled Gd2O3 nanoprobe exhibited better binding affinity to GRPr positive tumor than the control group. The nanoprobe may provide opportunities to further biomedical application.

2313
Combining Multi-therapy in Singlet Vehicle
Yuqi Yang1, Shizhen Chen1, Sha Li1, Lianhua Liu1, and Xin Zhou1

1Wuhan Institute of Physics and Mathematics, Chinese Academy of Sciences, Wuhan, China, People's Republic of

Two types of water-insoluble texphyrins (TP), anticancer drug Gd-TP and photosensitizer Lu-TP, were synthesized and loaded onto RGD-functionalized graphene quantum dots (GQDs) via π-π stacking. The obtained complex could be used as a MRI-fluorecent imaging multi-model probe for cancer therapy. Compared with conventional photodynamic therapy (PDT), our method demonstrated better therapy efficiency for deeper tissue, because a laser with longer wavelength was applied to active the photosensitizer Lu-TP. Furthermore, reactive oxygen species resulted from the reaction between redox active drug Gd-TP and cellular reducing metabolites and photothermal effect from GQDs led cancer cells more impressionable to PDT from Lu-TP. 

2314
­Short-lived mesenchymal stem cells accelerate healing of acid skin burns – an MRI cell tracking study using iron oxide, fluorine and bioluminescence imaging
Ghulam Muhammad1,2, Jiadi Xu3, Jeff W.M. Bulte1, Anna Jablonska1, Piotr Walczak1,4, and Miroslaw Janowski5

1The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University, Baltimore, MD, United States, 2Stem Cell Laboratory, University of the Punjab, Lahore, Pakistan, 3F.M. Kirby Research Center, Kennedy Krieger Institute, Baltimore, MD, United States, 4Department of Radiology, University of Warmia and Mazury, Olsztyn, Poland, 5Johns Hopkins University, Baltimore, MD, United States

Incidence of acid burns due to accidents and attacks is on the rise and mesenchymal stem cell transplantation is a promising therapeutic strategy. Cell tracking makes treatment more precise. We have compared two MRI tracking strategies: SPIO nanoparticles-based 1H MRI and 19F nanoemulsion “hot-spot” MRI. Bioluminescence imaging was used as a reference standard for monitoring cell survival. Susceptibility artifacts due to skin injury compromised the interpretation of 1H imaging, while 19F MRI was capable of providing information on cell location and survival. The SPIO nanoparticles and fluorine nanoemulsion had no detrimental effect on the therapeutic activity and survival of MSCs.

2315
Absolute Quantification of Stem Cell Transplant in MRI
Muhammad Jamal Afridi1, Arun Ross2, and Erik M Shapiro3

1Department of Radiology, Department of Computer Science, Michigan State University, East Lansing, MI, United States, 2Department of Computer Science, Michigan State University, East Lansing, MI, United States, 3Department of Radiology, Michigan State University, East Lansing, MI, United States

We describe an image analysis strategy for quantifying the location and number of transplanted stem cells from MRI images. MRI-based single cell detection facilitates the use of machine learning algorithms for spot detection. Using convolutional neural networks, automatic and intelligent cell enumeration was first developed on in vitro agarose samples containing a known number of labeled cell mimics. Then, the validated image analysis approach was used to quantify stem cell transplants in rodent brains. An accuracy of 99.8% was achieved on in vitro samples and 94.6% on in vivo examples.

2316
Automatic in vivo detection of transplanted cells in MRI using transfer learning paradigm
Muhammad Jamal Afridi1, Arun Ross2, Steven Hoffman2, and Erik M Shapiro3

1Department of Radiology and Department of Computer Science, Michigan State University, East Lansing, MI, United States, 2Department of Computer Science, Michigan State University, East Lansing, MI, United States, 3Department of Radiology, Michigan State University, East Lansing, MI, United States

Despite advances in machine learning and computer-vision, many MRI studies rely on tedious manual procedures for quantifying imaging features, i.e. cell numbers, contrast area etc. Development of intelligent, automatic tools for quantifying imaging data requires large scale data for their training and tuning, which in the clinical arena is challenging to obtain.  Here, we present an approach that obviates the need for large scale data collection to develop an intelligent and automatic tool for single cell detection in MRI. Our strategy achieves 91.3% accuracy for in vivo cell detection in MRI despite using only 40% of the data for training.

2317
Cell tracking with fluorine-19 MRI and zirconium-89 PET - a multi-modal approach
Kai D. Ludwig1, Benjamin L. Cox1,2,3, Myriam N. Bouchlaka4,5, Stephen A. Graves1, Justin J. Jeffery5, R. Jerry Nickles1, Bryan P. Bednarz1,6, Christian M. Capitini4,5, and Sean B. Fain1,6,7

1Medical Physics, University of Wisconsin-Madison, Madison, WI, United States, 2Morgridge Institute for Research, Madison, WI, United States, 3Laboratory for Optical and Computational Instrumentation, University of Wisconsin-Madison, Madison, WI, United States, 4Pediatrics, University of Wisconsin-Madison, Madison, WI, United States, 5Carbone Cancer Center, University of Wisconsin-Madison, Madison, WI, United States, 6Radiology, University of Wisconsin-Madison, Madison, WI, United States, 7Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, United States

Methods for non-invasive cell tracking may greatly enhance the ability to assess efficacy of cellular-based therapies. A dual-labeled (89Zr and 19F) cell labeling approach could inform and potentially improve in vivo cell tracking sensitivity and clinical adoption. Here, we show longitudinal detection of localized cell injections with 19F MRI and the ability to quantify the number of cells within a voxel. Additionally, 89Zr cell tracking results shows a high sensitivity for intravenous delivery of cells with longitudinal signal detection. Future work aims to combine both cell tracking approaches utilizing the dual-modality imaging platform on a PET/MRI system.

2318
Interaction of Manganese and Iron in R1 mapping in a Low Concentration Setting
Chien-Lin Yeh1, Carlos J. Perez-Torres1, and Ulrike Dydak1,2

1School of Health Sciences, Purdue University, West lafayette, IN, United States, 2Radiology and Imaging Sciences, Indiana University School of Medicine, Indianapolis, IN, United States

Being able to use MRI to estimate brain Mn accumulation is of high interest in occupational Mn exposure settings. As a first step towards absolute quantification of brain Mn concentration in exposed humans using MRI, the interaction between Mn and Fe and their combined effect to R1 need to be explored. Our results suggest that a model only assuming independent linear contributions of Mn and Fe already explains the R1 data well. However introducing a cross term of Mn and Fe in the equation improves the fits, suggesting a Mn-Fe interaction.   

2319
Glutamate-sensitive CEST and MEMRI as novel biomarkers for studying ALS pathophysiology
Amit Kumar Srivastava1,2, Jiadi Xu3, Peter C.M. van Zijl2,3, Nicholas J Maragakis4, and Jeff W.M. Bulte1,2,3

1Cellular Imaging Section, Institute for Cell Engineering, Johns Hopkins University, Baltimore, MD, United States, 2Russel H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University, Baltimore, MD, United States, 3F.M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Institute, Baltimore, MD, United States, 4Neurology, Johns Hopkins University, Baltimore, MD, United States

Amyotrophic lateral sclerosis (ALS) is characterized by selective loss of motor neurons. ALS treatment is very difficult because disease manifestation and diagnosis often happen much later than when ALS pathology occurs in the patient. In this study, we developed two non-invasive MRI biomarkers for the early detection of disease pathology and its progression thereafter. A newly developed Glutamate-sensitive CEST showed higher signal intensity in the spinal cord level of ALS at pre-symptomatic stage, an indicator of initiation of ALS pathology. Manganese-enhanced MRI showed higher T1-weighted signal in the ALS spinal cord at post-symptomatic stage suggesting activation of astrocytes.          

2320
Longitudinal MEMRI Characterization of a Novel Mouse Medulloblastoma Model
Harikrishna Rallapalli1, Eugenia Rafaela Volkova1, I-Li Tan2, Alexandre Wojcinski2, Alexandra L Joyner2, and Daniel H Turnbull1

1Skirball Institute and Radiology, New York University School of Medicine, New York, NY, United States, 2Developmental Biology, Sloan Kettering Institute, New York, NY, United States

In this work, we describe a powerful longitudinal Manganese-enhanced magnetic resonance imaging (MEMRI) strategy to characterize a novel mouse medulloblastoma model. An activated Smoothened mutation was engineered to induce proliferative growth in the cerebellum. Lesions were monitored using MEMRI up to postnatal day P100, and 3D tumors were segmented for quantitative volumetric analysis. Qualitative analysis has shown a ~50% chance of regression overall (n=21), and preliminary quantitation has suggested a combined progression/regression growth model. With this model, we aim to guide diagnostic decisions from early timepoints and quantify therapeutic efficacy.

2321
Mn cell uptake mechanisms in organotypic rat hippocampal slice cultures
Alexia Daoust1, Stephen Dodd1, and Alan Koretsky1

1NINDS, LFMI, NIH, Bethesda, MD, United States

MEMRI can be used for different applications such as tracing neuronal connections or functional imaging. However, Mn cellular uptake is still unclear. We studied this mechanism by the use of MEMRI in a hippocampal organotypic slice culture. After added Mn to the medium for 2h, we obtained an optimal MR contrast that was affected by Ca channel manipulation. Mn cellular uptake was also affected by the presence of other metals that use divalent metal transporters (DMT-1). Our results suggest a strong capacity of our technique to study the cellular mechanisms related to MEMRI.

2322
Distributed T2 relaxation model for polydisperse nanoparticle systems
Bashar Issa1

1Physics, UAE University, Al-Ain, United Arab Emirates

Theories describing 1/T2 enhancement due to the presence of superparamagnetic particles agree well with experimental and Monte Carlo (MC) simulation data under the condition that the particles are monodisperse both in size and magnetization. We present a 1/T2 distributed model that takes into account the particle size and magnetization distributions. We average the individual 1/T2 components exhibited by each group of particle with a uniform particle size. MC simulations of the model successfully predict 1/T2 within the MAR regime confirming the implicit assumption that the spins are able to sample all the particles’ radii and magnetizations within the echo time.

2323
Quantifying exchange in host-guest systems for hyperpolarized xenon
Sergey Korchak1, Wolfgang Kilian1, Leif Schröder2, and Lorenz Mitschang1

1Physikalisch-Technische Bundesanstalt (PTB), Braunschweig and Berlin, Germany, 2Leibniz-Institut für Molekulare Pharmakologie (FMP), Berlin, Germany

The reversible binding of xenon to host structures is fundamental to the development of novel contrast agents employing hyperpolarized xenon and chemical exchange saturation transfer (HyperCEST) for molecular imaging. The rates for entering and leaving the host depend on atomic details and affect the obtainable contrast rendering them pivotal for the selection of hosts and optimization of imaging methods. However, different exchange processes may apply whose contributions are difficult to assign. Exchange spectroscopy experiments are proposed which enable straightforward disentanglement of the exchange kinetics and quantification of individual contributions. The approaches are exemplified for the cryptophane-xenon host-guest system.

2324
CEST Nuclear Overhauser Enhancement imaging of protein misfolding in mice at different stages of prion disease
Eleni Demetriou1, Mohamed Tachrount1, Marilena Rega2, Franscisco Torrealdea1, Karin Shmueli3, Mark Farrow4, and Xavier Golay1

1Brain Repair and Rehabilitation, Institute of Neurology, London, United Kingdom, 2Institute of Neurology, London, United Kingdom, 3Medical Physics and Biomedical Engineering, University College of London, London, United Kingdom, 4MRC prion unit, Institute of Neurology, London, United Kingdom

Prion diseases are fatal neurodegenerative disorders which are caused by abnormal conformational changes of cellular prion protein. Chemical Exchange Saturation Transfer (CEST) imaging of NOE effects has been proposed as a new imaging mechanism to monitor protein folding by MRI. In this study, prion-infected mice were imaged at three stages of prion disease (asymptomatic, early-stage and late-stage) to investigate whether prion propagation could be detected in their brains. We concluded that NOE values at different stages of prion disease provide additional evidence of prion protein misfolding occurring in the brains of diseased mice. 

2325
SUV-quantification in physiological lung tissue in an integrated PET/MR-System: Impact of lung density and bone tissue.
Ferdinand Seith1, Holger Schmidt1, Sergios Gatidis1, Ilja Bezrukov2, Christina Schraml1, Christina Pfannenberg1, Christian la Fougère3, Konstanin Nikolaou1, and Nina Schwenzer1

1Radiology, Universitätsklinikum Tübingen, Tübingen, Germany, 2Max-Planck-Institut, Tübingen, Germany, 3Nuclear Medicine, Universitätsklinikum Tübingen, Tübingen, Germany

Attenuation correction (AC) plays a key role in the quantification of tracer uptake in positron emission tomography (PET), expressed as standardized uptake value (SUV). The segmentation method is the standard approach for AC in whole-body PET/magnetic resonance imaging (MRI) that has been implemented into the software of most vendors. However, this method is neglecting bone and applies only one single patient-independent attenuation coefficient for the whole lung. Our study could demonstrate that both, differences lung density and surrounding bone tissue can have significant influence on SUV measurement of physiological lung tissue, mostly affecting the posterior regions.

2326
IN VIVO 19F MRI QUANTIFICATION USING B1+/B1-CORRECTION
Ina Vernikouskaya1,2, Alexander Pochert3, Mika Lindén3, and Volker Rasche1,2

1Internal Medicine II, University Hospital of Ulm, Ulm, Germany, 2Small Animal MRI, University of Ulm, Ulm, Germany, 3Inorganic Chemistry II, University of Ulm, Ulm, Germany

Quantification of 1H MR contrast agents (CA) is limited by the only indirect visualization of the changes of the relaxation properties of the surrounding tissue. Using alternative nuclei such as fluorine (19F) as CA enables direct and quantifiable readout of local CA aggregations, since the 19F signal linearly correlates with its local concentration. However non-uniformity of the transmit/receive radiofrequency fields impact the resulting absolute signal, leading to wrong quantification results. Application of an easy-to-use time-efficient B1+/B1--mapping technique for correction of the 19F signal in vivo is presented in this work.

2327
Temporally flexible artifact suppression high field  SSFP images using Golden Angle incremented linear combination Steady-state Free Precession (LCSSFP) in DESPOT1/2 images
H. Douglas Morris1 and J. Andrew Derbyshire2

1NIH Mouse Imaging Facility, National Institutes of Health, Bethesda, MD, United States, 2Functional MRI Facility, National Institutes of Health, Bethesda, MD, United States

Rapid imaging of endogenously labeled neuroprogenitor cells in the rat brain is shown using high-field MRI and efficient Steady-State Free Precession sequences.  A RF-phase cycle progression based on the Golden Angle is used to produce Linear Combination SSFP (LCSSFP) images without banding artifacts.  The method yields high resolution images with few global distortions suitable for cell tracking and calculating relaxation images.


Traditional Poster

Hyperpolarised C-13 & Other Nuclei

Exhibition Hall Wednesday, May 11, 2016: 16:00 - 18:00



2328
Development of Calibrationless Parallel Imaging Methods for Clinical Hyperpolarized Carbon-13 MRI Studies
Yesu Feng1, Jeremy Gordon1, Peter Shin1, Cornelius von Morze1, Michael Lustig2, Peder E.Z. Larson1, Michael A. Ohliger1, Lucas Carvajal1, James Tropp3, John M Pauly4, and Daniel B. Vigneron1

1Radiology and Biomedical Imaging, UCSF, San Francisco, CA, United States, 2EECS, UC Berkeley, Berkeley, CA, United States, 3GE Healthcare, Fremont, CA, United States, 4Electrical Engineering, Stanford, Stanford, CA, United States

Hyperpolarized (HP) 13C imaging requires fast data acquisition due to the fast T1 relaxation. Parallel imaging methods are well suited for acceleration of data acquisition, yet conventional parallel imaging schemes require explicit calibration of coil sensitivity which presents significant challenge to HP 13C imaging. In this study, a calibrationless parallel imaging method was tested and applied to HP 13C MRI. A 2-fold acceleration was achieved when this technique was applied together with a 2D EPI readout. This strategy is being extended for 3D HP 13C EPI for improved volumetric coverage and better temporal resolution for future clinical studies. 

2329
Using a Low Rank plus Sparse Reconstruction Approach to Accelerate 3D Dynamic bSSFP Hyperpolarized Carbon-13 MR Imaging
Eugene Milshteyn1, Cornelius von Morze1, Galen D Reed2, Hong Shang1, Peter J Shin1, Peder EZ Larson1, and Daniel B Vigneron1

1Radiology and Biomedical Imaging, UCSF, San Francisco, CA, United States, 2HeartVista, Menlo Park, CA, United States

Hyperpolarized 13C MR can provide unique imaging assessments of metabolism and perfusion in various disease conditions in vivo. High spatiotemporal resolution is needed to best characterize these processes. This project used a low rank plus sparse reconstruction with the bSSFP acquisition to achieve high isotropic resolution dynamic 3D imaging with multiple hyperpolarized substrates.

2330
Direct arterial injection of hyperpolarized compounds into tumor tissue enables rapid detection of metabolism with minimal dilution
Steven Reynolds1, Stephen Metcalf2, Rebecca Collins3, Edward Cochrane3, Simon Jones3, Martyn Paley1, and Gillian Tozer2

1Academic unit of radiology, University of Sheffield, Sheffield, United Kingdom, 2Department of Oncology and Metabolism, University of Sheffield, Sheffield, United Kingdom, 3Department of Chemistry, University of Sheffield, Sheffield, United Kingdom

Hyperpolarizing drug candidates could allow insights into their mode of action and metabolic fate. However, administering drug molecules at high concentrations can lead to adverse effects in animals. We have developed a method for directly administering substrates to tumor tissue by infusion through a single supplying artery, thus maximizing tumor drug delivery and minimizing T1 relaxation and systemic toxicity. The net signal gain for arterially injected 13C-pyruvate was x54, compared with the systemically administered venous route. Hyperpolarized custom 13C-labeled CA1 was arterially administered and its parent peak observed, in vivo, at its expected chemical shift (58ppm).

2331
Characterisation of adipose tissue-derived mesenchymal stem cell using hyperpolarized MRS
Anja Bille Bohn1, Nathalie Nielsen2, Christoffer Laustsen2, Hans Stødkilde-Jørgensen2, and Lotte Bonde Bertelsen2

1The department of Clinical Immunology, Aarhus University Hospital, Aarhus, Denmark, 2MR Research Centre, Aarhus University, Aarhus University Hospital, Aarhus, Denmark

Synopsis: Studies of metabolism in stem cells have revealed a shift in the balance between glycolysis, mitochondrial oxidative phosphorylation and oxidative stress during the maturation of stem cells. In the stem cells, pyruvate from glycolysis will mainly be metabolized to lactate as a result of an uncoupling of the citric acid cycle and the oxidative phosphorylation pathway, thus the application of a novel metabolic cell culture tool could add valuable information to the studies of stem cell characterisation during development. In the present study we use hyperpolarised [1-13C] pyruvate to characterise mesenchymal stem cells harvested from adipose tissue.

2332
The formulation of hyperpolarized 13C pyruvate solutions influences the labeling of myocardial metabolites in vivo
Hikari A. I. Yoshihara1, Jessica A. M. Bastiaansen2, Corinne Berthonneche3, Arnaud Comment1, and Juerg Schwitter4

1Institute of Physics of Biological Systems, Swiss Federal Institute of Technology (EPFL), Lausanne, Switzerland, 2Department of Radiology, University Hospital Lausanne (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland, 3Cardiovascular Assessment Facility, University Hospital Lausanne (CHUV), Lausanne, Switzerland, 4Division of Cardiology and Cardiac MR Center, University Hospital Lausanne (CHUV), Lausanne, Switzerland

In developing an intact rat model for myocardial ischemia using hyperpolarized 13C pyruvate, different compound formulations were evaluated. Infusion of 4-hydroxy-TEMPO-polarized sodium [1-13C]pyruvate was compared to an equivalent dose of buffered trityl radical-polarized [1-13C]pyruvic acid. Whereas higher levels of polarization and MRS signal were obtained with trityl radical, the metabolite signals normalized to total signal were lower. In particular, [1-13C]lactate signal relative to total signal was markedly higher using TEMPO-polarized pyruvate. [13C]bicarbonate and [1-13C]alanine signals were affected to a lesser degree. This study demonstrates the composition of the infused hyperpolarized pyruvate solution can significantly affect its metabolism in vivo.

2333
Rapid decarboxylation of hyperpolarized [13C]ketobutyrate in mouse liver in vivo
Cornelius von Morze1, Irene Marco-Rius1, Celine Baligand1, Robert Bok1, John Kurhanewicz1, Daniel Vigneron1, and Michael Abram Ohliger1,2

1Radiology and Biomedial Imaging, University of California San Francisco, San Francisco, CA, United States, 2UCSF Liver Center, San Francisco, CA, United States

We investigate the rapid metabolic conversion of hyperpolarized (HP) [1-13C]α-ketobutyrate, a molecular analog of pyruvate, in mouse liver in vivo as compared to [1-13C]pyruvate.  Previously, it has been noted that in liver, there is relatively less conversion of [1-13C]α-ketobutyrate to its reduction product, [1-13C]hydroxybutyrate when compared to the conversion of [1-13C]pyruvate to [1-13C]lactate. This difference in conversion likely represents a different LDH activity in liver1. In this study, we examine the decarboxylation of ketobyrate into bicarbonate, which we have found to be unexpectedly elevated when compared to pyruvate, presumably also via PDH and/or a related enzyme.

2334
Intraperitoneal substrate administration for ¹³C metabolic imaging in a mouse model of abdominal metastasis
Justin Y.C. Lau1,2, Aws Abdul-Wahid3, Albert P. Chen4, Jean Gariépy1,3, and Charles H. Cunningham1,2

1Medical Biophysics, University of Toronto, Toronto, ON, Canada, 2Physical Sciences, Sunnybrook Research Institute, Toronto, ON, Canada, 3Biological Sciences, Sunnybrook Research Institute, Toronto, ON, Canada, 4GE Healthcare, Toronto, ON, Canada

Conventionally, hyperpolarized 13C substrates are administered via intravenous injection. In this abstract, a novel route of hyperpolarized substrate delivery via intraperitoneal injection is demonstrated for observing metabolism in a mouse model of abdominal metastasis. 2D CSI revealed lactate signal in tumour-bearing mice, but only pyruvate signal in a control mouse. An extended time window of dynamic metabolic imaging may be possible with intraperitoneal administration due to the longer in vivo pyruvate T1 of 54 s as measured by dynamic 3D EPI. Intraperitoneal administration of hyperpolarized 13C substrates is a promising complementary technique well suited for observing poorly vascularized metastatic nodules.

2335
In vivo Assessment of Metabolic Derangements in Renal Ischemia-Reperfusion Injury using Carbon-13 HP-MRI
Mehrdad Pourfathi1,2, David D. Aufhauser3, Douglas R. Murken3, Zhonglin Wang3, Stephen J. Kadlecek1, Heather Gatens1, Ali Naji3, Matthew H. Levine3,4, and Rahim R. Rizi1

1Radiology, University of Pennsylvania, Philadelphia, PA, United States, 2Electrical and Systems Engineering, University of Pennsylvania, Philadelphia, PA, United States, 3Department of Surgery, Division of Transplant Surgery, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, United States, 4Department of Surgery, Children's Hospital of Philadelphia, Philadelphia, PA, United States

Renal ischemia repercussion injury (IRI) and its manifestation of acute kidney injury (AKI) is a significant source of morbidity in diverse medical and surgical scenarios, for which for which there is no current therapeutic modality. AKI contributes significantly to hospital stay, morbidity, and mortality. Despite the extensive metabolic derangements that accompany renal IRI, there is an absence of clinically useful markers to predict the clinical course following AKI in an expedient manner.  Here, we demonstrate the feasibility of using hyperpolarized carbon-13 MRI to image metabolic activity in the mice recovering from renal IRI.

2336
[13C]-tert-butanol-2-β-D-galactose: A potential new hyperpolarized imaging agent for in vivo imaging of senescent cells
Keshav Datta1,2, Shie-Chau Liu1, Stephen R Lynch3, Zixin Chen1, Ralph Hurd4, Jianghong Rao1, and Daniel Mark Spielman1,2

1Dept. of Radiology, Stanford University, Stanford, CA, United States, 2Dept. of Electrical Engineering, Stanford University, Stanford, CA, United States, 3Dept. of Chemistry, Stanford University, Stanford, CA, United States, 4Applied Sciences Lab, GE Healthcare, Menlo Park, CA, United States

We evaluated the potential for the use of ([13C]-tert-butanol-bGal as hyperpolarizeable agent for in vivo imaging of senescent cells.   The chemical shift between [13C]-tert-butanol-bGal and bGal-cleaved [13C]-tert-butanol was found to be 7.4ppm, more than adequate for in vivo detection.  [13C]-tert-butanol-bGal was also found to polarize well(~30%) with [13C]-tert-butanol-bGal and [13C]-tert-butanol yielding T1 relaxation times of 22s and 34s respectively, very promising for in vivo studies.

2337
Concentration-dependent hepatic metabolism in vivo using a near physiological dose range of hyperpolarized [1-13C]pyruvate
Emine Can1, Jessica A. M. Bastiaansen2,3, Hikari A. I. Yoshihara4,5, Rolf Gruetter3,5,6, and Arnaud Comment1

1Institute of Physics of Biological Systems, École Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland, 2Department of Radiology, University Hospital Lausanne (CHUV), Lausanne, Switzerland, 3Department of Radiology, University of Lausanne (UNIL), Lausanne, Switzerland, 4Institute of Physics of Biological Systems, EPFL, Lausanne, Switzerland, 5Laboratory for Functional and Metabolic Imaging, EPFL, Lausanne, Switzerland, 6Department of Radiology, University of Geneva, Geneva, Switzerland

Hyperpolarized 13C-labeled pyruvate provides assessment of real-time liver mitochondrial enzymatic activities directly by labeling TCA cycle intermediates. However the technique is limited by the requirement of supraphysiological concentrations due to the low basal concentrations of metabolic intermediates. In this study we showed the feasibility of detecting liver metabolism in vivo with HP 13C pyruvate administered at plasma concentrations of at most 7-fold of the basal levels. Different metabolic response to the concentration change shows that the adaptation to supraphysiological levels can obscure feeding state-depending metabolic differences in liver.

2338
Pool size effects in experiments with hyperpolarized [13C]ketobutyrate
Cornelius von Morze1, Peder E Larson1, Michael A Ohliger1, Ralph E Hurd2, John Kurhanewicz1, and Daniel B Vigneron1

1Department of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA, United States, 2GE Healthcare, Menlo Park, CA, United States

The purpose of this abstract was to investigate pool size effects in experiments with hyperpolarized [13C]α-ketobutyrate (αKB), a molecular analog of pyruvate which also has substantial activity with LDH. In contrast to pyruvate, formation of the reduction product [13C]α-hydroxybutyrate (αHB) necessarily reflects net metabolic flux as opposed to label exchange. We observed little change when co-injecting αHB but a large increase in the αHB-to-αKB ratio when co-injecting lactate. This suggests that the observed conversion of αKB to αHB only reflects net metabolic flux even in the presence of a large pool of reduction product.

2339
Feasibility of sensing small molecule thiols using hyperpolarized [13C]cyanate
Cornelius von Morze1, Chloe Najac1, Robert R Flavell1, David E Korenchan1, Pavithra Viswanath1, Lucas Carvajal1, John Kurhanewicz1, Sabrina M Ronen1, Daniel B Vigneron1, and David M Wilson1

1Department of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA, United States

The purpose of this study was to show basic feasibility of non-invasively detecting small molecule thiols using hyperpolarized [13C]cyanate. We detected rapid formation of the expected hyperpolarized S-[13C]carbamyl thiol adduct after adding cysteine to liquid hyperpolarized [13C]cyanate samples. This work demonstrates a new non-enzymatic approach for detecting small molecule thiols such as reduced glutathione, which could be very useful for research on oxidative stress.

2340
13C dynamic nuclear polarization NMR for quantification of metabolic flux of endothelial progenitor cells
Nathalie Nielsen1, Christoffer Laustsen1, Hans Stødkilde-Jørgensen1, and Lotte Bonde Bertelsen1

1MR Research Centre, Department of Clinical Medicine, Aarhus University Hospital, Aarhus University, Aarhus, Denmark

This study aims to quantify the metabolic flux in EPCs in order to characterize the metabolic changes occurring during in-vitro culturing utilized for cell expansion, 3D scaffolds and suspension. [1-13C] hyperpolarized pyruvate is injected to a NMR compatible bioreactor system and the conversion is detected and measured as the lactate/pyruvate ratio. Activation assays and qPCR is performed to support the results. The lactate/pyruvate (6±1,07 fold) and LDH activity is increased in cell suspension culturing. Together with an elevated PDH expression in suspension cultures our conclusion is that adherent cells metabolically compensate in the suspension culture due to the environmental conditions.  

2341
Optimizing flip angles for metabolic rate estimation in hyperpolarized carbon-13 MRI
John Maidens1, Jeremy W. Gordon2, Murat Arcak1, and Peder E. Z. Larson2

1Electrical Engineering & Computer Sciences, University of California, Berkeley, Berkeley, CA, United States, 2Radiology & Biomedical Imaging, University of California, San Francisco, San Francisco, CA, United States

Hyperpolarized carbon-13 MRI experiments typically aim to distinguish between healthy and diseased tissues based on the rate at which they metabolize an injected substrate. Existing approaches to determine flip angle sequences for kinetic measurements have used metrics such as signal variation and signal-to-noise ratio, but are not optimized to provide the most reliable metabolic rate estimates. Here we present a flip angle sequence that maximizes the Fisher information about the metabolic rate. We demonstrate through numerical simulation that flip angle sequences optimized using the Fisher information lead to lower variance in metabolic rate estimates than existing sequences. We then validate this optimized sequence in vivo with experiments in a prostate cancer mouse model.

2342
Dual-Echo EPI Sequence for Integrated Distortion Correction in 3D Time-Resolved Hyperpolarized 13C MRI
Benjamin J. Geraghty1,2, Albert P. Chen3, and Charles H. Cunningham1,2

1Physical Sciences, Sunnybrook Research Institute, Toronto, ON, Canada, 2Dept. of Medical Biophysics, University of Toronto, Toronto, ON, Canada, 3GE Healthcare, Toronto, ON, Canada

A novel dual echo EPI sequence is proposed for providing a built-in correction for off-resonance in time resolved, volumetric hyperpolarized 13C metabolic mapping with [1-13C]pyruvate. The phase evolution between two echoes was used to correct EPI distortion and improve spatial registration with the underlying anatomy. A correction term obtained from a fully phase encoded dual echo EPI proton reference scan was required to account for odd/even echo asymmetry in the 13C phase maps. Proof-of-concept dual echo EPI in vivo rat data was acquired on a clinical 3T MR scanner and corrected images are presented.

2343
Optimization and application of bipolar gradient for flow-suppressed hyperpolarized 13C CSI in mouse liver at 9.4T
Hansol Lee1, Joonsung Lee2, Eunhae Joe1, Seungwook Yang1, Jae Eun Song1, Young-suk Choi3, Eunkyung Wang3, Ho-Taek Song3, and Dong-Hyun Kim1

1Department of Electrical & Electronic Engineering, Yonsei university, Seoul, Korea, Republic of, 2Center for Neuroscience Imaging Research, Institute for Basic Science, Sungkyunkwan University, Suwon, Korea, Republic of, 3Department of Radiology, Yonsei University College of Medicine, Seoul, Korea, Republic of

In hyperpolarized 13C MRI, high signal intensity of vasculature can cause errors in quantification of metabolites or conversion rate constants. The bipolar gradient was used to suppress vascular signal for accurate quantification. However, the velocity of vessel can vary depending on anesthetic level and pulsation. Furthermore, additional T2* relaxation signal loss can be induced by delayed data acquisition in ultra-high field (9.4T) due to short T2*. In this study, the bipolar gradient was optimized to minimize additional signal loss and mitigate variable velocity, then the optimized bipolar gradient was implemented for hyperpolarized 13C CSI and applied to mouse liver experiment.

2344
Mis-Estimation and Bias of Hyperpolarized ADC Measurements Due to Slice Profile Effects
Jeremy W Gordon1, Eugene Milshteyn1, Irene Marco-Rius1, Michael Ohliger1, Daniel B Vigneron1, and Peder EZ Larson1

1Radiology & Biomedical Imaging, University of California - San Francisco, San Francisco, CA, United States

Hyperpolarized diffusion weighted imaging has the potential to noninvasively assess transporter expression and probe specific metabolite microenvironments. However, the imperfect RF excitation profile and the transient, non-recoverable hyperpolarization lead to non-uniform depletion of Mz. After multiple RF pulses, this results in excess signal at later excitations, potentially biasing ADC estimation. Scaling the slice-select gradient can correct for this deviation, minimizing bias and providing more precise ADC measurements of hyperpolarized substrates.

2345
Design and test of a double-nuclear RF coil array for 1H MRI and 13C MRS at 7T
Omar Rutledge1, Tiffany Kwak1, Peng Cao1, and Xiaoliang Zhang1

1Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA, United States

RF coil operation at 7T is fraught with technical challenges, making expansion of 7T into clinical imaging difficult. In this work, a microstrip transmission line and a wire loop coil were combined to form a double-nuclear RF coil array for proton magnetic resonance imaging and carbon magnetic resonance spectroscopy at the ultrahigh magnetic field strength of 7T. Network analysis revealed a high Q-factor and excellent decoupling between the coils. Proton images and carbon spectra were acquired with high sensitivity. The successful testing of this novel double-coil array demonstrates the feasibility of this design for multi-nuclear studies at 7T.


2346
Feasibility of probing lactate metabolism and neuroprotection in a mouse model of stroke using hyperpolarized 13C-lactate
Mor Mishkovsky1, Lara Buscemi2, Ximena Castillo2, Mario Lepore3, Arnaud Comment4, Lorenz Hirt2, and Jean-Noël Hyacinthe5,6

1Laboratory of Functional and Metabolic Imaging, Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland, 2Department of Clinical Neurosciences, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland, 3Centre d'Imagerie Biomédicale (CIBM), Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland, 4Institute of Physics of Biological Systems, Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland, 5School of Health Sciences - Geneva, University of Applied Sciences and Arts Western Switzerland, Geneva, Switzerland, 6Image Guided Intervention Laboratory, University of Geneva, Geneva, Switzerland

Stroke is a major public health challenge in the context of the current demographic changes. Among a wide range of applications, hyperpolarized magnetic resonance enables in vivo real-time measurement of biochemical transformations of hyperpolarized 13C-labeled precursors, including lactate, a known neuroprotectant in stroke at the preclinical level. This study shows the feasibility of measuring lactate metabolism in vivo in a mouse model of stroke (MCAO) following intravenous injection of hyperpolarized L-[1-13C]lactate. Calculated pyruvate-to-lactate ratio shows an increased labeling of the pyruvate pool in MCAO when compared to sham. This feasibility study suggests new perspectives to understand lactate biodistribution and its neuroprotective effect in stroke.

2347
Robust, Quantitative Methods Applied to Clinical Hyperpolarized C-13 MR of Prostate Cancer Patients
Peder Eric Zufall Larson1, Jeremy Gordon1, John Maidens2, Murat Arcak2, Hsin-Yu Chen1, Galen Reed1, Ilwoo Park1, Rahul Aggarwal3, Robert Bok1, Sarah J Nelson1, John Kurhanewicz1, and Daniel B Vigneron1

1Radiology and Biomedical Imaging, University of California - San Francisco, San Francisco, CA, United States, 2Electrical Engineering & Computer Sciences, University of California - Berkeley, Berkeley, CA, United States, 3Medicine, University of California - San Francisco, San Francisco, CA, United States

Clinical evaluation of metabolic MRI using hyperpolarized C-13 agents has begun in earnest at multiple sites with the availability of the SpinLab commercial polarizer.  For this technology to succeed, robust imaging and analysis methods for quantification of metabolic activity are required.  We have developed and are applying efficient dynamic imaging methods, robust kinetic models, and specialized calibration schemes to enable accurate and reproducible quantification in clinical hyperpolarized MR studies.

2348
A Molecular Imaging Approach to Mercury Sensing Based on Hyperpolarized 129Xe Molecular Clamp Probe
Qianni Guo1, Qingbin Zeng1, Weiping Jiang1, Xiaoxiao Zhang1, Qing Luo1, and Xin Zhou1

1Wuhan Institute of Physics and Mathematics, Chinese Academy of Sciences, Wuhan, China, People's Republic of

Mercury contamination is widespread and arises from a variety of natural sources.We propose the use of hyperpolarized 129Xe nuclear magnetic resonance (NMR) spectroscopy for the sensitive detection of Hg2+ ions in aqueous solution.We develop a biosensor whose molecular structure is like a clamp. When interact with Hg2+ in aqueous solution, the molecular structure of the biosensor could be changed as a clamp from “open” to “closed”. This molecular structure change causes the distance between the two cryptophane cages of the biosensor become closer, and the electron cloud of them overlapped. As a result, comparing with normal downfield chemical shifts of the reported xenon biosensors formetallic ions, the Xe caged in the cryptophane moiety shows a upfield chemical shift change from 66.5 ppm to 66.1 ppm. Images were obtained using a CSI method preciously used for clinical MRI.

2349
Investigating Spectral Selectivity of the bSSFP Sequence for High Resolution 3D Dynamic Hyperpolarized 13C MRI at 3T Using C2-Pyruvate and Urea
Eugene Milshteyn1, Cornelius von Morze1, Hong Shang1, Galen D Reed2, and Daniel B Vigneron1

1Radiology and Biomedical Imaging, UCSF, San Francisco, CA, United States, 2HeartVista, Menlo Park, CA, United States

Hyperpolarized 13C MR imaging can provide simultaneous assessments of metabolism and perfusion to study disease processes. High resolution dynamic imaging is needed to fully understand these processes, but is challenging, especially on clinically relevant systems. This project investigated new methods for spectral selectivity with SNR-efficient bSSFP sequences to provide improved high resolution 3D dynamic in vivo HP 13C MR imaging at 3T. 

2350
Toward Spectroscopically Selective Imaging of Hyperpolarized Pyruvate and its Metabolites Using Binomial Pulses In Balanced Steady-State Free Precession
Gopal Varma1, Patricia Coutinho de Souza1, Leo Tsai1, Rupal Bhatt2, and Aaron Grant1

1Radiology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, United States, 2Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, United States

Balanced steady-state free-precession (bSSFP) offers high sensitivity and good temporal resolution, and makes efficient use of hyperpolarized magnetization.  Several strategies for spectroscopically selective imaging with bSSFP have been proposed [1-5].  Here we investigate the use of simple binomial excitation pulses to selectively null the signals from either pyruvate or lactate, the two dominant metabolites in tumors, thereby obtaining images that are dominated by either lactate or pyruvate, respectively.  The method is robust to off-resonance effects, and can be used to augment existing spectroscopic bSSFP techniques.


Traditional Poster

MRSI

Exhibition Hall Wednesday, May 11, 2016: 16:00 - 18:00

2351
Rosette Spectroscopic Imaging (RSI) of human brain at 7T
Claudiu Schirda1, Tiejun Zhao2, Hoby Hetherington1, Victor Yushmanov1, and Jullie Pan1

1Radiology, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States, 2Siemens Medical Solutions, Pittsburgh, PA, United States

Rosette Spectroscopic Imaging (RSI) has been shown to provide similar or superior encoding speed and sensitivity to echo-planar (EPSI) and spiral spectroscopic imaging (SSI), while using much lower peak gradient and slew rates. Fully encoded k-t space 3D acquisitions with 0.4ml voxel size in 7.2mins (20x20x12, spectral width SW=1923Hz --6.47ppm, Gmax=7.1mT/m and Smax=86mT/m/ms), and 2D acquisitions as short as 36s (1cc) to a 9.5min dual-echo TE=17/34ms J-refocused with 0.16ml voxel (4mm in-plane, 48x48, SW=2778Hz --9.35ppm, Gmax=5.1mT/m and Smax=18mT/m/ms) were collected at 7Tesla in phantoms, controls and patients with epilepsy and tumors.

2352
Concentrically circular echo planar spectroscopic imaging at 3T and 7T with partial temporal interleaving
Neil Wilson1, Hari Hariharan1, M. Albert Thomas2, and Ravinder Reddy1

1Radiology, University of Pennsylvania, Philadelphia, PA, United States, 2Radiology, University of California, Los Angeles, CA, United States

We use concentric circular echo planar k-space readout to spectroscopic sampling at high field. At high field, higher bandwidths are required which are difficult to achieve using echo planar techniques due to gradient limitations. Often temporal interleaving is employed to mitigate this. Circular k-space sampling is unique among the echo planar trajectories in that different rings can be sampled at different rates, requiring only partial temporal interleaving.

2353
Rapid, High-Resolution 3D 1H-MRSI of the Brain based on FID Acquisitions
Mohammed Azeem Sheikh1, Fan Lam2, Chao Ma2, Bryan Clifford3, and Zhi-Pei Liang3

1Physics, University of Illinois at Urbana-Champaign, Urbana, IL, United States, 2Beckman Institute, University of Illinois at Urbana-Champaign, Urbana, IL, United States, 3Electrical and Computer Engineering, University of Illinois at Urbana-Champaign, Urbana, IL, United States

In 1H-MRSI, data is typically acquired with spin echo sequences with relatively long acquisition delay, often motivated by the need for water, lipid, and baseline suppression. Here, we present a new method to obtain high-resolution 1H-MRSI data with an FID-based acquisition that has a very short acquisition delay, enabled by a new scheme for nuisance signal removal. The new acquisition method enables short repetition time and rapid acquisition of spectroscopic data. Experimental results demonstrate in vivo 3D 1H-MRSI of the brain with isotropic 3 mm resolution in 15 minutes.

2354
A comparison of lipid suppression by double inversion recovery, L1- and L2-regularisation for high resolution MRSI in the brain at 7 T
Gilbert Hangel1, Bernhard Strasser1, Michal Považan1, Martin Gajdošík1, Stephan Gruber1, Marek Chmelík1, Siegfried Trattnig1,2, and Wolfgang Bogner1

1MRCE, Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria, 2Christian Doppler Laboratory for Clinical Molecular MR Imaging, Vienna, Austria

Reliable lipid suppression is essential for robust quantification of parallel imaging accelerated high- resolution MRSI. This work compared the performance of non-selective lipid suppression using double inversion recovery (DIR) with the application of L1- and L2-regularisation during data processing for single-slice MRSI with a 64×64 matrix and a GRAPPA-acceleration of nine in five volunteers. While DIR featured the best lipid suppression, it increased the measurement time and reduced metabolite SNR. L1 and L2 did not have these downsides, but twice as much lipid signal remained, with L1 increasing the data pre-processing time before spectral quantification by a factor of six.

2355
Crusher coil lipid suppression for volumetric 1H echo-planar spectroscopic imaging of the human brain at 7 Tesla
Karim Snoussi1,2, Joseph S. Gillen1,2, Michael Schär1,2, Vincent O. Boer3, Richard A.E. Edden1,2, and Peter B. Barker1,2

1Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 2Kennedy Krieger Institute, Baltimore, MD, United States, 3Department of Radiology, University Medical Center Utrecht, Utrecht, Netherlands

Suppression of extra cranial lipid signals is a significant challenge for MR spectroscopy at high field. This study describes the use of a crusher coil in a volumetric proton echo-planar spectroscopic imaging (EPSI) sequence for 7T. It is shown in vivo that the application of the crusher coil improves the spin-echo 7T EPSI sequence and allows to record high quality spectroscopic imaging data with extended 3D coverage and low RF power deposition.

2356
Achieving High Spatiotemporal Resolution for 1H-MRSI of the Brain
Fan Lam1, Chao Ma1, Qiegen Liu1, Bryan Clifford1,2, and Zhi-Pei Liang1,2

1Beckman Institute, University of Illinois at Urbana-Champaign, Urbana, IL, United States, 2Department of Electrical and Computer Engineering, University of Illinois at Urbana-Champaign, Urbana, IL, United States

We present a novel strategy to achieve high spatiotemporal resolution for 1H-MRSI of the brain. The proposed acquisition scheme is characterized by: (a) the use of EPSI-based rapid spatiospectral encoding with an extended k-space coverage; (b) sparse sampling of (k,t)-space; (c) time-interleaved k-space undersampling, and (d) acquisition and use of navigator signals for determining subspace structures. This special acquisition is enabled by a subspace-based data processing and reconstruction method that can effectively remove nuisance signals and obtain high-quality reconstructions from sparse and noisy data. Experimental data have been acquired to demonstrate the potential of the proposed method in producing time-resolved spatiospectral distributions.

2357
Measurement reproducibility of the spiral encoding GABA-edited MEGA-LASER 3D-MRSI in the brain at 3T
Petra Hnilicová1, Michal Považan2, Bernhard Strasser2, Ovidiu C Andronesi3, Dušan Dobrota1, Siegfried Trattnig2, and Wolfgang Bogner2

1Department of Medical Biochemistry, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Martin, Slovakia, 2Department of Biomedical Imaging and Image-guided Therapy, MR Center of Excellence, Medical University of Vienna, Vienna, Austria, 3Department of Radiology, Martinos Center for Biomedical Imaging, Harvard Medical School, Boston, MA, United States

In vivo assessment of neurotransmitter levels can improve the understanding of several pathological processes. For non-invasive GABA+ and Glx mapping in vivo within one scan, we applied a spiral-encoded GABA-edited MEGA-LASER 3D-MRSI sequence with real time corrections, achieving the ~3 cc nominal resolution in ~20 minutes. Via test-retest assessment in 14 healthy volunteers (7 men/7 women) we confirmed the measurement reproducibility and inter- and intra-subject variability of GABA+ and Glx ratios and thus validated that our method may be used in (pre)clinical studies of neurotransmitters alterations in the brain at 3T.  

2358
Comparison of high-resolution FID-MRSI in the brain between 3 and 7 Tesla
Eva Heckova1, Stephan Gruber1, Bernhard Strasser1, Michal Povazan1, Gilbert Hangel1, Siegfried Trattnig1,2, and Wolfgang Bogner1

1High Field MR Center, Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria, 2Christian Doppler Laboratory for Clinical Molecular MR Imaging, Vienna, Austria

Magnetic resonance spectroscopic imaging (MRSI) allows to measure different metabolites in the brain. SNR and spectral resolution increases at higher magnetic fields. We compared FID-MRSI with ultra short acquisition delay (1.5 ms) and a very high spatial resolution in the same group of healthy subjects at 3T and 7T. We found 1.87-fold increased SNR and decreased CRLBs at 7T in comparison with 3T. The higher spectral resolution at 7T allows to distinguish between NAA and NAAG and reliable detect other metabolites like Glx or Tau. Accelerating the acquisition techniques leads to lower SNR, however not to substantially decreased quantification precision.

2359
Fast and efficient free induction decay MRSI at 9.4 T: assessment of neuronal activation-related changes in the human brain biochemistry
Grzegorz L. Chadzynski1,2, Jonas Bause2, G. Shajan2, Rolf Pohmann2, Klaus Scheffler1,2, and Philipp Ehses1,2

1Biomedical Magnetic Resonance, Eberhard-Karls University of Tübingen, Tübingen, Germany, 2High-field Magnetic Resonance Center, Max Planck Institute for Biological Cybernetics, Tübingen, Germany

The aim was to design a MRSI-FID sequence for ultra-high field applications with high acquisition speed and sampling efficiency. The sequence allows acquisition of a 32×32 voxel matrix within approximately 2 min, down to 30 sec using parallel imaging. We have examined the suitability of this approach for assessing biochemical changes in the human visual cortex during a visual stimulus. Obtained results were in accordance with other functional MRS studies and indicate that the developed sequence is suitable for rapid monitoring of stimulus evoked changes in human brain biochemistry at a very high spatial resolution.

2360
Quantitative Comparison of SNR between High and Low Resolution of 3D Chemical Shift Imaging (CSI)
Byeong-Yeul Lee1, Xiao-Hong Zhu1, and Wei Chen1

1Center for Magnetic Resonance Research, Radiology, University of Minnesota, Minneapolis, MN, United States

Spatial averaging of multiple high-resolution CSI (hrCSI) voxels is commonly employed to gain SNR and improve quantification of metabolites. Using in vivo 17-oxygen 3D CSI, we compared SNR between spatial averaging of multiple hrCSI voxels and a single voxel acquired with low-resolution CSI (lrCSI) with matched sample volume and position. SNR from voxel averaging was much lower than that of lrCSI caused mainly by the increased noise level by spectral summation. This study clearly demonstrates that the acquisition of high-resolution data with spatial averaging faces a large trade-off of SNR. Therefore, it should be taken consideration carefully for the choice of an appropriate voxel size of high-resolution CSI for in vivo study of neurological or metabolic diseases. 

2361
Removal of Nuisance Signal from Sparsely Sampled 1H-MRSI Data Using Physics-based Spectral Bases
Qiang Ning1,2, Chao Ma2, Fan Lam2, Bryan Clifford1,2, and Zhi-Pei Liang1,2

1Electrical and Computer Engineering, University of Illinois, Urbana-Champaign, Urbana, IL, United States, 2Beckman Institute for Advanced Science and Technology, University of Illinois, Urbana-Champaign, Urbana, IL, United States

A novel nuisance removal method is proposed for 1H-MRSI. The method uses spectral bases generated for water and subcutaneous lipids using quantum simulation, and can perform nuisance signal removal directly from (k,t)-space data. Consequently, the proposed method is able to handle sparsely sampled MRSI data, which provides a desirable flexibility for designing accelerated 1H-MRSI data acquisition schemes.  Experimental results demonstrate that the proposed method is capable of removing nuisance signals from 1H-MRSI data acquired from the brain without water and lipid suppression pulses.

2362
Neurochemical Changes in Thalamus and Midbrain of Patients with Obstructive Sleep Apnea Syndrome using Accelerated Echo Planer J-resolved Spectroscopic Imaging
Manoj Kumar Sarma1, Paul Michael Macey2, Rajakumar Nagarajan1, Ravi Aysola3, and M. Albert Thomas1

1Radiological Sciences, UCLA School of Medicine, Los angeles, Los Angeles, CA, United States, 2School of Nursing, UCLA School of Medicine, Los angeles, Los Angeles, CA, United States, 3Division of Pulmonary and Critical Care Medicine, UCLA School of Medicine, Los angeles, Los Angeles, CA, United States

Obstructive sleep apnea syndrome (OSAS), which have many comorbidities including hypertension and other cardiovascular diseases, leads to autonomic, cognitive, and affective abnormalities. The thalamus, and midbrain are key structures that serve such functions through critical relays in nuclei but the status of this region is unclear OSAS. Here, we examined neurochemical changes in the thalamus and midbrain of OSAS patients to better understand the nature of tissue changes using compressed sensing based 4D echo-planar J-resolved spectroscopic imaging (EP-JRESI) and prior knowledge fitting (ProFit) algorithm for metabolite quantification. We observed significantly increased mI/Cr in midbrain and bilateral thalamus. Significantly increased Glx/Cr, Glu/Cr was found in right thalamus and midbrain, and decreased tNAA/Cr, NAA/Cr in left thalamus and midbrain respectively. Thalamus showed significantly reduced tCho/Cr bilaterally. We also found significantly decreased GPC/Cr, increased Gln/Cr, Asc/Cr in right thalamus and increased Asc/Cr in midbrain. The findings will help to explain structural brain changes in OSAS. Most of these metabolites can be manipulated through pharmacological approaches, and could serve as a biomarker of any possible intervention.

2363
Prior Knowledge Fitting (ProFit) of Non-uniformly Sampled 5D Echo Planar Spectroscopic Imaging Data : Effect of Acceleration on Concentrations and  Cramer Rao Lower Bounds
Zohaib Iqbal1 and M. Albert Thomas1

1Radiological Sciences, University of California - Los Angeles, Los Angeles, CA, United States

The five dimensional echo planar spectroscopic imaging (5D EP-JRESI) sequence uses an echo planar readout, non-uniform sampling (NUS), and compressed sensing reconstruction to obtain two dimensional spectra from three spatial dimensions. However, the effects of NUS and reconstruction on quantitation results and fit quality parameters, such as the Cramer Rao Lower Bound (CRLB), are unknown. This study uses the new Prior knowledge Fitting (ProFit) algorithm to fit the 5D EP-JRESI results acquired using retrospective as well as prospective NUS. Comparison to the full data demonstrates that the 5D EP-JRESI method can sample 8-times faster while retaining accurate metabolite ratios and CRLB values.      

2364
Ultrashort TE 3D spectroscopic imaging for high SNR imaging and bi-exponential signal decay characterization of sodium
Jetse S. van Gorp1, Paul W. de Bruin2, and Peter R. Seevinck1

1Image Sciences Institute, University Medical Center Utrecht, Utrecht, Netherlands, 2Radiology, Leiden University Medical Center, Leiden, Netherlands

Sodium relaxation behavior has been related to structural and cellular integrity, which is of interest for early disease detection. However, the short T2* values, bi-exponential relaxation behavior and low sensitivity makes accurate signal characterization challenging. In this work a 3D-UTE-FID-SI sequence was developed to measure the sodium decay curve with a 32kHz temporal resolution and sub-ms TE to characterize the bi-exponential signal decay characteristics of sodium in vitro and in vivo.


 


Traditional Poster

MRS Methods

Exhibition Hall Wednesday, May 11, 2016: 16:00 - 18:00



2365
Accounting for GABA editing efficiency and macromolecule co-editing to allow inter-vendor comparisons of GABA+ measurements
Ashley D Harris1,2,3,4,5, Nicolaas AJ Puts1,5, Laura Rowland6, S. Andrea Wijtenburg6, Mark Mikkelsen7, Peter B Barker1,5, C. John Evans7, and Richard AE Edden1,5

1FM Kirby Center for Functional Brain Imaging, Kennedy Krieger Institute, Baltimore, MD, United States, 2CAIR Program, Alberta Children's Hospital Research Institute, University of Calgary, Calgary, AB, Canada, 3Radiology, University of Calgary, Calgary, AB, Canada, 4Hotchkiss Brain Institute and Alberta Children's Hospital Research Institute, Calgary, AB, Canada, 5Russell H Morgan Department of Radiology and Radiological Science, The Johns Hopkins University, Baltimore, MD, United States, 6Maryland Psychiatric Research Center, Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, United States, 7CUBRIC, School of Psychology, Cardiff University, Cardiff, United Kingdom

Differences in GABA+ MEGA PRESS acquisitions between vendors are quantified in terms of the editing efficiency of GABA and the fractional co-editing of macromolecules. Accounting for these two parameters results in moderate agreement among the different vendors considered.

2366
Towards a neurochemical profile of the amygdala using SPECIAL at 3 tesla
Florian Schubert1, Ralf Mekle1, Simone Kühn2, Jürgen Gallinat3, and Bernd Ittermann1

1Physikalisch-Technische Bundesanstalt (PTB), Braunschweig and Berlin, Germany, 2MPI for Human Development, Berlin, Germany, 3Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany

Since disturbed amygdala function is linked to psychiatric conditions insight into its biochemistry, particularly the neurotransmitters, is required. We combined the SPECIAL MRS sequence with FAST(EST)MAP implementation, corrections for frequency drift, relaxation, CSF volume, and a basis set including a measured macromolecule spectrum for quantification of metabolites in the amygdala in 20 volunteers at 3T. Beyond quantification of the three main metabolites plus myo-inositol with excellent precision, for the first time glutamate was determined reliably and separately from glutamine. Using a basis set without macromolecules introduced a systematic overestimation of concentrations. Glutamine and glutathione was quantifiable only in a subset of spectra.

2367
Estimation of  in vivo γ-aminobutyric acid (GABA) levels in the neonatal brain
Moyoko Tomiyasu1,2, Noriko Aida3, Jun Shibasaki4, Katsutoshi Murata5, Keith Heberlein6, Mark A. Brown7, Eiji Shimizu2, Hiroshi Tsuji1, and Takayuki Obata1

1National Institute of Radiological Sciences, Chiba, Japan, 2Chiba University, Chiba, Japan, 3Department of Radiology, Kanagawa Children's Medical Center, Yokohama, Japan, 4Kanagawa Children's Medical Center, Yokohama, Japan, 5Siemens, Tokyo, Japan, 6Biomedical Imaging Technology Center, Burlington, MA, United States, 7University of Colorado, Cary, NC, United States

We examined in vivo brain γ-aminobutyric acid (GABA) levels of neonates and compared them with those of children. In this study, 32 normal neonates and 12 normal children (controls) had their brain GABA levels measured using clinical 3T edited-MRS. The neonates exhibited significantly lower GABA+ levels than the children in both the basal ganglia and cerebellum, which is consistent with previous in vitro data. While significantly higher GABA+/Cr levels were detected in the neonatal cerebellum, care should be taken when comparing GABA+/Cr levels between different ages. This is the first report about the in vivo brain GABA levels of neonates.

2368
Assessment of Lipid Changes in Obese Calf Using Muti-Echo Echo-planar Correlated Spectroscopic Imaging
Rajakumar Nagarajan1, Raissa Souza1, Edward Xu1, Manoj K Sarma1, S. Sendhil Velan2, Cathy C Lee3, Theodore Hahn3, Catherine Carpenter4, Vay-Liang Go5, and M.Albert Thomas1

1Radiological Sciences, University of California Los Angeles, Los Angeles, CA, United States, 2Laboratory of Molecular Imaging, Singapore Bioimaging Consortium, Singapore, Singapore, 3Geriatrics, VA Greater Los Angeles Healthcare System, Los Angeles, CA, United States, 4UCLA Schools of Nursing, Medicine, and Public Health, Los Angeles, CA, United States, 5UCLA Department of Medicine, Los Angeles, CA, United States

Obesity is a serious public health problem associated with high rates of morbidity and mortality. One-dimensional MR spectroscopy suffers from overlapping spectral resonances which can complicate metabolite identification and quantitation. Two-dimensional spectroscopic techniques have been demonstrated in calf muscle to reduce the problem of spectral overlap. In this study, we used the four dimensional (4D) multi-echo echo planar correlated spectroscopic imaging (ME-EPCOSI) technique to quantify the lipids and metabolites in soleus, tibialis anterior and gastrocnemius calf muscles of obese and normal healthy subjects. The 4D ME-EPCOSI acquired data enabled less ambiguous quantitation of metabolites, unsaturated and saturated fatty acids in different calf muscle regions using IMCL ratios and unsaturation indices.

2369
Simultaneous modeling of spectra and apparent diffusion coefficients.
Victor Adalid Lopez1, André Doering1, Sreenath Pruthviraj Kyathanahally 1, Christine S. Bolliger1, and Roland Kreis1

1Depts. Radiology and Clinical Research, University Bern, Bern, Switzerland

Diffusion weighted spectroscopy can provide information on the diffusion of metabolites and the microstructure of brain tissue. A method for simultaneous fitting of spectra related by mono-exponential diffusion weighting is introduced, which is similar to simultaneous fitting of a 2DJ or inversion recovery data set. As shown for simulated white matter data, the method improves both, accuracy and precision of ADC estimation for all metabolites. It is also illustrated with diffusion data obtained from human gray matter at 3T.

2370
Novel Triple-refocusing 1H MRS at 3T for detection of GABA in human brain in vivo
Zhongxu An1, Sandeep Ganji1, Vivek Tiwari1, and Changho Choi1

1Advanced Imaging Research Center, University of Texas Southwestern Medical Center, Dallas, TX, United States

Reliable detection of GABA is important for research studies in neuro-psychiatric diseases.  In vivo 1H GABA resonances extensively overlap with the neighboring resonances of glutamate and glutamine. We present an optimized single-shot triple-focusing 1H MRS method which fully resolved GABA 2.29-ppm signal at 3T. 

2371
Prospective frequency correction for TE-averaged semi-LASER
Chu-Yu Lee1, In-Young Choi1,2,3, Peter Adany1, and Phil Lee1,3

1Hoglund Brain Imaging Center, University of Kansas Medical Center, Kansas city, KS, United States, 2Department of Neurology, University of Kansas Medical Center, Kansas City, KS, United States, 3Department of Molecular & Integrative Physiology, University of Kansas Medical Center, Kansas City, KS, United States

Frequency drifts during MRS acquisition results in broad and distorted spectral lineshapes, a reduced SNR and quantification errors. The consequence of frequency drifts is particularly significant in spectral-editing sequences, because spectral editing critically relies on narrow-band frequency selective pulses or accurate spectral alignments among scans for subtraction/addition of spectra. Frequency drift can occur due to subject’s movement and/or MR system instability. Even in advanced MR systems with self-shielded gradients, significant frequency drifts occur due to eddy current-induced heating and cooling of passive shim materials, particularly after MR scans with heavy gradient duty cycles. The effects of frequency drifts can be mitigated through prospective and retrospective frequency corrections.  Currently, most spectral-editing methods use post-processing approaches to correct the effects of frequency drifts retrospectively. In this study, we have developed a prospective frequency correction method and implemented it in a semi-LASER based TE-averaged sequence for glutamate detection.

2372
Automatic Multi-layer Classification System of Brain Tumor Based on Multi-modality MRI and Clinical Information
Yafei Wang1, Yue Zhang1, Lingyi Xu1, Yu Sun1, Lei Xiang2, Meiping Ye2, Suiren Wan1, Bing Zhang2, and Bin Zhu2

1The Laboratory for Medical Electronics, School of Biological Sciences and Medical Engineering, Southeast University, Nanjing, China, People's Republic of, 2Department of Radiology, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China, People's Republic of

Classification or grading of brain tumor alone would not be enough for clinical use, therefore we designed a comprehensive multi-layer system combining the two functions together. Firstly, we designed it as a three-layer system according to clinic workflow. Then, we extracted new features from multi-modality MRI and patients’ clinical information, which were easily ignored or difficult found by eyes. And then we implemented SVM and Tumor Model to classify tumor type and tumor grade. This study proposed a novel multi-layer system for clinic use by reducing the diagnosis uncertainty.

2373
Reproducibility and gender-related effects on macromolecule suppressed GABA and Glx metabolites
Muhammad Gulamabbas Saleh1, A Alhamud1, Jamie Near2, Frances Robertson1, André J.W. van der Kouwe3, and Ernesta M Meintjes1

1Human Biology, MRC/UCT Medical Imaging Research Unit, University of Cape Town, Cape Town, South Africa, 2Douglas Mental Health University Institute and Department of Psychiatry, McGill University, Montreal, QC, Canada, 3Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, United States

Several studies have characterized short and long term reproducibility of Glx and GABA+, but not macromolecule (MM) suppressed GABA. Further, gender-related differences have been observed in GABA+, but these may, in part, be due to inter-individual variations of MM. Motion and magnetic field inhomogeneity can hamper the consistent application of frequency-selective pulses at 1.7ppm necessary for effective GABA editing.  We demonstrate that the shim and motion-navigated MEGA-SPECIAL sequence produces well-edited GABA and Glx spectra. LCModel quantification yields the best reproducibility. Observed gender-related differences in GABA highlight the need for gender-matching in studies investigating differences in GABA concentrations.

2374
1H-MRS of Human Liver at 3 T: Relaxation Times and Metabolite Concentrations
Jan Weis1, Fredrik Rosqvist2, Joel Kullberg1, Ulf Risérius2, and Håkan Ahlström1

1Department of Radiology, Uppsala University, Uppsala, Sweden, 2Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden

Proton MR spectroscopy of healthy human liver was performed at 3 T MR scanner. The purpose of this study was to estimate glycogen (Glycg), choline-containing compounds (CCC), water, and lipid (-CH2-)n relaxation times T1, T2, and absolute concentration of Glycg, CCC, and fat. Experiments were performed using multiple breath-hold technique. Spectra were processed by LCModel. T1 and T2 values were obtained by mono-exponential fitting spectral intensities versus repetition or echo times. Quantification of liver Glycg, CCC and lipids is important for understanding changes in lipid and glucose metabolism due to metabolic disorders. 

2375
Gradient-heavy sequences degrade the quality of subsequent spectroscopy acquisitions
Benjamin C Rowland1, Fatah Adan1, Huijun Liao1, and Alexander P Lin1

1Centre for Clinical Spectroscopy, Brigham and Women's Hospital, Boston, MA, United States

B0 frequency drift is a well-known phenomenon which can have a significant impact on MR spectroscopy, affecting both peak resolution and metabolite quantification. B0 drift is particularly associated with gradient-heavy EPI sequences like DTI. In a study of 53 subjects receiving DTI and MRS, the mean FWHM more than doubled as a result of frequency drift and metabolite concentrations were often misestimated by LC Model.

2376
Elucidation of the downfield spectrum of human brain at 7T using multiple inversion recovery delays and echo times
Nicole D Fichtner1,2, Anke Henning2,3, Niklaus Zoelch2, Chris Boesch1, and Roland Kreis1

1Depts. Radiology and Clinical Research, University of Bern, Bern, Switzerland, 2Institute for Biomedical Engineering, UZH and ETH Zurich, Zurich, Switzerland, 3Max Planck Institute for Biological Cybernetics, Tuebingen, Germany

Characterization of the full 1H spectrum may allow for better monitoring of pathologies and metabolism in humans. The downfield part (5-10ppm) is currently less well characterized than upfield; this work aims to benefit from higher field strength in order to quantify T1 and T2 in the downfield spectrum in human grey matter at 7T. We fitted downfield spectra to a heuristic model and obtained relaxation times for twelve peaks of interest. The T1’s are higher than those at 3T downfield; peaks with lower T1’s may include macromolecules. The T2’s are mostly shorter than those reported for upfield peaks at 7T.

2377
Tissue correction strategy impacts GABA quantification: a study in healthy aging
Ashley D Harris1,2,3,4, Eric Porges5, Adam J Woods5,6, Damon G Lamb5,7, Ronald A Cohen5, John B Williamson5,8, Nicolaas AJ Puts3,4, and Richard AE Edden3,4

1Radiology, University of Calgary, Calgary, AB, Canada, 2CAIR Program, Hotchkiss Brain Institute and Alberta Children's Hospital Research Institute, Calgary, AB, Canada, 3Russell H Morgan Department of Radiology and Radiological Science, The Johns Hopkins University, Baltimore, MD, United States, 4FM Kirby Center for Functional Brain Imaging, Kennedy Krieger Institute, Baltimore, MD, United States, 5Center for Cognitive Aging and Memory (CAM), McKnight Brain Institute, Department of Aging and Geriatric Research, University of Florida, Gainesville, FL, United States, 6Department of Neuroscience, University of Florida, Gainesville, FL, United States, 7Brain Rehabilitation and Research Center, Malcom Randall Veterans Affairs Medical Center, Gainesville, FL, United States, 8Brain Rehabilitation and Research Center, Brain Rehabilitation and Research Center, Gainesville, FL, United States

There are various strategies for tissue correction for MRS. Here, using data from a healthy aging cohort, we show that the selection of tissue correction method can change the conclusions that are drawn from data.

2378
Towards low power EPR Imaging using Frank poly-phase pulse sequence
Nallathamby Devasahayam1, Randall H. Pursley2, Thomas J. Pohida2, Shingo Matsumoto3, Keita Saito4, Sankaran Subramanian5, and Murali C. Krishna4

1Radiation Biology Branch, National Cancer Institute, Bethesda, MD, United States, 2Center for Information Technology, Bethesda, MD, United States, 3Graduate School of Information Science and Technology, Sapporo, Japan, 4National Cancer Institute, Bethesda, MD, United States, 5Indian Institute of Technology Madras, Chennai, India

Electron Paramagnetic Resonance (EPR) imaging  is suited well for small animal physiological imaging with its unique capability of generating in vivo quantitative oxygen maps. The main bottleneck in scaling up pulsed EPR imaging to human anatomy is that the required RF power of US federal food and drug administration (FDA), specific absorption rate (SAR) limits. In Frank Sequence we are using power levels on the order of 250 microwatts in a crossed coil resonator with ~35 dB isolation. Using a 256 pulse polyphase Frank Sequence, it was possible to obtain images with good SNR.

2379
Hitchhikers guide to voxel segmentation for partial volume correction of in-vivo magnetic resonance spectroscopy
Scott Quadrelli1,2, Carolyn Mountford3, and Saadallah Ramadan2

1Queensland University of Technology, Brisbane, Australia, 2The University of Newcastle, Newcastle, Australia, 3The Translational Research Institute, Brisbane, Australia

Whilst many studies have detailed the impact of partial volume effects on proton magnetic resonance spectroscopy quantification, there is a paucity of literature explaining how voxel segmentation can be achieved using freely available neuroimaging packages. Here we aim to demonstrate a practical guide to magnetic resonance spectroscopy (MRS) voxel segmentation, partial volume correction and detail how to extract other MR metrics (such as DTI, fMRI) from a MRS voxel. 

2380
Enhancement of signal intensity using a wireless coil for FT-EPR oximetry study
Ayano Enomoto1, Gadisetti V. R. Chandramouli2, Alan P Koretsky3, Chunqi Qian4, Murali K Cherukuri1, and Nallathamby Devasahayam1

1Radiation Biology Branch, National Cancer Institute, Bethesda, MD, United States, 2GenEpria Consulting Inc., Columbia, MD, United States, 3National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD, United States, 4Department of Radiology, Michigan State university, East Lansing, MI, United States

Sensitivity enhancement is required to detect the weak signals with Fourier transform Electron Paramagnetic Resonance (FT-EPR).  In the proposed method, a small amount of sample was placed at a distance less than half the diameter of the receiving surface coil. The signal was enhanced by a wirelessly pumped coil. Presently, we used the TCNQ for our studies to study signal enhancement. Here, we achieved 7-fold of improvement in signal intensity in compared with conventional FT-EPR acquisition. We will show the results of in vivo oximetry using oxygen sensing solids LiPc and LiNc in in vivo applications to measure tissue oxygenation.

2381
Assessment of serine quantification reproducibility using advanced 1H-MRS in the human brain at 3T
Homa Javadzadeh1,2 and Jean Théberge1,2,3

1Department of Medical Biophysics, University of Western Ontario, London, ON, Canada, 2Imaging Division, Lawson Health Research Institute, London, ON, Canada, 3Diagnostic Imaging Department, St. Joseph's Health Care, London, ON, Canada

D-serine supplements alleviate some of the most debilitating features of schizophrenia believed to be associated with glutamatergic abnormalities. Assessment of endogenous serine is impossible using standard proton Magnetic Resonance Spectroscopy (1H-MRS). This work employs a novel 1H-MRS sequence called DANTE-PRESS (D-PRESS) and presents test-retest reliability study for serine levels acquired at 3T in phantoms and initial data in two human subjects. We conclude that reproducibility and precision of serine measurements on a 3.0T scanner is sufficient to assess endogenous levels in vivo and is a valuable tool to examine abnormalities in schizophrenia and monitor supplementation.

2382
Large Improvements of RF field Transmission Efficiency and Detection Sensitivity for Ultrahigh-field In vivo 31P MRS using Emerging Technology of Ultrahigh Dielectric Constant Material
Byeong-Yeul Lee1, Xiao-Hong Zhu1, Sebastian Rupprecht2, Michael T. Lanagan3, Qing X. Yang2,4, and Wei Chen1

1Center for Magnetic Resonance Research, Radiology, University of Minnesota, Minneapolis, MN, United States, 2Center for NMR Research, Radiology, The Pennsylvania State College of Medicine, Hershey, PA, United States, 3Engineering Science and Mechanics, The Pennsylvania State College of Engineering, University Park, PA, United States, 4Neurosurgery, The Pennsylvania State College of Medicine, Hershey, PA, United States

Compared to 1H MRS, X-nuclei MRS for human application faces two challenges: higher requirement of RF power (thus, higher SAR) for achieving the same RF pulse flip angle due to a relatively lower gyromagnetic ratio, and still limited SNR even at high/ultrahigh field. In this report, we demonstrate that up to 200% SNR gain was achieved with ultra high dielectric constant (uHDC) materials incorporated into the RF volume coil for 31P MRS at 7T. Concomitantly, the RF power optimized for acquiring the spectra was significantly reduced by 200%. Our data demonstrated that incorporating uHDC with RF coil can significantly boost SNR and reduce RF transmission power X-nuclei MRS applications on top of using high field strength magnet that has approached to its technologic limits.

2383
9.4 Tesla 1H-MRS of Glutamate and GABA in a 3.6 cubic-mm volume using an optimized UTE-STEAM sequence
Nicola Bertolino1, Paul Polak1, Marilena Preda1,2, Robert Zivadinov1,2, and Ferdinand Schweser1,2

1Buffalo Neuroimaging Analysis Center, Department of Neurology,Jacobs School of Medicine and Biomedical Sciences, The State University of New York at Buffalo, Buffalo, NY, United States, 2MRI Molecular and Translational Research Center, Jacobs School of Medicine and Biomedical Sciences, The State University of New York at Buffalo, Buffalo, NY, United States

In-vivo 1H-MR spectroscopy is a non-invasive technique able to detect metabolites providing important information from investigated tissue. GABA and Glutamate are two metabolites altered in many neurological diseases, although challenging to quantify in vivo because of a number of technical issues: voxel localization, low concentration, short T2, overlapping peaks and spin-spin coupling. In this work we developed an optimized parameter set for an ultra-short TE STEAM.

2384
Effects of Storage Conditions on Transverse Relaxation in Bovine Articular Cartilage
Kyle W. Sexton1, Hasan Celik1, Kenneth W. Fishbein1, and Richard G. Spencer1

1National Institute on Aging, National Institutes of Health, Baltimore, MD, United States

Quantification of cartilage matrix components with nuclear magnetic resonance has potential applications to the early diagnosis of osteoarthritis. Ex-vivo cartilage samples are often used to observe the MR parameters of healthy and degraded cartilage. To ensure the accuracy of MR parameters, the storage of the explants is extremely important. DPBS is often used to immerse cartilage tissue specimens during imaging, with the assumption that it prevents dehydration. In this study it was found that storing BAC tissue explants in DPBS can rapidly and significantly increase the observed T2 values. An alternative storage medium to maintain T2 stability is Fluorinert.

2385
Frequency correction based on interleaved water acquisition improves spectral quality in MM-suppressed GABA measurements in vivo
Nicolaas AJ Puts1,2, Kimberly L Chan1, Ashley D Harris1,2,3,4, Peter B Barker1,2, and Richard AE Edden1,2

1Radiology and Radiological Science, Johns Hopkins University, Baltimore, MD, United States, 2F.M. Kirby Center for Functional Brain Imaging, Kennedy Krieger Institute, Baltimore, MD, United States, 3Alberta Children's Hospital Research Institute, University of Calgary, Calgary, AB, Canada, 4Radiology, University of Calgary, Calgary, AB, Canada

MM-suppressed GABA measurements use symmetric editing of both MM and GABA signals. Frequency drift, either by gradient induced heating/cooling, or motion, significantly affects the editing efficiency of GABA and MM. To stabilize the center frequency, we interleaved the unsuppressed water acquisition throughout the scan and used it to correct the frequency, in eight healthy participants, and compared this to a condition without frequency correction. Frequency correction improves spectral quality of MM-suppressed GABA editing in vivo.

2386
Single volume localization without RF refocusing for dynamic hyperpolarized 13C MR spectroscopy
Albert P Chen1, Ralph E Hurd2, Angus Z Lau3, and Charles H Cunningham4,5

1GE Healthcare, Toronto, ON, Canada, 2GE Healthcare, Menlo Park, CA, United States, 3Physiology, Anatomy and Genetics, University of Oxford, Oxford, United Kingdom, 4Physical Sciences, Sunnybrook Health Sciences Centre, Toronto, ON, Canada, 5Medical Biophysics, University of Toronto, Toronto, ON, Canada

A method for single volume dynamic hyperpolarized 13C MRS acquisition is proposed.  Using a slice selective pulse-acquire pulse sequence with 2D spiral readout this technique enables 3D localization of the MRS data.  By confining the readout trajectory to each dwell time, the raw data sampled during the trajectory are averaged by the digital filter, thus the output data represent only the center voxel and no k-space data sorting and reconstruction are required.  This sequence can be used practically the same way as a standard pulse-acquire acquisition for HP13C experiments, but the spectrum will be localized to a 3D volume. 

2387
Metabolic ratios can increase or decrease sample size requirements and statistical significance in magnetic resonance spectroscopy
Sarah E. Hoch1, Ivan I. Kirov2, and Assaf Tal3

1Radiology, Sheba Medical Center, Ramat-Gan, Israel, 2Radiology, New York University Langone Medical Center, New York, NY, United States, 3Chemical Physics, Weizmann Institute of Science, Rehovot, Israel

Metabolite ratios are often used to simplify metabolic quantification. It is often implicitly assumed that they are also statistically favorable when both numerator and denominator metabolites change in opposing manners. Herein, we show that even for such cases, both sample size requirements and statistical significance depend non-trivially on taking the ratio. We conclude that care must be taken when deciding between ratios and absolute quantification during study design. 

2388
Improved semi-LASER sequence with short echo time for ultra-high field using selective GOIA refocusing pulses
Michal Považan1,2, Lukas Hingerl1, Bernhard Strasser1, Gilbert Hangel1, Eva Heckova1, Stephan Gruber1, Siegfried Trattnig1,2, and Wolfgang Bogner1

1High Field MR Center, Department of Biomedical Imaging and Image-guided Therapy, Medical University Vienna, Vienna, Austria, 2Christian Doppler Laboratory for Clinical Molecular MR Imaging, Vienna, Austria

MR spectroscopy (MRS) profits from ultra-high field (UHF) with higher SNR and enhanced spectral resolution. However, the higher demand on bandwidth of RF pulses together with power limitations complicate the utilization of localization sequences such as PRESS or STEAM. A semi-LASER sequence appears to be a suitable candidate for UHF MRS if properly optimized. We aimed to implement selective GOIA refocusing pulses and optimize the gradient scheme to yield shortest echo time possible on a volume coil. Our semi-LASER sequence outperformed the conventional sequences in terms of SNR and chemical shift displacement artifact and proved to be applicable at UHF.

2389
Assessment of intracellular lipids of non-adipose pancreatic cells
Jan Weis1, Lina Carlblom1, Lars Johansson1, Olle Korsgren2, and Håkan Ahlström1

1Department of Radiology, Uppsala University, Uppsala, Sweden, 2Department of Immunology, Genetics and Pathology, Uppslala University, Uppsala, Sweden

A 1.5 T clinical scanner was used for proton MR spectroscopy (1H-MRS) of human pancreas allografts. The main purpose was to estimate intracellular lipid content in non-adipose pancreatic cells. The secondary aim was to quantify total fat and choline-containing compounds. Spectrum processing was performed in the time domain using MRUI software package. It was demonstrated that 1H-MRS is an effective method for non-invasive estimation of intracellular lipid content in non-adipose pancreatic cells. This knowledge could be helpful in studies of various aspects of β-cell function (insulin production).      

2390
Assessment and retrospective correction of rotation-induced signal attenuation in diffusion-weighted spectroscopy
Michael Dacko1, Benjamin Knowles1, Patrick Hucker1, Maxim Zaitsev1, and Thomas Lange1

1Medical Physics, University Medical Center Freiburg, Freiburg, Germany

Diffusion-weighted spectroscopy of the brain is a highly motion-sensitive MR method as a consequence of the large voxel size and low metabolite diffusion coefficients. In this work, we correct for voxel displacement during DWS experiments with prospective motion correction and investigate the signal attenuation due to rotation-induced intra-voxel dephasing.  Phantom experiments with 'synthetic' rotations confirmed the theoretically predicted signal attenuation. High correlation between rotational motion and attenuation of the residual water peak was observed in vivo. Retrospective rejection criteria based on the recorded motion tracking data and on the residual water peak amplitude are compared.

2391
Fast automatic voxel positioning with non-rigid registrations for improved between-subject consistency in MRS
Young Woo Park1, Dinesh K. Deelchand2, James M. Joers2, Brian J. Soher3, Peter B. Barker4, HyunWook Park1, Gülin Öz2, and Christophe Lenglet2

1School of Electrical Engineering, Korea Advanced Institute of Science and Technology, Daejeon, Korea, Republic of, 2Department of Radiology, Center for Magnetic Resonance Research, University of Minnesota Medical School, Minneapolis, MN, United States, 3Department of Radiology, Duke University Medical Center, Durham, NC, United States, 4Department of Radiology, Johns Hopkins University School of Medicine, Baltimore, MD, United States

During the typical acquisition of single-voxel Magnetic Resonance Spectroscopy (MRS) the corresponding voxel-of-interest (VOI) must be selected manually, which induces some degree of variability. To address this, several automated VOI positioning methods, using rigid registration and aimed at follow-up scans of the same subject, have been proposed. This approach can be generalized to cross-subject scans, but with additional considerations for the anatomical variability. We hypothesized that non-rigid registration methods will minimize inter-subject variability in the tissue content of the VOI. Here, we present an analysis of registration strategies aimed at a reliable cross-subject automatic VOI positioning for MRS data acquisition.

2392
MM-suppressed GABA measurements are highly susceptible to B0 field instability
Richard Anthony Edward Edden1,2, Ashley D. Harris1,2,3,4, Nicolaas Puts1,2, Kimberly L. Chan1,2,5, Michael Schar1, and Peter B. Barker1,2

1Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University, Baltimore, MD, United States, 2F.M. Kirby Center for Functional Brain Imaging, Kennedy Krieger Institute, Baltimore, MD, United States, 3Department of Radiology, University of Calgary, Calgary, AB, Canada, 4Hotchkiss Brain Institute and Alberta Children's Hospital Research Institute, Calgary, AB, Canada, 5Department of Biomedical Engineering, The Johns Hopkins University, Baltimore, MD, United States

J-difference-edited measurements of GABA are usually contaminated up to 50% by macromolecular (MM) signal.  It is possible to suppress this signal using a symmetrical editing motif, which relies upon partially inverting the MM signals to an equal degree in the two halves of the edited experiment.  In the event of B0  field offset, the symmetry breaks down and either positive or negative MM signal rapidly contaminates the measured GABA signal.  Here, we investigate this issue using simulations and in vivo experiments.

2393
HERMES: Hadamard Encoding and Reconstruction of MEGA-Edited Spectroscopy
Kimberly L Chan1,2,3, Nicolaas AJ Puts2,3, Peter B Barker2,3, and Richard AE Edden2,3

1Biomedical Engineering, Johns Hopkins School of Medicine, Baltimore, MD, United States, 2Radiology and Radiological Science, Johns Hopkins School of Medicine, Baltimore, MD, United States, 3F.M. Kirby Center for Functional Brain Imaging, Kennedy Krieger Institute, Baltimore, MD, United States

Hadamard Encoding and Reconstruction of MEGA-Edited Spectroscopy, HERMES, is a novel method of the simultaneous, separable detection of overlapping metabolite signals. Classic J-difference editing involves the acquisition of two subspectra, with editing pulses applied to the target molecule (ON) or not (OFF).  HERMES edits multiple metabolites simultaneously by acquiring all combinations of OFF/ON for each (i.e. four experiments to edit two metabolites) and uses a Hadamard-like addition-subtraction reconstruction to generate separate edited spectra for each target metabolite.  In this abstract, we describe the method and demonstrate its application to NAA/NAAG editing, using simulations, and phantom and in vivo experiments.

2394
Resolving Choline from Taurine in In-Vivo Magnetic Resonance Spectra at 9.4 T
Marissa E. Fisher1, Brennen J. Dobberthien1, Anthony G. Tessier1,2, and Atiyah Yahya1,2

1Department of Oncology, University of Alberta, Edmonton, AB, Canada, 2Department of Medical Physics, Cross Cancer Institute, Edmonton, AB, Canada

The Cho peak at 3.2 ppm contains significant signal contamination from the taurine (Tau) resonance in rat and mouse brain spectra, even at the high field strength of 9.4 T.  The purpose of this work it to optimise TE1 and TE2 (echo times) of a Point RESolved Spectroscopy (PRESS) sequence to minimize Tau signal in the Cho spectral region at 9.4 T by exploiting the J-coupling evolution of the Tau protons.  The determined optimal {TE1, TE2} combination was found to be {25 ms, 50 ms}.  The efficacy of the timings was verified on rat brain in vivo.   

2395
Diffusion weighted MR spectroscopy without water suppression allows to use water as inherent reference signal to correct for motion-related signal drop
André Döring1, Victor Adalid Lopez1, Vaclav Brandejsky1, Roland Kreis1, and Chris Boesch1

1Depts. Radiology and Clinical Research, University Bern, Bern, Switzerland

A non-water suppressed diffusion-weighting MR spectroscopy sequence based on metabolite-cycling and STEAM is presented and tested in-vitro and in-vivo.  The water peak as an inherent reference facilitates a post processing correction of the signal drop induced in individual acquisitions by cardiac and other motion. The correction leads to improved spectral resolution on one hand, but more importantly also to more accurate fitting of ADC values that are found to be smaller than without correction and most likely closer to the true values - and hence better suited for physiological interpretation.

2396

Sustained GABA reduction induced by anodal Transcranial Direct Current Stimulation (tDCS) in motor cortex: A Proton Magnetic Resonance Spectroscopy Study
Harshal Jayeshkumar Patel1, Sandro Romanzetti2,3, Antonello Pellicano1, Kathrin Reetz2,3, and Ferdinand Binkofski1,4

1Division of Clinical Cognitive Sciences, Department of Neurology, RWTH Aachen University Hospital, Aachen, Germany, 2Department of Neurology, RWTH Aachen University Hospital, Aachen, Germany, 3Jülich Aachen Research Alliance (JARA) — Translational Brain Medicine, Aachen and Jülich, Germany, 4Research Center Jülich GmbH, Institute of Neuroscience and Medicine, Jülich, Germany

Transcranial direct current stimulation (tDCS) modulates cortical excitability. In this study we investigated long term effects of anodal stimulation on inhibitory neurotransmitter concentration using proton magnetic resonance spectroscopy (MRS). Our results indicates that excitatory tDCS cause locally reduction in GABA and it remains in decreased state over a period of 60 minutes presumably due to the decrease of activity of glutamic acid decarboxylase(GAD)67.

2397
In Vivo Detection of Omega-3 Fatty Acids at 7 T with MEGA-sLASER
Lukas Hingerl1, Martin Gajdošík1, Michal Považan1, Bernhard Strasser1, Gilbert Hangel1, Martin Krššák1, Siegfried Trattnig1,2, and Wolfgang Bogner1

1High Field MR Centre, Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria, 2Christian Doppler Laboratory for Clinical Molecular MR Imaging, Medical University of Vienna, Vienna, Austria

We present a method for detecting omega-3 fatty acids (FA) at 7 T by 1H-MR spectroscopy (MRS) using a MEGA-sLASER editing sequence with 12 kHz AFP GOIA-WURST(16,4) pulses for localization. sLASER localization offers reduced sensitivity to B1 inhomogeneities, lowers pulse power requirements compared to PRESS or STEAM and the localization pulses substantially reduce the 4-compartment effect. The spectra of in vivo measurements at the echo times TE=332 ms ,465.4 ms and 1130 ms show the omega-3 signal very well.


2398
Cerebral Acetate Transport and Utilization in the Rat Brain in vivo using 1H MRS: Consequences of a revised acetate volume of distribution value
Masoumeh Dehghani M.1, Bernard Lanz1, Nicolas Kunz2, Pascal mieville3, and Rolf Gruetter1,2,4,5

1Laboratoire d'imagerie fonctionnelle et métabolique(LIFMET), École Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland, 2Centre d’Imagerie Biomedicale(CIBM), École Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland, 3Institute of Chemical Sciences and Engineering, École Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland, 4Department of Radiology, University of Lausanne, Lausanne, Switzerland, 5Department of Radiology, University of Geneva, Geneva, Switzerland

Metabolic modeling of metabolite 13C turnover curves in brain with 13C-labeled acetate infused as tracer substrate requires prior knowledge of the transport and uptake kinetics of Ace. The aim of this study was to determine the kinetics of transport and utilization for acetate uptake in the rat brain using specific distribution volume of Ace(Vd) in the rat brain. The dependency of estimated CMRace to distribution volume of Ace in the rat brain highlights the importance about a refined determination of Vd for Ace in brain metabolic studies.


2399
Interleaved measurements of BOLD response and energy metabolism in exercising human calf muscle
Adrianus J. Bakermans1, Chang Ho Wessel2, Paul F.C. Groot1, Erik S.G. Stroes2, and Aart J. Nederveen1

1Department of Radiology, Academic Medical Center, Amsterdam, Netherlands, 2Department of Vascular Medicine, Academic Medical Center, Amsterdam, Netherlands

Typically, dynamic MR studies of exercising skeletal muscle are limited to measurements of only one parameter. Obtaining multiple parameters simultaneously during a single experiment would provide more insight into (patho-)physiology. Here, we report on interleaved acquisitions of quantitative T2* maps for assessments of the BOLD response, and 31P-MR spectra for measuring phosphocreatine recovery kinetics during an exercise-recovery protocol in healthy subjects and peripheral artery disease (PAD) patients. We demonstrate that with such interleaved acquisitions, it is feasible to dynamically assess both tissue oxygenation as well as muscle energy metabolism in the human calf muscle during a single exercise session.

2400
Artificial intelligence for high-resolution nuclear MRS under inhomogeneous magnetic fields
Qiu Wenqi1, Wei Zhiliang1, Ye Qimiao1, Chen Youhe2, Lin Yulan1, and Chen Zhong1

1Department of Electronic Engineering, Xiamen University, Xiamen, China, People's Republic of, 2Department of Mechanical and Electrical Engineering, Xiamen University, Xiamen, China, People's Republic of

High-resolution multi-dimensional nuclear magnetic resonance (NMR) spectroscopy serves as an irreplaceable and versatile tool in various chemical investigations. In this study, a method based on the concept of partial homogeneity is developed to offer two-dimensional (2D) high-resolution NMR spectra under inhomogeneous fields. Oscillating gradients are exerted to encode the high-resolution information, and a field-inhomogeneity correction algorithm based on pattern recognition is designed to recover high-resolution spectra. The proposed method improves performances of 2D NMR spectroscopy under inhomogeneous fields without increasing the experimental duration or significant loss in sensitivity, and thus may open important perspectives for studies of inhomogeneous chemical systems.

2401
2D Relaxometry and Diffusivity of Human Knee Synovial Fluid after ACL-injuries Studied Using HR-MAS NMR
Kaipin Xu1, Subramaniam Sukumar1, John Kurhanewicz1, and Xiaojuan Li1

1Radiology, University of California, San Francisco, San Francisco, CA, United States

To better understand the pathological progression of osteoarthritis (OA), techniques based on high resolution magic angle spinning (HR-MAS) NMR spectroscopy are developed for the study of relaxation times (T1, T2, and T1ρ) and diffusion coefficient (D) of human knee synovial fluids (SF) harvested from 1 OA and 8 anterior cruciate ligament (ACL) injured patients.

2402
Towards fast and highly localized spectroscopy using miniaturized coils in a 14.1T animal scanner
Marlon Arturo Pérez Rodas1,2, Jörn Engelmann1, Hellmut Merkle1, Rolf Pohmann1, and Klaus Scheffler1,3

1Ultra High-field Magnetic Resonance Center, Max Planck Institute for Biological Cybernetics, Tübingen, Germany, 2Graduate Training Centre of Neuroscience, IMPRS for Cognitive and Systems Neuroscience, University of Tübingen, Tübingen, Germany, 3Department for Biomedical Magnetic Resonance, University of Tübingen, Tübingen, Germany

The distinction of functional activity between cortical layers in the brain by MRI or MRS requires high spatial and temporal resolution. High spatial resolution can be achieved by increasing the gradient strength or by using the intrinsic volume selectivity of miniature coils, even in conventional animal scanner. In the present work, initial results for highly-localized spectroscopy within seconds are presented, for a phantom metabolite solution and cell cultures in a 14.1T animal scanner using a 2mm-diameter circular coil. The larger signals from the major metabolites in ~1.5µL were detected in 24sec on the phantom solution with an acceptable SNR.

2403
DRESS localized FAST technique at 7T uncovers the relation between mitochondrial capacity and ATP synthase flux in exercising gastrocnemius medialis muscle
Marjeta Tušek Jelenc1,2, Marek Chmelík1,2, Barbara Ukropcová3,4, Wolfgang Bogner1,2, Siegfried Trattnig1,2, Jozef Ukropec4, Martin Krššák1,2,5, and Ladislav Valkovič1,2,6,7

1High Field MR Centre, Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria, 2Christian Doppler Laboratory for Clinical Molecular MR Imaging, Vienna, Austria, 3Institute of pathophysiology, Faculty of Medicine, Comenius University, Bratislava, Slovakia, 4Obesity section, Diabetes and Metabolic Disease Laboratory, Institute of Experimental Endocrinology, Slovak Academy of Sciences, Bratislava, Slovakia, 5Division of Endocrinology and Metabolism, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria, 6Department of Imaging Methods, Institute of Measurement Science, Slovak Academy of Sciences, Bratislava, Slovakia, 7University of Oxford Centre for Clinical Magnetic Resonance Research, University of Oxford, John Radcliffe Hospital, Oxford, United Kingdom

The aim of the study was to investigate the relation between the maximum oxidative flux (Qmax), a valid measure of muscular mitochondrial capacity and ATP synthase flux (FATP) measured in exercising gastrocnemius medialis muscle in healthy young and elderly subjects. Furthermore, we explored the possibility of direct measurement of both, Qmax and FATP_ex, in a single experiment. The dynamic experiment consisted of the acquisition of baseline data during two minutes of rest, six minutes of aerobic plantar flexion exercise (during which a 3.5 minutes long FAST measurement was performed), and six minutes of recovery. Our data showed significant correlation between ATP synthase flux in exercising muscle and maximal oxidative flux. 


Traditional Poster

Metabolic Profiling

Exhibition Hall Wednesday, May 11, 2016: 16:00 - 18:00

2404
Metabolomic characterization of ovarian tumors by ex vivo magnetic resonance spectroscopy
Feng-Hua Ma1, Jin-Wei Qiang2, Guo-Fu Zhang1, Ya-Min Rao3, Hai-Min Li4, and Song-Qi Cai4

1Department of Radiology, Obstetrics & Gynecology Hospital, Shanghai Medical College,Fudan University., Shanghai, China, People's Republic of, 2Department of Radiology, Jinshan Hospital, Shanghai Medical College,Fudan University, Shanghai, China, People's Republic of, 3Department of Radiology, Obstetrics& Gynecology Hospital, Shanghai Medical College, Fudan University, Shanghai, China, People's Republic of, 4Department of Radiology, Jinshan Hospital, Shanghai Medical College, Fudan University, Shanghai, China, People's Republic of

Coherent results obtained by ex vivo and in vivo measurements allow the translation of biomarker findings from studies of tissue specimens (ex vivo) to those of patients (in vivo), and therefore it is important to establish how well correlated these metabolic profiles are. Such correlation has been evaluated for brain tumors, prostate cancer and cervical cancer, but without comparison of ovarian tumors. In this study we try to investigate the relationship between the Cho/Cr from in vivo MRS and the Cho/TSP of ex vivo MRS from tissue samples and the potential to bridge molecular and imaging diagnostics.

2405
Neurochemical profiles of the rat forepaw cortex during electrical and laser light stimulations measured with proton MR spectroscopy
Nathalie Just1, Lydia Wachsmuth1, Florian Schmid1, and Cornelius Faber1

1Translational Imaging Centre, University of Münster, Münster, Germany

Optogenetics is a more and more recognized technique for investigating neuronal populations in the rodent brain. Combined to fMRI (OfMRI), more understanding could be achieved. However, the effects of powerful light on the tissue remain poorly understood. Here, experiments were conducted to investigate the effects of blue laser light  on  the metabolism of the primary somatosensory cortex.

2406
AAV serotype 9 vector transducing the human alpha-L-iduronidase gene normalizes hippocampal and cerebellar neurochemical profiles in a mouse model of mucopolysaccharidosis type I
Ivan Tkac1, Igor Nestrasil2, R Scott McIvor3, Kelley Kitto4, Carolyn A Fairbanks4, Karen Kozarsky5, Walter C Low6, Chester B Whitley2, and Lalitha Belur3

1Center for Magnetic Resonance Research, University of Minnesota, Minneapolis, MN, United States, 2Dept. of Pediatrics, University of Minnesota, Minneapolis, MN, United States, 3Dept. of Genetics and Cell Biology, University of Minnesota, Minneapolis, MN, United States, 4Dept. of Pharmaceutics, University of Minnesota, Minneapolis, MN, United States, 5REGENXBIO Inc., Rockville, MD, United States, 6Dept. of Surgery, University of Minnesota, Minneapolis, MN, United States

Mucopolysaccharidosis type I (MPS I) is a lysosomal storage disease caused by the deficiency in α-L-iduronidase (IDUA) enzyme which results in lysosomal accumulation of glycosaminoglycans. The purpose of this study was to assess the ability of the adeno-associated virus (AAV) - mediated IDUA gene therapy to prevent the pathological neurochemical changes associated with the MPS I disease. The efficacy of the gene therapy was assessed by in vivo 1H MRS at 9.4T using knockout mice deficient for IDUA, a well-established murine model of MPS I.

2407
Region-specific Neurochemical profile differences in juvenile rat model for ADHD and control strain: a 1H MRS study @ 11.7T
Alireza Abaei1, Francesca Rizzo2, Dinesh K Deelchand3, Anne Subgang1, Johannes T. Schneider4, Andrea G. Ludolph5, and Volker Rasche1,6

1Medical Faculty, Core Facility Small Animal MRI, Ulm University, Ulm, Germany, 2Institute of Anatomy and Cell Biology, University of Ulm, Ulm, Germany, 3University of Minnesota, Minneapolis, MN, United States, 4Bruker BioSpin MRI GmbH, Ettlingen, Germany, 5Department of Child and Adolescent Psychiatry, University of Ulm, Ulm, Germany, 6Department of Internal Medicine II, University Hospital Ulm, Ulm, Germany

Assessment and reliable quantification of brain metabolites is of great interest for diagnosis and monitoring of neurodegenerative psychiatric disorders. Challenging in this context is the required spectral fidelity demanding a combination of rapid data acquisition, optimal frequency and phase correction, and excellent shimming of the volume of interest. In this contribution, an optimized STEAM sequence was combined with image-based shimming and single-shot frequency and phase correction. The method was applied to assessment of the difference between the metabolic profile of spontaneous hypertensive rats and Wistar-Kyoto rats. Statistically significant differences could be quantified in the striatum and the prefrontal cortex.

2408
Biochemical Characteristics in Amyotrophic Lateral Sclerosis Detected by 7T MR Spectroscopy
Nazem Atassi 1,2, Maosheng Xu3,4, Christina Triantafyllou5, Boris Keil 2,6, Christopher Long7, Robert Lawson 1,2, Paul Cernasov1,2, Elena Ratti1,2, Paganoni Sabrina1,2, Nouha Salibi8, Ravi Seethamraju9, Bruce Rosen2,3, Merit Cudkowicz1,2, and Eva-Maria Ratai2,3

1Neurology, Massachusetts General Hospital, Boston, MA, United States, 2A. A. Martinos Center for Biomedical Imaging, Charlestown, MA, United States, 3Radiology, Massachusetts General Hospital, Boston, MA, United States, 4Radiology, First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China, People's Republic of, 5Siemens Healthcare, Erlangen, Germany, 6Massachusetts General Hospital, Boston, MA, United States, 7MIT Sloan Neuroeconomics Lab, Cambridge, MA, United States, 8Siemens Healthcare, Auburn, AL, United States, 9Siemens Healthcare, Charlestown, MA, United States

The purpose of this study was to quantify brain metabolites in Amyotrophic Lateral Sclerosis (ALS) patients using 7-Tesla MR spectroscopy and investigate how these metabolites correlate with clinical outcomes.  Patients with ALS had significantly decreased N-acetylaspartate (NAA), glutamate (Glu) and GABA in the left motor cortex consistent with neuronal injury or loss.  NAA/Cr and glutathione/Cr correlated with the revised ALS Functional Rating Scale. Increased pathological reflexes, a clinical marker of upper motor neuron degeneration correlated positively with myo-Inositol/Cr and choline/Cr, and negatively with NAA/Cr.  7T MRS can provide effective biomarkers in ALS patients which correlate well with clinical outcomes.

2409

Investigation of Glucose-phosphates in Skeletal Muscle Biopsies by 1H HR-MAS NMR: Comparison between Active and Sedentary Subjects
Gaëlle Diserens1, Martina Vermathen2, Nicholas T. Broskey3, Chris Boesch1, Francesca Amati1,3, and Peter Vermathen1

1Depts Clinical Research and Radiology, University of Bern, Bern, Switzerland, 2Dept. Chemistry & Biochemistry, University of Bern, Bern, Switzerland, 3Dept. of Physiology, University of Lausanne, Lausanne, Switzerland

The aim of this 1H HR-MAS NMR study was to investigate biopsies of skeletal muscles comparing athletes, sedentary slim and sedentary obese subjects. 1H HR-MAS allows the direct assessment of glucose-phosphates contained in skeletal muscle biopsies, as was also previously shown. The current study is the first example for a potential application, demonstrating differences in glucose-phosphates between muscle tissues from athletes and sedentary subjects. The results suggest that quantitative assessment by 1H HR-MAS NMR of Glc-1P and Glc-6P being key players in energy metabolism may prove important for metabolic studies in biopsies.

2410
Intratumoral Agreement of HR-MAS MR spectroscopic profiles in the Metabolic Characterization of Breast Cancer
Vivian Youngjean Park1, Dahye Yoon2, Ja Seung Koo1, Eun-Kyung Kim3, Seung Il Kim4, Ji Soo Choi1, Suhkmann Kim5, and Min Jung Kim1

1Yonsei University College of Medicine, Seoul, Korea, Republic of, 22Department of Chemistry and Chemistry Institute for Functional Materials, Pusan National University, Busan, Korea, Republic of, 3Radiology, Yonsei University College of Medicine, Seoul, Korea, Republic of, 4Surgery, Yonsei University College of Medicine, Seoul, Korea, Republic of, 5Pusan National University, Busan, Korea, Republic of

We investigated whether intratumoral location and biospecimen type affect the metabolic characterization of breast cancer assessed by HR-MAS MR spectroscopy. This prospective study included 87 tumor tissue samples in 31 patients with invasive breast cancer, obtained from the center and periphery of surgical specimens and preoperatively by CNB. Specimens were assessed with HR-MAS MR spectroscopy. Overall, intratumoral location and biospecimen type had limited influence on the metabolic characterization of breast cancer assessed by HR-MAS MR spectroscopy. However, some metabolites are differentially expressed and caution is recommended in clinical decision-making based solely on metabolite concentrations, especially PC and PE. 

2411

Proton MR Metabolic Profiling in combination with serum procalcitonin levels as rapid indicators for differentiation of Urosepsis
Suruchi Singh1, Tanushri Chatterji2, Manodeep Sen2, Ishwar Ram3, and Raja Roy1

1Centre of Biomedical Research, Lucknow, India, 2Department of Microbiology, Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India, 3Department of Urology, Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India

This study is a new approach for the diagnosis of Urosepsis using Proton MR spectroscopy along with serum procalcitonin levels. The study insights, NMR based metabolic profiling for differentiation of Urosepsis, a medical emergency which requires immediate patient care. The analysis takes less than one hour for disease identification, thus enabling quick and efficient patient management. The Principal Component Analysis (PCA) displayed that glucose and lactate in serum were the major confounders in differentiating Urosepsis cases from Healthy controls. The training set of Partial least square Discriminant analysis (PLS-DA) provided precise prediction of the test set in serum samples.

2412
Chemosensory analysis of medicinal plants by NMR phytometabolomics
Rama Jayasundar1 and Somenath Ghatak1

1NMR, All India Institute of Medical Sciences, New Delhi, India

There is increasing interest in systems approach in healthcare, from clinical medicine, diet and nutrition, pharmacology to plant-based drug development. The potential of NMR to study medicinal plants as a whole to evaluate system parameters such as organoleptic properties have been explored in detail in this study. Since taste is a chemosensory effect, NMR has been used for this analysis of medicinal plants along with Electronic tongue based chemometrics for objective measurement of taste. The results indicate an active role for NMR in chemosensory research.

2413
Magnetic resonance spectroscopy (MRS) of post-traumatic epileptogenesis
Amna Yasmin1, Olli Gröhn1, Asla Pitkänen1, and Riikka Immonen1

1Department of Neurobiology, A.I. Virtanen Institute University of Eastern Finland, Kuopio, Finland

Traumatic brain injury (TBI) is the main cause of mortality and morbidity worldwide. Up to 53 % of TBI patients with penetrating head injuries develop epilepsy in later part of life. Unavailability of biomarkers for epileptogensis is a major unmet clinical need, and is the greatest obstacle on the way of developing treatment in patients at risk, e.g., after TBI. Objective of this study is to determine metabolic profile in perilesional cortical area in clinically relevant TBI rat model and correlate MRS findings with EEG and histological outcomes in search for biomarkers. Results: Six out of 13 parameters showed changes at some follow point.  Findings of long TBI follow up will help to investigate cellular and molecular mechanisms underlying post-traumatic epileptogenesis and identify reliable biomarkers that could serve as therapeutic targets for the development of new antiepileptogenic and antiseizure compound.

2414
Cervicovaginal fluid acetate, a marker for preterm birth in symptomatic pregnant women
Emmanuel Amabebe1, Steven Reynolds2, Victoria Stern1, Jennifer Parker3, Graham Stafford3, Martyn Paley2, and Dilly Anumba1

1Academic unit of Reproductive and Developmental Medicine, University of Sheffield, Sheffield, United Kingdom, 2Academic unit of Radiology, University of Sheffield, Sheffield, United Kingdom, 3School of Dentistry, University of Sheffield, Sheffield, United Kingdom

We characterized the metabolite profile of cervicovaginal fluid (CVF) of a cohort of pregnant women presenting with symptoms of preterm labor by both 1H Magnetic Resonance spectroscopy and spectrophotometric acetate enzyme assay. Acetate normalized integral (P=0.002) and spectrophotometry (P=0.006) were significantly higher in the women who delivered preterm compared to their term counterparts.  Both methods were predictive of PTB <37 weeks (acetate integral: AUC=0.75, spectrophotometry: AUC=0.74). Elevated CVF acetate in women with symptoms of preterm labor appears predictive of preterm delivery. In these women, a clinical assay of acetate in CVF may prove of clinical utility for predicting PTB.   


2415
Proton MR Metabolic Profiling in Bodyfluids for differentiation of Meningitis in adults
Tanushri Chatterji1, Dr. Suruchi Singh2, Dr. Manodeep Sen1, Dr. Ajai Singh3, Prof. Raja Roy2, and Dr. J.K Srivastava4

1Microbiology, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India, 2Centre of Bio-Medical Research, Lucknow, India, 3Neurology, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India, 4Amity Institute of Biotechnology, Amity University, Lucknow, India

This study explored diagnostic utility based on the analysis of CSF, serum and urine for differential diagnosis of bacterial (BM) and tubercular meningitis (TBM) in adults using 1H NMR metabolic profiling.This may render rapid diagnosis of meningitis resulting to the decline of mortality by appropriate and timely treatment regimen. The Discriminant Functional Analysis (DFA) identified acetate, alanine, malonate and choline containing compounds as significant metabolites among case and control. The Orthogonal Signal Correction Principal Component Analysis (OSC-PCA) of significant metabolites clearly differentiated case vs control group in serum and urine samples, while a clear classification could not be obtained for CSF samples.

2416
High Resolution 1H NMR-based Metabolomics study of Serum in Parkinson’s disease
Pawan Kumar1, Sadhana Kumari1, Senthil S Kumaran1, Shefali Chaudhary1, Vinay Goyal2, Madhuri Behari2, S N Dwivedi3, Achal Srivastava2, and Naranamangalam R Jagannathan1

1Department of NMR and MRI Facility, All India Institute of Medical Sciences, New Delhi, India, 2Department of Neurology, All India Institute of Medical Sciences, New Delhi, India, 3Department of Biostatistics, All India Institute of Medical Sciences, New Delhi, India

We used 1H NMR technique to investigate the serum samples of 6 patients with Parkinson’s disease (PD) and 6 healthy controls (HC) using 700 MHz NMR spectrometer and the data were processed using the Agilent software, Vnmrj2.3A. PLS-DA multivariate analysis was performed to explore biochemical dissimilarities between PD patients and HC using MetaboAnalyst (3.0) software. We observed significantly elevated levels of lactate, glutamate and methyl guanidine PD patients in comparison with HC on t-test, suggesting protein metabolism impairment, mitochondrial dysfunction and oxidative stress in PD patients.

2417
A Proton Magnetic Resonance Study to Investigate Dietary Influences on Blood Plasma of patients with Celiac Disease
Uma Sharma1, Deepti Upadhyay1, Govind Makharia2, Prasenjit Das3, Siddharth Datta Gupta3, and Naranamangalam R Jagannathan1

1Department of NMR and MRI Facility, All India Institute of Medical Sciences, New Delhi, India, 2Department of Gastroenterology and human Nutrition, All India Institute of Medical Sciences, New Delhi, India, 3Department of Pathology, All India Institute of Medical Sciences, New Delhi, India

The present study demonstrated dietary induced variations on the metabolic profile of blood plasma of CeD patients. Increased valine was seen in CeD non-vegetarians compared to CeD vegetarians. Both CeD vegetarians and non-vegetarians showed increased concentrations of gluconeogenic amino acids like alanine and glycine compared to healthy subjects. Increased pyruvate and creatine in CeD vegetarians compared to healthy vegetarians indicates impaired energy supply. Decreased creatinine in CeD vegetarians and non-vegetarians compared to healthy subjects is due to protein malabsorption in CeD. The study illustrates the nutritional status of CeD patients and healthy subjects on the basis of their dietary intake.

2418
NMR-based Metabolomic Study of Serum in Diabetic Retinopathy
Virendra Kumar1, Tanmoy Bagui2, Rashmi Mukherjee2, Vertika Rai2, Pawan Kumar1, and Chandan Chakraborty2

1Department of NMR, All India Institute of Medical Sciences, New Delhi, India, 2School of Medical Science & Technology, Indian Institute of Technology Kharagpur, Kharagpur, India

Diabetic retinopathy (DR), is a major cause of blindness, caused by prolonged diabetes. However, this morbidity is largely preventable and treatable. The progression of DR from prolonged diabetes involves complex metabolic de-regulations. 1H NMR-based metabolomics of serum have potential to study dysregulation in metabolites of DR patients. Results of the PCA and PLS-DA analysis revealed metabolic differences in DR patients compared to healthy subjects. Using such a study, we may observe the severity of disease based on metabolic fingerprints and it may serve as a platform for screening of molecular targets for a more efficient therapeutic intervention.

2419
Acute Spinal Cord Injury (ASCI) Metabolomics Through 1H-NMR Spectroscopy: Metabolic alterations with time & treatment
Alka Singh1, Suruchi Singh2, Saloni Raj1, Ravindra Kumar Garg3, Abbas Ali Mahdi4, Raja Roy2, and Rajeshwar Nath Srivastava1

1Orthopaedic Surgery, King George's Medical University, Lucknow, India, 2Centre of Biomedical Research, Lucknow, India, 3Neurology, King George's Medical University, Lucknow, India, 4Biochemistry, King George's Medical University, Lucknow, India

It mainly focuses on finding significant metabolites in serum using 1H NMR based spectroscopic methods and to study the variation of concentration of these metabolites during the recovery of the patient ongoing treatment after surgery.  Significant metabolites, namely, lactate, glycine, acetone and succinate were identified using statistical methods (ANOVA along with Mann- Whitney U test) and are found to be elevated during the time of injury. The levels gradually decrease as the patient recovers in an average period of six months.This is a prospective case-control preliminary study on recovery of the patient during acute spinal cord injury.

2420
Pathological glutamatergic neurotransmission in Gilles de la Tourette Syndrome
Ahmad Seif Kanaan1,2, Sarah Gerasch2, Isabel Garcia-Garcia1, Leonie Lampe1, André Pampel1, Alfred Anwander1, Jamie Near3, Kirsten Müller-Vahl2, and Harald E. Möller1

1Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany, 2Department of Psychiatry, Hannover Medical School, Hannover, Germany, 3Douglas Mental Health University Institute and Department of Psychiatry, Mcgill University, Montreal, QC, Canada

We hypothesized that glutamatergic signalling is related to pathophysiology of Gilles de la Tourette syndrome (GTS) and investigated glutamatergic metabolism within cortico-striatal regions using 1H-MRS at baseline and during treatment. Absolute metabolite concentrations were calculated with the consideration of voxel compartmentation following frequency and phase drift correction in the time domain. GTS patients exhibited reductions in striatal and thalamic [Glx], which were normalized with treatment and were correlated with clinical severity parameters. Our results implicate glutamatergic metabolism in GTS pathophysiology and indicate a possibly dysfunctional astrocytic-neuronal coupling system, which would have profound effects on the dopaminergic modulation of cortico-striatal input.

2421
7T MRS AND 18F AV45 PET NEURONAL MARKERS IN ELDERLY HIV+ SUBJECTS: EFFECTS OF SEROSTATUS AND COGNITIVE IMPAIRMENT
Mona A Mohamed1, Peter B Barker1, Richard L Skolasky2, Heidi Vornbrock Roosa3, Yun Zhou1, Weiguo Ye1, Noble George1, James Brasic1, Dean F Wong1, and Ned Sacktor3

1Radiology, Johns Hopkins Medical Institutions, Baltimore, MD, United States, 2Orthopedics, Johns Hopkins Medical Institutions, Baltimore, MD, United States, 3Neurology, Johns Hopkins Medical Institutions, Baltimore, MD, United States

In this study, 7T MRS and 18F AV45 PET were used to measure brain metabolites and amyloid burden in Elderly HIV subjects. These reliable biomarkers can be used in assessing the relation between normal aging, HIV and the degree of HIV Associated Neurocognitive Disorders (HAND).


Traditional Poster

DWI & MRS in Cancer

Exhibition Hall Thursday, May 12, 2016: 10:30 - 12:30

2422
Noise-corrected exponential DWI using multi-acquisition MRI facilitates quantitative evaluation of whole-body skeletal tumour burden in patients with metastatic prostate cancer.
Matthew David Blackledge1, Nina Tunariu1,2, Zaki Ahmed2, Julie Hughes2, Raquel Perez-Lopez1,2, Dow Mu Koh1,2, David J Collins1,2, and Martin O Leach1,2

1CRUK Cancer Imaging Center, Division of Radiotherapy and Imaging, Institute of Cancer Research, London, United Kingdom, 2MRI, Royal Marsden Hospital, London, United Kingdom

We evaluate the potential utility of storing all imaging acquisitions from whole-body diffusion-weighted MRI (WBDWI) studies.  This provides the possibility of using weighted least-squares fitting to obtain maps of ADC uncertainty, invaluable to clinicians wishing to report confidence in ADC estimates.  Furthermore, we describe for the first time a novel post-processing technique that combines ADC and ADC uncertainty information into a single computed image: noise-corrected exponential WBDWI.  We demonstrate that this technique provides excellent contrast between bone metastases and background healthy tissue, but does not suffer from the same T2 shine-through and/or coil sensitivity artefact present in conventional DW-images.

2423
Proton MRS monitoring of Atkins-based dietary therapy in patients with glioma
Peter B Barker1,2, Subechhya Pradhan1, Yanqin Lin1,3, Karisa C Schreck4, Doris D.M. Lin1, Jaishri Blakeley4,5, and Roy E Strowd5,6

1Radiology, Johns Hopkins Univ School of Medicine, Baltimore, MD, United States, 2F.M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Institute, Baltimore, MD, United States, 3Department of Electronic Science, Xiamen University, Xiamen, China, People's Republic of, 4Neurology, Johns Hopkins Univ School of Medicine, Baltimore, MD, United States, 5Oncology, Johns Hopkins Univ School of Medicine, Baltimore, MD, United States, 6Department of Neurology and Internal Medicine, Wake Forest School of Medicine, Winston Salem, NC, United States

5 patients with high grade glioma were enrolled in an 8-week dietary therapy program based on the modified Atkin’s diet. Tumor and contralateral brain metabolism was monitored before and after therapy using proton MRS. Significant reductions in contralateral NAA were observed post treatment, as well as increases in acetone in both lesion and contralateral brain. MRS may be useful for monitoring the efficacy of dietary therapy in patients with malignant glioma. 

2424
MR spectroscopy for 2HG detection in mIDH gliomas: Comparison of sensitivity improvement using different refocusing RF pulses with and without outer volume suppression
Sunitha B Thakur1,2, Ralph Noeske3, Robert Young4, Justin Cross5, and Ingo Mellinghoff6

1Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY, United States, 2Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, United States, 3Berlin, Germany, 4Radiology, New York, NY, United States, 5Memorial Sloan Kettering Cancer Center, New York, NY, United States, 6New York, NY, United States

Isocitrate dehydrogenase IDH mutations in gliomas have ability to produce R-2-hydroxyglutarate (2HG). Directly measuring 2HG using non-invasive MR spectroscopy is an attractive strategy to accurately predict IDH mutation status and provide useful diagnostic and prognostic information. Quantification of 2HG metabolite may have potential advatages to evaluate treatment response in IDH1/2 targeted inhibitor trails . Here we report the optimization of subecho times on GE 3T scanners using phantoms to detect 2HG with the maximum sensitivity. We also evaluated the effect of different refocusing pulses on 2HG sensitivity with and without outer volume suppression (OVS) pulses. Part of these results were also verified with in-vivo data. 

2425
Imaging response to 90-yttrium radioembolization with volumetric ADC DWI in patients with metastatic liver cancer
Russell Rockne1, Syed Rahmanuddin1,2, John J. Park2, and Jinha M. Park2

1Dept. of Information Sciences/ Mathamatical Oncology, Beckman Research Institute City of Hope, Duarte, CA, United States, 2Radiology, Helford Clinical Research Hospital | Beckman Research Institute, Duarte, CA, United States

The purpose of this study is to evaluate changes in tumor volume and mean ADC before and after 90-yttrium (Y90) radioembolization for patients with metastatic liver cancer. Eighteen patients were identified in a retrospective study. Volumetric analysis of lesions before and after therapy showed a consistent increase in ADC (p<0.001), suggesting a decrease in cellularity. Changes in tumor volume measured on post-gadolinium (PG)  T1 MRI were not statistically significant. Additional MRIs following Y90 treatment should be analyzed with clinical outcomes to determine whether early changes in ADC following therapy may serve as an early indicator of response. 

2426
Distortion-Free bSSFP-based Diffusion MRI: Preliminary Experience using an MRI-Guided Radiotherapy System
Yu Gao1,2, Yingli Yang3, Novena Rangwala1, and Peng Hu1,2

1Radiological Sciences, University of California, Los Angeles, Los Angeles, CA, United States, 2Physics and Biology in Medicine, University of California, Los Angeles, Los Angeles, CA, United States, 3Radiation Oncology, University of California, Los Angeles, Los Angeles, CA, United States

DWI is a promising imaging biomarker for tumor response evaluation, and the purpose of this work is to develop a distortion-free DW sequence that is reliable for adaptive treatment planning. ADC accuracy of our proposed diffusion-prepared segmented bSSFP-based sequence against the standard spin-echo single-shot echo-planar-imaging was quantitatively validated on a diffusion phantom. Geometric reliability was confirmed on both phantom and in-vivo experiments. Preliminary patient study on a MRI-Guided radiotherapy system showed high geometric accuracy and promising tumor detection capability. All these demonstrate the feasibility of using the DW-SSFP sequence for longitudinal tumor response evaluation and treatment planning. 

2427
Application of High B-Value High-Resolution Diffusion-Weighted Imaging in Differentiating Malignant from Benign Thyroid Nodules
Qingjun Wang1, Yong Guo1, Jing Zhang1, Minghua Huang1, Qinglei Shi2, and Tianyi Qian2

1Radiology, Chinese Navy General Hospital, Beijing, China, People's Republic of, 2Scientific Marketing, Siemens Healthcare, Beijing, China, People's Republic of

In this study, we evaluated the advantages of using high b-value high-resolution diffusion-weighted MR imaging (DWI) to differentiate between malignant and benign thyroid nodules. This prospective study included 28 consecutive patients with thyroid nodules (14 malignant nodules in 10 patients and 24 benign nodules in 20 patients). Three b-values including b-values of 0, 800 and 2000 sec/mm2 and a Readout Segmentation Of Long Variable Echo-trains (RESOLVE) imaging technique were used in the high b-value high-resolution DWI. The results showed that the high b-value high-resolution DWI can further increase the diagnostic accuracy for thyroid nodules with the best sensitivity, specificity and area under receiver operating characteristic curve (AUC) than low b-value or single high b-value.

2428
Comparison of Capability for Postoperative Recurrence Evaluation in Non-Small Cell Lung Cancer among Whole-Body MRI with and without DWI, MR/PET, PET/CT and Conventional Radiological Examinations
Yoshiharu Ohno1,2, Yuji Kishida2, Shinichiro Seki2, Hisanobu Koyama2, Kota Aoyagi3, Hitoshi Yamagata3, Takeshi Yoshikawa1,2, Masao Yui3, Yoshimori Kassai3, Katsusuke Kyotani4, and Kazuro Sugimura2

1Advanced Biomedical Imaging Research Center, Kobe University Graduate School of Medicine, Kobe, Japan, 2Radiology, Kobe University Graduate School of Medicine, Kobe, Japan, 3Toshiba Medical Systems Corporation, Otawara, Japan, 4Center for Radiology and Radiation Oncology, Kobe University Hospital, Kobe, Japan

    Recurrence assessment is very important for management of postoperative non-small cell lung cancer (NSCLC) patients.  We hypothesized that whole-body PET/MRI and MRI with DWI have a potential for improving recurrence assessment as compared with whole-body PET/CT and conventional radiological examinations in NSCLC patients.  The purpose of this study was to directly compare the diagnostic performance for postoperative lung cancer recurrence assessment among whole-body PET/MRI, MRI with and without DWI, PET/CT and conventional radiological examination in NSCLC patients.

2429
Heterogeneity of IDH+ glioma metabolism evaluated by CSI
Benjamin C Rowland1, Min Zhou1, Huijun Liao1, Nils Arvold2, Raymond Y Huang3, and Alexander P Lin1

1Centre for Clinical Spectroscopy, Brigham and Women's Hospital, Boston, MA, United States, 2Radiation Oncology, Brigham and Women's Hospital, Boston, MA, United States, 3Radiology, Brigham and Women's Hospital, Boston, MA, United States

MR spectroscopy is a powerful technique for understanding tumour metabolism. Chemical shift imaging allows spatial variations in spectra to be observed at the cost of signal to noise and acquisition time. In this abstract we examine the heterogeneity of metabolite concentrations in both tumour and healthy tissue, in particular the onco-metabolite 2-hydroxyglutarate, to ascertain if the benefits of CSI outweigh the penalties.

2430
Prediction of Medulloblastoma survival using the Water Proton Resonance Frequency
Ben Babourina-Brooks1, Sarah Kohe1, Andrew Peet1, and Nigel Davies2

1University of Birmingham, Birmingham, United Kingdom, 2University Hospitals Birmingham, Birmingham, United Kingdom

The rate of improvement in survival, among children with brain tumours, has decreased in recent years and novel prognostic markers that may contribute to treatment stratification and improved outcomes are required.  Medulloblastoma tumours have a high rate of mortality due to their aggressive nature,  however some do not. MRS can measure absolute water proton resonance frequency (PRF), which is sensitive to temperature and other features of the tumour microenvironment. This could be utilized as a potential prognosis marker, however has not been explored. This study assessed the water PRF as a predictor of survival in a medulloblastoma patients, using MRS at diagnosis. 

2431
In-vitro 1H-MRS of living human melanoma cells at 9.4T
Katarzyna Pierzchala1, Nicolas Kunz1, and Rolf Gruetter1

1CIBM, EPFL, Lausanne, Switzerland

There is increasing need of a more human cell model to recapitulate the in-vivo cell-cell interactions, presenting physiological relevance. Magnetic resonance spectroscopy (MRS) has the potential to diagnose many tumors and to characterize their metastatic potential. In this study we present the metabolic profile of highly metastatic human melanoma cells line WM793.We demonstrate the feasibility of characterizing in-vitro living melanoma cells by 1H-MRS with a total number of 9 metabolites quantified, covering energy markers (Glc, Lac, Ace), amino acids (Glu, Ala) and anti-oxidant (Tau, Asc) and cell membrane precursor (Cho).

2432
Characterisation of disease heterogeneity in malignant pleural mesothelioma using mixture modelling of ADC and R2
Lin Cheng1, Matthew D. Blackledge1, David J. Collins1, Nina Tunariu1,2, Neil P. Jerome1, Matthew R. Orton1, Veronica A. Morgan3, Martion O. Leach1, and Dow-Mu Koh1,2

1Division of Radiotherapy and Imaging, Cancer Research UK Cancer Imaging Centre, Institute of Cancer Research, London, United Kingdom, 2Radiology, Royal Marsden Hospital, London, United Kingdom, 3Clinical MRI Unit, Royal Marsden Hospital, London, United Kingdom

Disease heterogeneity in patients with malignant pleural mesothelioma (MPM) makes it challenging to characterise solid disease and assess response following treatment. Computed Diffusion-Weighted MRI (cDWI) provides improved contrast between disease and background tissues, and facilitates total disease segmentation. A mixture modelling of ADC and R2 with semi-automatic segmentation on the cDWI is proposed to assess disease heterogeneity in MPM, with demonstration of its utility on a paired pre/post-treatment dataset. The mixture modelling methodology successfully characterised disease heterogeneity for two MPM patients, and can provide additional quantitative functional disease response characterisation compared with using only a single parameter.

2433
Apparent diffusion coefficient ratio as a potential inter-institutional marker for histological grade of bladder cancer
Soichiro Yoshida1, Fumitaka Koga2, Hiroshi Tanaka3, Hiroshi Fukushima2, Yasukazu Nakanishi2, Minato Yokoyama1, Junichiro Ishioka1, Kazutaka Saito1, Yasuhisa Fujii1, and Kazunori Kihara1

1Urology, Tokyo Medical and Dental University Graduate School, Tokyo, Japan, 2Urology, Tokyo Metropolitan Cancer and Infectious diseases Center Komagome Hospital, Tokyo, Japan, 3Radiology, Ochanomizu Surugadai Clinic, Tokyo, Japan

We evaluated standardized apparent diffusion coefficient value (ADC ratio) by taking the ratio of the ADC of the cancer tissue (T-ADC) to that of the gluteus maximus (G-ADC) can be a biomarker for predicting histological grade under two different imaging conditions. Two independent bladder cancer cohorts including 107 and 47 patients were evaluated. There was a significant difference in T-ADC between the cohorts, but no significant difference in the ADC ratio was observed. The ADC ratio significantly correlated with grade, as was the T-ADC. The ADC ratio might serve as an inter-institutional biomarker for predicting histological grade of bladder cancer.


Traditional Poster

Tumour Response to Therapy

Exhibition Hall Thursday, May 12, 2016: 10:30 - 12:30

2434
GluCEST MRI: A Biomarker for Glutamine Metabolism in Cancer
Rong Zhou1, Puneet Bagga1, Kavindra Nath1, David Mankoff1, Hari Hariharan1, and Ravinder Reddy1

1Radiology, University of Pennsylvania, Philadelphia, PA, United States

We presented the very first evaluation of glutamate chemical exchange saturation transfer (GluCEST) MRI to detect pharmacodynamic effect of small molecule drugs that target cancer glutaminolysis pathway. Conversion of glutamine to glutamate is a rate limiting step along this pathway. Inhibition of this conversion leads to reduction of cellular glutamate concentration that can be detected by GluCEST in vivo and confirmed by ex vivo high resolution 1H MRS of tumor homogenates. 

2435
Use of iron contrast agents to detect brain tumor treatment response based on stimulating the innate immune system
Yang Runze1,2, Susobhan Sarkar2, Daniel J Korchinski1, Ying Wu1, V Wee Yong2,3, and Jeff F. Dunn1,2

1Radiology, University of Calgary, Calgary, AB, Canada, 2Clinical Neuroscience, University of Calgary, Calgary, AB, Canada, 3Oncology, University of Calgary, Calgary, AB, Canada

Glioblastoma Multiforme (GBM) is the most aggressive brain cancer with an abysmal prognosis. It has been shown that monocytes can be activated to suppress GBM stem cells using Amphotericin B (Amp B). We propose that monocytes can be labeled using intravenous injection of ultra-small iron oxide nanoparticles (USPIO), which will allow us to detect a rapid treatment response. We showed that Amp B treated animals significantly decreased T2* compared to vehicles, showing the presence of USPIO within the tumor. This shows that USPIO can be an effective tool to monitor cancer therapies that stimulate innate immunity.

2436
Diffusion weighted magnetic resonance imaging as an early predictor of survival in patients with liver-dominant metastatic colorectal cancer following 90-Yttrium-microsphere radioembolization
Frederic Carsten Schmeel1, Birgit Simon1, Julian Alexander Luetkens1, Frank Träber1, Leonard Christopher Schmeel1, Hans Heinz Schild1, and Dariusch Reza Hadizadeh1

1Department of Radiology, University Hospital Bonn, Bonn, Germany

Imaging-based response assessment to local interventional therapies is essential for further therapy decisions in patients with advanced malignancies.  Therefore, we investigated whether early post-therapeutic changes in diffusion-weighted MRI using quantifications of the apparent diffusion coefficient (ADC) could predict the outcome of patients with liver-dominant metastatic colorectal cancer after radioembolization with 90-Yttrium microspheres (RE). Uni- and multivariate survival analyses were performed comparing various variables with potential impact on overall survival. Our results reveal that an increase in the post-therapeutic minimal ADC remained the strongest and only independent predictor of overall survival shortly after radioembolization.

2437
Quality Assurance Methodology for Multicenter Clinical Trials using MRI – Experiences from the NCI National Clinical Trial Network (NCTN) Imaging and Radiation Oncology Core (IROC) Service
Preethi Subramanian1, Jun Zhang2, Shivangi Vora2, Marc Gollub3, Deborah Schrag4, Xiangyu Yang5, Lawrence Schwartz6, and Michael V Knopp7

1Radiology, The Ohio State University, Colu,bus, OH, United States, 2Radiology, The Ohio State University, Columbus, OH, United States, 3Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, United States, 4Dana Farber Cancer Institute, Boston, MA, United States, 5The Ohio State University, Columbus, OH, United States, 6Radiology, Columbia University, New York, NY, United States, 7Radiology - Wright Center of Innovation, The Ohio State University, Columbus, OH, United States

Quality Assurance Methodology for Multicenter Clinical Trials using MRI

2438
Early detection of photoimmunotherapy-induced tumor cell death with hyperpolarized [1,4-13C2]fumarate
Shun Kishimoto1, Jeeva Munasinghe2, Marcelino Bernardo1, Hellmut Merkle3, Keita Saito1, James B Mitchell1, Jan Henrik Ardenkjaer-Larsen4, Peter L Choyke1, and Murali Cherukuri1

1NCI, Bethesda, MD, United States, 2NINDS, Bethesda, MD, United States, 3LFMI, Bethesda, MD, United States, 4GE Health Care, brondby, Denmark

Photoimmunotherapy (PIT) is a novel therapy for cancer treatment.  PIT combines a targeted antibody with the photon absorber, IR700, which, after exposure to near infrared (NIR) light induces highly selective tumor necrosis with almost no side effects to normal adjacent tissue. PIT is now in Phase I clinical trials in head and neck cancers.  Although NIR PIT can be highly effective, the size of the lesion does not immediately change and it may take several weeks for the tumor to completely respond anatomically.  Thus, detecting early therapeutic response in the absence of anatomic change is of interest. Here, we demonstrate the effects of NIR PIT on 13C magnetic resonance spectroscopy (MRS) in an animal model (EGFR positive A431 tumor) using 13C labeled hyperpolarized (HP) pyruvate and fumarate. Interestingly, the lactate-to-pyruvate ratio was almost unchanged, while the malate-to-fumarate ratio showed a significant difference in PIT treated tumors. This is explained by the difference of the bio distribution of these tracers.  Hyperpolarized 13C labeled fumarate MRS is a promising method for detecting early PIT mediated cell necrosis.

2439
Characterization of HPV positive oropharyngeal tumors using intravoxel incoherent motion DW-MRI before and during radiation therapy
Ramesh Paudyal1, Praveen Venigalla2, Jingao Li2,3, Nadeem Riaz2, Jung Oh Hun1, David Aramburu Nuñez1, Vaois Haztglou4, Yonggang Lu5, Joseph O Deasy1, Nancy Lee2, and Amita Shukla-Dave1

1Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY, United States, 2Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, United States, 3Radiation Oncology, Jiangxi Cancer Hospital, Nanchang, China, People's Republic of, 4Radiology, Memorial Sloan Kettering Cancer, New York, NY, United States, 5Radiation Oncology, Washington University, St louis, MO, United States

This study aims to characterize human papillomavirus (HPV) positive (+) oropharyngeal cancer (OPC) using intravoxel incoherent motion (IVIM) DW-MRI performed before and during chemo-radiation therapy. A consensus clustering algorithm based on the hierarchical clustering and Pearson correlation distance was performed using the weekly IVIM DW-MRI metrics of D, f and D*, total tumor volume and delivered radiation dose. It demonstrated the presence of two HPV+ clusters. A trend towards significant increase in D during the pre- and intra-treatment (week 3) IVIM DW-MR data suggested that patients in cluster 2 may benefit with use of less aggressive therapy. 

2440
Treatment response assessment of malignant cancer cells to alpha-lipoic acid and a 213Bi-anti-EGFR-MAb with hyperpolarized [1-13C]-pyruvate
Benedikt Feuerecker1, Christian Hundshammer1, Christof Seidl2, Alfred Morgenstern3, Frank Bruchertseifer3, Reingard Senekowitsch-Schmidtke1, and Markus Schwaiger1

1Department of Nuclear Medicine, Technische Universität München, Munich, Germany, 2Department of Obstetrics and Gynaecology, Technische Universität München, Munich, Germany, 3European Commission Joint Research Centre Institute for Transuranium Elements, Karlsruhe, Germany

In the light of up regulation of glycolysis in tumors of the Warburg type, hyperpolarized 13C-labeled metabolic tracers offer new possibilities to probe fast metabolic pathways in real-time. As such, we assessed therapy response of malignant cancer cells to alpha-lipoic acid and a 213Bi-anti-EGFR-MAb with hyperpolarized [1-13C]-pyruvate. Our results point to the fact that treatment of LN18 glioblastoma cells with LPA resulted in decreased proliferation/viability and reduced lactate export. Beyond, we demonstrated that NMR of hyperpolarized [1-13C]-pyruvate proved to be adequate for monitoring the response of bladder carcinoma cells to treatment with a 213Bi-anti-EGFR-MAb as indicated by elevated pyruvate turnover.

2441
Quantification of transverse relaxation time changes in rectal tissue during fixation at ultra-high field MRI
Quincy van Houtum1, Dennis D.W.J. Klomp1, and Marielle M.E.P. Philippens1

1Imaging, UMC Utrecht, Utrecht, Netherlands

In this study we investigate the transverse relaxation effects at 7T during the fixation process in rectal specimens as a preparation for 7T MRI validation of rectal tumor regression with pathology. T2 and T2* were measured every 2 hours during fixation process in six different pig recta. Images allowed mapping of relaxation time at high spatial resolution. The circular muscle showed a decrease of 25% in T2* whilst other tissues remained constant over time for both parameters. A T2* decrease of 25% is seen in the circular muscle of the rectal wall was noticed whilst other tissue-regions remained constant. High resolution and SNR allowed for anatomical delineation and measuring the change of transverse relaxation times.

2442
MRI biomarkers for pancreatic ductal adenocarcinoma
Navid Farr1, Paolo Provenzano2, Joshua Park3, Sunil Hingorani2, and Donghoon Lee3

1Department of Bioengineering, University of Washington, Seattle, WA, United States, 2Fred Hutchinson Cancer Research Center, Seattle, WA, United States, 3Department of Radiology, University of Washington, Seattle, WA, United States

Pancreatic cancer is a devastating disease with poor prognosis. Pancreatic tumor therapy has been ineffective in part because pancreatic tumors have a dense stroma inhibiting penetration of chemotherapeutic drugs into the tumor. We performed multi-parametric MRI at high resolution to noninvasively assess tumor progression and responses to effective treatment. We used T1 and T2 relaxation, diffusion, magnetization transfer effects along with 3 dimensional volume measurements to characterize the tumors. MR measurements were then compared with histopathological results.

2443
Can Diffusion Weighted MRI Assess Early Response of Lymphadenopathy to Induction Chemotherapy in Nasopharyngeal Cancer: A Heterogeneity Analysis Approach
Manijeh Beigi1, Anahita Fathi Kazerooni1, Mojtaba Safari1, Marzieh Alamolhoda2, Ahmad Ameri3, Shiva Moghdam4, Mohsen Shojaee Moghdam5, and Hamidreza Saligheh Rad1

1Medical Physics and Biomedical Engineering, School of Medicine, Quantitative MR Imaging and Spectroscopy Group, Research Center for Cellular and Molecular Imaging, Institute for Advanced Medical Imaging, Tehran, Iran, 2Statistics, Shiraz University of Medical Science, Shiraz, Iran, 3Oncology, Shahid Beheshti University of Medical Science, Tehran, Iran, 4Oncology, Tehran, Iran, 5Payambaran Imaging Center, Tehran, Iran

Induction chemotherapy is an effective way to control subclinical metastasis in locally-advanced nasopharyngeal cancer patients. Diffusion-weighted MRI is a noninvasive imaging technique allowing some degree of tissue characterization by showing and quantifying molecular diffusion. Histogram analysis on ADC map could be carried out to reveal physiological alterations early after IC.  For this purpose, several quantitative metrics from ADC-map were explored to obtain the most accurate feature(s) as potential predictive biomarker for early response of the lymphnode to IC. If the outcome can be predicted at an early stage of the treatment, the patient could be spared from unnecessary treatment toxicity.  

2444
Multiparameter MRI Response Assessment in a Phase I Trial of Hypofractionated Stereotactic Irradiation with Pembrolizumab and Bevacizumab in Patients with Recurrent High Grade Gliomas
Olya Stringfield1, John Arrington2, Solmaz Sahebjam3, and Natarajan Raghunand1

1Cancer Imaging & Metabolism, Moffitt Cancer Center, Tampa, FL, United States, 2Radiology, Moffitt Cancer Center, Tampa, FL, United States, 3Neuro-Oncology, Moffitt Cancer Center, Tampa, FL, United States

In this ongoing phase 1 study, we are investigating combined pembrolizumab and bevacizumab therapy with hypofractionated radiotherapy in recurrent glioma. The objective of this work is to develop a non-invasive response assessment measure using multiparameter MRI (mpMRI) scans acquired as part of clinical care which may precede volumetric changes in response to therapy.

2445
Integrated Positron Emission Tomography/ Magnetic Resonance Imaging in the Treatment of Cervical Cancer: Preliminary Results
Sharmili Roy1, Dennis Lai-Hong Cheong1, Mary C. Stephenson1, Trina Kok1, Evelyn Laurens1, Joshua D. Schaefferkoetter1, John James Totman1, Vicky Koh2, Johann Tang2, Joseph Ng2, Jeffrey Low2, and Bok Ai Choo2

1A*Star-NUS Clinical Imaging Research Centre, Singapore, Singapore, 2National University Health System, Singapore, Singapore

Response assessment after radical radiation therapy (RT) is typically performed months post treatment completion due to confounding acute RT effects. This study presents feasibility and early results on the ability of PET/MRI in visualizing early tumor changes in the cervix even during RT. This could potentially provide actionable information for treatment modifications prior to the completion of standard of care.  

2446
Prostate Cancer: DCE-MRI parameter changes during radiotherapy
Lucy Elizabeth Kershaw1,2, Andrew McPartlin2,3, Ben Taylor4, Ananya Choudhury2,3, and Marcel van Herk2

1CMPE, The Christie NHSFT, Manchester, United Kingdom, 2Manchester Academic Health Sciences Centre, The University of Manchester, Manchester, United Kingdom, 3Oncology, The Christie NHSFT, Manchester, United Kingdom, 4Radiology, The Christie NHSFT, Manchester, United Kingdom

In this pilot work, our aim was to measure plasma flow (Fp) and permeability-surface area product (PS) through the course of RT in prostate tumour and normal tissue to determine whether significant changes could be detected early in treatment.   We detected significant increases in Fp and PS during radiotherapy in this small patient group.

2447
The feasibility of performing intravoxel incoherent motion MRI for esophageal cancer and an initial comparison with dynamic contrast-enhanced MRI
Sophie E. Heethuis1, Lucas Goense1,2, Peter S.N. van Rossum1,2, Irene M. Lips1, Richard van Hillegersberg2, Jelle P. Ruurda2, Marco van Vulpen1, Gert J. Meijer1, Jan J.W. Lagendijk1, and Astrid L.H.M.W. van Lier1

1Department of Radiotherapy, UMC Utrecht, Utrecht, Netherlands, 2Department of Surgery, UMC Utrecht, Utrecht, Netherlands

The aim of this study was to investigate whether intravoxel incoherent motion (IVIM) MRI could be a non-invasive alternative for dynamic contrast-enhanced (DCE) MRI for response prediction in patients with esophageal cancer. The feasibility of IVIM was researched, followed by a first comparison with DCE-MRI. It was found that non-rigid registration improved the fitting of the IVIM parameters significantly. Comparison of IVIM and DCE-MRI suggested an inverse relation between perfusion fraction and area-under-the-concentration curve (AUC).

2448
Restriction Spectrum Imaging based tumor cellularity performs better than ADC in patients newly diagnosed with Glioblastoma Multiforme
AnithaPriya Krishnan1, Carrie R. McDonald1, Nikdokht Farid2, Anders M. Dale1,3, and Nathan S. White1,3

1MMIL, Radiology, University of San Diego, La Jolla, CA, United States, 2Division of Neuroradiology, University of San Diego, La Jolla, CA, United States, 3Center for Translational Imaging and Precision Medicine, University of San Diego, La Jolla, CA, United States

Contrast enhancing (CE) volumes are unreliable in the pseudo-progression window post radiotherapy and ADC based estimate of tumor cellularity is significantly affected by edema. Here, we provide preliminary evidence that Restriction Spectrum Imaging (RSI) based tumor cellularity performs better than ADC, supplements structural volumes and is significantly predictive of overall survival (OS). The study also highlights the need for higher b values as the association of ADC (in CE) with outcomes was observed only when high b values were used for ADC estimation and with b=1500s/mm2, ADC in edema ROI was not independent of edema volume (r=0.7)

2449
High resolution imaging of ex-vivo humane pancreas specimen at high field MRI
Quincy van Houtum1, Marielle M.E.P. Philippens1, Maarten M.S. van Leeuwen2, Frank F.J. Wessels2, and Dennis D.W.J. Klomp1

1Imaging, UMC Utrecht, Utrecht, Netherlands, 2Radiology, UMC Utrecht, Utrecht, Netherlands

The aim of this study is to demonstrate high resolution MR imaging of ex vivo pancreas-specimen while maintaining the in vivo shape and orientation. A pancreaticoduodenal specimen was positioned inside a 3T MRI while maintaining in vivo shape and orientation using substitutes for anatomical features. A 3D TSE sequence with a spatial resolution of 0.45x0.45x2mm, was used for acquisition.  Images showed contrast between multiple anatomical structures, allowed for discrimination between tumor and healthy tissue and showed an underestimation of tumor size on CT. Image quality holds promise for improved guidance during PA and registration with in vivo MRI.

2450
Hormonal effect on time-dependent diffusion of the breast fibroglandular tissue
Sungheon Gene Kim1,2, Eric Sigmund1,2, Melanie Moccaldi1,2, Thorsten Feiweier3, and Linda Moy1,2

1Center for Advanced Imaging Innovation and Research, Radiology, New York University School of Medicine, New York, NY, United States, 2Bernard and Irene Schwartz Center for Biomedical Imaging, Radiology, New York University School of Medicine, New York, NY, United States, 3Siemens Healthcare GmbH, Erlangen, Germany

This study is to investigate the potential of the surface-to-volume ratio obtained from multiple diffusion times to measure mammary duct microstructural changes induced by hormonal variation. Seven premenopausal women were scanned twice using a stimulated-echo diffusion sequence; one in the follicular phase of the menstrual cycle and again in the luteal phase. In 6 out of 7 subjects, the surface-to-volume ratio measured with 69 and 173 ms was significantly reduced in the luteal phase compared to the follicular phase. The length scales obtained in our study are consistent with the duct diameters reported in previous ex-vivo studies.


Traditional Poster

Clinical MRI of Solid Tumour

Exhibition Hall Thursday, May 12, 2016: 10:30 - 12:30

2451
Quantitative Evaluation of the Effect of Bone on Pelvic Lesion Uptake for MR-based Attenuation Correction on an Integrated Time-of-Flight PET/MRI System
Andrew Leynes1, Jaewon Yang1, Dattesh Shanbhag2, Sandeep Kaushik2, Florian Wiesinger3, Youngho Seo1, Thomas Hope1, and Peder Larson1

1University of California San Francisco, San Francisco, CA, United States, 2GE Global Research, Bangalore, India, 3GE Global Research, Munich, Germany

The current clinical standard for extracranial MR-based attenuation correction (MRAC) on hybrid PET/MRI systems is the use of a Dixon-type sequence to generate a continuous-value fat-water map. The exclusion of bone in Dixon MRAC contributes a clinically significant amount of underestimation in bone lesion uptake. Bone information from a zero echo-time (ZTE) MRI pulse sequence is combined with the Dixon MRAC to produce a hybrid ZTE-Dixon MRAC. The work demonstrates, using PET/MR patient data, that the Dixon MRAC (neglecting bone) is underestimating bone lesion uptake by a clinically significant amount (>10%) when compared to the hybrid MRAC (including bone).

2452
Multivariate assessment of brain glioma using hybrid IVIM and DK MRI
Ya-Fang Chen1, Hsiang-Kuang​ Liang2, and Wen-Chau Wu3,4

1Medical Imaging, National Taiwan University Hospital, Taipei, Taiwan, 2Radiation Oncology, National Taiwan University Hospital, Taipei, Taiwan, 3Graduate Institute of Oncology, National Taiwan University, Taipei, Taiwan, 4Clinical Medicine, National Taiwan University, Taipei, Taiwan

In the present study, we investigated the feasibility of hybrid intravoxel incoherent motion and diffusion kurtosis MR imaging in assessing brain gliomas. Our data showed that combined intravascular fraction (a surrogate measure of cerebral blood volume), diffusion coefficient (a measure of diffusivity), and diffusion kurtosis coefficient (a measure of diffusion heterogeneity) may better demarcate brain gliomas through exploration of multiple pathophysiological aspects.

2453
Comparison of HCC Tumor-Size measured in MRI and Histopathology – Does the Sequence matter?
Marco Armbruster1, Dominik Nörenberg1, Katharina Hoffmann2, Joachim Andrassy2, and Harald Kramer1

1Department of Clinical Radiology, Ludwig-Maximilian-University Munich, Munich, Germany, 2Department of Visceral Surgery, Ludwig-Maximilian-University Munich, Munich, Germany

Size measurements of hepatocellular carcinoma lesions play an important role in treatment algorithms of this disease, however little is known about which MRI sequence has the highest accuracy. This study shows, that there is a significant variance in size assessment of different MRI sequences and phases, while the hepatobiliary-phase seems to be best correlated to histopathologic measurements as the standard of reference and delineates HCC lesions most sharply.

2454
Fractional Enhancement metric improves SNR and visualisation of quantitative two-point contrast-enhanced MRI in retroperitoneal sarcoma
Matthew David Blackledge1, Christina Messiou1,2, Jessica M Winfield1,2, Dow Mu Koh1,2, David J Collins1,2, and Martin O Leach1,2

1CRUK Cancer Imaging Center, Division of Radiotherapy and Imaging, Institute of Cancer Research, London, United Kingdom, 2MRI, Royal Marsden Hospital, London, United Kingdom

We compare two enhancement fraction parameters that may be used for quantification of two-point contrast-enhanced MRI studies: The relative enhancement and the fractional enhancement. Using computer simulations we show that fractional enhancement is better behaved in the presence of imaging noise, resulting in better SNR for this parameter over a range of intrinsic longitudinal tissue relaxivities and contrast medium concentrations.  Further, in a cohort of 25 patients with retroperitoneal sarcoma, fractional enhancement significantly outperformed the relative enhancement in terms of visual assessment of contrast-to-noise, signal-to-noise, tumour detection, imaging artefacts and within tumour contrast.

2455
Assessing Myeloma Focal Lesion Conspicuity on Dixon Images
Timothy James Pengilley Bray1, Saurabh Singh1, Arash Latifoltojar1, Kannan Rajesparan1, Farzana Rahman1, Alan Bainbridge2, Shonit Punwani1, and Margaret A Hall-Craggs1

1Centre for Medical Imaging, University College London, London, United Kingdom, 2Medical Physics, University College London, London, United Kingdom

Dixon imaging is becoming more widely used in multiple myeloma (MM) and can provide both functional and anatomical information. We observed that myeloma lesions seemed more conspicuous on fat only (FO) images than on conventional in-phase T1, and therefore hypothesised that lesion detection rates would be higher on FO images. In this research, we show that reader sensitivity, positive predictive value and confidence are indeed higher on FO images. This may be because myeloma lesions cause a proportionately greater change in fat content than in water content. We suggest that Dixon imaging should be used in preference to T1 imaging alone when performing WB-MRI. 

2456
Proton Magnetic Resonance Spectroscopy (1-H MRS) of Sputum and Exhaled Breath Condensate: A Non-invasive Tool for Lung Cancer Screening
Naseer Ahmed1, Tedros Bezabeh2,3, Renelle Myers 4, Omkar B Ijare3, Shantanu Banerji 1, Reem Alomran 1, Zoann Nugent 1, and Zoheir Bshouty 4

1CancerCare Manitoba, Winnipeg, MB, Canada, 2Chemistry, University of Guam, Mangilao, Guam, 3Chemistry, University of Winnipeg, Winnipeg, MB, Canada, 4Health Sciences Centre, Winnipeg, MB, Canada

We undertook this study to determine if 1H Magnetic Resonance Spectroscopy (MRS) can provide an alternate tool for the screening of lung cancer. Metabolic profiles of sputum and exhaled breath condensate (EBC) samples were obtained from 15 patients (cancer, n=8 and control, n=7) using a Bruker Avance 400 MHz NMR spectrometer. Methanol was detected at a significantly lower concentration in the EBC samples (p<0.05). Absence of glucose and lower concentration of glycoprotein (p<0.05) were observed in the sputum samples of the cancer patients. MRS may serve as a screening tool for lung cancer in high-risk patients but this requires validation in a larger study. 

2457
Quantifying Pathologies and Improving Tractography in Brain Tumor Using Diffusion Basis Spectrum Imaging
Peng Sun1, Kim J. Griffin1, Hung-Wen Kao2,3, Chien-Yuan Eddy Lin4,5, Ching-Po Lin3,6, and Sheng-Kwei Song1

1Radiology, Washington University in St. Louis, St. Louis, MO, United States, 2Department of Radiology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, 3Biomedical Imaging and Radiological Sciences, National Yang-Ming University, Taipei, Taiwan, 4GE Healthcare, Taipei, Taiwan, 5GE Healthcare MR Research China, Beijing, China, People's Republic of, 6Institute of Neuroscience, National Yang-Ming University, Taipei, Taiwan

Patients with brain tumors usually exhibit heterogeneous tissue features. Our results suggest DBSI-derived indices can quantify each individual feature. In addition, DBSI-derived tractography can visualized white matter tracts through confounding tumor and peritumoral edema.

2458
Software development for evaluating hepatic heterogeneity and its application in hepatocellular carcinoma
Tae-Hoon Kim1, Chang-Won Jeong1, Jong-Hyun Ryu1, Hong-Young Jun1, Dong-Woon Heo1, Sung-Chan Kang1, and Kwon-Ha Yoon1,2

1Imaging science-based research center, Wonkwang University School of Medicine, Iksan, Korea, Republic of, 2Radiology, Wonkwang University Hospital, Wonkwang University School of Medicine, Iksan, Korea, Republic of

In this paper, we developed the quantification software for evaluating the voxel-based cellular heterogeneity of gadoxetic acid-enhanced magnetic resonance imaging (MRI) in the liver. Our software is clinically applied to accurately quantify and interpret the alterations of liver functions in patients with hepatocellular carcinoma.

2459
Statistical Clustering of Parametric Maps from Quantitative Dynamic Contrast Enhanced MRI and an Associated Decision Tree Model for Non-Invasive Tumor Grading of Solid Clear Cell Renal Cell Carcinoma
Yin Xi1, Qing Yuan1, Yue Zhang1, Ananth Madhuranthakam1,2, Jeffrey Cadeddu3, Vitaly Margulis3, James Brugarolas4,5, Payal Kapur3,6, and Ivan Pedrosa1,2

1Radiology, UTSouthwestern Medical Center, Dallas, TX, United States, 2Advanced Imaging Research Center, UTSouthwestern Medical Center, Dallas, TX, United States, 3Urology, UTSouthwestern Medical Center, Dallas, TX, United States, 4Internal Medicine, UTSouthwestern Medical Center, Dallas, TX, United States, 5Developmental Biology, UTSouthwestern Medical Center, Dallas, TX, United States, 6Pathology, UTSouthwestern Medical Center, Dallas, TX, United States

We propose a method that provides a simplified visual representation of tumor vascular heterogeneity in clear cell renal cell carcinoma (ccRCC) based on the combination of multiple parametric maps from quantitative dynamic contrast-enhanced (DCE) MRI analysis. Using this approach we observed an association between the tumor grade and vascular heterogeneity, especially in medium size tumors. A decision tree model was developed to predict high grade and low grade histology in solid ccRCCs, which may help in management decisions by providing additional information about the tumor biology beyond tumor size.

2460
Validation of Interstitial Volume Fraction Quantification Performed with Dynamic Contrast-Enhanced Magnetic Resonance Imaging in Skeletal Swine Muscle
Stefan Hindel1, Anika Söhner1, Marc Maaß2, and Lutz Lüdemann1

1University Hospital Essen, Essen, Germany, 2Wesel Protestant Hospital, Wesel, Germany

We assessed the accuracy of interstitial volume fraction v(e) measurements in low-perfused tissue performed using dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) with a gadolinium-based contrast agent. A 3D gradient echo sequence with k-space-sharing was used to determine v(e) in muscle tissue of twelve pigs. The evaluation was performed with the simple and extended Tofts model and the 2-compartment exchange model using different acquisition durations (ADs). The v(e) values determined by MRI were compared with the histologic analysis of muscle tissue sections. There was good agreement between histology and DCE-MRI modeling but also a strong dependence on AD with the Tofts models.

2461
Quantification of Blood Volume Fraction Using Dynamic Contrast-Enhanced Magnetic Resonance Imaging in Skeletal Swine Muscle
Stefan Hindel1, Anika Söhner1, Marc Maaß2, and Lutz Lüdemann1

1University Hospital Essen, Essen, Germany, 2Wesel Protestant Hospital, Wesel, Germany

We estimated the blood volume fraction in low perfused tissue using dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI). The blood volume fraction v(b) was measured in hind leg muscle of pigs weighing approx. 60 kg. MRI was performed using a 3D gradient echo sequence with k-space-sharing and either a gadolinium-based (gadoterate meglumine) or an intravascular contrast agent (gadofosveset trisodium). Comparison of the different DCE-MRI methods with histology revealed good agreement between histological findings and the results obtained with the 2-compartment exchange model, bolus deconvolution and equilibrium MRI.

2462
A simplified spin and gradient echo (SAGE) DSC-MRI approach for the simultaneous assessment of brain tumor perfusion, permeability, and cellularity
Ashley M Stokes1, Jack T Skinner2, and C. Chad Quarles1

1Department of Imaging Research, Barrow Neurological Institute, Phoenix, AZ, United States, 2National Comprehensive Cancer Network, Philadelphia, PA, United States

Dynamic susceptibility contrast (DSC-MRI) MRI is routinely used for brain tumor imaging and has shown promise as an early biomarker for treatment response. Conventional DSC-MRI is susceptible to contrast agent leakage effects, reducing the reliability of the resulting blood volume maps. The use of a simplified spin and gradient echo (SAGE) sequence, combined with robust processing strategies for correction of leakage effects, could facilitate more rapid clinical translation and adoption of DSC-MRI for brain tumor imaging. Taken together, the simplified SAGE approach and subsequence leakage correction provides a clinically feasible strategy for the simultaneous assessment tumor perfusion, permeability and cellularity. 

2463
Robust and Efficient Pharmacokinetic Parameter Estimation: Application to Prostate DCE-MRI
Soudabeh Kargar1, Eric G Stinson2, Eric A Borisch2, Adam T Froemming2, Akira G Kawashima3, Lance A Mynderse4, Joshua D Trzasko2, and Stephen J Riederer2

1Biomedical Engineering and Physiology, Mayo Graduate School, Rochester, MN, United States, 2Radiology, Mayo Clinic, Rochester, MN, United States, 3Radiology, Mayo Clinic, Scottsdale, AZ, United States, 4Urology, Mayo Clinic, Rochester, MN, United States

The use of MRI for planning targeted biopsy and evaluation of recurrence is becoming more common; in particular, Dynamic Contrast-Enhanced MRI (DCE-MRI) as part of multi-parametric MRI, is used for assessment of tumor angiogenesis and monitoring the effectiveness of therapy. We are interested in accurate estimation of Ktrans and Kep as an indication of change in perfusion patterns in benign and malignant tissue. We developed a robust and efficient numerical optimization technique to find the (nonlinear) least squares estimates of Ktrans and Kep from 3D DCE-MRI. The perfusion maps generated with this technique match the Levenberg Marquardt method and DynaCAD.

2464
The Influence of Pre-load Contrast Agent Dosing Schemes on DSC-MRI Data
Natenael B. Semmineh1, Kelly Gardner1, Jerrold L. Boxerman2, and C. Chad Quarles1

1Imaging Research, Barrow Neurological Institute, Phoenix, AZ, United States, 2Diagnostic Imaging, Rhode Island Hospital, Providence, RI, United States

Brain tumor DSC-MRI studies can be confounded by T1 and T2* effects that occur when the contrast agent extravasates. Traditionally a combination of CA pre-loading and leakage correction techniques are used to minimize T1 leakage effects, but currently there is no consensus on the most robust dosing scheme. Using simulations we demonstrate that pre-load dosing schemes significantly alter blood volume estimates. This computational approach is being utilized to identify a CA dosing scheme that minimizes total CA dose and yields robust CBV measures across a range of physical, physiological and pulse sequence parameters.

2465
Non-uniform noise correction in dynamic contrast-enhanced MR images reveals superiority of the two compartmental exchange model over the extended Tofts and the adiabatic approximation to the tissue homogeneity models in glioma patients
Georgios Krokos1, Neil Thacker1, Ibrahim Djoukhadar1, David Morris1, Alan Jackson1, and Marie-Claude Asselin1

1Medical and Human Sciences, University of Manchester, Manchester, United Kingdom

Variability in the underlying assumptions and mathematical formulations of the commonly used models for pharmacokinetic analysis of dynamic contrast-enhanced (DCE) MRI data make model selection not straightforward[1].  The variable noise in DCE-MR images affects the precision of parameters such that correcting the chi-square for the non-uniform noise is required for model comparison[2]. After noise correction, the two-compartmental exchange model fitted the data better, particularly in grade IV glioma, compared to the extended Tofts and adiabatic approximation to the tissue homogeneity models. Lengthening the acquisition duration not only provided more precise parameter estimates but also reduced the mathematical correlations between parameters.

2466
Cerebral blood flow measurements correlate well in paediatric brain tumour patients using ASL- and DSC-MRI
Jan Novak1,2, Stephanie Withey1,2, Lesley MacPherson3, and Andrew Peet1,2

1Institute of Cancer and Genomic Sciences, University of Birmingham, Birmingham, United Kingdom, 2Oncology, Birmingham Children's Hospital, Birmingham, United Kingdom, 3Radiology, Birmingham Children's Hospital, Birmingham, United Kingdom

Low grade paediatric brain tumours are increasingly being targeted by anti-vasculature therapies.  It is therefore of particular interest to assess perfusion in these pathologies. We assessed paediatric tumour perfusion using both arterial spin labelling (ASL) and dynamic susceptibility contrast (DSC) on a 3T TX Philips Achieva scanner. Blood flow maps were produced for both techniques where good qualitative agreement was found illustrated by strong, significant pixel-by-pixel correlations.  We found that tumour blood flow measured by ASL and DSC significantly correlated (ρ = 0.714, P = 0.047) suggesting ASL can be used instead of DSC for this measurement.

2467
Automated segmentation of soft tissue sarcoma into distinct pathological regions using diffusion and T2 relaxation
Shu Xing1, Carolyn R. Freeman2, Sungmi Jung3, and Ives R. Levesque4,5

1Physics, McGill, Montreal, QC, Canada, 2Radiation Oncology, McGill University Health Center, Montreal, Canada, 3Pathology, McGill University Health Center, Montreal, Canada, 4Medical Physics Unit, McGill University, Montreal, QC, Canada, 5Research Institute, McGill University Health Center, Montreal, QC, Canada

In this work, we propose a novel method to automatically distinguish various pathological tissue types within tumors, in particular soft tissue sarcoma. Pathological tissue signatures within the tumor, including high cellularity, high T2 content, or necrosis, can be interpreted from the combination of T2-weighted images, DW-MRI (b=500-1000 s/mm2) and ADC maps. We propose an automated approach that compares the ADC, the T2, and a quantified surrogate for the high-b-value DW-MRI image, between the tumor and a reference tissue, to segment the tumor. Delineating tumor sub-regions is useful in assessing the overall tumor environment and may inform sub-region-targeted radiation dose-painting.

2468
Proton-Density Fat Fraction measurement: A Viable Quantitative Biomarker for Differentiating Adrenal Adenomas from Nonadenomas
Xiaoyan Meng1, Xiao Chen1, Yaqi Shen1, Zhen Li1, Xuemei Hu1, Hui Lin2, and Daoyu Hu1

1raidology, Tongji hospital, Tongji medical college, Huazhong university of science and technology, Wuhan,Hubei province, China, People's Republic of, 2GE Healthcare, Wuhan,Hubei, China, People's Republic of

The aim of our study was to compare the accuracy of PDFF measurements and conventional IP/OP images for quantifying the fat content of adrenal gland nodules and for distinguishing adenomas from nonadenomas.Our results showed that PDFF imaging provided almost accuracy compared with IP/OP imaging.PDFF could be a simpler diagnostic tool for discriminating adenomas from nonadenomas, with a high sensitivity and a relatively high specificity, thus avoiding complicated data calculations. This technique is potentially a helpful and a widely applicable method for diagnosing adrenal gland nodules in clinical studies. 

2469
Three-time point method of dynamic contrast-enhanced MRI in discrimination of  ACTH-producing and non-functional pituitary adenomas based on whole-tumor quantification
Miaomiao Wang1, Chao Jin1, Jianxin Guo1, Lihong Chen1, Tingting Qu1, Hui Hao1, and Jian Yang1

1Department of Radiology, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China, People's Republic of

Quantitative characterizations of functional vascularity of ACTH-producing and non-functioning pituitary adenomas are critical to identify their differences in clinics. From this, a semi-quantitative method, i.e. three-time point method of DCE-MRI was proposed to detail the dynamic enhanced features and thus distinguish them. The results indicate that based on the enhancement time-signal curve, the volume percentage of the two groups are different in the washout-type curve. Particularly, in wash-out phase of the curve, the descending slope of ACTH-producing is greater than that in non-functioning pituitary adenoma.

2470
Amide proton transfer (APT) Imaging in Head and Neck Cancer: preliminary results
Benjamin King Hong Law1, Ann D King1, Kunwar S Bhatia1, Anil T Ahuja1, Brigette B Ma2, David Ka-Wai Yeung2, Yi-Xiang Wang1, and Jing Yuan3

1Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Shatin, Hong Kong, 2Department of Clinical Oncology, The Chinese University of Hong Kong, Shatin, Hong Kong, 3Medical Physics and Research Department, Hong Kong Sanatorium & Hospital, Happy Valley, Hong Kong

Amide proton transfer (APT) imaging is a promising functional MRI technique that investigates the chemical exchange processes between free water and mobile amide protons in cancers. It is sensitive to small variations in these amide protons but the potential value of APT imaging in head and neck cancer is unknown. We have shown APT imaging of head and neck cancer is feasible, although the success rate varies with tumour site. No difference was found between the APT parameters of undifferentiated nasopharyngeal carcinoma and head and neck squamous cell carcinoma in this small preliminary study, but larger studies are needed.


Traditional Poster

Breast Cancer

Exhibition Hall Thursday, May 12, 2016: 10:30 - 12:30

2471
Co-registration of pre-biopsy and biopsy MRIs to facilitate lesion localization for MR-guided breast biopsies
Mirabela Rusu1, Elizabeth A. Morris2, Elizabeth J. Sutton2, and Ileana Hancu1

1GE Global Research, Schenectady, NY, United States, 2Memorial Sloan Kettering Cancer Center, New York, NY, United States

Lesion identification in MR-guided biopsy exams can be hampered by many factors, including large deformations and limited tissue perfusion due to breast compression. Multiple post-contrast scans, image subtraction and maximum intensity projection map generation may be needed to relocate the lesion. This preliminary study suggests that non-rigid registration between the (uncompressed breast) pre-biopsy series and the (compressed breast) biopsy series may facilitate fast and accurate lesion (re)localization, even with limited/absent lesion enhancement. 

2472
The test-retest reliability of fat-water ratio MRI derived breast density measurements and automated breast segmentation
Jie Ding1, Patricia A Thompson2, Marilyn T Marron3, Maria Altbach3,4, Denise Roe3,5, Jean-Philippe Galons4, Cynthia A Thomson3, Fang Wang6, Alison Stopeck7, and Chuan Huang1,8,9

1Biomedical Engineering, Stony Brook University, Stony Brook, NY, United States, 2Pathology, Stony Brook Medicine, Stony Brook, NY, United States, 3Cancer Center, University of Arizona, Tucson, AZ, United States, 4Medical Imaging, University of Arizona, Tucson, AZ, United States, 5Epidemiology and Biostatistics, University of Arizona, Tucson, AZ, United States, 6Stony Brook Medicine, Stony Brook, NY, United States, 7Hematology and Oncology, Stony Brook Medicine, Stony Brook, NY, United States, 8Radiology, Stony Brook Medicine, Stony Brook, NY, United States, 9Psychiatry, Stony Brook Medicine, Stony Brook, NY, United States

It has been shown that breast density (BD) value derived from fat-water-ratio MRI (FWR-MRI) strongly correlates with standard digital mammogram derived BD. The fact that no ionizing radiation is associated with FWR-MRI makes it a lower-risk modality for long term BD monitoring and clinical trials. However, data regarding the individual and group level variability and reliability of this method needs to be established.   Conventional approaches for FWR-MRI derived BD rely on manually drawn regions-of-interest. These processes are cumbersome and prone to measurement bias, which may limit the application of FWR-MRI derived BD. Automated breast segmentation has been proposed to resolve this problem and limited results to date are promising. Additional data including an evaluation of BD reliability from manual versus automated measurements is still needed.   In this study, we evaluate the test-retest reliability of the FWR-MRI derived BD and the quality of data using manual versus automated breast segmentation. Our results demonstrate the high reliability of the FWR-MRI derived BD measure, Fra80, with a typical error of less than 0.02 for both automated and manual breast segmentation. Moreover, our automated breast segmentation protocol yields more reliable Fra80 BD measures compared to the labor-intense manual segmentation method.

2473
Dependence of Breast Pharmacokinetic Parameters on pre-contrast T1 and flip angle
Subashini Srinivasan1, Bruce L Daniel1, and Brian A Hargreaves1

1Radiology, Stanford University, Stanford, CA, United States

Pharmacokinetic (PK) models have been used to estimate physiological parameters such as permeability and dispersion of the contrast agent and is estimated using the acquired signal, pre-contrast T10, and the acquisition flip angle. In this work, we have determined the dependence of the dispersion models’ and Tofts models’ PK parameters on T10 and B1 maps, as well as the errors introduced by using constant T10 and B1 values in 11 biopsy-proven tumors. Our results show that PK parameters such as kep of Tofts model and kappa of mLDRW dispersion model are less dependent on T10 and B1 and could potentially be used with higher accuracy and precision even when T10 and B1 maps are not acquired.

2474
Estimation of breast tumour tissue diffusion parameters from histological images and Monte-Carlo simulations
David Naves Sousa1, Filipa Borlinhas1, and Hugo Alexandre Ferreira1

1Institute of Biophysics and Biomedical Engineering, Faculdade de Ciências da Universidade de Lisboa, Lisboa, Portugal

Diffusion-Weighted Imaging is a MRI technique that is able to distinguish between benign and malignant breast tumours via the Apparent Diffusion Coefficient (ADC). Nevertheless, this parameter provides very limited information regarding tissue microstructure. Here, is presented an approach to estimate the intracellular (Di) and extracellular (De) diffusion coefficients, and cell membrane permeability of tumour tissues which makes use of known ADC values, histological images and Monte-Carlo simulations of diffusion processes. Results show that distinct combinations of (Di, De, P) correlate with tumour type, and that a decreased De was observed in malignant tumours in agreement with known extracellular matrix changes.

2475
Magnetic resonance lymphangiography in breast cancer related lymphoedema shows differences between affected and unaffected arms
Marco Borri1, Maria A. Schmidt1, Julie C. Hughes1, Erica D. Scurr1, Kristiana D. Gordon2,3, Peter S. Mortimer2,3, Dow-Mu Koh1, and Martin O. Leach1

1CR-UK Cancer Imaging Centre, The Royal Marsden NHS Foundation Trust and The Institute of Cancer Research, London, United Kingdom, 2Cardiac and Vascular Sciences, St. George’s, University of London, London, United Kingdom, 3Skin Unit, The Royal Marsden NHS Foundation Trust, London, United Kingdom

The pathophysiology of breast cancer related lymphoedema (BCRL) is not well understood, one of the main limiting factors being a lack of information on lymphatic collecting vessels. We have recently proposed a novel contrast-enhanced magnetic resonance lymphangiography protocol which allows the identification of lymphatics via the use of associated contrast uptake curves. In this work we have quantified differences between affected and unaffected arms in a cohort of patients with unilateral BCRL. Our analysis did not detect significant differences in vessel counts between the two sides within different sections of the forearm. However, there was a statistically significant difference in vessel diameter between the two arms; lymphatics within the affected arms presented with a larger diameter.

2476
Reproducibility of quantitative magnetization transfer imaging of the healthy breast at 3T
Lori R. Arlinghaus1, Richard D. Dortch1,2, Jennifer G. Whisenant2, Hakmook Kang3, and Thomas E. Yankeelov1,2

1Institute of Imaging Science, Vanderbilt University, Nashville, TN, United States, 2Department of Radiology and Radiological Sciences, Vanderbilt University, Nashville, TN, United States, 3Department of Biostatistics, Vanderbilt University, Nashville, TN, United States

Magnetization transfer (MT) imaging is sensitive to changes in the macromolecular content of tissue and is, therefore, gaining increased attention as a noninvasive approach to probe the complex tumor environment in cancer. The ratio of macromolecular protons to the protons in the free water pool, or pool size ratio (PSR), can be quantified with quantitative MT (qMT) imaging and may be useful for detection of changes in macromolecular content early in the course of treatment. In this study, we explore the repeatability of PSR measurements in healthy breast fibroglandular tissue at 3T to serve as a benchmark for future longitudinal studies of breast cancer treatment.

2477
Amide CEST at 7T: A possible biomarker for response to neoadjuvant chemotherapy in breast cancer
Erwin Krikken1, Moritz Zaiss2, Vitaliy Khlebnikov1, Hanneke W.M. van Laarhoven3, Dennis W.J. Klomp1, and Jannie P. Wijnen1

1Radiology, University Medical Center Utrecht, Utrecht, Netherlands, 2Deutsches Krebforschungszentrum, Heidelberg, Germany, 3Medical Oncology, Academic Medical Center Amsterdam, Amsterdam, Netherlands

Neoadjuvant chemotherapy has an important role in the treatment of breast cancer and the need for early detection of treatment response is high. As a non-invasive method able to predict treatment response is lacking, we investigated the feasibility of using amide CEST MRI at 7T as a biomarker. Six patients were included after informed consent was given. The ATP signal was robust and repeatedly detectable in the same patient. Significant differences were seen in amide signal before  and after the first cycle of chemotherapy.

2478
A compact and easy to handle set-up for high quality MR Elastography of the breast.
Jurgen H Runge1, Jules L Nelissen2,3, Larry de Graaf2, Barbara Molenkamp4, Suzan van der Meij4, Klaas Nicolay2, Gustav J Strijkers3, Jaap Stoker1, Anneloes E Bohte1, Aart J Nederveen1, Ondrej Holub5, and Ralph Sinkus5

1Radiology, Academic Medical Center, Amsterdam, Netherlands, 2Biomedical NMR, Eindhoven University of Technology, Eindhoven, Netherlands, 3Preclinical and Translational MRI, Academic Medical Center, Amsterdam, Netherlands, 4Surgery, Academic Medical Center, Amsterdam, Netherlands, 5Biomedical Engineering, King's College London, London, United Kingdom

Distinction between benign and malignant breast lesions remains difficult with conventional (dynamic) contrast-enhanced MRI. MR Elastography (MRE) can distinguish benign and malignant tissues based on their viscoelastic properties but breast MRE has not found widespread use in daily clinical practice, because of the complex equipment required and cumbersome data acquisition. Here we present a compact, easy to handle breast MRE set-up that allows the acquisition of high quality, artefact-free MRE data. This set-up was designed, built and tested at two different institutions in volunteers and a patient.

2479
Dual-Parametric MR Imaging with Read-Out Segmented Diffusion-Weighted and High Temporal Resolution Dynamic Contrast-Enhanced Imaging Improves the Differentiation of Malignant and Benign Breast Lesions
Bin Wu1,2, Yanqiong Chen2, Hui Liu3, Xu Yan3, Caixia Fu4, Dan Wang1, Jian Mao2, Dominik Nickel5, Berthold Kiefer5, Yajia Gu2, and Weijun Peng2

1Radiology, Shanghai Proton and Heavy Iron Center, Fudan University Caner Center, Shanghai, China, People's Republic of, 2Radiology, Fudan University Shanghai Cancer Center, Shanghai, China, People's Republic of, 3NEA MR Collaboration, Siemens Ltd, Shanghai, China, People's Republic of, 4Siemens Shenzhen Magnetic Resonance Ltd, Shenzhen, China, People's Republic of, 5Siemens Healthcare GmbH, Erlangen, Germany, Forchheim, Germany

We investigated the clinical value of a dual-parameter classification method in differentiating benign and malignant breast lesions using readout-segmented diffusion-weighted imaging (RS-DWI) and quantitative dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI), and found they correlated with histological results.

2480
Proton Density Water Fraction as a Measurement of Breast Fibroglandular Tissue Volume and Concentration
Roberta M Strigel1,2,3, Leah Henze Bancroft2, Diego Hernando1, and Scott B Reeder1,2,3,4,5,6

1Radiology, University of Wisconsin, Madison, WI, United States, 2Medical Physics, University of Wisconsin, Madison, WI, United States, 3Carbone Cancer Center, University of Wisconsin, Madison, WI, United States, 4Biomedical Engineering, University of Wisconsin, Madison, WI, United States, 5Emergency Medicine, University of Wisconsin, Madison, WI, United States, 6Medicine, University of Wisconsin, Madison, WI, United States

Elevated breast density confers an increased risk for breast cancer. Accurate and precise measurement of the amount of fibroglandular breast tissue has potential to serve as a quantitative imaging biomarker of risk for the development of breast cancer.  In this work we introduce novel, confounder corrected chemical-shift encoded (CSE)-MRI techniques to measure the proton density water fraction (PDWF). Estimation of PDWF with CSE-MRI addresses potential confounders that negatively impact accuracy, precision, and reproducibility, enabling protocol independent quantification of the volume and concentration of fibroglandular tissue in the breast.

2481
Utility of semi-quantitative analysis of initial enhancement using TWIST-VIBE in the diagnosis of breast lesions
Mariko Goto1, Koji Sakai1, Kayu Takezawa1, Hiroshi Imai2, Elisabeth Weiland3, and Kei Yamada1

1Radiology, Kyoto Prefectural University of Medicine, Kyoto, Japan, 2Siemens Japan K.K., Tokyo, Japan, 3Siemens Healthcare GmbH, Erlangen, Germany

The prototype TWIST-VIBE sequence improves the temporal resolution of breast MRI while preserving spatial resolution. High-temporal resolution TWIST-VIBE was performed during the initial enhancement phase and high-spatial resolution routine DCE MRI in a single session, and whether the additional information of initial enhancement analysis using TWIST-VIBE improved the diagnostic accuracy of breast MRI was evaluated. The combination of BI-RADS and new parameters of initial enhancement (MS and TTE) calculated from TWIST-VIBE has the potential to increase the specificity of breast MRI and may be useful as additional information to determine the need for biopsy.

2482
Application of Histogram Analysis of Pharmacokinetic Parameters in Dynamic Contrast-Enhanced MR Imaging of Breast lesions with CAIPIRINHA-Dixon-TWIST-VIBE Technique
Yiqi Hu1, Tao Ai1, and Liming Xia1

1Tongji Hospital, department of radiology, Wuhan, China, People's Republic of

The overlap of pharmacokinetic parameters values exists between benign and malignant lesions. Most previous studies chose mean pharmacokinetic parameters when elevating the state of breast lesions perfusion. However, tumors are heterogeneous that are marked by microenvironmental factors and thus manifests as radiologic heterogeneity. The mean pharmacokinetic parameter values may overlook the subtle but important difference between breast lesions. Thus, the aim of our study is to investigate the feasibility of histogram analysis of pharmacokinetic parameters including Ktrans, kep, ve in breast DCE-MRI imaging and determine which metric of each pharmacokinetic parameter may best help differentiate benign from malignant lesions.

2483
Influence of fat suppression to evaluate T1 values in breast cancer: assessing the reliability of pharmacokinetic parameters
Kayu Takezawa1, Mariko Goto1, Koji Sakai1, Hiroyasu Ikeno1, Katsuhiko Nakatsukasa2, Hiroshi Imai3, and Kei Yamada1

1Radiology, Kyoto Prefectural University of Medicine, Kyoto, Japan, 2Breast Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan, 3Siemens Japan K.K, Tokyo, Japan

     The influence of fat suppression on T1 values and pharmacokinetic parameters in breast cancer were evaluated using a prototype Dixon-TWIST-VIBE technique. We measured T1 values of breast cancers on both fat suppression and not-fat suppression data sets and we calculated Ktrans values using same ROI that employed on T1 value measurements. Our result suggests that the fat suppression might influence T1 values in breast cancer, and reliability of Ktrans seemed inappropriate as an absolute value. On the other hand, the assessment of intra-patient Ktrans change might be feasible.

2484
Rapid T1 and T2 Measurements of Breast Tissue at 3T using Multi-TR, Multi-TE Spectroscopy
Leah C Henze Bancroft1, Roberta M Strigel1,2,3, Gavin Hamilton4, Scott B Reeder1,2,5,6,7, and Diego Hernando2

1Medical Physics, University of Wisconsin-Madison, Madison, WI, United States, 2Radiology, University of Wisconsin-Madison, Madison, WI, United States, 3University of Wisconsin Carbone Cancer Center, University of Wisconsin-Madison, Madison, WI, United States, 4Radiology, University of California, San Diego, San Diego, CA, United States, 5Medicine, University of Wisconsin-Madison, Madison, WI, United States, 6Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, United States, 7Emergency Medicine, University of Wisconsin-Madison, Madison, WI, United States

The highly heterogeneous distribution of fat and fibroglandular tissue in the breast makes obtaining accurate measures of T1 and T2 relaxation times difficult.  Here, a rapid, multi echo, multi TR spectroscopy sequence is used to measure the T1 and T2 relaxation times of fat and fibroglandular tissue in the breast at 3T.  Partial voluming effects are accounted for through accurate measurement of the proton density fat fraction.

2485
3D MRI Breast Density Change in Women with Hormonal Positive Breast Cancer Following Adjuvant Hormonal Therapy
Yoon Jung Choi1, Jeon-Hor Chen2,3, Shunshan Li2, Po-Han Chen4, Pei-Yu Liu4, Inyoung Youn1, and Min-Ying Su2

1Department of Radiology, Kangbuk Samsung Hospital, Seoul, Korea, Republic of, 2Center for Functional Onco-Imaging, Department of Radiological Sciences, University of California Irvine, Irvine, CA, United States, 3Department of Radiology, Eda Hospital and I-Shou University, Kaohsiung, Taiwan, 4Department of Medical Imaging, China Medical University, Taichung, Taiwan

Hormonal regimens may affect breast tissue with the change of breast volume or composition. This study was to apply a well-established breast and fibroglandular tissue segmentation method to analyze the density changes in patients receiving adjuvant hormonal therapy. The results showed that pre-menopausal women had a higher density reduction, presumably due to their more abundant fibroglandular tissues that can be decreased, but a high variation was observed. The density reduction assessed by 3D MRI may be used as a surrogate marker to correlate with metabolic genotyping, and further used in combination to better predict patient’s prognosis.

2486
Does the Initial Enhancement Ratio (IER) Predict which Malignancies are Biologically Significant on a Pre-operative Breast MRI?
Neeti R Bagadiya1, Laura Heacock1, Yiming Gao1, Meghan Jardon1, Samantha Heller1, and Linda Moy1

1Radiology, New York University, New York, NY, United States

Breast MRI allows preoperative identification of patients who may have extensive disease at presentation and allows for appropriate surgical planning and treatment.   Despite the high sensitivity of MRI, the role of preoperative surgical staging of breast cancer patients is controversial. There is concern that the high false positive rates of breast MRI lead to additional biopsy procedures and surgeries [1,2]. Abbreviated breast MRI (AB-MR), defined as the first post-contrast scan, has been proposed as an exam that may have a higher specificity compared to conventional breast MRI  [3,4].  Two recent studies show that AB-MR has a high PPV for and may preferentially selects for biologically significant tumors, thereby reducing overdiagnosis and overtreatment. The concept of a biologically significant breast cancer has not been defined.  We hypothesized that since invasive carcinomas usually demonstrate fast initial uptake of contrast, a threshold of enhancement as determined by initial enhancement ratio (IER) may be associated with the identification of biologically significant breast cancers [5].  We evaluated a cohort of women with known cancer who underwent MRI guided needle localization (MRNL) for a finding that was suspicious for additional disease.  We examined whether there was an association with the IER and the likelihood that it would be detected on AB-MR exam.  Using Dynacad software we retrospectively reviewed the IER of MRI detected synchronous cancers that underwent MRNL.  We found there is a significant correlation between invasive cancers and IER that can aid in the detection of biologically significant synchronous cancers on MRI.


Traditional Poster

Prostate Cancer

Exhibition Hall Thursday, May 12, 2016: 10:30 - 12:30

2487
MR measurements of luminal water in prostate gland
Shirin Sabouri1, Ladan Fazli2,3, Silvia Chang4,5, Richard Savdie3, Edward Jones6, Larry Goldenberg2,3, and Piotr Kozlowski2,3,4,7

1Physics and Astronomy, University of British Columbia, Vancouver, BC, Canada, 2Vancouver Prostate Centre, Vancouver, BC, Canada, 3Urologic Sciences, University of British Columbia, Vancouver, BC, Canada, 4Radiology, University of British Columbia, Vancouver, BC, Canada, 5Vancouver General Hospital, Vancouver, BC, Canada, 6Pathology, Vancouver General Hospital, Vancouver, BC, Canada, 7UBC MRI Research Center, Vancouver, BC, Canada

Measurement of relative amount of lumen in prostatic tissue can provide useful information for diagnosing of many prostatic diseases. Using multi-exponential T2 mapping, the fractional volume of the luminal space, or so called luminal water fraction (LWF), in the prostatic tissue can be determined. In order to use the LWF as a proportional representative of the true percentage of lumen, it is important to investigate the correlation between the two parameters. We have acquired and analyzed MR images of 10 subjects, and found a significant correlation between the LWF and the percentages of lumen in tissue.

2488
Textural analysis of multiparametric MRI detects transition zone prostate cancer
Harbir Singh Sidhu1, Salvatore Benigno1, Balaji Ganeshan2, Nikos Dikaios1, Edward William Johnston1, Clare Allen3, Alex Kirkham3, Ashley M Groves2, Hashim Uddin Ahmed4, Mark Emberton4, Stuart A Taylor1, Steve Halligan1, and Shonit Punwani1

1Centre for Medical Imaging, University College London, London, United Kingdom, 2Institute of Nuclear Medicine, University College London, London, United Kingdom, 3Radiology, University College London Hospital, London, United Kingdom, 4Research Department of Urology, University College London, London, United Kingdom

Transition zone (TZ) prostatic tumors are more difficult for radiologists to detect on multiparametric MRI compared with peripheral zone tumors and are systematically undersampled by conventional transrectal ultrasound biopsy.

Assessment of whole TZ heterogeneity by spatially filtered textural analysis of routinely acquired multiparametric MRI images can discriminate significant tumor without the need to predefine tumors and at no additional burden to patients. TZ containing significant tumors show reduced entropy on coarsely filtered early post contrast T1 and T2 weighted images and reduced kurtosis unfiltered ADC values.

In the future, this could augment radiological interpretation and facilitate computer-aided diagnosis.


2489
Luminal water imaging: a novel MRI method for prostate cancer diagnosis
Shirin Sabouri1, Silvia Chang2,3, Richard Savdie4, Jing Zhang5, Edward Jones6, Larry Goldenberg4,7, and Piotr Kozlowski2,4,5,7

1Physics and Astronomy, University of British Columbia, Vancouver, BC, Canada, 2Radiology, University of British Columbia, Vancouver, BC, Canada, 3Vancouver General Hospital, Vancouver, BC, Canada, 4Urologic Sciences, University of British Columbia, Vancouver, BC, Canada, 5UBC MRI Research Center, Vancouver, BC, Canada, 6Pathology, Vancouver General Hospital, Vancouver, BC, Canada, 7Vancouver Prostate Centre, Vancouver, BC, Canada

MR multi-exponential T2 mapping can be used for extracting valuable information about tissue composition in prostate. Using this technique, the fractional volume of the luminal space in the prostatic tissue can be determined. Since tissue composition and the amounts of lumen differ between normal and cancerous tissues, this technique can be applied for detection of prostatic tumors. We have investigated the suitability of using MR multi-exponential T2 mapping for detection and staging of prostate cancer. We have acquired and analyzed MR images of 11 patients, and concluded that this technique is highly sensitive and specific in detection of prostatic tumors.

2490
Comparison of PIRADS v1.0 and v2.0 for MRI detection of prostate cancer: preliminary findings in patients with whole-mount histological workup
Josephin Otto1, Alexander Schaudinn1, Simone Mucha1, Nicolas Linder1, Nikita Garnov1, Jens-Uwe Stolzenburg2, Lars-Christian Horn3, Thomas Kahn1, Michael Moche1, and Harald Busse1

1Diagnostic and Interventional Radiology Department, Leipzig University Hospital, Leipzig, Germany, 2Urology Department, Leipzig University Hospital, Leipzig, Germany, 3Institute of Pathology, University of Leipzig, Leipzig, Germany

Multiparametric MRI of the prostate has substantially improved the detection of clinically significant prostate cancer (PCa) and the confidence in benign and insignificant findings. The recent v2.0 update of the Prostate Imaging Reporting and Data System (PIRADS) has replaced the sum of individual MRI sequence scores (1-15 or 1-20) with a zone-dependent, dominant MRI sequence (DWI in the peripheral and T2W in the transition zone) with an overall score from 1-5. The aim of this preliminary study was the blinded comparison of both versions for the detection of PCa on the same patients using whole-mount histological workup as gold standard.  

2491
B1+ Inhomogeneity Correction for Estimation of Pharmacokinetic Parameters through an Approximation Approach
Xinran Zhong1,2, Novena Rangwala1, Steven Raman1, Daniel Margolis1, Holden Wu1,2, and Kyunghyun Sung1,2

1Radiological Sciences, University of California, Los Angeles, Los Angeles, CA, United States, 2Physics and Biology in Medicine, University of California, Los Angeles, Los Angeles, CA, United States

A simplified version of the B1+ correction method using an approximation model was proposed for estimation of pharmacokinetic modeling parameters. The proposed method was evaluated in both simulation and in vivo DCE-MRI data, and was applied to DCE-MRI with 63 suspicious lesions from two MRI systems to investigate B1+ induced errors in Ktrans. Significant difference of estimated Ktrans distributions was observed between two systems, showing it's necessary to perform B1+ correction for DCE-MRI analysis between systems. 

2492
Rapid pre-biopsy MRI in patients with a clinical suspicion of prostate cancer: results of a controlled prospective registered IMPROD-trial
Ivan Jambor1, Peter Boström2, Pekka Taimen1, Esa Kähkönen2, Markku Kallajoki2, Tommi Kauko1, Ileana Montoya1, Otto Ettala2, Harri Merisaari1, Kari Syvänen2, and Hannu Juhani Aronen1

1University of Turku, Turku, Finland, 2Turku University Hospital, Turku, Finland

In this prospective single institution registered clinical trial we aimed to evaluate the role of rapid pre-biopsy prostate MRI consisting of T2-weighted imaging and DWI, no endorectal coil, no iv contrast. The primary end point was the diagnostic accuracy of the models incorporating clinical variables, PSA, and MRI findings. In total 175 patients were enrolled and 161 were included in final analyses. Rapid pre-biopsy prostate MRI was shown to be an accurate tool for the management of patients with a clinical suspicion of prostate cancer.

2493
A Fast Method for Simultaneous ADC and T2 Mapping Using Spin Echo EPI Sequence
Minxiong Zhou1,2, Xu Yan3, Ming Deng4, Zan Ke4, Xiangde Min4, Caixia Fu5, Hui Liu3, Alto Stemmer6, and Liang Wang4

1Shanghai University of Medicine & Health Sciences, Shanghai, China, People's Republic of, 2Department of Radiology, Ruijin Hospital, Shanghai Jiao Tong University of Medicine, China, Shanghai, China, People's Republic of, 3MR Collaboration NE Asia, Siemens Healthcare, Shanghai, China, Shanghai, China, People's Republic of, 4Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China, People's Republic of, 5Siemens Shenzhen Magnetic Resonance Ltd, Shenzhen, China, People's Republic of, 6Siemens Healthcare, Erlangen, Germany

This study proposes a fast SE-EPI-based method to simultaneously acquire ADC and T2 maps using dataset with multiple b-values and multiple TE values, which can be acquired in around 3 minutes. This method was validated using a group of prostate data, showing that the T2 maps generated by the proposed method were comparable to those by a conventional TSE-based method. In addition, both T2 and ADC showed significant differences between prostate cancer and benign prostatic hyperplasia, indicating that joint usage of ADC and T2 mapping might potentially help in tumor differentiation in difficult cases in addition to ADC alone. Furthermore, this method is intrinsically free of registration and misalignment artifacts between ADC and T2 and can also be integrated with other diffusion models such as IVIM, DKI.

2494
Investigational PC-based tool for computer-aided evaluation of multiparametric MRI data of the prostate
Harald Busse1, Josephin Otto1, Alexander Schaudinn1, Nicolas Linder1, Nikita Garnov1, Minh Do2, Roman Ganzer2, Jens-Uwe Stolzenburg2, Lars-Christian Horn3, Thomas Kahn1, and Michael Moche1

1Diagnostic and Interventional Radiology Department, Leipzig University Hospital, Leipzig, Germany, 2Urology Department, Leipzig University Hospital, Leipzig, Germany, 3Institute of Pathology, University of Leipzig, Leipzig, Germany

Multiparametric MRI (mpMRI) has been shown to improve detection, localization and characterization in patients with suspected prostate cancer (PCa). The Prostate Imaging Reporting and Data System (PIRADS) aims to establish corresponding technical parameters and simplify reporting. While computer-aided evaluation (CAE) technology is not required for prostate mpMRI interpretation, the current PIRADS guideline (v2) also states that CAE may improve workflow, provide quantitative perfusion data, enhance discrimination performance for less experienced radiologists and also facilitate integration of MRI data for some biopsy systems. The goal of this work was to demonstrate relevant features and benefits of an investigational PC-based CAE tool.  

2495
Molecular Imaging and Targeting of Hypoxic Microenvironment
Balaji Krishnamachary1, Louis Dore-Savard1, Santosh Kumar Bharti1, Flonne Wildes1, Yelena Mironchik1, and Zaver M Bhujwalla1

1Radiology, Johns Hopkins University, Baltimore, MD, United States

Hypoxic environments frequently exist in solid tumors and result in resistance to therapy and the evolution of a more lethal phenotype. Here, we have genetically engineered human prostate cancer PC-3 cells to report on hypoxia and also express yeast cytosine deaminase under the control of hypoxia response elements to convert the prodrug 5-fluorocytosine to 5-Fluorouracil.  We also show that selective killing of hypoxic cells significantly reduces tumor growth.

2496
Texture analysis of equivocal Likert scored 3/5 peripheral zone prostate lesions on mpMRI
Aishah Azam1, Dario Picone2, Mrishta Brizmohun Appayya2, Balaji Ganeshan3, Nikolaos Dikaios2, Raymond Endozo3, Ashley Groves3, Hashim Ahmed4, and Shonit Punwani1

1University College London Hospital, London, United Kingdom, 2Centre for Medical Imaging, University College London, London, United Kingdom, 3Institute of Nuclear Medicine, University College London, London, United Kingdom, 4Division of Surgery, University College London Hospital, London, United Kingdom

Approximately 30% of multiparametricMRIs for peripheral zone prostate cancer are scored as “equivocal”. Texture analysis was performed on 66 patients with “equivocal” mpMRIs using TexRad software to see if there were any particular textural differences between patients with significant cancer and non-significant disease on biopsy. We found average entropy on ADC sequences of the PZ is reduced in patients with significant cancer (p=0.003). Using an entropy threshold of <5.99 demonstrates a sensitivity of 0.88 and specificity is 0.60 for detecting significant PZ prostate cancer. Therefore, ADC entropy can help assess “equivocal” studies and enable selection of patients for biopsy and treatment.   

2497
Histological validation of VERDICT cellularity map in a prostatectomy case
Joseph G Jacobs1,2, Edward Johnston3, Alex Freeman4, Dominic Patel5, Manuel Rodriguez-Justo5, David Atkinson3, Shonit Punwani3, Gabriel Brostow2, Daniel C Alexander1,2, and Eleftheria Panagiotaki1,2

1Centre for Medical Image Computing, University College London, London, United Kingdom, 2Department of Computer Science, University College London, London, United Kingdom, 3Centre for Medical Imaging, University College London, London, United Kingdom, 4Department of Histopathology, University College London Hospitals NHS Foundation Trust (UCLH), University College London, London, United Kingdom, 5Department of Research Pathology, UCL Cancer Institute, University College London, London, United Kingdom

This study aims to validate the cellularity map produced by the VERDICT framework with histology. The VERDICT cellularity map is an indication of the number of cells present in each voxel in a diffusion-weighted MR (DW-MR) image. We attempt to validate this measure by comparing it with a cellularity map produced from a corresponding prostatectomy histological section. We find that the VERDICT cellularity map is able to differentiate between areas of tumour and benign tissue with statistical significance. This result demonstrates the potential of VERDICT as a method for non-invasive quantification of tumours.

2498
Effect of temporal resolution on diagnostic performance of DCE-MRI of the prostate
Ahmed Othman1, Florian Falkner1, Jakob Weiss1, Stephan Kruck2, Robert Grimm3, Petros Martirosian1, Konstantin Nikolaou1, and Mike Notohamiprodjo1

1Department of Diagnostic and Interventional Radiology, University Hospital Tübingen, Tübingen, Germany, 2Department of Urology, University Hospital Tübingen, Tübingen, Germany, 3Siemens Healthcare, Siemens Healthcare, Erlangen, Germany

In DCE-MRI of the prostate, a high temporal resolution (TR) is recommended. Nonetheless, no studies on the effects of TR on diagnostic accuracy of DCE-MRI of the prostate are available. In this study we examined the effect of TR of DCE-MRI on its diagnostic accuracy for detection of potentially malignant lesions. Our results indicate that TR>10s / timepoint leads to spurious perfusion estimates and therefore deteriorates the diagnostic accuracy for identification of potentially malignant prostate lesions.

2499
Utility of computed diffusion-weighted imaging for predicting aggressiveness of prostate cancer
Yuma Waseda1, Soichiro Yoshida1, Taro Takahara2, Hiroshi Tanaka3, Minato Yokoyama1, Junichiro Ishioka1, Yoh Matsuoka1, Noboru Numao1, Kazutaka Saito1, Yasuhisa Fujii1, and Kazunori Kihara1

1Urology, Tokyo Medical and Dental University Graduate School, Tokyo, Japan, 2Biomedical Engineering, Tokai University School of Engineering, Kanagawa, Japan, 3Radiology, Ochanomizu Surugadai Clinic, Tokyo, Japan

Apparent diffusion coefficient (ADC) value is reported to reflect aggressiveness of prostate cancer (PCa). Yet ADC value depends on imaging protocols. To overcome the limitation, we developed a simple method to discriminate aggressive PCa using computed DWI (cDWI). We analyzed changes in cDWI signal of 51 PCa, that results from increasing b-value. At b = 700 sec/mm2, signal intensity in Gleason grade 4-5 was higher than that in normal, whereas in Gleason grade 3 cancer it was equal to or lower than that in normal (sensitivity/specificity: 97.0%/72.2%). Semi-quantitative analysis using DWI might be a simple method for discriminating aggressive PCa. 

2500
Assessment of Kurtosis Model for Diffusion-Weighted Imaging and T1 Relaxation Time in the Rotating Frame of Prostate Cancer
Huiyan Li1, Yingjie Mei2, Queenie Chan3, and Yikai Xu1

1Department of Medical Imaging Center, Nanfang Hospital, Southern Medical University, Guangzhou, China, People's Republic of, 2Philips Healthcare, Guangzhou, China, People's Republic of, 3Philips Healthcare, HongKong, China, People's Republic of

Kurtosis model based on Gaussian distribution may be an appropriate condition in prostate. T1rho can detect slow molecular motions of tissue water or proton chemical exchange selectively, which may alter in prostate cancer (PCa). Parameters Dapp, Kapp and T1 relaxation time obtained from T1rho sequence and kurtosis model for DWI underwent statistic analysis between PCa and benign prostate hyperplasia(BPH)patients. Our study showed that Kapp and Dapp could be an effective parameter on PCa detection, while T1rho failed to differentiate PCa and BPH.

2501
To Assess Stretched-Exponential and Monoexponential Models for Diffusion-Weighted Imaging in Prostate Magnetic Resonance Imaging
Huiyan Li1, Yingjie Mei2, Queenie Chan3, and Yikai Xu1

1Department of Medical Imaging Center, Nanfang Hospital, Southern Medical University, Guangzhou, China, People's Republic of, 2Philips Healthcare, Guangzhou, China, People's Republic of, 3Philips Healthcare, HongKong, China, People's Republic of

DWI (diffusion weighted imaging) plays an important role in multiparametric MRI of prostate, and Stretched-exponential model (SEM) for DWI may better describe the diffusion-related signal decay than monoexponential model. Parameter DDC and α underwent statistic analysis between PCa and benign prostate hyperplasia(BPH)patients and correlation between ADC and DDC was also assessed . Our study shows SEM for DWI is feasible for prostate MRI examination. Parameter ADC and DDC had good correlations. However parameter α failed to distinguish PCa from BPH.

2502
Correlation of ADC and T2 measurements with Ki-67 labeling index in peripheral zone prostate cancer at 3.0 T
Liang Li1, Yunfei Zha1, Wei Gong1, Dongjie Huang1, and Dong Xing1

1Department of Radiology, Renmin Hospital of Wuhan University, Wuhan, China, People's Republic of

Assessment of tumor proliferation has been suggested as an important additional predictor of tumor behavior. The purpose of this study was to investigate the possible correlation between T2 imaging, diffusion weighted imaging (DWI), and Ki-67 labeling index in patients with newly diagnosed prostate tumor.

2503
Characterising Indeterminate Lesions (Likert 3/5) in the Peripheral Zone of the Prostate on Multi-parametric MRI
Mrishta Brizmohun Appayya1, Harbir Singh Sidhu2,3, Nikolaos Dikaios2, Edward William Johnston2,3, Lucy Simmons4, Alex Freeman5, Alex Kirkham3, Hashim Uddin Ahmed4, and Shonit Punwani2,3

1Department of Radiology, Erasme Hospital, Universite Libre de Bruxelles, Brussels, Belgium, 2Centre for Medical Imaging, University College of London, London, United Kingdom, 3Department of Radiology, University College London Hospital, London, United Kingdom, 4Division of Surgery and Interventional Science, University College London Hospital, London, United Kingdom, 5Department of Pathology, University College London Hospital, London, United Kingdom

Despite the strong potential of multi-parametric MRI (mpMRI) in prostate cancer detection, 37% of prostate mp-MRI are Likert-scored 3/5, which are indeterminate for the presence of significant cancer. In this study, we assessed whether quantitative analysis of PSA, gland volume, volume-adjusted PSA density, PIRADS rescoring of Likert 3/5 lesions and qualitative prostate mpMRI descriptors could better characterise equivocal prostate lesions within the peripheral. We found that discontinuous signal changes on qualitative mpMRI were associated with clinically non-significant cancer; PIRADS rescoring did not appropriately categorise patients with clinically significant cancer. Conversely, PSA density was the most statistically significant discriminator (p=0.0040).

2504
Using mathematical model to analyzing dynamic contrast enhanced MRI to distinguish between stromal benign prostatic hyperplasia and prostate cancer
Xiaobing Fan1, Shiyang Wang1, Milica Medved 1, Tatjana Antic2, Serkan Guneyli 1, Gregory S Karczmar1, and Aytekin Oto1

1Radiology, University of Chicago, Chicago, IL, United States, 2Pathology, University of Chicago, Chicago, IL, United States

Previous dynamic contrast enhanced (DCE) MRI studies demonstrated that stromal benign prostatic hyperplasia (BPH) nodules are difficult to differentiate from transition zone prostate cancer (PCa). Therefore, it is important to improve the accuracy of DCE-MRI to distinguish BPH from PCa. A total of 24 patients with biopsy confirmed PCa were enrolled in this study. DCE-MRI data were acquired at 3 T for a total of ~8.3 minutes. The relative signal enhancement curves for cancer (n=24) and BPH (n=19) were calculated and analyzed using an empirical mathematical model. The ratio of washout-rate/uptake-rate (p<0.01) was significantly smaller in BPH than in cancers.

2505
Reduced FOV arterial spin labeling based perfusion on prostate cancer
Jianxun Qu1, Hairui Xiong2, Bing Wu1, and Junhai Zhang2

1MR Research China, GE Healthcare, Beijing, China, People's Republic of, 2Department of Radiology, Huashan Hospital Affiliated to Fudan University, Shanghai, China, People's Republic of

In body perfusion measurement with arterial spin labeling technique, single shot acquisition was usually used, which suffers from susceptibility induced distortion. A straightforward way was to reduce readout echo train, which however lead to lower spatial resolution. In this work, we performed flow sensitive alternating inversion recovery (FAIR) with reduced FOV excitation to shorten echo train length while maintaining spatial resolution in prostate cancer perfusion imaging.


Traditional Poster

Preclinical Cancer MR

Exhibition Hall Thursday, May 12, 2016: 10:30 - 12:30

2506
Esophageal carcinoma: ex vivo high resolution MR imaging study compare with histopathological findings
Yi Wei1,2, Shao-Cheng Zhu1,2, Sen Wu1,2, Da-Peng Shi1,2, and Dan-Dan Zheng3

1Radiology, Zhengzhou University People's Hospital, Zhengzhou, China, People's Republic of, 2Henan Provincial People's Hospital, Zhengzhou, China, People's Republic of, 3GE Healthcare,MR Research China, Beijing, China, People's Republic of

        The prognosis of patients with esophageal carcinoma is heavily dependent on the histopathological staging of the carcinoma. However, the common examination modalities are extremely difficult to identify the preoperative staging. Magnetic resonance imaging (MRI) was reported to evaluate the esophageal layers invasion in vitro and demonstrated that high-resolution T2-weighted imaging can clearly depict 8 layers of the esophagus which can provide essential information of the carcinoma invasion. However, former studies were mostly carried on ultra-high-field scanner after formalin fixed within 24 hours ex vivo, which might cause the signal changes of the esophageal layers and carcinoma. In this study, an ex vivo experiment was conducted on 3.0T clinical scanner to prospectively establish the MRI signal characteristics of the normal esophageal wall without formalin fixation and to assess the diagnostic accuracy of high-resolution MR scanner for depicting the depth of esophageal wall invasion by making the correspondence with certain histopathological slice.

2507
In vivo Enzyme Activity Measurements with Hyperpolarized C13 Pyruvate in a Transgenic Tumor Mouse Model
Zihan Zhu1,2, Peder E.Z. Larson1, Hsin-Yu Chen1,2, Peter J Shin1, Robert A Bok1, John Kurhanewicz1, and Daniel B Vigneron1

1Department of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA, United States, 2UC Berkeley-UCSF Graduate Program in Bioengineering, UC Berkeley and UCSF, San Francisco, CA, United States

Hyperpolarized 13C MRI has been an emerging tool for in vivo enzymatic activity assessment. In this study, two dynamic hyperpolarized 13C sequences were compared in the same animal for two sequential injections in a transgenic prostate tumor murine model. The results suggested that the dynamic fitted metabolic conversion rates acquired from the two approaches were highly correlated. 

2508
Investigating Prostate Cancer Aggressiveness with Hyperpolarized 13C-Urea + 13C-Pyruvate Perfusion & Metabolic Imaging of Transgenic Primary and Metastatic Tumors
Hsin-Yu Chen1, Peder E.Z. Larson1,2, Robert A. Bok2, Cornelius von Morze2, Renuka Sriram2, Romelyn Delos Santos2, Justin Delos Santos2, Jeremy W. Gordon2, John Kurhanewicz1,2, and Daniel B. Vigneron1,2

1Graduate Program in Bioengineering, UCSF and UC Berkeley, University of California, San Francisco, San Francisco, CA, United States, 2Department of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA, United States

An unmet clinical need facing the management of prostate cancer is an accurate method for distinguishing aggressive prostate cancer from indolent disease. The project investigated the use of hyperpolarized (HP) 13C 3D CS-EPSI imaging of co-polarized 13C-urea + 13C-pyruvate to provide this distinction by simultaneously measuring metabolism and perfusion. Significantly higher pyruvate-to-lactate conversion rates, kPL, (P<0.00001) and significantly (P<0.004) lower urea perfusion were detected in high-grade tumors compared to low-grade tumor. Lymph-node metastases demonstrated high metabolic conversion (P>0.8) and urea perfusion not significantly (P>0.4) different than high-grade primary tumor.

2509
The effects of noise on pharmacokinetic analysis of the apparent conversion of hyperpolarized pyruvate
Changyu SUN1, Christopher M. Walker1, and James A. Bankson1

1Department of Imaging Physics,The University of Texas MD Anderson Cancer Center, Houton, TX, United States

Effects of noise and bias in signal and different parameters in the kinetic model affects the reproducibility of the estimation of the apparent rate of conversion of hyperpolarized (HP) pyruvate into HP lactate (kpl). The purpose of this study is to investigate the effect of signal to noise ratio for a pharmacokinetic model with two chemical and two physical compartments in estimating kpl.  We examine the kpl estimated using the kinetic model by the simulated HP data with a variety of SNRs (10~50) by 95% confidence interval, mean and standard deviation. The results demonstrate that SNR affects the reproducibility of the estimation of kpl by kinetic analysis and the reproducibility of kpl estimated decreases quickly below an SNR threshold of ~25.

2510
Assessment of cHSA-PEO (2000)16-Gd in breast cancer xenografts on chicken chorioallantoic membrane @ 11.7T
Zhi Zuo1,2,3, Tatiana Syrovets4, Tao Wang5, Yu-zhou Wu5, Felicitas Genze4, Alireza Abaei3, Ina Vernikouskaya2, Wei-na Liu5, Gen-shan Ma1, Tanja Weil5, Thomas Simmet4, and Volker Rasche2,3

1Department of Cardiology, Zhongda Hospital, Medical School of Southeast University, Nanjing, China, People's Republic of, 2Department of Internal Medicine II, University Hospital Ulm, Ulm, Germany, 3Core Facility Small Animal MRI, Medical Faculty, Ulm University, Ulm, Germany, 4Institute of Pharmacology of Natural Products and Clinical Pharmacology, Ulm University, Ulm, Germany, 5Institute of Organic Chemistry III, Ulm University, Ulm, Germany

High-resolution MRI and chicken chorioallantoic membrane (CAM) cancer xenografts model are employed for the assessment of bio-distribution of polypeptide hybrid biomaterials cHSA-PEO (2000)16-Gd. The breast carcinomas were planted on the CAM, which were intravascular injected with cHSA-PEO (2000)16-Gd, gadofosveset (Vasovist®) and gadobenate dimeglumine (Multihance®) before MR scanning. The detailed internal structures of tiny cancer were clearly highlighted, which was proven by the immune-histological analysis. Assessment of the bio-distribution of contrast agents renders feasible. The cHSA-PEO (2000)16-Gd has exhibited an improved specific tissue uptake by cancer cell xenografts and long lasting enhancement compared to traditional contrast agents.

2511
MR Microscopic Phenotyping of the Pancreas in Mutant KRas Mouse Models of Pancreatic Cancer
Palamadai N Venkatasubramanian1, Brian Hallis1, Matt Smith1, Emman Mascarinas2, Brian DeCant2, Andrew Diaz2, Ron McKinney2, Paul J Grippo2, and Alice M Wyrwicz1

1Radiology, NorthShore University HealthSystem, Evanston, IL, United States, 2Medicine, University of Illinois at Chicago, Chicago, IL, United States

The source, targeting and delivery of mutant Kras contribute to altered phenotypes of pancreatic cancer progression in mouse models of the disease.  We have used multiparametric MR imaging including microscopy, diffusion imaging and T2 mapping, to capture differences in the MR characteristics of EL-Kras and p48-Cre/LSL-Kras mouse models of pancreatic cancer.

2512
Glycerophosphocholine (GPC) Phosphodiesterases GDPD5 and GDPD6 are Essential for the Survival of Breast Cancer Cells
Menglin Cheng1, Balaji Krishnamachary1, Zaver M. Bhujwalla1,2, Asif Rizwan1, Lu Jiang1, and Kristine Glunde1,2

1The Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, Baltimore, MD, United States, 2The Sidney Kimmel Comprehensive Cancer Center, The Johns Hopkins University School of Medicine, Baltimore, MD, United States

Glycerophosphocholine (GPC) is an important MRS-detected metabolite in choline metabolism of breast cancer. Transient silencing of the GPC-phosphodiesterases GDPD5 and GDPD6 increases 1H or 31P MRS detectable GPC levels in breast cancer cells. Constitutive knockdown of GDPD5 or GDPD6 effectively kills MCF-7 and MDA-MB-231 breast cancer cells, but not nonmalignant MCF-12A breast epithelial cells, making GDPD5 and GDPD6 interesting theranostic targets whose knockdown or inhibition can be monitored by non-invasive MRS.

2513
CEST in murine tumours: assessment of tumour progression and treatment efficacy of CA4P and radiation
Firas Moosvi1, Andrew Yung2, Jennifer H.E. Baker3, Piotr Kozlowski3, and Stefan Reinsberg3

1Physics and Astronomy, University of British Columbia, Richmond, BC, Canada, 2University of British Columbia, Vancouver, BC, Canada, 3Physics and Astronomy, University of British Columbia, Vancouver, BC, Canada

Mouse tumours were imaged using CEST to assess physiological variability in the amide, amine, and aliphatic peaks. Then, tumours were treated with a vascular targeting agent (Combretastatin) and 10Gy radiation.

2514
Implications of angiogenesis in glioma malignancies using C6 glioma model in Wistar and Sprague-Dawley (SD) rats
Nai-Wei Yao1, Chen-Tung Yen2, Jeou-Yuan Chen1, and Chen Chang1

1Institute of Biomedical Sciences, Academic Sinica, Taipei, Taiwan, 2Department of Life Science, National Taiwan University, Taipei, Taiwan

Angiogenesis is a well-known cancer hallmark, which dominates the prognosis and outcome of cancer patients. To establish rational treatment by targeting angiogenesis tailored to glioma patients, in this study, we examined the role of angiogenesis in the pathogenic development of glioma using rat C6 glioma models in Wistar and Sprague-Dawley (SD) rats. By immunohistochemistry and multi-parametric MRI methods, we show that C6 gliomas developed in the SD rats were characterized with enlarged tumors and with shorter survival. The increased tumor growth in SD rats was associated with increased angiogenesis, higher levels of HIF-1 and VEGF expression, and the polarization of the pro-tumorigenic M2 macrophages.

2515
31P spectroscopic imaging for evaluation of early effects of photodynamic treatment on tumor metabolism
Tom Schreurs1, Sophie Peereboom2, Gustav Strijkers3, Jeanine Prompers1, and Klaas Nicolay1

1Biomedical Engineering, Eindhoven University of Technology, Eindhoven, Netherlands, 2Biomedical Engineering, ETH Zürich, Zürich, Switzerland, 3Bioengineering and Physics, Academic Medical Center Amsterdam, Amsterdam, Netherlands

The feasibility of 31P spectroscopic imaging to evaluate effects of photodynamic therapy (PDT) on tumor metabolism was assessed. In PDT, a light-activated drug and local laser irradiation are used to ablate tumors. Spectroscopic imaging was used to visualize ATP and Pi after PDT in a mouse tumor model before, during, and up to 1 day after PDT. Treatment was performed inside the 9.4T scanner. Clear changes in phosphorus metabolite signals were already observed at 20 min after PDT, indicating a rapid decrease in energetic status. Moreover, the potential of spectroscopic imaging to detect spatial heterogeneities in these changes was demonstrated.

2516
Clinical application of T1 relaxation time in the rotating frame in gliomas grading
Zeyu Zheng1, Xixi Zhao1, Xiang Xiao1, Yuefa Tan1, Huiyan Li1, Yingjie Mei2, and Yikai Xu1

1Department of Medical Imaging Center, Nanfang Hospital, Southern Medical University, Guangzhou, China, People's Republic of, 2Philips Healthcare, Guangzhou, China, People's Republic of

Glioma is the most common primary cerebral tumor. Accurate glioma grading is crucial for treatment planning and prognosis. Regular medical examination technology such as histopathologic assessment or Conventional MR imaging examination has their limitations. In this research, we used the T1ρ examination at 3.0T to explore the correlation of the T1ρ value with pathological grades of glioma in 29 patients. Our results suggested that the T1ρ values are negatively correlated with the grade of gliomas.In conclusion, the T1ρ values could potentially serve as non-invasive predictors for the preoperative grading of gliomas.

2517
MRI for noninvasive characterization of pancreatic tumor in three mouse models
Navid Farr1, Yak-Nam Wang2, Samantha D’Andrea3, Kayla Gravelle3, Joo Ha Hwang1,3, and Donghoon Lee4

1Department of Bioengineering, University of Washington, Seattle, WA, United States, 2Applied Physics Laboratory, University of Washington, Seattle, WA, United States, 3Department of Medicine, University of Washington, Seattle, WA, United States, 4Department of Radiology, University of Washington, Seattle, WA, United States

The lethal nature of the pancreatic cancer is apparent in the 5-year survival rate of less than 5%. Choosing the right animal model is of utmost importance in oncology drug development research. There is a dire necessity for noninvasive techniques to monitor and characterize the tumors in different models to properly design drug delivery studies. We performed multi-parametric MRI at a high resolution to noninvasively identify the tumor and assess tumor volume characteristics. We used T1 and T2 relaxation, diffusion, and magnetization transfer effects along with 3 dimensional volume measurements. MR measurements were then compared with quantifiable histopathological results.

2518
Differential metabolism of patient-derived renal tumor tissues using clinically translatable hyperpolarized 13C pyruvate
Renuka Sriram1, Mark Van Criekinge1, Justin Delos Santos1, Kayvan R Keshari2, Donna Peehl3, John Kurhanewicz1, and Zhen Jane Wang1

1University of California, San Francisco, San Francisco, CA, United States, 2Memorial Sloan-Kettering Cancer Center, New York, NY, United States, 3Stanford University, Stanford, CA, United States

Management of renal cell carcinomas (RCCs) is reliant on imaging, which cannot reliably differentiate malignant RCCs from benign renal tumors.  RCCs exhibit increased glycolysis, resulting in elevated lactate production. This can be used to differentiate RCCs from benign renal tumors using the hyperpolarized 13C MRI, a molecular imaging technique that can measure real-time dynamic pathway-specific metabolic fluxes. Our aim was to investigate the pyruvate-to-lactate flux in living patient-derived renal tissues using hyperpolarized [1-13C]pyruvate. We have shown that rapid lactate efflux is a distinguishing feature of clear cell RCCs (which comprise 90% of all RCCs), and can be detected using hyperpolarized [1-13C]pyruvate. 

2519
Proton HR-MAS NMR Tissue metabolomic studies of non-muscle invasive Urinary Bladder Carcinoma
Abhinav Arun Sonkar1, Yadvendra Dheer2, Suruchi Singh3, Nuzhat Husain4, S N Shankhawar5, Apul Goel5, and Raja Roy3

1Surgery, King George's Medical University, Lucknow, India, 2Paediatric Surgery, King George's Medical University, Lucknow, India, 3Centre for Biomedical Research, Sanjay Gandhi Post-Graduate Institute of Medical Sciences, Lucknow, India, 4Pathology, RMLIMS, Lucknow, India, 5Urology, King George's Medical University, Lucknow, India

In the present work, proton HR-MAS NMR spectroscopic studies of muscle non-invasive Urinary Bladder Carcinoma (UBC) tissue specimens have been performed. The detailed metabolic profile demonstrated significant presence of taurine in tissues of 27 patients suffering from superficial UBC. Same number of oher patients with benign tumors showed absence of taurine resonances in tissues. Taurine may be used as a fingerprint biomarker in conjunction with clinical and radiological findings, non-invasively in UBC. 

2520
MRI/MRS monitoring of anti-tumor treatments in an in vivo orthotopic model of a mammary tumor cell line expressing the d16HER2 variant
Gianmauro Palombelli1, Egidio Iorio1, Giulia Carpinelli2, Martina Borghi3, Francesco Lozupone4, Tommaso Azzarito4, Manuela Iezzi5, Ada Koschorke6, Elda Tagliabue6, Serenella Pupa6, and Rossella Canese1

1Cell Biology and Neurosciences, Istituto Superiore di Sanita', Roma, Italy, 2Cell Biology and Neusciences, Istituto Superiore di Sanita', Rome, Italy, 3Infectious, Parasitic and Immune-mediate Diseases, Istituto Superiore di Sanita', Roma, Italy, 4Drug Research and Evaluation, Istituto Superiore di Sanita', Roma, Italy, 5Medicine and Aging Sciences, G. d'Annunzio University of Chieti-Pescara, Chieti, Italy, 6Experimental Oncology and Molecular Medicine, Fondazione IRCCS, Istituto Nazionale dei Tumori, Milan, Italy

The HER2 splice variant lacking exon-16 (d16HER2) has been detected in human breast carcinomas.It has been shown in proper transgenic mouse models  that d16HER2 variant leads to an increased transforming potency compared to the wild-type (wt) HER2 receptor. In this work, a murine mammary carcinoma cell line transgenically expressing the human d16HER2 variant (MI6 cells)-was implanted in the mammary fat pad of parental FVB mice which  were treated with lapatinib or phenethyl isothiocyanate (PEITC),  respectively  targeting HER2 receptor and breast cancer initiating cells , and analyzed by in vivo DWI and quantitative MRS analyses.

2521
MR visible localization device for ex vivo radiographic-pathologic correlation
Sonja Kinner1,2, Tilman B Schubert1,3, Christopher Brace1, Elisabetta A Nocerino1, Timothy J Colgan1, Shannon Hynes1, Scott B Reeder1,4,5,6,7, and Emily R Winslow8

1Department of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, WI, United States, 2Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany, 3Clinic for Radiology and Nuclear Medicine, Basel University Hospital, Basel, Switzerland, 4Department of Medical Physics, University of Wisconsin School of Medicine and Public Health, Madison, WI, United States, 5Department of Emergency Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, United States, 6Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, United States, 7Department of Biomedical Engineering, University of Wisconsin School of Medicine and Public Health, Madison, WI, United States, 8Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI, United States

In this work we describe the design and preliminary validation of a novel MR-compatible localization device aimed at facilitating lesion detection in ex vivo tissue, such as resected liver. Experiments in two swine liver specimens with small microwave ablations to simulate lesions demonstrated the successful feasibility and ease of use of this localization device. Further evaluation in human liver tissue specimens containing metastatic lesions will be needed to demonstrate the performance of the device for ex vivo radiographic-pathologic correlation.

2522
Correlation of Vessel Abnormality Quantification from TOF MRA with Histologic and Gene Markers
Maddalena Strumia1,2,3, Wilfried Reichardt1,2,3, Ori Staszewski4, Dieter Henrik Heiland5, Astrid Weyerbrock5, Irina Mader6, and Michael Bock2

1German Cancer Research Center (DKFZ), Heidelberg, Germany, 2Medical Physics, University Medical Center Freiburg, Freiburg, Germany, 3Deutsches Konsortium für Translationale Krebsforschung (DKTK), Heidelberg, Germany, 4Neuropathology, University Medical Center Freiburg, Freiburg, Germany, 5Neurosurgery, University Medical Center Freiburg, Freiburg, Germany, 6Neuroradiology, University Medical Center Freiburg, Freiburg, Germany

The glioblastoma is one of the most malignant and aggressive tumors of the brain-white-matter, and it expressing vascular-endothelial-grow-factors to initiate and maintain angiogenesis. To assess whether a novel therapeutic drug inhibits neo-angiogenesis, non-invasive imaging methods to study changes of neo-angiogenic vasculature are needed. In this work we show a correlation between a quantification measure of the pathological vessels structure, the dot product, and histology and genetic markers, in glioblastomas using TOF-MRA data. The correlation has been applied to 11 patients and shows that morphologic markers can be correlated with histologic and genetic markers to assess tumor vasculature.

2523
Metabolomic studies of cancer cells and ascitic fluid in ovarian cancer models
Santosh Bharti1, Flonne Wildes1, Chien-Fu Hung2, TC Wu2, Zaver M Bhujwalla1,3, and Marie-France Penet1,3

1JHU ICMIC Program, Division of Cancer Imaging Research, The Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins School of Medicine, Baltimore, MD, United States, 2Pathology, The Johns Hopkins School of Medicine, Baltimore, MD, United States, 3Sidney Kimmel Comprehensive Cancer Center, The Johns Hopkins School of Medicine, Baltimore, MD, United States

Epithelial ovarian cancer remains the leading cause of death from gynecologic malignancy among women in developed countries. A better understanding of the disease, and early detection are urgently needed to minimize morbidity, and to improve survival rates. High-resolution proton magnetic resonance spectroscopy (MRS) provides opportunities to characterize biofluid metabolite profiles for better characterization and improved detection of ovarian cancer. Here, we are investigating metabolites in ascites, cells and culture media of two different ovarian cancer models, and have detected significant differences in their metabolite profiles.

2524
Towards stable non-invasive estimation of Interstitial Fluid Pressure incorporating diffusion weighted data
Charles Baker1,2, Nicholas Dowson1, Michael Fay3, Rosalind Jeffree4, and Stephen Rose1,2

1CSIRO, Brisbane, Australia, 2University of Queensland, Brisbane, Australia, 3Genesis Cancer Care, Newcastle, Australia, 4Royal Brisbane and Women's Hospital, Brisbane, Australia

Interstitial Fluid Pressure (IFP) is an important potential reason behind the typically ineluctable progression of late stage glioma in the face of radical treatment. It can be inferred from dynamic contrast enhanced (DCE) MRI images, by voxel-wise fitting of a Tofts model to extract the plasma flux per unit volume and subsequent solving of a pressure equation. Ideally model fitting should be numerically stable and should account for the non-isotropic directionality of fluid flow. This paper describes our approach to achieve this.


Traditional Poster

CV Novel Techniques

Exhibition Hall Thursday, May 12, 2016: 13:30 - 15:30

2525
A Low cost Cardiac Phantom for Evaluation of Motion and Thermometry
Shivaprasad Ashok Chikop1, Amaresha Shridhar Konar1, Nithin Vajuvalli1, Darshan Shivaram Keelara1, Ashwini Kumnoor1, Sairamesh raghuraman2, Ramesh Venkateshan2, and sairam Geethanath1

1Medical Imaging Research Centre, Dayananda Sagar Institutions, Bangalore, India, 2Wipro GE Healthcare, Bangalore, India

The goal of the work was to build a low cost cardiac phantom that mimics cardiac motion and measure thermometric profile based on applied B1+ fields during MR imaging. The cardiac motion inside the phantom was simulated using the mechanical gear setup. To obtain the thermometric profile of the cardiac phantom 12 probes were inserted into the phantom with required thermal insulation.  The phantom also provides an opportunity to correlate local SAR findings with temperature measurements in the heart phantom. 

2526
Interactive cardiac CINE-MRI using an intuitive 3D navigation system
Andrew James Patterson1, Martin John Graves1, and David John Lomas1

1Radiology, University of Cambridge & Addenbrooke’s Hospital, Cambridge, United Kingdom

This work describes the development of a novel approach for prescribing cardiac scan plane locations which will benefit cardiac examinations where the anatomy is abnormal (for example, in congenital anomalies). We have developed a desktop sized constrained surface controller which mimics an ultrasound transducer. This enables retrospective reformatting of a 3D localizer image to determine the desired cardiac view. The cardiac scan plane is then prospectively transferred to a 2D CINE bSSFP sequence to enable interactive assessment of cardiac function. Initial testing has established that our approach allows us to replicate standard cardiac views.


2527
Comparing the impact of through-plane motion during the cardiac cycle on steady state signal evolution in cine 2D and 3D balanced steady state free precession
Tyler Joseph Spear1, Tori Stromp1, Steve Leung2, and Moriel Vandsburger1

1Saha Cardiovascular Research Center, University of Kentucky, Lexington, KY, United States, 2Gill Heart Imaging Center, University of Kentucky, Lexington, KY, United States

This project uses cardiac magnetic resonance to compare cine balance steady state free precession signals between 2D and 3D acquisitions in order to better understand how through-plane motion of tissues impacts the change in signal through the cardiac cycle.  As quantitative techniques become more prevalent and refined, it is imperative to be able understand the evolution of these signals to eliminate results due to physical motion of the heart that would skew the results of otherwise diagnostic tests.

2528
Evaluation of Cardiac Function in Type-1 Diabetes Using Magnetic Resonance Imaging
El-Sayed H. Ibrahim1, Jadranka Stojanovska1, Scott Swanson1, Claire Duvernoy1, and Rodica Pop-Busui1

1University of Michigan, Ann Arbor, MI, United States

This study evaluates the association between MRI-derived parameteers of cardiac function in Type-1 diabetes (T1DM) at baseline and 3-years follow-up, and compares the results to healthy controls (HC). There were no differences between T1DM and HC at baseline in the measured variables. In T1DM, only left-ventricular (LV) mass-ratio and basal circumferential strain significantly decreased from baseline to follow-up. Mitral early-to-atrial filling-rate (representing diastolic function) increased, and apical torsion decreased from baseline to follow-up, although these differences were not significant. Among the parameters that showed differences between baseline and follow-up, only LV mass-ratio showed significant difference between female and male patients.

2529
Development of the phantom to measure the image distortion in the magnetic resonance angiography  and verification of the relationship between geometric positions and the image distortion
Atsushi FUKUYAMA1, Haruo ISODA2, and Shuji KOYAMA2

1Radiological Sciences, Nagoya University Graduate School of Medicine, Nagoya, Japan, 2Brain & Mind Research Center, Nagoya University, Nagoya, Japan

Our objective is to develop a phantom that can evaluate the image distortion along the body axis objectively, and elucidate the relationship between the occurrence and geometrical position of image distortion in MRA. As a result, the phantom that we have developed has made it possible to evaluate image distortion objectively over a wide range of the trunk. We made clear that when separated from the center of the magnetic field in vertical or horizontal directions, image distortion became larger with the increase in distance. 

2530
Altered Aortic Geometry in Pediatric Patients with Marfan Syndrome
Roel LF van der Palen1,2, Julio Garcia2, Alex J Barker2, Michael J Rose3, Luciana Young4, Arno AW Roest1, Michael Markl2,5, Joshua D Robinson4,6, and Cynthia K Rigsby3

1Department of Pediatric Cardiology, Willem-Alexander Children and Youth Center, Leiden University Medical Center, Leiden, Netherlands, 2Department of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States, 3Department of Medical Imaging, Ann & Robert Lurie Children’s Hospital of Chicago, Chicago, IL, United States, 4Division of Pediatric Cardiology, Ann & Robert Lurie Children’s Hospital of Chicago, Chicago, IL, United States, 5Department of Biomedical Engineering, McCormick School of Engineering, Northwestern University, Chicago, IL, United States, 6Department of Pediatrics, Ann & Robert Lurie Children’s Hospital of Chicago, Chicago, IL, United States

Marfan syndrome (MFS) is a connective tissue disease with high risk of aortic dissection/rupture. Two-thirds of dissections originate in the ascending aorta (AAo), one-third in the descending aorta (DAo). Diameter plays an important role in risk stratification. However, aortic dimension alone may not capture the complex changes in aortic geometry that are often encountered in MFS patients, e.g. elongation and changes in overall shape of the aorta. Aortic 3D geometry was systematically investigated in a cohort of children and adolescents with MFS and was compared to an age appropriate control cohort: altered aortic geometry in pediatric MFS patients was detected.

2531
Quantitative Measures of Right Ventricular Shape Abnormalities in ARVC Patients from CMR
Kristin Mcleod1,2, Samuel Wall1,2, Jørg Saberniak2,3, and Kristina Haugaa2,3

1Computational Cardiac Modelling Department, Simula Research Laboratory, Oslo, Norway, 2Centre for Cardiological Innovation, Oslo, Norway, 3Department of Cardiology, Oslo University Hospital, Rikshospitalet, Oslo, Norway

Better understanding of the impact that disease has on ventricular shape remodeling and improved tools for quantifying disease severity are needed in complex diseases such as ARVC. We propose a method to automatically characterise right ventricular shape features in ARVC patients using statistical methods applied to shapes extracted from CMR images in a population of 27 ARVC patients. In addition to characterizing the typical shape features in ARVC, the level of severity of any given shape feature (e.g. dilation) can be measured in a new patient to quantify the degree in which that specific feature is present in that patient.

2532
Long-Term Effect of Persistent Microvascular Obstruction on Adverse Post-Infarction Ventricular Remodeling via Prolonged Iron-Driven Inflammatory Process: a Cardiac Magnetic Resonance Study with Ex-vivo Validation
Ivan Cokic1, Avinash Kali1, Hsin-Jung Yang1, Richard Tang1, Frank S Prato2, David Underhill1, and Rohan Dharmakumar1

1Cedars-Sinai Medical Center, Los Angeles, CA, United States, 2Lawson Health Research Institute, London, ON, Canada

Hemorrhagic myocardial infarctions (MI) are associated with persistence of iron depositions in the chronic MI phase. These iron deposits have been shown to lead to perpetual recruitment of new monocytes/macrophages into the infarcted territory. Hemorrhagic MI is accompanied by a persistent microvascular obstruction (PMO) but the converse is not true. In this histologically validated cardiac MRI study we demonstrate that even in the absence of hemorrhage, PMO per se can lead to chronic iron-driven inflammatory response. Our findings are expected and lend improved insight into the mechanisms driving heart failure in infarction with PMO.

2533
MRI relaxation parameters predict functional outcome after experimental myocardial infarction
Sebastian Haberkorn1, Christoph Jacoby1, and Ulrich Flögel1

1Molecular Cardiology, Heinrich Heine University, Düsseldorf, Germany

In the present study, we systematically compared myocardial tissue characterization by Gd-based techniques with intrinsic T1/T2 mapping and their correlation with local cardiac function after experimental myocardial infarction (MI). We found that pre-contrast T1 mapping with variable flip angle analysis carried out 1 day after MI predicts the functional outcome after 21 days at least as reliable as LGE. Compared to the latter technique providing plain signal enhancement, the current approach determines quantitative maps with a large dynamic range, which may pave the way for reliable myocardial tissue characterization without any CA.

2534
MRI characterisation of iron overload in a humanised mouse model of β-thalassemia major
Laurence H Jackson1, Evangelia Vlachodimitropoulou Koumoutsea2, Panicos Shangaris3, Thomas M Ryan4, Anna L David3, John Porter2, Daniel J Stuckey1, and Mark F Lythgoe1

1Centre for Advanced Biomedical Imaging, University College London, London, United Kingdom, 2Dept. Haematology, University College London, London, United Kingdom, 3Institute for Women’s Health, University College London, London, United Kingdom, 4Dept. Biochemistry and Molecular Genetics, University of Alabama, Birmingham, AL, United States

β-thalassemia major is a common blood disorder causing the production of abnormal red blood cells (RBCs) leading to severe anaemia. Current treatment of the disease consists of regular blood transfusions with the side effect of iron overload. Due to difficulties in producing a representative animal model of the disease, research into experimental therapy has been limited. A recently developed humanised mouse model of thalassemia has the potential to provide a platform for the development of new treatments. Here we determine whether magnetic resonance imaging (MRI) can be used to assess and quantify biomarkers of disease in-vivo.

2535
The Effect of Hypertrophy in CardioCEST Magnetization Transfer Contrast
Scott William Thalman1, Zhengshi Yang2, Ashley Pumphrey2, and Moriel Vandsburger1,2,3

1Department of Biomedical Engineering, University of Kentucky, Lexington, KY, United States, 2Saha Cardiovascular Research Center, University of Kentucky, Lexington, KY, United States, 3Department of Physiology, University of Kentucky, Lexington, KY, United States

Remodeling of the myocardium via hypertrophy and fibrosis increases the risk of adverse cardiac events. Quantitative magnetization transfer weighted imaging has shown promise as a method to identify fibrosis, however the effects of hypertrophy on such measures remains unknown. Using a murine model of chronic Angiotensin-II stimulation characterized by robust hypertrophy with little fibrosis, we demonstrate that despite large increases in myocardial mean cross-sectional area (AngII= 4825μm2±717 vs Saline= 2372μm2±158), no change occurs in the cardioCEST derived measure of magnetization transfer ratio (MTR) (AngII= 30.8%±7.3 vs Saline= 27.2%±8.6). Thus, increases in MTR due to fibrosis are unbiased by concomitant hypertrophy.

2536
Metabolic alterations in chemotherapy-induced cardiotoxicity revealed by in vivo hyperpolarized 13C-MRS
Michael S Dodd1, Vicky Ball1, and Damian J Tyler1

1Department of Physiology, Anatomy and Genetics, University of Oxford, Oxford, United Kingdom

Doxorubicin can lead to pre-clinical and clinical heart failure and reduced myocardial energetics. Alterations in metabolism potentially play a role in chemotherapy induced heart failure. The aim of this work was to assess the in vivo metabolic phenotype of doxorubicin treated hearts using hyperpolarized MRS. Doxorubicin cardiotoxicity was induced in Wistar rats and 4 weeks later, CINE-MRI and hyperpolarized [1-13C]pyruvate MRS was performed.  Doxorubicin resulted in significant wall thinning, and reductions in both cardiac function and volume, all indicative of cardiotoxicity. Interestingly, doxorubicin resulted in significant metabolic alterations; with reductions in both PDH flux and 13C label incorporation into alanine.

2537
Advanced multi-GPU-based MR simulations (MRISIMUL) on realistic human anatomical models (XCAT)
Christos G. Xanthis1,2, Panagiotis G. Papadimitroulas3, George C. Kagadis3, and Anthony H. Aletras1,4

1Lund Cardiac MR Group, Department of Clinical Physiology, Lund University, Lund, Sweden, 2Department of Computer Science and Biomedical Informatics, University of Thessaly, Lamia, Greece, 3Department of Medical Physics, School of Medicine, University of Patras, Patras, Greece, 4Laboratory of Medical Informatics, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece

In the past, MR simulations were usually confined to incorporation of simplified anatomical models of limited realism and/or simulations of basic MR physics concepts only. The purpose of this study was the incorporation of the XCAT anatomical phantom in MRISIMUL, a high performance multi-GPU simulation platform. Two different CMR applications were studied: the first for heart morphology evaluation and the second for T1 mapping of the heart. Results showed that the incorporation of realistic human anatomical models in a high performance MR simulation platform may benefit the design and optimization of MR protocols and pulse sequences in the future.

2538
In Vivo, High-Frequency 3D Cardiac Magnetic Resonance Elastography:  Feasibility in Normal Volunteers
Arvin Arani1, Kevin J. Glaser1, Shivaram Poigai Arunachalam1, Phillip J. Rossman1, David S. Lake1, Joshua D. Trzasko1, Armando Manduca1, Kiaran P. McGee1, Richard L. Ehman1, and Philip A. Araoz1

1Mayo Clinic, Rochester, MN, United States

Noninvasive stiffness imaging techniques (elastography) can image myocardial tissue biomechanics in vivo.  However, for cardiac magnetic resonance elastography (MRE) techniques the optimal vibration frequency for in vivo experiments is unknown. The purpose of this study was to determine the optimal vibration frequency for cardiac MRE in healthy volunteers. Cardiac MRE displacement fields can be imaged with mean OSS-SNR > 1.6 at frequencies as high as 180Hz, however, mean OSS-SNR values and myocardial coverage was shown to be highest at 140Hz across all subjects. This study motivates future evaluation of high-frequency 3D MRE in patient populations.

2539
In-vivo assessment of myocardial stiffness in a pig with induced myocardial infarction using 3D Magnetic Resonance Elastography
Shivaram Poigai Arunachalam1, Arvin Arani1, Francis Baffour1, Joseph Rysavy2, Phillip Rossman1, David Lake3, Kevin Glaser1, Joshua Trzasko1, Armando Manduca3, Kiaran McGee1, Richard Ehman1, and Philip Araoz1

1Radiology, Mayo Clinic, Rochester, MN, United States, 2Surgery, Mayo Clinic, Rochester, MN, United States, 3Physiology and Biomedical Engineering, Mayo Clinic, Rochester, MN, United States

Myocardial stiffness is a novel biomarker with both diagnostic and prognostic potential for a range of cardiac diseases such as myocardial infarction which is known to significantly increase stiffness. Magnetic Resonance Elastography (MRE) is a non-invasive imaging technique that can be applied to the heart for in-vivo myocardial tissue characterization.  The purpose of this pilot study was to assess the feasibility of measuring in-vivo stiffness changes in infarcted tissue and compare with remote (i.e. non-infarcted) myocardium in the same pig using 3D MRE.  Results indicate a 3-fold increase in stiffness of the infarct compared to the normal myocardium. 

2540
Dependence of RF Lesion Visibility in Native T1-weighted MRI on Time after RF Ablation
Eugene G. Kholmovski1,2, Ravi Ranjan2, Sathya Vijayakumar1,2, Nathan A. Angel2, and Nassir F. Marrouche2

1UCAIR, Department of Radiology, University of Utah, Salt Lake City, UT, United States, 2CARMA Center, University of Utah, Salt Lake City, UT, United States

Catheter RF ablation is a widely accepted procedure for treatment of cardiac arrhythmias. Recently, native (non-contrast) T1-weighted (T1w) MRI was proposed to characterize RF lesions immediately post-ablation. The main aim of this work was to study how the visibility and volume of RF lesions in native T1w MRI changes with time after ablation. We have found that reduction of T1 relaxation time of RF ablated myocardium is transient. The visibility of RF ablation lesions and volume of the corresponding enhanced regions in native T1w MRI drastically reduce few days after ablation.

2541
Assessment of Myocardial B0 over the Cardiac Cycle at 7.0T: Implications for Susceptibility-based CMR Techniques
Teresa Serradas Duarte1, Till Huelnhagen1, and Thoralf Niendorf1,2

1Berlin Ultrahigh Field Facility (B.U.F.F.), Max Delbrück Center for Molecular Medicine in the Helmholtz Association, Berlin, Germany, 2Experimental and Clinical Research Center, a joint cooperation between the Charité Medical Faculty and the Max Delbrück Center in the Helmholtz Associaiton, Berlin, Germany

Magnetic susceptibility-based methods are an emerging technique in CMR for myocardial tissue characterization. Making use of UHF MRI, temporally resolved myocardial T2* mapping was recently demonstrated. Since susceptibility weighted MRI is highly dependent on main magnetic field homogeneity, B0 assessment is crucial for interpretation of results. This pioneering study investigates B0 variation in the heart over the cardiac cycle at 7.0T and its implications for myocardial T2* mapping in a cohort of healthy volunteers. Results show that septal macroscopic field inhomogeneities are minor regarding their effects on T2*. This provides encouragement for temporally resolved susceptibility-based CMR at UHF.

2542
Accelerated Multi-contrast Late Enhancement with Isotropic Spatial Resolution Using Compressed Sensing with Edge Preservation for Improved Characterization of Infarct Heterogeneity: Initial Clinical Experience
Li Zhang1,2, Mihaela Pop1,2, and Graham A Wright1,2

1Department of Medical Biophysics, University of Toronto, Toronto, ON, Canada, 2Sunnybrook Health Sciences Centre, Toronto, ON, Canada

Accurate characterization of infarct heterogeneity depends on high spatial resolution imaging1. This study was performed to evaluate the use of an accelerated multi-contrast late enhancement acquisition (MCLE)2 with COmpressed Sensing with Edge Preservation (COSEP) for isotropic spatial resolution imaging to improve characterization of infarct heterogeneity in the clinical setting. We have shown that an isotropic resolution of 2.2mm could be achieved using an accelerated three-dimensional (3D) MCLE acquisition within a single breath-hold in a patient study and the COSEP reconstruction provides improved characterization of infarct heterogeneity compared to an alternative compressed sensing method.

2543
Multi-parametric Cardiac Magnetic Resonance for Prediction of Cardiac Complications in Thalassemia Intermedia: a Prospective Multicenter Study
Antonella Meloni1, Nicola Giunta2, Pietro Giuliano2, Maria Giovanna Neri1, Stefania Renne3, Antonino Vallone4, Massimiliano Missere5, Emanuele Grassedonio6, Vincenzo Positano1, Daniele De Marchi1, and Alessia Pepe1

1Fondazione G. Monasterio CNR-Regione Toscana, Pisa, Italy, 2"ARNAS" Civico, Palermo, Italy, 3P.O. “Giovanni Paolo II”, Lamezia Terme (CZ), Italy, 4Az. Osp. "Garibaldi" Presidio Ospedaliero Nesima, Catania, Italy, 5P.O. “Giovanni Paolo II”, Campobasso, Italy, 6Policlinico "Paolo Giaccone", Palermo, Italy

We prospectively assessed the predictive value of MRI for cardiac complications in talassemia intermedia (TI). All our patients underwent MRI examination assessing multi-parametric findings (heart and liver iron, myocardial fibrosis, atrial areas, and biventricular function).

Righ ventricular (RV) hypertrophy identified patients at high risk for arrhythmias and pulmonary hypertension. Both RV hypertrophy and fibrosis detected by LGE were independent predictive factor for cardiac complications.  So, a widespread program using MRI exploiting its multi-parametric potential, including the measurement of RV mass,  can have considerable power for opening the prognosis of TI patients by the early identification and treatment of patients at risk for cardiac complications.


2544
Microvascular obstruction and hemorrhage influence T1 and T2 relaxation parameters in the detection of edema in acute myocardial infarction
Nilesh R. Ghugre1,2,3, Venkat Ramanan1, Jing Yang1, Idan Roifman3, Mohammad I Zia3, Bradley H Strauss3, Kim A Connelly4, and Graham A Wright1,2,3

1Physical Sciences Platform, Sunnybrook Research Institute, Toronto, ON, Canada, 2Department of Medical Biophysics, University of Toronto, Toronto, ON, Canada, 3Schulich Heart Research Program, Sunnybrook Health Sciences Centre, Toronto, ON, Canada, 4Cardiology, St. Michaels Hospital, Toronto, ON, Canada

T1 and T2 relaxation parameters have been instrumental in quantifying both edema and hemorrhage in acute myocardial infarction (AMI). Unlike T2, the combined effect of edema and hemorrhage on T1 has not been well described.  Our study assessed and compared the impact of microvascular obstruction (MVO) and hemorrhage on the sensitivity of T1 and T2 in the quantification of edema. Our study indicated that the capacity of T1 to detect edema is affected by the counteracting influence from hemorrhage. Furthermore, T2 may be more sensitive to edema than T1 in AMI, particularly in the presence of MVO and hemorrhage.

2545
Motion Averaged MR-Based Attenuation Correction for Coronary 18F-Fluoride Hybrid PET/MR
Philip M Robson1, Marc R Dweck1, Nicolas A Karakatsanis1, Maria Giovanna Trivieri2, Ronan Abgral1, Johanna Contreras2, Umesh Gidwani2, Jagat P Narula2, Valentin Fuster2, Jason C Kovacic2, and Zahi A Fayad1

1Translational and Molecular Imaging Institute, Icahn School of Medicine at Mount Sinai, New York, NY, United States, 2Department of Cardiology, Icahn School of Medicine at Mount Sinai, New York, NY, United States

Cardiac and coronary imaging using hybrid PET/MR is gaining increasing interest.  PET image reconstruction requires knowledge of the PET-photon attenuation of the object in order to produce accurate images of PET tracer activity.  The standard approach for MR-based attenuation correction is breath-hold volumetric imaging to freeze motion of the chest and abdomen.  However, for imaging the heart, alignment of anatomy during PET data collection and attenuation measurement is crucial.  In this work, we propose mapping attenuation using a free-breathing golden-angle radial gradient echo sequence and compare the PET images produced with this novel approach and the standard breath-hold approach.


Traditional Poster

Atherosclerosis Imaging

Exhibition Hall Thursday, May 12, 2016: 13:30 - 15:30

2546

Prospective Acceleration and CS Reconstruction for 3D Isotropic High-Resolution Carotid Imaging
Bram F Coolen1, Abdallah G Motaal1, Wouter V Potters1, Maarten J Versluis2, Gustav J Strijkers3, and Aart J Nederveen1

1Department of Radiology, Academic Medical Center, Amsterdam, Netherlands, 2Philips Healthcare, Benelux, Netherlands, 3Department of Biomedical Engineering and Physics, Academic Medical Center, Amsterdam, Netherlands

We present a prospectively accelerated 3D black-blood sequence in conjunction with CS reconstruction and show the feasibility of 3D high-resolution carotid vessel wall imaging. Results show that acceleration in combination with CS reconstruction increased SNR efficiency and resulted in improved vessel wall visibility as compared to the full data acquisition. More importantly, high-resolution imaging carotid imaging (0.4-0.5 mm) was shown feasible within a clinically feasible imaging time of 4 min.  

2547
Measurement of Plaque Burden using 3D SNAP vessel wall MRI
Niranjan Balu1, Jie Sun1, Daniel S Hippe1, Huijun Chen2, and Chun Yuan1

1Radiology, University of Washington, Seattle, WA, United States, 2Tsinghua University, Beijing, China, People's Republic of

We have developed a single sequence (SNAP) for identification of high-risk features such as stenosis, intraplaque hemorrhage and juxtaluminal calcification. However measurement of plaque burden, an early marker for disease, required a separate black-blood scan. In this work, we demonstrate that plaque burden can be measured using an alternate reconstruction (SNAP2). In patients with atherosclerosis, we compare vessel wall area measurements on SNAP2 to established black-blood MRI measurements and show that our method provides results comparable to established plaque MRI methods.

2548
Artery Imaging with Flexible Contrast in a Single Scan using 3D Golden Angle Radial Sampling: Feasibility Demonstration in Carotid Arteries
Haikun Qi1, Shuo Chen1, Xinlei Pan1, and Huijun Chen1

1Center for Biomedical Imaging Research, School of Medicine, Tsinghua University, Beijing, China, People's Republic of

Multi-contrast imaging is needed for comprehensive characterization of atherosclerosis, which often involves a series of separate scans. But the mis-registration between scans due to motion and the long scan time limits its application. So acquisition of multi-contrast images in one scan is preferable. In this study, we developed an inversion recovery prepared 3D golden angle radial sampling sequence enabling flexible posteriori selection of TI time and frame duration for arbitrary-contrast reconstruction. The proposed method may be a one-stop solution for 3D large coverage plaque imaging by providing inherently co-registered multi-contrast images in a single scan within short scan time.

2549
Combined High Resolution, Four Dimensional, CE-MRA and DCE-MRI of Carotid Atherosclerotic Plaque
Jianmin Yuan1, Andrew J Patterson2, Ammara Usman1, Gregory C Makris1, Zhongzhao Teng1, Jonathan H Gillard1, and Martin J Graves1,2

1Department of Radiology, University of Cambridge, Cambridge, United Kingdom, 2Department of Radiology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom

Carotid neovascularization and lumen surface morphology both play important roles in the progression of atherosclerotic plaque. This study uses a high-spatial and temporal resolution dynamic 3D contrast-enhanced (CE) imaging technique to simultaneously acquire and explore the relationship between the two factors. Results demonstrate that carotid luminal stenosis and appearance of ulceration are correlated with the plaque neovascularization. The study shows the ability to perform high-resolution carotid plaque morphology and functional assessment within a reasonable scanning time.

2550
Accumulation of Atherosclerotic Plaque in Mouse Aortic Valves Determined by MRI
Hanne Hakkarainen1, Jaana Rysä2, Anna-Kaisa Ruotsalainen1, Anna-Liisa Levonen1, and Timo Liimatainen1,3

1A.I. Virtanen Institute for Molecular Sciences, University of Eastern Finland, Kuopio, Finland, 2School of Pharmacy, University of Eastern Finland, Kuopio, Finland, 3Imaging Center, Kuopio University Hospital, Kuopio, Finland

High resolution cine-MRI was applied for examining aortic valve function and atherosclerotic plaque accumulation in the valves in mice on a high fat diet. The end systolic images of the aortic valves of these mice showed clear signs of atherosclerotic fat accumulation and dysfunction of the valves. This implies that the cine-MRI method provides a noninvasive tool for monitoring atherosclerotic plaques in the mouse aortic valves.  

2551
Feasibility of 3D multi-sequence PET/MRI of carotid atherosclerosis
Rik PM Moonen1, Stefan Vöö2, Jan Bucerius2, Joachim Wildberger1, and Eline Kooi1

1Department of Radiology, Maastricht University Medical Center +, Maastricht, Netherlands, 2Department of Nuclear Medicine, Maastricht University Medical Center +, Maastricht, Netherlands

Noninvasive imaging can improve risk stratification in carotid atherosclerosis. Multi-sequence MRI allows visualization of plaque burden and components, while PET can be used to study inflammation. Combining the two modalities with hybrid PET/MRI in a one-stop shop approach may improve assessment of vulnerable plaque.

The goal of this work was to optimize a 3D multi-sequence carotic PET/MRI protocol including 3D MPRAGE, 3D SPACE pre- and post-contrast, and UTE, using simulations and optimization in healthy volunteers.

Feasibility of the protocol was demonstrated in a patient suffering from carotid atherosclerosis (>70% stenosis).


2552
Quantitative Susceptibility Mapping of Atherosclerosis in Carotid Arteries
Chaoyue Wang1, Saifeng Liu2, Sagar Buch2, Hyun Seok Choi3, Eo-Jin Hwang3, Zhaoyang Fan4, and E. Mark Haacke1,2,5,6

1School of Biomedical Engineering, McMaster University, Hamilton, ON, Canada, 2The MRI Institute for Biomedical Research, Waterloo, ON, Canada, 3Department of Radiology, St. Mary’s Hospital, Seoul, Korea, Republic of, 4Department of Radiology, Cedars Sinai Hospital, Los Angeles, CA, United States, 5Department of Radiology, Wayne State University, Detroit, MI, United States, 6Biomedical Engineering, Northeastern University, Shenyang, China, People's Republic of

Due to complex structures in neck, such as the presence of bone and air, existing methods for neck quantitative susceptibility mapping (QSM) have several limitations. The purpose of this study was to find a reliable method for data collection in order to use QSM to detect carotid plaque and recognize vulnerable features. Therefor, we proposed a multi-echo SWI approach for data collection and regional 2D polynomial fitting method for data processing. Preliminary results show this method is able to image the vessel wall clearly and recognize calcified atherosclerosis and thrombosis by their susceptibility value. 

2553
Black- and Gray- Blood Dual Contrast Magnetic Resonance Imaging  Based on Compressed Sensing
Hanjing Kong1, Bo Li1, Huarui Du1, Jue Zhang1, and Li Dong2

1Peking university, Beijing, China, People's Republic of, 2Anzhen Hospital, Beijing, China, People's Republic of

Multi-contrast weighted imaging methods with a single scan provide efficient means for viewing and characterizing the atherosclerotic plaques. We extend previous studies by establishing a new strategy (CS-BLGDuC) and further reducing scan time with compressed sensing . 16 subjects including 6 healthy volunteers and 10 patients with carotid stenosis were carried out.The scan time of CS-BLGDuC were dramatically reduced compared with conventional 3D TOF and QIR. Superficial vascular calcification was clearly showed in gray blood images. It is feasible for the CS-BLGDuC strategy to depict superficial vascular calcifications and improve scan efficiency without decreasing image quality. 

 



Traditional Poster

MR Angiography

Exhibition Hall Thursday, May 12, 2016: 13:30 - 15:30

2554
Non-contrast-enhanced MRA using Velocity-sensitised, Acceleration-sensitised and Combined Sensitisation with Fast-Spin-Echo Readout
Andrew Nicholas Priest1, Ian G Murphy1, and David John Lomas1

1Radiology, Addenbrookes Hospital and Cambridge University, Cambridge, United Kingdom

This work develops an NCE-MRA technique based on the flow-sensitised dephasing (FSD) method but using a fast-spin echo (FSE) readout to avoid off-resonance artifacts and allow a larger field of view. The flow-preparation module may be velocity-sensitised, acceleration-sensitised or mixed velocity-and-acceleration-sensitised. The FSE readout allows these approaches to be combined with additional flow sensitisation by ‘adaptive refocus’ which reduces the refocusing flip angle in systole. These approaches performed well in healthy volunteers, in particular the velocity-sensitisation  and mixed-sensitisation approaches. Adding adaptive refocus increased venous contamination and thus reduced the arterial image quality. Future work will evaluate these methods in patients.

2555
Peripheral MR Angiography using velocity-sensitive gradient-echo technique
Dongchan Kim1, Hyunseok Seo1, Jaejin Cho1, Kinam Kwon1, and HyunWook Park1

1KAIST, Daejeon, Korea, Republic of

Recently quiescent-interval single-shot (QISS) non-contrast MR angiography (NC-MRA) technique was developed to obtain high-contrast peripheral angiographic images in a reasonable imaging time. QISS enhances contrast between the artery and unwanted signal by saturating signals from background, fat and vein. Thus, QISS needs multiple RF pulses for background saturation, which is limited in perfect saturation due to the inhomogeneity of main magnetic field. In this work, we propose a new MRA technique, which could generate peripheral angiogram without saturation pulses and an external ECG trigger using the velocity-sensitive gradient-echo (GRE) sequence.

2556
Single center experience with a prototype self-navigated 3D SSFP whole heart sequence in assessing coronary artery origin AUTHORS (LAST NAME
Arni Nutting1, Amos Varga-Szemes2, Shahryar Chowdhury1, Davide Piccini3, and Anthony Hlavacek1

1Pediatrics, Medical University of South Carolina, Charleston, SC, United States, 2Radiology, Medical University of South Carolina, Charleston, SC, United States, 3Lausanne, Switzerland

We performed a retrospective review of studies obtained using a prototype, self navigated, free breathing 3D SSFP sequence. Scans were reviewed for diagnostic sensitivity of coronary artery origin, diagnostic quality, and were graded for the severity of respiratory or cardiac motion or blood pool inhomogeneity. A diagnostic scan was obtained in 80.7% of cases. Blood pool inhomogeneity was common but very rarely affected diagnosis. The greatest factor affecting diagnostic ability was cardiac motion. We concluded that self-navigated 3D sequences can provide excellent sensitivity in diagnosing coronary origins with significant time savings compared to diaphragm navigated sequences.

2557
Selective Arterial Spin Labeling in Conjunction with Phase-encoded Information for the Simultaneous Visualization of Morphology, Flow Direction and Velocity of Individual Arteries in the Cerebrovascular System
Thomas Lindner1, Naomi Larsen1, Olav Jansen1, and Michael Helle2

1Clinic for Radiology and Neuroradiology, University Hospital Schleswig-Holstein, Kiel, Germany, 2Philips GmbH Innovative Technologies, Research Laboratories, Hamburg, Germany

In the presented study, selective Arterial Spin Labeling and Phase encoded information are obtained in a single acquisition, thereby allowing for artery-selective velocity and flow imaging. From the data, several image contrasts can be derived. First, anatomical images are available. From these, static artery-selective angiograms are obtained, which are processed as binary image masks and applied to the phase encoded images. Thereby, vessel-selective Phase encoded angiograms are created. Furthermore, it is possible to calculate venous-only images by subtraction of the arterial information derived from the ASL measurements from the phase-encoded images.

2558
3T Coronary MRI in Patients Treated with Bioresorbable Vascular Scaffolds for the Assessment of Vascular Patency and Blood Flow Velocity Quantification
Simon Reiss1, Axel Joachim Krafft1,2,3, Marius Menza1, Lisa Caroline Besch4, Timo Heidt4, Christoph Bode4, Constantin von zur Mühlen4, and Michael Bock1

1Dept. of Radiology - Medical Physics, University Medical Center Freiburg, Freiburg, Germany, 2German Cancer Consortium (DKTK), University Medical Center Freiburg, Heidelberg, Germany, 3German Cancer Research Center (DKFZ), Heidelberg, Germany, 4Department of Cardiology and Angiology I, University Heart Center, Freiburg, Germany

The implantation of bioresorbable Vascular Scaffolds (BVS) is a rapidly evolving technique in the treatment of coronary artery disease. BVS consist of a polylactate-based backbone which is completely dissolved after 2-3 years. Due to the organic material, coronary MRI can be used as a non-invasive technique for post-interventional imaging of arteries treated with BVS, which is not possible for metal stents. In this study, we evaluated the use of 3T MRI in assessing luminal patency after implantation of the BVS, as well as flow measurements for myocardial blood flow quantification as a possible indicator of post-interventional angina.

2559
A simulation study and application of UTE-ΔR2-ΔR2* combined MR whole brain angiogram using dual contrast superparamagnetic iron oxide nanoparticles.
HoeSu Jung1, SeokHa Jin1, DongKyu Lee1, SoHyun Han1, and HyungJoon Cho1

1Ulsan National Institute of Science and Technology, Ulsan, Korea, Republic of

  Transverse-relaxation-based ΔR2- and ΔR2*- micro MRAs are being investigated for imaging cerebral vasculature in rodent brains with increased sensitivity for intracortical arterioles and venules, in conjunction with exogenous blood pool contrast agents. In this study, we simulated extravascular signal decay behaviors of ΔR2, and ΔR2* values for multiple cylindrical models with varying diameters to quantitatively assess both sensitivity and size overestimation issues in micro MRA. The benefits of following synergistic combination of ΔR2, and ΔR2* angiograms along with the UTE-derived positive angiogram were investigated, and corresponding UTE-ΔR2-ΔR2* combined angiogram was applied to normal and C6 glioma tumor model for the verifications.

2560
Optimization of high resolution contrast-enhanced magnetic resonance angiography via modulation transfer function analysis
Toshimasa James Clark1, Gregory J Wilson2, and Jeffrey H Maki2

1Department of Radiology, University of Colorado Denver, Aurora, CO, United States, 2Department of Radiology, University of Washington, Seattle, WA, United States

CE-MRA spatial resolution is determined by a complex interaction between acquired voxel size, gadolinium injection rate, contrast volume, cardiac output, magnetic field strength, and acquisition duration. R1 relaxivity non-linearity and R2* signal degradation inherent in SPGR acquisitions play important roles in observed signal intensity during bolus passage. Through generation of modulation transfer functions spanning the gamut of parameter values likely to be seen in clinical practice we derive injection rates that produce optimal image contrast and resolution in our model.

2561
Flip-Angle and dose optimization in Ferumoxytol-enhanced MRA: Preliminary results compared with Gadolinium-enhanced MRA.
Tilman Schubert1,2, Utaroh Motosugi3, Samir Sharma4, Sonja Kinner1, Shane Wells1, Diego Hernando1, and Scott Reeder1

1Radiology, University of Wisconsin Madison, Madison, WI, United States, 2Clinic for Radiology and Nuclear Medicine, Basel University Hospital, Basel, Switzerland, 3Department of Radiology, University of Yamanashi, Yamanashi, Japan, 4Medical Physics, University of Wisconsin Madison, Madison, WI, United States

Ferumoxytol has gained interest as a positive MR-contrast agent in patients with renal failure. However, limited data exist regarding the optimal/minimal dose for MRA applications and optimal scanning parameters. Therefore, this study evaluated image quality with different doses of ferumoxytol with gadolinium as reference. Furthermore, flip angle optimization was performed in the steady state. Relative SNR was found to be significantly higher for gadolinium- compared to ferumoxytol-enhanced MRA during first pass. However, this did not lead to qualitative penalty for ferumoxytol-enhanced MRA. Flip angle-optimization indicated that adapting the flip angle to dose may help to achieve optimal results. 

2562
Sensitivity of cardiac magnetic resonance imaging to fluid shifts induced by an external leg compression device
Salvatore Saporito1, Ingeborg H.F. Herold 1,2, Silviu Dovancescu3, Jacques A. den Boer1, Ronald M. Aarts1,3, Arthur R. Bouwman2, Harrie C.M. van den Bosch4, Hendrikus H.M. Korsten 1,2, Hans C. van Assen1, and Massimo Mischi1

1Department of Electrical Engineering, Eindhoven University of technology, Eindhoven, Netherlands, 2Department of Anesthesiology and Intensive Care, Catharina Hospital Eindhoven, Eindhoven, Netherlands, 3Philips Research, Eindhoven, Netherlands, 4Department of Radiology, Catharina Hospital Eindhoven, Eindhoven, Netherlands

The assessment of thoracic fluid status is crucial for diagnosis, management, stratification, and follow-up of heart failure patients. Indicator dilution theoretical framework allows absolute volume estimation; magnetic resonance contrast agents have been proposed as indicators, with the advantage of a non-invasive detection. In this pilot study, we investigated the changes in intra-thoracic blood volume (ITBV) measured by cardiac magnetic resonance during fluid shifts induced by a pneumatic leg compression device. Preliminary results on 8 healthy volunteers suggest the sensitivity of the proposed measurement technique; a significant increase in ITBV after the leg compression was observed.

2563
Exploring Other Vascular Dimensions:  Comparison of 3-dimensional and 2-dimensional Vessel Wall Imaging Techniques for the Assessment of Large Artery Vasculopathies
Mahmud Mossa-Basha1, Matthew Alexander2, Jeffrey H. Maki1, Wendy Cohen1, Daniel S Hippe1, Chun Yuan1, Hannu Huhdanpa1, and Tobias Saam3

1Radiology, University of Washington, Seattle, WA, United States, 2Radiology, University of California San Francisco, San Francisco, CA, United States, 3Radiology, Ludwig-Maximilians-Universität München, Munich, Germany

Prompt diagnosis of large artery vasculopathies is important to avoid significant morbidities that can arise from delayed diagnosis.  This is difficult however, as patients frequently present with nonspecific sign and symptoms and luminal imaging techniques are limited in the detection of non-stenotic disease.  Vessel wall imaging is an emerging technique for vasculopathy evaluation throughout the body.  We compare quantitative and qualitative measures of 2D and 3D vessel wall imaging techniques in patients with suspected large artery vasculopathy.

2564
Ascending Aortic Nomograms derived from Contrast Enhanced Magnetic Resonance Angiography: Preliminary Values for Sex, Body Surface Area and Age Related Variability
Lara Mrak1, Christopher J. François1, Sonja Kinner1,2, and Mark L. Schiebler1

1Radiology, UW-Madison, Madison, WI, United States, 2University Hospital Essen, Essen, Germany

The size of the ascending aorta is of critical importance for patient survival as it is directly related to the likelihood of aortic dissection and risk of death.  The traditional imaging method that has been used for this measurement has been computed tomography of the chest. With many more children and young adults now being imaged with contrast enhanced magnetic resonance angiography examinations (CE-MRA) , it is useful to know what the range of variability is for the normal aorta on these exams. We present here age and sex specific values for nomograms of the ascending aorta  derived from non-gated CE-MRA examinations that are indexed to body surface area.

2565
Quadruple inversion-recovery high-resolution contrast-enhanced MR for vulnerable carotid plaque imaging
Zhefeng Yu1, Jianzhong Sun1, Yong Zhang2, and Minming Zhang1

1Radiology, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China, People's Republic of, 2MR Research China, GE Healthcare, Beijing, China, People's Republic of

This preliminary study found 25 carotid plaques in eighteen patients with 40-99% stenosis degree. Both readers gave their scores of enhanced QIR T1 weighted images (p>0.05). SNRs were evaluated as 109±21 and 113±18 (p>0.05) before and after the contrast enhancement. And CNRs were 98±19 and 82±22 (p>0.05) for the same comparison. Gd-enhanced QIR for carotid plaque imaging can achieve high quality due to good inhibition of blood flow.

2566
PETRA quiet MRA: Improved Robustness with 3D Elastic Cross-Registration
Yutaka Natsuaki1, Robert Grimm2, Xiaoming Bi1, David Grodzki2, Peter Schmitt2, and Gerhard Laub1

1Siemens Healthcare, Los Angeles, CA, United States, 2Siemens Healthcare, Erlangen, Germany

Previously, Ultra-Short TE sequences and their subtraction-based non-contrast MR angiography (e.g. PETRA qMRA) have shown promising results in intracranial applications, in particular with tortuous carotid arteries that has been problematic for the current clinical gold standard 3D Time Of Flight (TOF).  As with any subtraction based MRA techniques, PETRA qMRA is also sensitive to motion occurred in subsequent acquisitions.  The current work demonstrates that the proposed 3D elastic cross-registration can solve this limitation for the PETRA qMRA, and it takes to the next level in motion robustness and in the highest attainable isotropic resolution.  

2567
Utility of Non-contrast-enhanced MR Angiography for the Aneurysmal follow-up and Prediction of Endoleaks status post Endovascular Aortic Repair
Hiroshi Kawada1, Satoshi Goshima1, Kota Sakurai2, Yoshifumi Noda1, Kimihiro Kajita3, Nobuyuki Kawai1, Hiromi Ohno1, and Masayuki Matsuo1

1Radiology, Gifu university hospital, Gifu, Japan, 2Radiology, China Kosei Hospital, Seki, Japan, 3Radiology Service, Gifu university hospital, Gifu, Japan

We found that standard measurements showed strong correlation between CTA and MRA (r = 0.92- 0.99) and perfect agreement between two observers (ICC = 0.97 - 0.99). We also demonstrated four MRA features which are feasible for the detection of endoleaks. The “mottled high intensity” and “creeping high intensity with low band rim” were significant positive findings (P < 0.001), and “no signal black spot” and “layered high intensity area” were also significant negative findings (P < 0.031). The observation of these findings showed feasible diagnostic performance for detecting endoleaks which also showed reliable reproducibility among blinded observers.

2568
The Diagnostic Value of QISS MRA in Lower-Extremity Arteriosclerosis: A Comparison with CT Angiography
Gang Wu1, Tianjing Zhang2, Peter Schmitt3, and Xiaoming Li4

1Tongji Hospital, Huazhong university of science and technology, Wuhan, China, People's Republic of, 2Shanghai, China, People's Republic of, 3Erlangen, Germany, 4Wuhan, China, People's Republic of

The Diagnostic Value of QISS MRA in Lower-Extremity Arteriosclerosis: A Comparison with CT Angiography

one abstract

four figures


2569
Non-Contrast Enhanced MR Angiography of Lower Extremities: Initial Experience of Using motion-sensitized driven equilibrium (MSDE or iMSDE) Prepared balance Steady-State Free Precession (bSSFP) in Patients with Diabetes
Shuiqing Yang1, Lee Jiang2, Yingjie Mei3, Queenie Chan4, Allan Jin2, Feng Huang2, and Guihua Jiang1

1Medical Image Center, Guangdong NO.2 Provincial People's Hospital, Guangzhou, China, People's Republic of, 2Philips Healthcare (Suzhou), Suzhou, China, People's Republic of, 3Philips Healthcare, Guangzhou, China, People's Republic of, 4Philips Healthcare, HongKong, China, People's Republic of

Arterial stenosis of the lower extremities is the most common cause of amputation in diabetic patients. Contrast-enhanced MR angiographyis images suffer from venous contamination and is reported potential renal toxicity. Our NCE-MRA showed a high percentage of stenosis segments and provides higher image quality than the CE-MRA. The NCE-MRA technique is capable of clear depiction and accurate detection of the whole lower extremity arterial tree in patients with diabetes.

2570
Assessment of Reproducibility of Noncontrast Renal 3D MRA Using Time-Spatial Labeling Inversion Pulse with Respiratory Triggering(Time-SLIP Renal MRA)in Clinical Setting
Yuki Ohmoto-Sekine1, Junji Takahashi2, Takashi Yoshida2, Makiko Ishihara3, Hiroshi Tsuji1, Yasuji Arase1, and Mitsue Miyazaki4

1Health Management Center, Toranomon Hospital, Tokyo, Japan, 2Toranomon Hospital, Tokyo, Japan, 3Imaging Cenetr, Toranomon Hospital, Tokyo, Japan, 4Toshiba Medical Resarch Institute, Chicago, IL, United States

Noncontrast renal 3D MRA using time-spatial labeling inversion pulse (Time-SLIP) with respiratory triggering (Time-SLIP renal MRA) is proven to be valuable for non-invasive assessment of renal arteries. However, to our knowledge, there are no studies demonstrating the reproducibility of Time-SLIP renal MRA. Thus, we examined the reproducibility of Time-SLIP renal MRA and the result showed acceptable inter-scan agreement between the original and repeated scans.

2571
Koosh ball whole-heart coronary magnetic resonance angiography with zoom imaging without a navigator
Yuki Furukawa1, Takashige Yoshida1, Kouhei Yuda1, Takumi Koyano1, Masami Yoneyama2, Nobuo Kawauchi1, Tetsurou Shirai3, and Atushi Senoo4

1Radiology, Tokyo Metropolitan Police Hospital, Nakano-ku, Japan, 2Phlips Electronics Japan, Minato-ku, Japan, 3Cardiovascular Medicine, Tokyo Metropolitan Police Hospital, Nakano-ku, Japan, 4Division of Radiological Sciences, Tokyo Metropolitan University, Arakawa-ku, Japan

We applied a 3D isotropic radial (koosh ball) trajectory WHC-MRA as zoom imaging.  Navigation was not conducted; however, imaging was completed using high resolution. Zoom-KB WHC-MRA demonstrated good delineation of both the myocardial wall and coronary arteries. This was obtained without using a phrenic motion correction algorithm. When Zoom-KB WHC-MRA was compared with the reference standard, there was no significant difference (P > 0.05). The Zoom-KB enabled high isotropic spatial resolution with a short scan time. Motion artifact was controlled by equalizing noise. This was a simple, very efficient robust sequence.

2572
Evaluation of time-resolved non-contrast 4-D dMRA technique using both Cartesian and 3D stack-of-stars golden-angle radial samplings in cerebrovascular malformations: A preliminary study
Lirong Yan1, Songlin Yu1, Samantha Ma1, Yeang Chng2, Salamon Noriko2, Nader Pouratian2, and Danny JJ Wang1

1Neurology, University of California Los Angeles, Los Angeles, CA, United States, 2Radiology, University of California Los Angeles, Los Angeles, CA, United States

A non-contrast 4-D MRA using stack-of-star golden angle acquisition (Radial-TrueSTAR) has been recently introduced, which can accelerate the imaging speed up to 3 fold, compared to conventional Cartesian acquisition. Here we evaluated the clinical utility of Cartesian- and Radial-TrueSTAR in cerebral arteriovenous malformation patients by comparison with time-of-flight and DSA. Our preliminary data demonstrates that Radial-TrueSTAR provides shorter scan time while preserving similar image qualities compared to Cartesian-TrueSTAR. Compared to TOF, the heterogeneity within the nidus can be observed using both Cartesian- and Radial-TrueSTAR. Radial-TrueSTAR may become a promising approach with reduced scan time and patient comfort in clinical applications.

2573
Breath-hold coronary MR angiography:  comparison of flow-dependent QISS with flow-independent T2-prepared 2D balanced steady-state free precession
Robert R. Edelman1,2, Marcos Paulo Botelho1, Amit Pursnani1, Shivraman Giri3, and Ioannis Koktzoglou1,4

1Radiology, NorthShore University HealthSystem, Evanston, IL, United States, 2Radiology, Feinberg School of Medicine, Northwestern Univesity, Chicago, IL, United States, 3Siemens Healthcare, Chicago, IL, United States, 4Radiology, University of Chicago Pritzker School of Medicine, Chicago, IL, United States

Radial quiescent-interval slice-selective (QISS) is flow-dependent due to the application of an in-plane FOCI inversion pulse, whereas radial 2D T2-prepared bSSFP is essentially flow-independent.  Both techniques show promise as efficient breath-hold alternatives to standard-of-care free-breathing 3D techniques for coronary MR angiography.  Comparison of radial QISS with T2-prepared radial bSSFP was performed in healthy subjects and patients with coronary artery disease (CAD).  Although the appearance of the coronary arteries in healthy subjects was similar using flow-dependent QISS and flow-independent T2-prepared 2D bSSFP, aside from increased pericardial fluid signal and streak artifact with the latter technique, the appearance diverged in severe CAD. 

2574
Feasibility of non-gated Single 20-second Breath-Hold non-contrast-enhanced MR angiography of renal artery with 3D bSSFP: Comparison with Respiratory Gated time-spatial labeling inversion pulse (Time-SLIP)
AKIYOSHI YAMAMOTO1, KATSUMI NAKAMURA1,2, HIROKI MATOBA1, YUJI SHINTANI1, DAIJI UCHIYAMA1, SEIGO YOSHIDA1, and MITSUE MIYAZAKI3

1Radiolgy, Tobata Kyoritsu Hospital, Kitakyushu, Japan, 2Nexus Image Lab, Japan, Kitakyushu, Japan, 3Toshiba Medical Research Institute USA, Vernon Hills, IL, United States

A non-gated single 20-sec breath-hold non-contrast-enhanced 3D-MRA technique using bSSFP was developed and the feasibility of the proposed method for the visualization of renal artery was compared using respiratory gated non-contrast-enhanced time-SLIP 3D-MRA with several minutes of scan time. The single breath-hold bSSFP-MRA technique was optimized in flip angle and the number of segmentations to obtain excellent renal blood signal with maintaining about 20 sec breath-holding. The proposed bSSFP-MRA technique gave equal to time-SLIP MRA in the visualization of renal artery.

2575
Variable TR and Variable Refocusing Flip Angle Fresh Blood Imaging for Non-Contrast MRA at 3T: A 7-Minute Iliac to Calf Station Run-Offs Scan
Xiangzhi Zhou1 and Mitsue Miyazaki1

1Toshiba Medical Research Institute USA, Vernon Hills, IL, United States

Fresh Blood Imaging (FBI) scan time can be greatly reduced using variable TR (vTR) technique for imaging the peripheral artery without contrast. To reduce the SAR in FSE acquisition so that the shortest TR can be enabled for the slice encodings at the kz edge, variable refocusing flip angle (vFA) is proposed in addition to vFA for FBI in this study. The optimized FBI sequence with vTR and vFA was applied on volunteers to achieve a 7-minutes 3 station run-off scan to cover from iliac to calf.

2576
Structural and functional evaluation (SaFE)-MRI of peripheral artery disease (PAD) using 3D double-echo steady-state and time-resolved velocimetry
Michael Langham1, Benoit Desjardins1, Erin Englund1, Emile R Mohler, III2, Thomas Floyd3, Jamal J Derakshan1, and Felix W Wehrli1

1Department of Radiology, University of Pennsylvania, Philadelphia, PA, United States, 2Department of Medicine, University of Pennsylvania, Philadelphia, PA, United States, 3Department of Anesthesiology, SUNY Stony Brook, Stony Brook, NY, United States

An alternative unenhanced structural and functional evaluation (SaFE-MRI) MRI is proposed and described for assessing peripheral artery disease (PAD). The SaFE-MRI protocol interleaves 3D double-echo steady-state (DESS) acquisition and velocity mapping at each station. In SaFE-MRI velocity maps in all major conduit arteries (from abdominal aorta to runoff arteries) serve as a “road map” for locating hemodynamically significant stenoses and gray- and black-blood images are used to grade stenoses and detect vascular calcium. Initial results in patients with PAD agree with the finding from CTA and CE-MRA examinations as well as pressure volume recordings. 

2577
Aortic Functional Measurement with Accelerated Non-Contrast-Enhanced 3D Aortic CINE MRI
Yan Wang1, Liang Ge2, Hsin-Wei Shen3, Evan Kao3, Chengcheng Zhu1, David Saloner4, and Jing Liu1

1Radiology, UCSF, San Francisco, CA, United States, 2Surgery, UCSF, San Francisco, CA, United States, 3Radiology and Biomedical Imaging, UCSF, San Francisco, CA, United States, 4Radiology and Biomedical Imaging, UCSF/VA, San Francisco, CA, United States

3D aortic CINE imaging provides precise functional measurements compared to the 2D imaging techniques. We proposed a highly accelerated free-breathing self-gated 3D MRI method to image the aorta through the entire cardiac cycle. Automatic segmentation based on Level-Set Methods was developed to efficiently segment the aorta lumen with the acquired 3D aortic CINE data. The calculated aortic measurements have potentials for many applications such as aortic aneurysm evaluation and aortic stiffness measurement.

2578
Imaging Lenticulostriate Arteries at 3 Tesla using Flow-Sensitive Black-Blood Acquisition with Adaptive Flow-SensitiveGradient
Lyu Li1, Zechen Zhou1, Bida Zhang2, Bin Xie2, Feng Huang3, Chun Yuan4, and Hua Guo1

1Center for Biomedical Imaging Research, Department of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing, China, People's Republic of, 2Healthcare Department, Philips Research China, Shanghai, China, People's Republic of, 3Philips Healthcare (Suzhou) Co., Ltd., Suzhou, China, People's Republic of, 4Department of Radiology, University of Washington, Seattle, WA, United States

Occlusion of lenticulostriate arteries (LSAs) were reported to lead to lacunar infarction. Currently, the major technique to image LSAs is digital subtraction angiography (DSA) for its high resolution and good definition of small vessels. For MRI, qualified images of LSAs can only be acquired from 7T scanners in recent studies. In this abstract, we optimized a technique independent of in-flow effect called flow-sensitive black-blood (FSBB). With this optimized method, qualified images of LSAs can be achieved on a 3T scanner, which makes it more practical for imaging LSAs using MRI in clinical applications.

2579
Non-invasive vascular resistance assessment of the main branch of the cerebral venous tree using 3D phase-contrast MR angiography
Sidy Fall1, Gwenael Page2, Jean-Marc Constans3, and Olivier Baledent1,4

1BioFlowImage, University of Picardy Jules Verne, AMIENS, France, 2BioFlowImage, University of Picardy Jules Verne, Amiens, France, 3Radiology Department, University Hospital of Picardy, Amiens, France, 4Image Processing Department, University Hospital of Picardy, Amiens, France

The venous drainage system may be influenced by the blood outflow resistance. Precise quantitative measurements of intracranial venous resistance are few. Phase-contrast (PC) MR angiography was used to quantify vascular resistance (VR) of the global cerebral venous system and to explore the correlations between the estimated resistances and the venous outflows measured by cine phase contrast (PC) MRI. Twenty six healthy volunteers participated in this study. The sum of resistances of the transverse sinus, sigmoid sinus and jugular vein correlated with the blood flows measured at C2C3 level: left R2 =0.39 and right R2 = 0.40 .

2580
Towards Plaque and Thrombus Imaging with Hybrid of Opposite-Contrast (HOP) MR Angiography at 7T
Sören Johst1, Karsten H Wrede1,2, Harald H Quick1,3, and Mark E Ladd1,4

1Erwin L. Hahn Institute for Magnetic Resonance Imaging, University Duisburg-Essen, Essen, Germany, 2Department of Neurosurgery, University Hospital Essen, Essen, Germany, 3High Field and Hybrid MR Imaging, University Hospital Essen, Essen, Germany, 4Medical Physics in Radiology, German Cancer Research Center (dkfz), Heidelberg, Germany

Imaging of intracranial plaques and thrombi is important, as they play a role e.g. in rupture risk of cerebral aneurysms. 7T provides the potential to increase spatial resolution due to increased SNR. A time-of-flight MR angiography (TOF MRA) sequence was extended to a hybrid of opposite-contrast MRA sequence providing two contrasts, bright and black blood. Inverting and subtracting both contrasts makes thrombi/plaques visible. Sufficient flow dephasing moments for black-blood contrast were determined for three resolutions, image post-processing was implemented, and contrast evaluated. This approach potentially enables patient studies with higher resolution than previously achievable while maintaining reasonable acquisition times.

2581
Accelerated Visualization of Individual Intracranial Arteries with Reduced Number of Control Acquisitions in Super-selective Arterial Spin Labeling
Thomas Lindner1, Naomi Larsen1, Olav Jansen1, and Michael Helle2

1Clinic for Radiology and Neuroradiology, University Hospital Schleswig-Holstein, Kiel, Germany, 2Philips GmbH Innovative Technologies, Research Laboratories, Hamburg, Germany

In this study, different approaches for obtaining selective Arterial Spin Labeling (ASL) angiograms are presented. Conventionally, the label image of each artery has to be matched with a separate control image. In this study, the number of control acquisitions is reduced, thus, making it possible to reduce acquisition times considerably. In one approach, a shared control condition is used for three selectively labeled arteries to obtain the final images (“cycled super-selective ASL”). This means that only one control image is used for subsequent data processing with three images of different arteries. In the second approach, no control image is required at all and the angiography information can be obtained from the label images only (“self-control ASL”). Image quality appeared similar in all approaches. Compared to super-selective ASL, image acquisition times are reduced in the presented approaches.


Traditional Poster

Velocity & Flow Quantification

Exhibition Hall Thursday, May 12, 2016: 13:30 - 15:30

2582
Unattended Processing of 4D Flow MRI in the Aorta: Assessment of Aortic Dimension, Blood Flow, and Demographics in 782 Subjects
Julio Garcia1, Alex J. Barker1, Susanne Schnell1, Jeremy D. Collins1, James C. Carr1, and Michael Markl1,2

1Radiology, Northwestern University, Chicago, IL, United States, 2Biomedical Engineering, Northwestern University, Evanston, IL, United States

The processing of time-resolved 3D phase-contrast MRI with three-directional velocity encoding (4D flow MRI) cases can be highly time consuming given the large multi-dimensional datasets (3D+time of the cardiac cycle+3-directional blood flow velocities). However, the fully automated processing of cases in large databases is still challenging. The purpose of this study was to introduce an automated workflow allowing the unattended retrospective processing of aortic 4D flow MRI data from a large database of subjects.

2583
Variability of flow parameters when subjected to changes of MR acquisitions parameters in 4D flow MRI using a realistic thoracic aortic phantom.
Cristian Montalba1, Jesus Urbina1,2, Julio Sotelo1,3, Marcelo Andia1,4, Cristian Tejos1,3, Pablo Irrarazaval1,3, Israel Valverde5,6, and Sergio Uribe1,4

1Biomedical Imaging Center, Pontificia Universidad Católica de Chile, Santiago, Chile, 2School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile, 3Electrical Engineering, Pontificia Universidad Católica de Chile, Santiago, Chile, 4Radiology Department, Pontificia Universidad Católica de Chile, Santiago, Chile, 5Institute of Biomedicine of Seville, Universidad De Sevilla, Seville, Spain, 6Cardiology Unit, Hospital Virgen del Rocio, Universidad de Sevilla, Seville, Spain

4D flow is a MRI technique characterized by long scanning times. Because of that, it is difficult to study the variability of flow parameters when subjected to changes of the MR parameters. The purpose of this work is to study the variability of different flow parameters due to changes of spatial and temporal resolutions in 4D flow acquisitions through controlled experiments using a realistic normal adult thoracic aortic phantom. We conclude that changing the spatial and temporal resolutions in the 4D flow imaging greatly affects different flow parameters with induced errors of up to 23.9%.

2584
Background Phase Correction for Quantitative Phase-Contrast MRI
Rizwan Ahmad1, Ning Jin2, and Orlando P Simonetti3

1Electrical and Computer Engineering, The Ohio State University, Columbus, OH, United States, 2Siemens Healthcare, Columbus, OH, United States, 3Radiology and Internal Medicine, The Ohio State University, Columbus, OH, United States

Virtually every phase-contrast MRI (PC-MRI) measurement is contaminated with background phase (BP) from eddy currents and concomitant gradient terms. A widely reported method to correct BP relies on a polynomial fitting of the static pixels within regions of static tissue. This method requires sufficient static tissue in close proximity to the region of interest—a requirement that cannot be met for imaging of the heart or great vessels. In this work, we propose a BP correction method that leverages information from multiple slices collected under identical conditions but with different table positions.

2585
Does Respiratory Motion Influence Tissue Phase Mapping Velocities?
Jan Paul1, Stefan Wundrak1, Peter Bernhardt1, Wolfgang Rottbauer1, and Volker Rasche1

1Internal Medicine II, University Hospital of Ulm, Ulm, Germany

Cartesian Tissue Phase Mapping (TPM) usually necessitates respiratory navigators or other means of motion selection/correction to avoid ghosting artifacts. In radial MRI, however, motion artifacts result in image blurring rather than ghosting, which might allow using all respiratory states for reconstruction. The aim of this study is to investigate the influence of respiratory motion on velocities obtained from radial Tissue Phase Mapping MRI. Only small biases towards reduced velocity peaks were found in ungated compared to motion-compensated reconstructions. Overall velocity agreement of ungated data was very high compared to gated reconstructions.

2586
Characterization of Pulsatile Cerebrospinal Fluid Motion Among Young, Elderly and Idiopathic Normal Pressure Hydrocephalus By Correlation Mapping Technique
Satoshi Yatsushiro1, Saeko Sunohara2, Naokazu Hayashi3, Akihiro Hirayama3, Mitsunori Matsumae3, Afnizanfaizal Bin Abdullah4, and Kagayaki Kuroda2

1Course of Science and Technology, School of Science and Technology, Tokai University, Hiratsuka, Kanagawa, Japan, 2Course of Electrical and Electronic Engineering, Graduate School of Engineering, Tokai University, Hiratsuka, Kanagawa, Japan, 3Department of Neurosurgery, Tokai University School of Medicine, Isehara, Kanagawa, Japan, 4Department of Software Engineering, Faculty of Computing, Universiti Teknologi Malaysia, Johor Bahru, Malaysia

                Correlation mapping technique composed of delay time and correlation coefficient mapping to characterize propagation properties of cerebrospinal fluid (CSF) motion was applied to young, elderly healthy and idiopathic normal pressure hydrocephalus (iNPH) patient groups for classification. Brightness of the color of maximum correlation map was adjusted according to the amplitude of the CSF velocity waveform for assisting clinicians to understand the propagation properties intuitively. The groups were classified by quantifying the standard deviation of the correlation distributing in the intracranial CSF space. The technique was expected to classify diseases related to CSF dynamics such as iNPH.

2587
Temporal Dynamics and Sampling Rate Effects for Background Phase Estimates in 4D Flow MRI
Michael Loecher1, Peng Hu1, and Daniel B Ennis1,2

1Department of Radiological Sciences, University of California, Los Angeles, CA, United States, 2Biomedical Physics, University of California, Los Angeles, CA, United States

4D Flow phase contrast MRI acquisitions inherently require a measure of background phase to remove phase contributions from non-velocity based components.  The temporal dynamics of this background phase are not well understood.  Consequently, the background phase may be measured too infrequently or too often for accurate and/or time efficient measurements. The purpose of this work was: 1) to measure the temporal dynamics of the background phase with high temporal resolution; and 2) to demonstrate methods of selecting time optimal background phase sampling strategies that improve the measurement efficiency of 4D Flow acquisitions.

2588
Velocity Transfer Function from Phase Contrast MRI -  A Non-Invasive Method for Assessing Pulmonary Arterial Stiffness and Impedance
Himanshu Gupta1,2, Ankur Gupta1, and Thomas S Denney3,4

1Department of Medicine, Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, AL, United States, 2VA Medical Center, Birmingham, AL, United States, 3Auburn University MRI Research Center, Auburn University, Auburn, AL, United States, 4Electrical and Computer Engineering, Auburn University, Auburn, AL, United States

Pulmonary arterial (PA) impedance accounts for pulsatile blood flow through elastic pulmonary arteries as compared to static pulmonary vascular resistance. Increased PA impedance is an early physiological manifestation of PA remodeling. Currently, PA impedance can only be detected invasively, is expensive and cumbersome to calculate and not done in routine clinical practice. Non-invasive assessment of PA impedance can provide insights in evaluation of patients with normal PA pressures or mild pulmonary hypertension such as in patients with chronic obstructive lung disease. We propose a novel non-invasive parameter, the velocity transfer function (VTF), which is related to PA stiffness and impedance.

2589
3D quantification of Vorticity, Helicity, Kinetic Energy and Energy loss in the Left Ventricle from 4D flow data using a finite element method
Julio Sotelo1,2,3, Jesús Urbina1,4, Bram Ruijsink5, David Nordsletten5, Israel Valverde6,7, Cristian Tejos1,2,8, Pablo Irarrazaval1,2,8, Marcelo Andia1,4,8, Daniel E Hurtado3,8, and Sergio Uribe1,4,8

1Biomedical Imaging Center, Pontificia Universidad Catolica de Chile, Santiago, Chile, 2Electrical Engineering Department, Pontificia Universidad Catolica de Chile, Santiago, Chile, 3Structural and Geotechnical Engineering Departement, Pontificia Universidad Catolica de Chile, Santiago, Chile, 4Radiology Department, School of Medicine, Pontificia Universidad Catolica de Chile, Santiago, Chile, 5Biomedical Engineering Department, King's College London, London, United Kingdom, 6Pediatric Cardiology Unit, Hospital Virgen del Rocio, Seville, Spain, 7Cardiovascular Pathology Unit, Institute of Biomedicine of Seville (IBIS), Hospital Virgen del Rocio, Seville, Spain, 8Biological and Medical Engineering Institute, Schools of Engineering, Medicine and Biological Sciences, Pontificia Universidad Catolica de Chile, Santiago, Chile

A quantitative characterization of vortex flow as turbulence and energy may offer a novel index of left ventricle (LV) dysfunction not available in conventional indexes. In this work we propose a novel method based on finite element interpolations to obtain a 3D quantitative maps of vorticity, helicity density, kinetic energy, and energy loss derived from 4D-flow data sets of the LV.
 This new method may offer a novel index of LV dysfunction, permitting identify the vortex ring and the magnitude of turbulence values not available in conventional indexes. In future work we pretend validate clinically our method with patient data. 

2590
Evaluate Right Ventricular Energy Propagation for Patients With Repaired Tetralogy of Fallot by Using Phase-Contrast MRI
Meng-Chu Chang1, Ming-Ting Wu2, Marius Menza3, Mao-Yuan Su4, Hung-Chieh Huang2, and Hsu-Hsia Peng1

1Department of Biomedical Engineering and Environmental Sciences, National Tsing Hua University, Hsinchu, Taiwan, 2Department of Radiology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, 3Medical Physics, Department of Radiology, University Hospital Freiburg, Freiburg, Germany, 4Department of Medical Imaging, National Taiwan University Hospital, Taipei, Taiwan

The association between right ventricle (RV) volume or pressure overloading pathology and intraventricular flow of repaired tetralogy of Fallot (rTOF) patient is still unclear. Therefore, we evaluated RV input- and output kinetic energy and intraventricular flow patterns for rTOF patients to speculate the energy propagation by using phase-contrast MRI. During systole, rTOF patients presented higher RV output KE. Moreover, in rTOF patients, the blood flow filled into RV with a high velocity, accompanying several local vortices. In conclusion, higher output KE and the visualization of intraventricular vectors helped to comprehend the energy propagation in RV.

2591
Kinetic Energy Distributions in Fontan Circulation - Evaluation of Respiration Effects
Alejandro Roldán-Alzate1,2, Eric Schrauben3,4, Oliver Wieben2,3, and Christopher J Francois2

1Mechanical Engineering, University of Wisconsin - Madison, Madison, WI, United States, 2Radiology, University of Wisconsin - Madison, Madison, WI, United States, 3Medical Physics, University of Wisconsin - Madison, Madison, WI, United States, 4Centre for Advanced MRI, Auckland, New Zealand

The purpose of this study was to evaluate changes in blood flow and kinetic energy distribution between inspiration and expiration in TCPC patients for assessing efficiency of the system using 4D flow MRI. Six TCPC patients were imaged using a PC-VIPR scheme that allows for double gating to the ECG and respiratory cycles providing flow data for separate respiratory phases. Results exhibit greater respiratory-induced flow changes within a single subject than previous work has shown in the same analysis performed on healthy controls, suggesting that respiration plays a larger role in regulating flow in these patients.

2592
Finite-Element Computational Fluid Dynamics Simulations Constrained by Phase-Contrast MRI Data
Giordanno B. F. Borges1, Ivan R. Siqueira2, Joao L. A. Carvalho3, Jon-Fredrik Nielsen4, and Vinicius C. Rispoli5

1Department of Mathematics, University of Brasilia, Brasilia, Brazil, 2Department of Mechanical Engineering, Pontifical Catholic University of Rio de Janeiro, Rio de Janeiro, Brazil, 3Department of Electrical Engineering, University of Brasilia, Brasilia, Brazil, 4Biomedical Engineering, University of Michigan, Ann Arbor, MI, United States, 5UnB Gama College, University of Brasilia, Brasilia, Brazil

Phase-contrast MRI (PC-MRI) data has been vastly used as boundary conditions in computational fluid dynamics (CFD) simulations. Recently, many authors also used measured flow data to enforce CFD solutions, based on the finite volume method (FVM). On the other hand, the finite element method (FEM) has notable advantages over FVM, such as higher order accuracy and more flexibility dealing with complex geometries. This work presents a finite-element implementation of a MRI-constrained CFD solver. This hybrid solver can be used to regularize PC-MRI data, providing solutions closer to the PC-MRI measurements than pure CFD. Feasibility of this approach is demonstrated using a modified 2D discretization of the Navier-Stokes and continuity equations, using FEM. In this demonstration, two velocity components were taken from a 4D PC-MRI dataset, and used to constrain the CFD solution over a 2D domain.

2593
Energy loss and turbulent formations reveal the pressure loss in coarctation flows: A novel 4D Flow MRI-Based quantification method using a finite element approach
Julio Sotelo1,2,3, Jesús Urbina1,4, Cristian Montalba1, Israel Valverde5,6, Cristian Tejos1,2,7, Pablo Irarrazaval1,2,7, Marcelo Andia1,4,7, Daniel E Hurtado3,7, and Sergio Uribe1,4,7

1Biomedical Imaging Center, Pontificia Universidad Catolica de Chile, Santiago, Chile, 2Electrical Engineering Department, Pontificia Universidad Catolica de Chile, Santiago, Chile, 3Structural and Geotechnical Engineering Departement, Pontificia Universidad Catolica de Chile, Santiago, Chile, 4Radiology Department, School of Medicine, Pontificia Universidad Catolica de Chile, Santiago, Chile, 5Pediatric Cardiology Unit, Hospital Virgen del Rocio, Seville, Spain, 6Cardiovascular Pathology Unit, Institute of Biomedicine of Seville (IBIS), Hospital Virgen del Rocio, Seville, Spain, 7Biological and Medical Engineering Institute, Schools of Engineering, Medicine and Biological Sciences, Pontificia Universidad Catolica de Chile, Santiago, Chile

Aortic coarctation (CoA) cause an irreversible pressure loss post-CoA given by the energy dissipation, increasing the ventricular workload. Turbulent flows through CoA generate an irreversible damage in the surrounding tissue for mechanical stresses. We implement a finite elements method to obtain 3D maps of energy loss, kinetic energy, vorticity and helicity from 4D flow data. We performed an in-vitro study that related the pressure gradient, pulse wave velocity and elastic modulus with the energy loss and vorticity and helicity parameters. Concluding that our method may allow assessing the severity of the CoA and the identification of the regions affected.

2594
Validation of "WaVelocity" Image Analysis Toolbox for Cardiac Magnetic Resonance Pulse Wave Velocity Measurements
Danilo Babin1, Daniel Devos2, and Patrick Segers3

1TELIN, Ghent University, Ghent, Belgium, 2Ghent University Hospital, Ghent, Belgium, 3ibiTech-bioMMeda, Ghent University, Ghent, Belgium

The purpose is to validate our cardiovascular image analysis toolbox "WaVelocity" for measuring pulse wave velocity (PWV) from cardiac magnetic resonance images against PWV measurements of in-place pressure catheter. The validation was performed using two phantoms: a straight latex tube and an aortic phantom with two different water flow rates. Phase-Contrast para-sagittal image sequences in multiple planes were processed with our image analysis software. Ground truth PWV values were calculated from pressure curves measured by pullback of the catheter. The results show sufficiently high correspondence between calculated MR and catheter PWV to plan for clinical use.

2595
Accelerated Phase-Contrast MRI using Hybrid One- and Two-sided Flow-Encodings Only (HOTFEO)
Da Wang1,2, Jiaxin Shao1, Daniel B Ennis1,2, and Peng Hu1,2

1Radiology, University of California, Los Angeles, Los Angeles, CA, United States, 2Biomedical Physics, University of California, Los Angeles, Los Angeles, CA, United States

In conventional 4D-flow phase-contrast MRI, each cardiac phase acquires the flow-compensated and three-directional flow-encoded echoes, which often limits the achievable temporal-resolution and temporal-footprint. This can result in under-estimation of maximum peak velocity. Herein, we propose a fast 4D-flow strategy that eliminates the flow-compensated acquisition using hybrid one- and two-sided flow encoding only (HOTFEO). The flow-compensated background phase is derived from three-directional flow-encoded data based on a velocity direction constraint that assumes the velocity direction, not the magnitude, changes very little between two cardiac phases. HOTFEO provides accurate blood flow and velocity measurements compared with conventional 4D-flow technique.

2596
MRI flow quantification of Head and Neck arteries
Jérémie Bettoni1, Gwenaël Pagé2, Stéphanie Dakpé1, Jean-Marc Constans3, Sylvie Testelin1, Bernard Devauchelle1, and Olivier Balédent2,4

1Maxillo-Faciale surgery, Amiens Hospital, Amiens, France, 2BioFlow Image, University of Picardie Jules Verne, Amiens, France, 3Diagnostic Radiology, Amiens Hospital, Amiens, France, 4Department of Image Processing, Amiens Hospital, Amiens, France

The aim of this study is to create the first physiological database of the blood flow quantification in the external carotid tree in order to help the surgeon in facial reconstruction by free flap. An original protocol association with 32 head coils channel and microscopic coil is created and 2D PC-MRI are performed on arteries from head and neck area. Blood flow average for each artery is 17 mL/min in superior thyroid artery, 6.5 mL/min in lingual artery, 30.5 mL/min in facial artery, 23.5 mL/min in internal maxillary artery, 21.5 mL/min in superficial temporal artery.


2597
Monitoring the Disease Progression and Aortic Hemodynamics of Pediatric Bicuspid Aortic Valve Patients Using Longitudinal 4D Flow MRI
Michael Rose1, Emilie Bollache2, Kelly Jarvis2,3, Alex Barker2, Susanne Schnell2, Bradley Allen2, Joshua Robinson4,5, Michael Markl2,3, and Cynthia Rigsby1,2

1Medical Imaging, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, United States, 2Radiology, Northwestern University, Chicago, IL, United States, 3Biomedical Engineering, Northwestern University, Chicago, IL, United States, 4Pediatrics, Northwestern University, Chicago, IL, United States, 5Pediatric Cardiology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, United States

Over the course of two 4D flow MRI studies (mean duration between studies: 19 months), 12 pediatric BAV patients were evaluated for any changes in aortic hemodynamics. Hemodynamics were characterized via visual grading of flow patterns, peak systolic velocity and regional mean wall shear stress. There were no significant changes in visual grading scores, peak systolic velocities or mean wall shear stress values between baseline and follow up studies suggesting little BAV disease progression during this time.

2598
Perioperative assessment of aortic tissue at risk for dysfunction in patients undergoing valve and/or aortic replacement using 4D flow MRI
Emilie Bollache1, Paul W.M. Fedak2,3, Pim van Ooij1, David Guzzardi2, S. Chris Malaisrie3, Alex Hong1, Patrick M. McCarthy3, James Carr1, Jeremy Collins1, Michael Markl1,4, and Alex J. Barker1

1Department of Radiology, Northwestern University, Chicago, IL, United States, 2Department of Cardiac Sciences, University of Calgary, Calgary, AB, Canada, 3Division of Surgery-Cardiac Surgery, Northwestern University, Chicago, IL, United States, 4Department of Biomedical Engineering, Northwestern University, Chicago, IL, United States

The effect of the type of aortic surgery in patients with aortopathy is not well known. We studied 23 patients who underwent 4D flow MRI both before and after aortic valve (AVR) and/or ascending aortic (AAR) replacement, from which we estimated the pre- and post-surgical area of aortic ‘at-risk’ tissue, with an elevated wall shear stress. After surgery, in most AVR patients, at-risk tissue area was decreased while in most AAR patients, it was increased. This pilot study suggests the usefulness of 4D flow MRI to provide longitudinal aortic hemodynamic follow-up after surgery, which should be confirmed in larger populations.

2599
A realistic aortic phantom with a kinking of the aorta: one to one replica of a patient and comparison using PC-MRI and cardiac catheterization
Jesús Urbina1,2, Julio Sotelo1,3, Cristian Montalba1, Tomás Fernández1, Felipe Valenzuela1,3, Cristián Tejos1,3, Pablo Irarrázaval1,3, Marcelo Andia1,4, Israel Valverde5,6, and Sergio Uribe1,4

1Biomedical Imaging Center, Pontificia Universidad Católica de Chile, Santiago, Chile, 2School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile, 3Electrical Engineering Department, Pontificia Universidad Católica de Chile, Santiago, Chile, 4Radiology Department, Pontificia Universidad Católica de Chile, Santiago, Chile, 5Pediatric Cardiology Unit, Hospital Virgen del Rocio, Seville, Spain, 6Institute of Biomedicine of Seville, Universidad de Sevilla, Seville, Spain

The aim of this work was to generate a one to one replica of the aorta of a patient with a kinking and to compare the hemodynamic parameters with the ones obtained from patient's PC-MRI and cardiac catheterization. A silicone model was built from CE-MRA data and connected to a MRI compatible pulsatile pump setup. PC-MRI and catheterization data were obtained in the phantom. Most hemodynamic parameters were similar between the patient and the phantom.

2600
Turbulent wall shear stress assessment using 4D flow MRI
Magnus Ziegler1,2, Jonas Lantz1,2, Tino Ebbers1,2, and Petter Dyverfeldt1,2

1Division of Cardiovascular Medicine, Department of Medical and Health Sciences, Linköping University, Linköping, Sweden, 2Centre for Medical Image Science and Visualization (CMIV), Linköping University, Linköping, Sweden

Chaotic velocity fluctuations caused by turbulent blood flow create fluctuations in the shear stress acting on the vascular wall. This turbulent wall shear stress can cause vascular remodeling and increased endothelial cell turnover. This work explores the use of MR-estimated turbulent kinetic energy (TKE) for mapping the turbulent wall shear stress. Time-resolved velocity data for non-pulsatile flow was obtained using computational fluid dynamics in two patient-derived geometries and used to simulate PC-MRI measurements. Near-wall TKE was estimated using a novel sampling method and was found to correlate strongly to turbulent wall shear stress, opening new avenues for analysis.

2601
Superquadric Glyphs for Visualizing Myocardial Motion in 3D
Teodora Chitiboi1,2, Mathias Neugebauer1, Susanne Schnell3, Michael Markl3, Lars Linsen2, and Anja Hennemuth1

1Fraunhofer MEVIS, Bremen, Germany, 2Jacobs University, Bremen, Germany, 3Department of Radiology, Northwestern University, Chicago, IL, United States

Various cardiac diseases can be diagnosed by analyzing myocardial motion. The local myocardial velocity can be efficiently computed using tissue phase mapping MRI. While radial, longitudinal, and rotational myocardial velocities are relevant biomarkers, it is challenging to find a single 3D representation that gives a global overview of these three motion directions for the entire cardiac muscle. We designed a visual encoding that maps the three velocities to glyph shapes according to a barycentric space formed by 3D superquadric glyphs. The glyphs show the aggregated myocardial motion information for each AHA segment and are displayed in a 3D layout.

2602
4D Flow MRI for the Evaluation of Vasodilation in Patients with Sickle Cell Disease
Lena Václavů1, Bart J Biemond2, John C Wood3, Henk Mutsaerts4, Charles BLM Majoie1, Ed van Bavel5, Aart J Nederveen1, and Pim van Ooij1

1Radiology, Academic Medical Center, Amsterdam, Netherlands, 2Internal Medicine, Academic Medical Center, Amsterdam, Netherlands, 3Cardiology, Children's Hospital Los Angeles, Los Angeles, CA, United States, 4Sunnybrook Research Institute, Toronto, ON, Canada, 5Biomedical Engineering and Physics, Academic Medical Center, Amsterdam, Netherlands

We employed 4D Flow MRI in patients with Sickle Cell Disease. 4D Flow MRI is a non-invasive technique allowing blood flow velocity measurements and estimation of WSS. We investigated dynamic changes in velocity, WSS and vessel diameter in the anterior circulation of the Circle of Willis (CoW) in response to a vasodilator (acetazolamide [ACZ]).  We found that velocity and WSS  increased in the CoW after administration of the vasodilator ACZ, as measured with 4D flow MRI. The change in velocity after administration of ACZ was larger in controls than in patients.

2603
Fixed-Volume Particle Trace Emission for the Analysis of Left Atrial Blood Flow using 4D Flow MRI
Stephen Gaeta1, Petter Dyverfeldt2,3, Jonatan Eriksson2,3, Carl-Johan Carlhäll2,3, Tino Ebbers2,3, and Ann F Bolger4

1Department of Medicine, Duke University, Durham, NC, United States, 2Department of Medical and Health Sciences, Linköping University, Linköping, Sweden, 3Center for Medical Image Science and Visualisation (CMIV), Linköping University, Linköping, Sweden, 4Department of Cardiology, University of California San Francisco, San Francisco, CA, United States

The aim of this study was to develop a novel fixed-volume approach for particle tracing and employ this to develop quantitative analysis of 4D blood flow characteristics in the left atrium (LA). The proposed fixed volume approach for emission of particle traces permits sampling of LA blood volumes and intuitive visualizations where each trace represents the same volume. Using fixed-volume particle traces, LA flow can be separated into different components based on the transit of blood through the LA. Quantitative analysis of functionally distinct subsets of LA flow may provide new perspectives on LA function in health and disease. 

2604
Breath-Hold Real-Time Phase Contrast MRI using Radial k-space Sampling and Compressed Sensing
Hassan Haji-Valizadeh1, Elwin Bassett2, Genesh Adluru3, Edward VR DiBella 3, and Daniel Kim3

1Bioengineering, University of Utah, Salt Lake City, UT, United States, 2Physics, University of Utah, Salt Lake City, UT, United States, 3Radiology,UCAIR, University of Utah, Salt Lake City, UT, United States

Phase contrast (PC) MRI is a useful tool for assessing hemodynamic, but suffers from low data acquisition efficiency. In this study we compared real-time PC MRI between Cartesian and Radial undersampling trajectories. Our results show that both real-time MRI pulse sequences yield velocity measurements that agree well with those produced by reference breath-hold PC MRI pulse sequence. Compared with real-time MRI with Cartesian sampling, Radial sampling produced images with fewer artifacts.  This study demonstrates feasibility of real-time PC MRI using radial k-space sampling and constrained reconstruction. 

2605
Simultaneous 3D velocity and temperature mapping in fluid flow using MRI
Waltraud B. Buchenberg1, Florian Wassermann2, Sven Grundmann3, Jürgen Hennig1, and Bernd Jung4

1Radiology - Medical Physics, University Medical Center Freiburg, Freiburg, Germany, 2Center of Smart Interfaces, Technische Universität Darmstadt, Darmstadt, Germany, 3Institute of Fluid Mechanics, University of Rostock, Rostock, Germany, 4Interventional and Pediatric Radiology, University Hospital, Institute of Diagnostic, Bern, Switzerland

Since MR thermometry and MR velocimetry allow non-invasive measurements of temperature fields and velocity fields, they are widely applied to address medical questions; however, they are also suited to investigate 3D fluid flow and heat transfer phenomena in technical devices. This work investigates velocity fields and temperature distributions in a countercurrent double pipe heat exchanger. 3D velocity and temperature measurements were performed consecutively. A combination of forced convection (external pump providing laminar flow) and free convection (heating) using MRI can add valuable new insights into heat transfer processes.


Traditional Poster

Myocardial Perfusion & Function

Exhibition Hall Thursday, May 12, 2016: 13:30 - 15:30

2606
Measurement of extracellular volume fraction and blood flow from dynamic contrast enhanced myocardial perfusion images applied in non-ischemic cardiomyopathy
Yoon-Chul Kim1, Sung Mok Kim1, Sung-Ji Park1, and Yeon Hyeon Choe1

1Samsung Medical Center, Sungkyunkwan Univ. School of Medicine, Seoul, Korea, Republic of

Recently there have been several studies of estimation of extracellular volume (ECV) fraction from dynamic contrast enhanced (DCE) myocardial perfusion images using a distributed parameter (DP) model. We apply the DP model to DCE perfusion images acquired from a standard stress perfusion protocol, and demonstrate ECV measurements in aortic stenosis (AS) patients (n=13) and hypertrophic cardiomyopathy (HCM) patients (n=11).  Preliminary results from sector-wise analysis indicate 1) higher mean ECV values in HCM patients than normal volunteers and AS patients and 2) lower mean blood flow values in AS and HCM patients than those in normal volunteers. 

2607
Myocardial Perfusion using radial MS-CAIPIRINHA
Tobias Wech1, Michael Braun1,2, Daniel Stäb3, Peter Speier4, Henning Neubauer1, Walter Kullmann2, Thorsten A. Bley1, and Herbert Köstler1

1Department of Diagnostical and Interventional Radiology, University of Würzburg, Würzburg, Germany, 2Institute of Medical Engineering, University of Applied Sciences Würzburg-Schweinfurt, Schweinfurt, Germany, 3The Centre for Advanced Imaging, The University of Queensland, Brisbane, Australia, 4Siemens Healthcare, Erlangen, Germany

The benefit of using radial instead of Cartesian readouts for MS-CAIPIRINHA accelerated myocardial perfusion measurements was explored. Conjugate gradient SENSE was used to determine fully sampled data for the two slices acquired simultaneously. A phantom study was performed first, which revealed lower g-factors for radial MS-CAIPIRINHA in comparison to a corresponding Cartesian acquisition. Finally, saturation-recovery-prepared and ECG-triggered radial MS-CAIPIRINHA was applied for perfusion investigations of the myocardium in a healthy volunteer.

2608
Comparison of myocardial perfusion and permeability estimates from dynamic contrast-enhanced MRI with three quantitative analysis methods
Wang Jing1, Yudong Zhang2, Yang Fan3, HaiBin Shi2, and Xiaoyan Liu1

1Center for Medical Device Evaluation, CFDA, Beijing, China, People's Republic of, 2Department of Radiology, the First Affiliated Hospital with Nanjing Medical University Nanjing, Nanjing, China, People's Republic of, 3GE Healthcare, MR Research China, Beijing, China, People's Republic of

This study compares three methods for quantitatively analyzing dynamic contrast-enhanced MRI datasets for the extraction of myocardial perfusion, permeability, and other hemodynamic parameters. The two-compartment exchange model and the adiabatic approximation to the tissue homogeneity models are compared with reference to model-free deconvolution. The goal was to determine if these three models could reliably estimate hemodynamic parameters and be able to distinguish between normal patients and those with hypertrophic cardiomyopathy. Results demonstrate that all three methods yield consistent estimates for perfusion, blood volume, and mean transit times, and that these parameters were significantly different for the hypertrophic heart.

2609
Measuring microvascular flow characteristics with myocardial DCE-MRI perfusion data using a model-independent, multi-resolution spline approach in patients at stress
Karl P Kunze1, Christoph Rischpler1, Markus Schwaiger1, and Stephan G Nekolla1

1Department of Nuclear Medicine, Klinikum rechts der Isar der TU München, Munich, Germany

This abstract proposes a new B-spline based approach for model-independent deconvolution of myocardial DCE-MRI perfusion data and the reconstruction of the vascular transit time distribution function. It allows the model-independent quantification of vascular mean transit time and vascular transit time heterogeneity, whose relationship is of importance in understanding the implications of different ischemic microvascular disease patterns. The presented algorithm was tested in simulations and showed stability for the range of perfusion parameters expected under stress conditions. 12 DCE-MRI patient datasets from adenosine stress examinations were analyzed, showing a steady increase of heterogeneity with mean transit time.

2610
Semi-quantitative stress perfusion CMR for assessing complications in the transplant heart
Madeline Schwid1, Hannah Recht1, Kai Lin1, Jeremy Collins1, Michael Markl1, Dan Lee1, and James Carr1

1Northwestern University, Chicago, IL, United States

This study evaluated semiquantitative measures of ischemia using noninvasive stress perfusion CMR for the detection and quantification of CAV using invasive coronary angiography as the standard reference on a cohort of chronic heart transplant patients. Based on angiogram results, patients were divided into groups by disease severity. The upslope and myocardial perfusion reserve was measured per segment for each patient based on the AHA 16 segment model. These values were then correlated to the angiogram results and averaged by segment to create bullseye plots for each group. As disease severity increases, both myocardial perfusion reserve and stress upslope decrease. 

2611
Comparison of Cardiac Perfusion and Cardiac Global Functional Parameters between Healthy Volunteers and Cardiac Transplant Patients
Travis DeSa1, Jeremy D Collins1, James C Carr1, Kai Lin1, and Michael Markl1

1Radiology, Northwestern University Feinberg School of Medicine, Chicago, IL, United States

Myocardial perfusion using MRI has become a promising non-invasive method to evaluate myocardial ischemia in CVDs. However, assessment of CMR's effectiveness in differentiating regional myocardial perfusion in patients with CVD and comparison of regional myocardial perfusion indices to cardiac global functional parameters has not been thoroughly studied. We evaluated 12 volunteers and 9 cardiac transplant patients and found significant differences in segmental and average CMR perfusion, but little correlation between perfusion and global functional parameters. This weak correlation indicates that myocardial perfusion may be more sensitive to detect early changes in LV dysfunction before the onset of global functional impairment.

2612
Anaplerotic Flux Into Citric Acid Cycle 4-Carbon Intermediates is Phenotypically Increased in a Murine Model of Heart Failure
Aslan Turer1, Thomas Gillette1, Shawn Burgess2, Craig Malloy2, and Matthew Merritt3

1Cardiology, UT Southwestern Medical Center, Dallas, TX, United States, 2AIRC, UT Southwestern Medical Center, Dallas, TX, United States, 3Biochemistry and Molecular Biology, University of Florida, Gainesville, FL, United States

Heart failure (HF) was studied using a murine model of aortic constriction. Hearts were perfused to steady state using [1,6-13C2]glucose, [1,3-13C2]acetoacetate, and [U-13C]fatty acids. Substrate selection for acetyl-CoA production was measured using isotopomer analysis by carbon-13 NMR. A standard model which includes oxidative flux as well as pyruvate anaplerosis (YPC) via pyruvate carboxylase or the malic enzyme was evaluated. Inconsistencies in the fits led to proposal of a more complicated model that also includes anaplerosis through the succinyl-CoA pathway (Ys), leading to significantly better fits. We hypothesize that induction of the Ys anaplerotic pathway is phenotypic of HF.  

2613
Feasibility Study: Free-Breathing 3-D CINE Imaging with Respiratory Gating Based on Pilot Tone Navigation
Jens Wetzl1,2, Lea Schroeder1, Christoph Forman3, Felix Lugauer1, Robert Rehner4, Matthias Fenchel3, Andreas Maier1,2, Joachim Hornegger1,2, and Peter Speier3

1Pattern Recognition Lab, Department of Computer Science, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany, 2Erlangen Graduate School in Advanced Optical Technologies, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany, 3Magnetic Resonance, Product Definition and Innovation, Siemens Healthcare GmbH, Erlangen, Germany, 4Magnetic Resonance, Research and Development, Hardware, Siemens Healthcare GmbH, Erlangen, Germany

Respiratory monitoring during continuous, free-breathing acquisitions is challenging. Using self-navigation, a respiratory signal can be derived from the imaging data, but  requires frequent sampling of the k-space center. Pilot Tone navigation promises continuous respiratory monitoring independent of the imaging sequence. In this feasibility study, we compared both strategies for free-breathing 3-D CINE imaging. We found good agreement between both respiratory signals, and an excellent match in both reconstructed images and computed ventricular function parameters. Pilot Tone navigation can thus be considered an alternative to self-navigation, with the benefit of working with arbitrary imaging sequences.

2614
Pro-B-Type Natriuretic Peptide is associated with regional left ventricular function and dyssynchrony measured by MRI: The Multi-Ethnic Study of Atherosclerosis (MESA)
Amir Ali Rahsepar1, Mohammadali Habibi2, Cheeling Chan3, Nadine kawel2, Kiang Liu3, Joao Lima2, and James Carr1

1Radiology, Northwestern University, Chicago, IL, United States, 2Cardiology, Johns Hopkins University, Baltimore, MD, United States, 3Preventive medicine, Northwestern University, Chicago, IL, United States

In this large cross-sectional study, we found that higher levels of Pro-B-Type Natriuretic Peptide is associated with regional left ventricular function and dyssynchrony measured by MRI in asymptomatic patients participated in The Multi-Ethnic Study of Atherosclerosis (MESA) study.

2615
Effect of exercise on skeletal muscle and cardiac function in mouse models of Duchenne muscular dystrophy
Bauke Kogelman1, Margriet Hulsker2, Christa Tanganyika-de Winter2, Ralf Werring2, Annemieke Aartsma-Rus2, Maaike van Putten2, and Louise van der Weerd1,2

1Department of Radiology, Leiden University Medical Center, Leiden, Netherlands, 2Department of Human Genetics, Leiden University Medical Center, Leiden, Netherlands

Duchenne muscular dystrophy is affecting skeletal and cardiac muscle tissue, due to non-functional dystrophin protein. Potential therapies restore dystrophin expression in skeletal muscle, while cardiac muscle is more difficult to target. To elucidate whether exercise is beneficial or disadvantageous for (cardio)myopathy, we subjected several mouse models, mdx (0% dystrophin), mdx-Xist∆hs (varying dystrophin levels), Bl10-WT and Xist-WT wild type mice (100% dystrophin) to low intensity or no exercise. Results showed that low dystrophin levels improve skeletal muscle and cardiac function and suggest that low intensity exercise is beneficial for skeletal and cardiac muscle function in both dystrophic and wild type mice. 

2616
Validation of a novel technique to extract cine cardiac cycle without respiratory motion from real-time free-breathing images with unsupervised motion correction
Amir Ali Rahsepar1, Haris Saybasili 2, Ahmadreza Ghasemiesfe 1, Bruce Spottiswoode 2, Ann Ragin1, Jeremy Collins 1, and James Carr1

1Radiology, Northwestern University, Chicago, IL, United States, 2Siemens Medical Solutions, Siemens Healthcare, Chicago, IL, United States

In this study, we presented a novel technique to extract cine cardiac cycle without respiratory motion from real-time free-breathing images with unsupervised motion correction.

2617
Impaired myocardial resting perfusion in patients undergo chemo therapy, a quantitative MRI perfusion study
Yi Wang1

1St. Francis Hospital, Albertson, NY, United States

We tried to develop and validate an early detection technique of chemo therapy cardiotoxicity in the cancer treatment using cardiovascular magnetic resonance imaging. We hypothesized myocardial blood flow (MBF), more sensitive technique than EF or DHE, provides information on the altered physiology and function conditions of the heart. Chemo treatment induces changes in myocardial perfusion at rest enough to be detected with model based quantitation, with sequential imaging on the same subject. It provides an earlier indication of cardiotoxicity.
 


Traditional Poster

Cardiovascular Image Processing

Exhibition Hall Thursday, May 12, 2016: 13:30 - 15:30

2618
4D-PC MRI Pressure Mapping for Therapy Planning of Coarctation of the Aorta
Anja Hennemuth1, Christian Schumann1, Mathias Neugebauer1, Hanieh Mirzaee1, Sarah Nordmeyer2, Marcus Kelm2, Leonid Goubergrits2, and Titus Kühne2

1Fraunhofer MEVIS, Bremen, Germany, 2Department of Congenital Heart Disease / Pediatric Cardiology, German Heart Center Berlin, Berlin, Germany

The induced pressure gradient due to the vessel narrowing associated with coarctation of the aorta is a crucial parameter for treatment planning. Previous studies have shown that pressure differences derived from 4D PC MRI correlate well with conventional pressure catheter measurements. The purpose of the presented work was to investigate how MRI-based pressure maps can be employed in treatment planning of coarctation of the aorta. To this end, a combined 3D maximum value projection, which highlights relative value changes with respect to a reference point, and a curve diagram showing the pressure course along the centerline are provided for interactive exploration. Two cardiologists retrospectively explored 5 datasets of patients with treated coarctation of the aorta. The pressure gradient derived from the 4D PC MRI measurement corresponded well with the interventional measurements. Furthermore, additional relevant information could be derived regarding the location of the critical vessel sections. These findings show the potential of 4D PC MRI pressure mapping as a useful non-invasive tool for treatment planning of coarctation of the aorta.

2619
Automatic coronary centerline tracking from coronary MRI
Arna van Engelen1, Markus Henningsson1, and Rene Botnar1

1Department of Biomedical Engineering, Division of Imaging Sciences and Biomedical Engineering, King's College London, London, United Kingdom

The aim of this study was to perform automatic coronary artery centerline tracking on coronary MRI data, in a clinically relevant population. Our method consisted of computation of a vesselness filter followed by fast marching. Parameters were optimized on three subjects, and performance was evaluated on 27 other subjects. Centrelines were traced between a start and end point, and when needed with one additional point in between. Tracking was successful in 92% (RCA), 88% (LAD) and 65% (LCX), with a median distance from manual annotation of 1.0mm. These results show that automatic centerline tracking on coronary MRI data is possible.

2620
Accelerated MR Elastography for Quantitative Measurement of Myocardial Stiffness
Rizwan Ahmad1, Samuel Schroeder2, Richard D White3, and Arunark Kolipaka3

1Electrical and Computer Engineering, The Ohio State University, Columbus, OH, United States, 2Mechanical Engineering, The Ohio State University, Columbus, OH, United States, 3Radiology, The Ohio State University, Columbus, OH, United States

Alterations in myocardial stiffness have been linked to wide-ranging cardiovascular conditions. Magnetic resonance elastography (MRE) is a noninvasive, quantitative technique to estimate stiffness of soft tissue.1 Long scan times, however, limit the clinical utility of MRE, especially for cardiac imaging. We propose a data processing technique that not only exploits sparsity in the MRE images but also imposes a constant magnitude constraint to achieve accurate stiffness values from highly undersampled data. The method is validated using a physical phantom of known stiffness value and is then applied to a healthy volunteer to assess myocardial stiffness. 

2621
Patient Factors and Electrode Placement Factors that Cause 3T-CMR to Poorly Synchronize with Waveforms of Vectorcardiography – Examination of Factors Worsening R/T-wave Amplitude Ratio –
KEI FUKUZAWA1, Rieko Ishimura2, Takashi Yoshida1, Chiharu Yoshihara1, Junji Takahashi1, and Masakatsu Tano1

1Radiology, Toranomon Hospital, Tokyo, Japan, 2Cardiovascular center, Toranomon Hospital, Tokyo, Japan

The lower R/T ratio inside a bore are obtained in patients with bathycardia, a condition in which the heart axis is close to the body axis. In addition, the short distance between the apex of the heart and the apex electrode and closeness of lead II and the heart axis are factors of a worse R/T ratio. These two points should be improved to obtain waveforms with a high R/T ratio.

2622
Feasibility, reproducibility, and reliability for cardiac iron quantification at 3T in comparison with 1.5T
Long Li Ling1, peng peng1, and Huang Zhong Kui1

1The First Affiliated Hospital of Guangxi Medical University, Nanning, China, People's Republic of

To demonstrate that assessment of cardiac iron burden by T2* imaging is feasible, reproducible, and reliable at 3T. With 3T MRI scanners increasingly used in clinical settings, this study may lay a foundation for further MRI development of quantitative markers for noninvasive cardiac iron overloaded assessment at higher fields. Though cardiac T2* measurement at 3T seemed not to offer any greater advantages than 1.5T at present, it is more useful for some hospitals having only 3T scanner.

2623
Whole heart coverage in a single breath hold using compressed sensing combined with parallel imaging.
Jinho Park1, Panki Kim2, Young Joong Yang1, Jong-Hyun Yoon1, Byoung Wook Choi2, and Chang-Beom Ahn1

1Kwangwoon University, Seoul, Korea, Republic of, 2Yonsei University, Seoul, Korea, Republic of

For patients with impaired breath-hold capacity, highly accelerated cardiac cine MRI may be useful. The purpose of this study is to perform functional MR imaging of the whole heart in a single breath-hold using an under-sampled data acquisition in combination with compressed sensing with parallel imaging.  The proposed technique is applied for in-vivo functional cardiac imaging of the whole heart in a single breath-hold.  Applied compression factors are 4 of ITSC and 2 of SENSE. The whole heart coverage in a single breath-hold using ITSCxSENSE can be used to achieve adequate spatial resolution (1.8 mm × 1.8 mm) and relatively high temporal resolution (31 ms), with good image quality and functional movement.  It takes 23s for the reconstruction of single slice CINE images (22 cardiac phases). The ITSCxSENSE may be useful for patients with reduced breath-hold capacity.

2624
Electrode Placement Positions for Vectorcardiography to Control T waves and Obtain High R waves in 3T CMR
Kei Fukuzawa1, Rieko Ishimura2, Takashi Yoshida1, Junji Takahashi1, Chiharu Yoshihara1, and Masakatsu Tano1

1Radiology, Toranomon Hospital, Tokyo, Japan, 2Cardiovascular center, Toranomon Hospital, Tokyo, Japan

To obtain the highest R/T ratio, for good ECG synchronization, The R/T ratio increased as the angle of lead II axis became further away from the body axis and as the apex electrode and the apex of the heart became a little further apart than the basic placement position. The basic placement position was the lowest in the order of R/T ratios among the five kinds of electrode positions (p < 0.01).

2625
Fully Automatic Vessel Wall Contour Detection and Wall Thickness Assessment in Common Carotid and Descending Aorta
Shan Gao1, Ronald van't Klooster1, Anne Brandts2, Stijntje D. Roes2, Reza Alizadeh Dehnavi3, Albert de Roos2, Jos J.M. Westenberg1, and Rob J. van der Geest1

1Division of Image Processing, Department of Radiology, Leiden University Medical Center, Leiden, Netherlands, 2Department of Radiology, Leiden University Medical Center, Leiden, Netherlands, 3Department of Cardiology, Leiden University Medical Center, Leiden, Netherlands

Atherosclerosis is characterized by thickening of the arterial wall. To monitor disease progression and regression, vessel wall segmentation is required for wall thickness assessment.  In this study, we developed a fully automatic method to detect the vessel wall boundaries and quantify the wall thickness for both the common carotid artery and the descending aorta in MR images. The results demonstrated that our method has good agreement with manual segmentation, excellent scan-rescan reproducibility and capability of detecting vessel wall thickening in hypertensive patients. Therefore, the presented method is promising for application in future cohort studies.

2626
Segmentation of Abdominal Aortic Aneurysms Wall and Intraluminal Thrombus using 3D Black Blood MRI with Registration based Geometric Active Contour Model
Yan Wang1, Florent Seguro1, Farshid Faraji1, Chengcheng Zhu1, Henrik Haraldsson1, Michael Hope1, Jing Liu1, and David Saloner2

1Radiology, UCSF, San Francisco, CA, United States, 2Radiology, UCSF/VA, San Francisco, CA, United States

An abdominal aortic aneurysm (AAA) may rupture if left untreated. Automatic segmentation methods allow quick and reproducible AAA morphology quantification, which is favorable for the diagnosis of AAA disease. This study developed a novel registration based geometric active contour model to segment vessel wall of AAA from 3D black blood MRI. This method was initially tested on six patients. The proposed method agreed well with manual segmentation with an average Dice value of 91.22%, demonstrating good segmentation accuracy.  These methods can be potentially used for AAA evaluation in clinical setting.

2627
Aortic centreline tracking for PWV measurements in multiple MRI sequences
Arna van Engelen1, Torben Schneider2, Hubrecht de Bliek3, Miguel Silva Vieira4, Isma Rafiq4, Tarique Hussain4, Rene Botnar1, and Jordi Alastruey1

1Department of Biomedical Engineering, Division of Imaging Sciences and Biomedical Engineering, King's College London, London, United Kingdom, 2Philips Healthcare, Guidford, United Kingdom, 3Philips Healthcare, HSDP Clinical Platforms, Best, Netherlands, 4Department of Cardiovascular Imaging, Division of Imaging Sciences and Biomedical Engineering, King's College London, London, United Kingdom

Accurate 3D length measurements through the aorta are required for Pulse Wave Velocity (PWV) measurements. We evaluate automatic centreline tracking, requiring only a start and end point, on three different types of MR data (balanced-SSFP, contrast-enhanced and black-blood MRI), in 12 elderly subjects and 10 patients post-coarctation repair. Our algorithm uses vesselness filtering, fast marching and centreline refinement. Length differences between manual and automatic centrelines are generally below 1cm, with corresponding PWV differences well below 0.5m/s. This shows that with minimal user interaction, accurate PWV measurements can be performed using automatic centreline tracking, on commonly used types of MR data.

2628
Segmentation of the Right Ventricle in 4-Chamber Cine Cardiac MR Images
Jose A. Rosado-Toro1, Ryan Avery2, Maria I. Altbach3, Aiden Abidov4, and Jeffrey J. Rodriguez1

1Electrical and Computer Engineering, University of Arizona, Tucson, AZ, United States, 2Radiology, University of Arizona, Tucson, AZ, United States, 3Medical Imaging, University of Arizona, Tucson, AZ, United States, 4Medicine, University of Arizona, Tucson, AZ, United States

We present a semi-automated algorithm for right ventricle segmentation in 4-chamber cardiac MR images.  The algorithm takes post-processor landmarks in the end-diastolic and end-systolic frames and generates a segmentation of the right ventricle throughout the cardiac cycle.  For the 175 images we analyzed (i.e., 7 patients with 25 frames per patient), the Dice metric was within human variability.

2629
Automatic Ventricular Function Measurement with Free-breathing Self-Gated 4D Whole-Heart Cardiac MRI
Yuhua Chen1,2, Jianing Pang2, David Neiman2,3, Yibin Xie2, Christopher T. Nguyen2, Zhengwei Zhou2, and Debiao Li2

1Computer and Information Science, University of Pennsylvania, Philadelphia, PA, United States, 2Biomedical Imaging Research Institute, Cedars-Sinai Medical Center, Los Angeles, CA, United States, 3Electrical Engineering, University of Wisconsin, Madison, WI, United States

Measuring left ventricle (LV) function using MRI currently involves a highly user-dependent and labor-intensive workflow, which includes manual segmentation of 2D cine images acquired during patient breath-hold at multiple short axis locations. In this work, we propose a fully automated LV segmentation method based on a recently developed free-breathing, self-gated 4D whole-heart imaging technique and multi-atlas label fusion, which enables streamlined, “push-button” LV function assessment. We performed cross validation study on five healthy subjects where the proposed method was shown to offer consistent results with manual labelling.

2630
Automatic Classification and 3D Visualisation of Abdominal Aortic Aneurysms to Predict Aneurysm Expansion and Rupture
Yolanda Georgia Koutraki1,2, Rachael O. Forsythe2, Chengjia Wang1,3, Olivia Mcbride2, Jennifer Robson2, Tom J. MacGillivray1, Calum D. Gray1, David E. Newby1,2, and Scott I. Semple1,2

1Clinical Research Imaging Centre, University of Edinburgh, Edinburgh, United Kingdom, 2Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, United Kingdom, 3Toshiba Medical Visualization System-Europe, Edinburgh, United Kingdom

The measurement of the diameter of abdominal aortic aneurysms (AAA) as a criterion for repair has been proved to be imperfect, thus new methods are required.  Uptake of Ultrasmall Superparamagnetic Particles of Iron Oxide (USPIO) in AAA has been shown to correlate with aneurysm growth-rate. We previously suggested the use of an automatic AAA classification technique in order to replace manual processing. We have now improved our algorithm to include 3D data analysis and visualisation, multivariate analysis of metrics, batch processing and a Graphical User Interface. We are improving growth prediction with full reproducibility, 40 times faster than before.

2631
Quantitative Assessment of Functional Variability with Real-time MRI
Markus Huellebrand1, Mathias Neugebauer1, Michael Steinmetz2, Jens Frahm3, and Anja Hennemuth1

1Fraunhofer MEVIS, Bremen, Germany, 2Universitätsmedizin Göttingen, Göttingen, Germany, 3Biomedizinische NMR Forschungs GmbH am Max-Planck-Institut für Biophysikalische Chemie, Göttingen, Germany

New real-time MRI imaging techniques enable the acquisition of serial images with a temporal resolution of up to 20 ms. These new imaging sequences provide cardiac parameters such as cardiac function and blood flow over multiple heart cycles and their variation over time. To quantify these parameters new analysis methods are required. Our proposed solution combines automatic image processing with interactive exploration techniques in a web application setup. The solution has been successfully tested with data from arrhythmic patients as well as volunteers performing Valsalva maneuver and physical exercise tests.

2632
Left Ventricle Rotational Motion From Polar Tagging MRI Using Monogenic Signal Method
Shahriar Shalikar1, Elham Mohammadi1, and Abbas Nasiraei Moghaddam1

1Biomedical Engineering, Amirkabir University of Technology (Tehran Polytechnic), Tehran, Iran

The correlation between left ventricle (LV) rotation and cardiovascular diseases, encourages the studying of regional parameters such as regional rotation in cardiac evaluation. Radial Tagged MRI (tMRI) is a promising technique for rotational motion assessment. However, a robust and reproducible method is required to quantify displacement from tMRI. Monogenic signal method and its performance on radial tMRI is investigated in this study for the first time. The proposed method, due to possibility of dense displacement vector estimation, provides an opportunity to accurately analyze the LV twist and its effect on the cardiac function. Results  showed a very robust pattern for transmural changes of the rotation across the wall, calculated as -0.033 degrees per millimeter. 

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Dual Active-Shape Modeling for Efficient Right Ventricular Segmentation from MRI Images
Hossam El-Rewaidy1, El-Sayed H. Ibrahim2, and Ahmed Fahmy1

1Nile University, Cairo, Egypt, 2University of Michigan, Ann Arbor, MI, United States

Active-shape modeling (ASM) has potential for segmenting the right ventricle (RV) from MRI images. Nevertheless, the complexity of the RV shape does not allow for concisely capturing all possible shape variations. In this work, we propose a new ASM framework in which the RV contour is split into two simpler segments, septal and free-wall, whose shape variations are independently modeled using two ASM models. Further, the RV contours are aligned using the Bookstein coordinate-transformation. The results from a dataset of 10 patients show that the proposed framework can efficiently model complex RV shape variation with high accuracy in few iterations.

2634
Automatic ellipsoidal ROI placement for heart localization
R Reeve Ingle1, Kangrong Zhu2, N Okai Addy1, Ken O Johnson1, Michelle M Nystrom1, William R Overall1, Galen D Reed1, Bob S Hu1,3, and Juan M Santos1

1HeartVista, Inc., Menlo Park, CA, United States, 2Electrical Engineering, Stanford University, Stanford, CA, United States, 3Cardiology, Palo Alto Medical Foundation, Palo Alto, CA, United States

A 3D heart localization algorithm is proposed to automatically determine the placement and orientation of a 3D ellipsoidal ROI for optimal heart coverage. A fast, multi-slice scout scan is used to acquire a time series of cardiac-triggered images covering the heart. These images are used by the algorithm to automatically compute a cardiac motion map for the proposed ellipsoid fitting optimization. In eight subject scans, the algorithm is shown to yield good ellipsoidal placement and orientation that is in good conformance with the shape and position of the heart.